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Prevalence and individual risk factors associated with clinical lumbar instability in rice farmers with low back pain

Authors Puntumetakul R, Yodchaisarn W, Emasithi A, Keawduangdee P, Chatchawan U, Yamauchi J

Received 28 August 2014

Accepted for publication 17 October 2014

Published 16 December 2014 Volume 2015:9 Pages 1—7

DOI https://doi.org/10.2147/PPA.S73412

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 4

Editor who approved publication: Dr Johnny Chen

Rungthip Puntumetakul,1 Wantanee Yodchaisarn,1 Alongkot Emasithi,2 Petcharat Keawduangdee,1 Uraiwan Chatchawan,1 Junichiro Yamauchi3

1The Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), Khon Kaen University, Khon Kaen, Thailand; 2School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand; 3Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo, Japan

Introduction: Clinical lumbar instability (CLI) is one of the subgroups of chronic non-specific low back pain. Thai rice farmers often have poor sustained postures during a rice planting process and start their farming at an early age. However, individual associated factors of CLI are not known and have rarely been diagnosed in low back pain. This study aimed to determine the prevalence and individual associated factors of CLI in Thai rice farmers.
Methods: A cross-sectional survey was conducted among 323 Thai rice farmers in a rural area of Khon Kaen province, Thailand. Face-to-face interviews were conducted using the 13-item Delphi criteria questionnaire, after which an objective examination was performed using aberrant movement sign, painful catch sign, and prone instability test to obtain information. Individual factors such as sex, body mass index, waist-hip ratio, smoking, and number of years of farming experience, were recorded during the face-to-face interview.
Results: The prevalence of CLI in Thai rice farmers calculated by the method described in this study was 13% (age 44±10 years). Number of years of farming experience was found to be significantly correlated with the prevalence of CLI (adjusted odds ratio =2.02, 95% confidence interval =1.03–3.98, P<0.05).
Conclusion: This study provides prevalence of CLI in Thai rice farmers. Those with long-term farming experience of at least 30 years have a greater risk of CLI.

Keywords: Delphi study, aberrant movement sign, painful catch sign, prone instability test


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