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Etiological Factors of Chronic Back Pain in MRI of a Group of Military Personnel
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Saeed soleiman Meigooni1    , Shahnam Baboli2 , Mohammad Hassan Kazemi-Galougahi3 , Negar Abdi4 , Meysam Mirzaie-Peyhani5 |
1- Infectious Diseases Research Center, AJA University of Medical Sciences, Tehran, Iran.
2- Department of Neurosurgery, Khanevadeh Hospital, Tehran, Iran
3- Department of Infectious Diseases, Faculty of Medicine, AJA University of Medical Sciences, Tehran, Iran.
4- Department of Radiology, Faculty of Paramedical Sciences, Kurdistan University of Medical Sciences, Sanandaj, Iran.
5- Department of Radiology, Faculty of Paramedical Sciences, Kurdistan University of Medical Sciences, Sanandaj, Iran. , meysam.mirzaie@yahoo.com |
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Abstract: (1510 Views) |
Background and Aim: Chronic low back pain is one of the most common debilitating occupational diseases. It seems that the frequency of this type of back pain is increasing, especially among young military staff. The aim of this study was to evaluate the causes of chronic low back pain according to interpretation of MRI reports in military personnel of army land forces of the Islamic Republic of Iran.
Materials and Methods: In this descriptive cross-sectional study, the data of military personnel with chronic low back pain, referring to the Neurosurgery Council of Khanevadeh Hospital, Tehran in 2016 were extracted. The information included demographic and occupational characteristics of the patients, clinical findings, and MRI reports. We used chi-square and Fischer exact tests for data analysis at the significance level of 95%.
Results: 326 male military personnel with chronic low back pain were evaluated. The mean age of the subjects was 37.3 ± 0.6 years. The most common MRI finding was disc herniation which was detected in 174 cases (53.3%). low back pain was most frequent in the combat branch, which included 114 cases (34.9%). There was no statistically significant correlation between MRI findings and types of military branches (P=0.071). The highest frequency of disc herniation belonged to the patients between 20 and 29 years of age (p=0.002) and the highest frequency of degenerative changes was seen in the patients over 50 years of age (p=0.005).
Conclusion: The most important finding of this study was the low mean age of the patients with chronic low back pain who were in their active working years. We suggest revision of the trend of periodic examinations of military personnel, ergonomics of the work environment and military training. |
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| Keywords: MRI, Chronic low back pain, Military staff, Spondylodiscitis, Spondylolisthesis, Intervertebral disc herniation |
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Full-Text [PDF 491 kb]
(370 Downloads)
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Type of Study: Original Research |
Subject:
Medicine - Radiology
Received: 2022/07/26 | Accepted: 2023/01/25 | Published: 2023/12/6
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1. Shanghai. People's Republic of China. J Safety Res. 2004;35(1):23-8. [ DOI:10.1016/j.jsr.2003.11.002] [ PMID] 2. Galer BS, Gammaitoni AR, Oleka N, Jensen MP, Argoff CE. Use of the lidocaine patch 5% in reducing intensity of various pain qualities reported by patients with low-back pain. Med Res Opin. 2004;20:S5-12. [ DOI:10.1185/030079904X12933] [ PMID] 3. Cromie JE, Robertson VJ, Best MO. Work related musculoskeletal disorders in physical therapists prevalence, severity, risks and responses. Phys Ther. 2000;80(4): 336-351. [ DOI:10.1093/ptj/80.4.336] [ PMID] 4. Nachemson A, Waddell G, Norlund AI. Epidemiology of neck and low back pain. Phila Med. 2004; 165. 5. Bandpei MA, Ehsani F, Behtash H, Ghanipour M. Occupational low back pain in primary and high school teachers: prevalence and associated factors. J Manip Physiol Ther. 2014;37(9):702-8. [ DOI:10.1016/j.jmpt.2014.09.006] [ PMID] 6. Bandpei M, Fakhri MA, Ahmad Shirvani M, Bagheri Nesami M, Khalilian AR. Epidemiological aspects of low back pain in nurses. JBUMS. 2005;7(2):35-40. 7. Petersen T, Olsen S, Laslett M, Thorsen H, Manniche C, Ekdahl C, Jacobsen S. Inter-tester reliability of a new diagnostic classification system for patients with non-specific low back pain. Aust J Physiother. 