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A comprehensive screening protocol to identify incidence of lower back pain in military office workers

Alizadeh, Reza; Shariat, Ardalan; Hakakzadeh, Azadeh; Selk-Ghaffari, Maryam; Damavandi, Pouya; Honarpishe, Roshanak; Ingle, Lee


Reza Alizadeh

Ardalan Shariat

Azadeh Hakakzadeh

Maryam Selk-Ghaffari

Pouya Damavandi

Roshanak Honarpishe


Military workers experience different types of lower back pain (LBP), but there is little evidence concerning the incidence of LBP in this group, especially in Asian countries. Increasing rate of LBP in this group is not considered and there is not a source to distinguish the different types of LBP. One of the most common forms of LBP is discogenic low back pain (DLBP) which is a consequence of internal disc disruption accounting for approximately 40% of LBP cases. This cross-sectional study aimed to determine the incidence of non-specific low back pain (LBP), discogenic LBP, and other forms of LBP in military office workers in Iran. 564 military office workers (303 men and 261 women, age: 20-50 years), who had worked in this setting for at least two years, were randomly selected from one military office. The Cornell Musculoskeletal Discomfort Questionnaire (CMDQ) was used as the primary screening tool. Participants who reported severe and mild LBP (graded low, mild, and severe) received a detailed physical examination including radiological magnetic resonance imaging. Based on the results of the physical examination, in conjunction with individual history, and medical opinion, mild-to-severe LBP was evident in 39% (n=220) of the participants. Of these, non-specific LBP accounted for 60%, discogenic LBP accounted for 31%, and other forms of LBP accounted for the remaining 9% of the sample. We found that LBP is highly incident in military office workers, with non-specific LBP being the most incident form. Considering these high incidence rates, a strategy for preventive health screening and exercise intervention should be considered in this population to help reduce absenteeism and increase workforce productivity.


Alizadeh, R., Shariat, A., Hakakzadeh, A., Selk-Ghaffari, M., Damavandi, P., Honarpishe, R., & Ingle, L. (in press). A comprehensive screening protocol to identify incidence of lower back pain in military office workers. Journal of Pain Management, 13(1),

Journal Article Type Article
Acceptance Date Sep 29, 2019
Deposit Date Sep 30, 2019
Publicly Available Date Oct 2, 2019
Journal Journal of pain management
Print ISSN 1939-5914
Publisher Nova Science Publishers
Peer Reviewed Peer Reviewed
Volume 13
Issue 1
Keywords Low back pain; Cornell questionnaire; Office workers; Musculoskeletal
Public URL
Publisher URL


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