Identification of blue and yellow flags in the work context for low back pain prevention.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Currently either working in a sedentary work context “office work" or manually / physically active "physiotherapy". Gender: everyone. Minimum age: 18 years. Maximum age: 64. Consent to participate in the study. Sufficient comprehension of the German language and ability to understand and complete the questionnaires and the intervention material.
Exclusion criteria
Exclusion criteria: Chronic Pain, any pain location: pain duration > 12 weeks. Professional, competitive, and top athletes. Current participation in another study. Acute infection. Pregnancy. BMI > 29,44. Akward posture, or abnormalities in lower extremities. Sensory deficits or neurological diseases. Osteoporosis. Spine fractures. Recent pelvis operation (3 months post). Tumors, Bone metastases. Inflammation in spine (e.g. Morbus Bechterew). History of spine operations. Strong medication (opioids, antiepileptic drugs, muscle relaxants).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary dependent variable is leisure time physical activity. Long-longitudinal (LL): self-reported at T0, T1 (+ 14 days), T2 (+ 14 days) T3 (+ 4 weeks) using the IPAQ-long questionnaire (Wanner et al., 2016). Minutes in moderate-to-vigorous physical activity. Intensive longitudinal (IL): objective continuous assessment between T0 and T1 (14 days) using Move 4 activity sensor (accelerometer). Minutes in moderate-to-vigorous physical activity. | — |
Secondary
| Measure | Time frame |
|---|---|
| Back shape and movement (objectively Measurements via Epionics SPINE, and MediMouse) at T0, Epionics SPINE T0-T1 (24 hours, during everyday life). Physical activity at work (LL: IPAQ, Wanner et al., 2016; IL: objectively via Move 4 activity sensor) at T0, T1, T2, T3 (LL) and daily T0-T1 (IL). Sedentary behaviour (LL: IPAQ, Wanner et al., 2016; IL: time sitting / lying, objectively via Move 4 activity sensor at work vs. in leisure time) at T0, T1, T2, T3 (LL) and daily T0- T1 (IL). Intensitiy low back pain (LL: adapt. von-Korff pain scale; von-Korff, Ormel, Keefe, & Dworkin, 1992; IL: single item adapt. von-Korff pain scale in the diary) at T0, T1, T2, T3 (LL) and daily T0-T1 (IL). Impairment due to low back pain (LL: adapt. von-Korff pain scale; von-Korff, Ormel, Keefe, & Dworkin, 1992; IL: single item adapt. von-Korff pain scale in the diary) at T0, T1, T2, T3 (LL) and daily T0-T1 (IL). Disability due to back pain (Roland-Morris-Disability Scale, Roland & Morris, 1983) at T0. Health-related quality of life (VR-12; Buchholz, Feng, Buchholz, Kazis, & Kohlmann, 2020) at T0, T1, T2, T3. Depression and anxiety (LL: PHQ-4; Löwe et al., 2010) at T0, T1, T2, T3. Affect (LL / IL: 10-item short version PANAS; Mackinnon, Jorm, Christensen, Korten, Jacomb, & Rodgers, 1999; Watson, Clark, & Tellegen, 1988) at T0, T1, T2, T3 (LL) and daily T0 -T1 (IL). Plan enactment (IL: single item, adapted from Fleig et al., 2017) daily T0-T1 (IL) | — |
Countries
Germany
Contacts
MSB Medical School Berlin, Hochschule für Gesundheit und Medizin, Gesundheitspsychologie / Gesundheitspsychologie