2004;50(2):85-94. [ DOI:10.1016/S0004-9514(14)60100-8] [ PMID] 8. Garet M, Reiman MP, Mathers J, Sylvain J. Nonoperative treatment in lumbar spondylolysis and spondylolisthesis: a systematic review. JSHS. 2013;5(3):225-32. [ DOI:10.1177/1941738113480936] [ PMID] [ ] 9. O'Sullivan PB. Lumbar segmentalinstability': clinical presentation and specific stabilizing exercise management. Man Ther. 2000;5(1):2-12. [ DOI:10.1054/math.1999.0213] [ PMID] 10. Khalili M, Sharifi-Mood B, Metanat M, Salehi M. Epidemiology, clinical presentation, and treatment outcome of brucellosis among children. Int J Infect. 2014;1(3): e21570. [ DOI:10.17795/iji-21570] 11. Abbasi F, Besharat M. Tuberculosis Spondylitis (Pott's Disease) in Iran, Evaluation of 40 Cases. ARCH CLIN INFECT DIS. 2011;6:e93422. 12. Kalichman L , Kim DH, Li L, Guermazi A, Berkin V, Hunter DJ. Spondylolysis and spondylolisthesis: prevalence and association with low back pain in the adult community-based population. Spine J. 2009;34(2):199. [ DOI:10.1097/BRS.0b013e31818edcfd] [ PMID] [ ] 13. Jeong HY, You JV, Sohn HM, Park SA. Radiologic evaluation of degeneration in isthmic and degenerative spondylolisthesis. Asian spine J. 2013;7(1): 25-33. [ DOI:10.4184/asj.2013.7.1.25] [ PMID] [ ] 14. Sakai, T, Sairyo k, Takao SH, Nishitani H, Yasui N, Incidence of lumbar spondylolysis in the general population in Japan based on multidetector computed tomography scans from two thousand subjects. Spine J. 2009;34(21): 2346-2350. [ DOI:10.1097/BRS.0b013e3181b4abbe] [ PMID] 15. Fege AM, Herbison P. The role of physical and psychological factors in occupational low back pain: a prospective cohort study. Occup Env Med.2000;57(2): 116-120. [ DOI:10.1136/oem.57.2.116] [ PMID] [ ] 16. Gaffari M, AkbarAlipour I Jensen A, Asghar F, and Eva VK. Institute of public health stockholm Sweden Tehran University of Medical Siences. Occup Med. 2006;56(7): 405 17. Bader CE, Giordano NA, McDonald CC, Meghani SH, Polomano RC. Musculoskeletal pain and headache in the active duty military population: an integrative review. Worldviews Evid Based Nurs. 2018;15(4):264-71. [ DOI:10.1111/wvn.12301] [ PMID] 18. YAvUz U, Bayhan AI, BEng K, EMrEM K, UzUn M. Low back complaints worse, but not more frequent in subjects with congenital lumbosacral malformations: a study on 5000 recruits. Acta Orthop Belg. 2012;78(5):668. 19. Cohen SP, Gallagher RM, Davis SA, Griffith SR, Carragee EJ. Spine-area pain in military personnel: a review of epidemiology, etiology, diagnosis, and treatment. Spine J. 2012;12(9):833-42. [ DOI:10.1016/j.spinee.2011.10.010] [ PMID] 20. Mattila VM, Sillanpää P, Visuri T, Pihlajamäki H. Incidence and trends of low back pain hospitalisation during military service-An analysis of 387,070 Finnish young males. BMC Musculoskelet Disord. 2009;10(1):1-6. [ DOI:10.1186/1471-2474-10-10] [ PMID] [ ] 21. Mattila VM, Kyröläinen H, Santtila M, Pihlajamäki H. Low back pain during military service predicts low back pain later in life. PLoS One. 2017;12(3):e0173568. [ DOI:10.1371/journal.pone.0173568] [ PMID] [ ] 22. Rohrer MH, Santos-Eggimann B, Paccaud F, Haller-Maslov E. Epidemiologic study of low back pain in 1398 Swiss conscripts between 1985 and 1992. Eur Spine J. 1994;3(1):2-7. [ DOI:10.1007/BF02428309] [ PMID] 23. Darre EM, Biering-Sørensen F, Deis A, Høydalsmo OJ, Kryger P, Lund J, Monrad T, et al. back problems during military service--significance for later back problems. A 12-year follow-up study. Ugeskr Laeg. 1999;161(13):1926-30. 24. Hou Z , Shi JG, Ye H, Ni ZM, Yao J, Zheng LB, Liu ZR, Gao Y, Wang J, et al., Prevalence of low back pain among soldiers at an army base. Chin Med J. 2013;126(4): 679-682. [ DOI:10.3760/cma.j.issn.0366-6999.20112730] [ PMID] 25. MacGregor AJ, Dougherty AL, Mayo JA, Rauh MJ, Galarneau MR. Occupational correlates of low back pain among US Marines following combat deployment. Mil med. 2012;177(7):845-849. [ DOI:10.7205/MILMED-D-12-00021] [ PMID] 26. Kang SH, Yang JS, Cho YJ, Park SW, Ko KP. Military rank and the symptoms of lumbar disc herniation in young Korean soldiers. World Neurosurg. 2014;82(1-2):e9-14. [ DOI:10.1016/j.wneu.2013.02.056] [ PMID] |
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Ethics code: IR.AJAUMS.REC.1399.031
Meigooni S S, baboli S, Kazemi-Galougahi M H, Abdi N, Mirzaie-Peyhani M. Etiological Factors of Chronic Back Pain in MRI of a Group of Military Personnel. SJKU 2023; 28 (5) :75-83 URL: http://sjku.muk.ac.ir/article-1-7461-en.html
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