Zusammenhang Zwischen Beruflicher Exposition Durch Ganzkörpervibration und Bandscheibenbedingten Erkrankungen der Lendenwirbelsäule -Auswertungen Innerhalb der Deutschen Wirbelsäulenstudie

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Annekatrin Bergmann - , Sektion Arbeitsmedizin, Martin-Luther-Universität Halle-Wittenberg (Autor:in)
  • Andreas Seidler - , Johann Wolfgang Goethe-Universität Frankfurt am Main, Bundesanstalt für Arbeitsschutz und Arbeitsmedizin (BAuA) (Autor:in)
  • Barbara Schumann - , Martin-Luther-Universität Halle-Wittenberg (Autor:in)
  • Siegfried Fischer - , German Social Accident Insurance (Autor:in)
  • Ulrich Bolm-Audorff - , Regierungspräsidium Darmstadt (Autor:in)
  • Dirk Ditchen - , German Social Accident Insurance (Autor:in)
  • Rolf Ellegast - , German Social Accident Insurance (Autor:in)
  • Gine Elsner - , Johann Wolfgang Goethe-Universität Frankfurt am Main (Autor:in)
  • Joachim Grifka - , Universität Regensburg (Autor:in)
  • Barbara Hinz - , Martin-Luther-Universität Halle-Wittenberg (Autor:in)
  • Friedrich Hofmann - , Bergische Univertsität Wuppertal, Freiburger Forschungsstelle Arbeits- und Sozialmedizin (FFAS) (Autor:in)
  • Matthias Jäger - , Technische Universität (TU) Dortmund (Autor:in)
  • Oliver Linhardt - , Universität Regensburg (Autor:in)
  • Alwin Luttmann - , Technische Universität (TU) Dortmund (Autor:in)
  • Martina Michaelis - , Freiburger Forschungsstelle Arbeits- und Sozialmedizin (FFAS) (Autor:in)
  • Gabriela Petereit-Haack - , Regierungspräsidium Darmstadt (Autor:in)
  • Johannes Haerting - , Martin-Luther-Universität Halle-Wittenberg (Autor:in)

Abstract

The German population-based multi-centre case-control study EPILIFT investigated the dose-response relationship between occupational exposure to manual materials handling and/or working postures with trunk inclination and lumbar spine disease. In this study, also occupational exposure to whole body vibration (WBV) was assessed. 564 subjects with lumbar disc herniation, 351 subjects with a lumbar chondrosis and 901 control subjects were recruited. Of these, 65 disc herniation patients, 39 chondrosis patients and 73 control subjects had been exposed to whole body vibrations. However, only few women were exposed; therefore, a statistical analysis of female subjects was not recommended, and the analysis was restricted to males. A shift-based WBV threshold for the assessment acceleration of aw(8)=0.63 m/s 2 and a lowered threshold of aw(8)=0.45 m/s2 was applied. Accelerations in the x, y and z-direction (VDI 205 7, 2002 Bl.1) were gathered; however, in this analysis, only WBV exposures in the z-direction are taken into account. No association between cumulative exposure to whole body vibration and lumbar disc herniation was found in men. However, there was a monotonously increasing although non-significant relationship between the cumulative dose of whole body vibration and the risk of chondrosis in men. This association was found in the analyses both with a threshold of a w(8)=0,63 m/s2 (Odds Ratio OR 1.7, confidence interval CI 93% 0,8-3,5) and of aw(8)=0,45 m/s2 (OR 1.9, CI 95% 0,8-4,3). If, according to the hitherto existing guidance dose value by Dupuis, only subjects with a cumulative dose of DVRI >1.450 (m/s2)2 are assigned to the highest category, a statistically significant OR of 2,4 (CI 95%, 1.1-5.3) is found for the threshold of aw(8)=0.45 m/s2. The different findings for the two case groups support the supposition that disc herniation and chondrosis have to be considered as distinct disease patterns concerning exposure to whole body vibration.

Details

OriginalspracheDeutsch
Seiten (von - bis)317-327
Seitenumfang11
FachzeitschriftZentralblatt fur Arbeitsmedizin, Arbeitsschutz und Ergonomie
Jahrgang57
Ausgabenummer10
PublikationsstatusVeröffentlicht - 2007
Peer-Review-StatusJa
Extern publiziertJa

Schlagworte

Ziele für nachhaltige Entwicklung

Schlagwörter

  • Dose-response relationship, German spine study EPILIFT, Lumbar chondrosis, Lumbar disc herniation, Whole-body vibration