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

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Annekatrin Bergmann - , Sektion Arbeitsmedizin, Martin Luther University Halle-Wittenberg (Author)
  • Andreas Seidler - , Goethe University Frankfurt a.M., Federal Institute for Occupational Safety and Health (Author)
  • Barbara Schumann - , Martin Luther University Halle-Wittenberg (Author)
  • Siegfried Fischer - , German Social Accident Insurance (Author)
  • Ulrich Bolm-Audorff - , Regional Authority Darmstadt (Author)
  • Dirk Ditchen - , German Social Accident Insurance (Author)
  • Rolf Ellegast - , German Social Accident Insurance (Author)
  • Gine Elsner - , Goethe University Frankfurt a.M. (Author)
  • Joachim Grifka - , University of Regensburg (Author)
  • Barbara Hinz - , Martin Luther University Halle-Wittenberg (Author)
  • Friedrich Hofmann - , University of Wuppertal, Freiburger Forschungsstelle Arbeits- und Sozialmedizin (FFAS) (Author)
  • Matthias Jäger - , Dortmund University of Technology (Author)
  • Oliver Linhardt - , University of Regensburg (Author)
  • Alwin Luttmann - , Dortmund University of Technology (Author)
  • Martina Michaelis - , Freiburger Forschungsstelle Arbeits- und Sozialmedizin (FFAS) (Author)
  • Gabriela Petereit-Haack - , Regional Authority Darmstadt (Author)
  • Johannes Haerting - , Martin Luther University Halle-Wittenberg (Author)

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.

Translated title of the contribution
Association between occupational exposure to whole-body vibration and disc-related diseases of the lumbar spine - Evaluations within the German Spine Study

Details

Original languageGerman
Pages (from-to)317-327
Number of pages11
JournalZentralblatt fur Arbeitsmedizin, Arbeitsschutz und Ergonomie
Volume57
Issue number10
Publication statusPublished - 2007
Peer-reviewedYes
Externally publishedYes

Keywords

Sustainable Development Goals

Keywords

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