Investigation of Factors Associated With Pain Intensity in Office Workers With Non-Specific Low Back Pain

Published:April 26, 2022DOI:



      Low back pain is an important health problem causing serious physical, psychological, and economic losses in developed and developing countries.


      The aim of this study is to investigate comprehensively the factors related to the intensity of pain in office workers with non-specific low back pain (NSLBP).


      The study included 71 university office workers with NSLBP, aged 21-55 years. In addition to evaluating the sociodemographic and clinical characteristics of office workers with NSLBP, visual analog scale (VAS), Short-Form 36 (SF-36), Minnesota Satisfaction Questionnaire (MSQ), Oswestry Disability Index (ODI), Tampa Kinesiophobia Scale (TKS), Beck Depression Inventory (BDI), and Timed Up and Go (TUG) outcome measurements were applied.


      There was a statistically significant association between the intensity of pain and TUG test (p = .000), job satisfaction (p = .015), percentages of disability (p = .000), quality of life (role difficulty due to physical limitation, p = .010; pain, p = .000; social the function, p = .044), and depression (p = .004).


      While the functional performance, job satisfaction level, and quality of life in office workers with NSLBP with severe-intensity pain were lower, level of disability, depression were higher in office workers with NSLBP with mild-to-moderate-intensity pain.
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        • Altuğ F.
        • Ünal A.
        • Kilavuz G.
        • Kavlak E.
        • Çitişli V.
        • Cavlak U.
        Investigation of the relationship between kinesiophobia, physical activity level and quality of life in patients with chronic low back pain1.
        Journal of Back and Musculoskeletal Rehabilitation. 2016; 29: 527-531
        • Bagheri Hosseinabadi M.
        • Ebrahimi M.H.
        • Khanjani N.
        • Biganeh J.
        • Mohammadi S.
        • Abdolahfard M.
        The effects of amplitude and stability of circadian rhythm and occupational stress on burnout syndrome and job dissatisfaction among irregular shift working nurses.
        Journal of Clinical Nursing. 2019; 28: 1868-1878
        • Çalişkan Yilmaz M.
        • Nahcivan N.Ö.
        Prevalence of back pain and associated factors among metal workers.
        Journal of Ege University Nursing Faculty. 2006; 22: 175-187
        • Chaiklieng S.
        • Homsombat T.
        Incidence and postural risk factors for low back pain among informal garment female workers.
        (Paper presentation])in: 10th International Conference on Applied Human Factors and Ergonomics, Washinton, D.C., USA2019
        • Chaiklieng S.
        • Suggaravetsiri P.
        • Stewart J.
        Incidence and risk factors associated with lower back pain among university office workers.
        International Journal of Occupational Safety and Ergonomics. 2021; 27: 1215-1221
        • Comachio J.
        • Magalhães M.O.
        • Silva Campos Carvalho E
        • A P.M.
        • Marques A.P
        A cross-sectional study of associations between kinesiophobia, pain, disability, and quality of life in patients with chronic low back pain.
        Advances in Rheumatology. 2018; 58: 8
        • Demarchi S.J.
        • Oliveira C.B.
        • Franco M.R.
        • Morelhão P.K.
        • Hisamatsu T.M.
        • Silva F.G.
        • Damato T.M.
        • Pinto R.Z.
        Association of perceived physical overload at work with pain and disability in patients with chronic non-specific low back pain: a 6-month longitudinal study.
        European Spine Journal. 2019; 28: 1586-1593
        • Demirel Ö.
        Comparison of working posture, conditions and quality of life in teachers with and without chronic low back pain.
        Journal of Ergotherapy and Rehabilitation. 2019; 7: 155-164
        • Duruturk N.
        • Tonga E.
        • Gabel C.P.
        • Acar M.
        • Tekindal A.
        Cross-cultural adaptation, reliability and validity of the Turkish version of the Lower Limb Functional Index.
        Disability and Rehabilitation. 2015; 37: 2439-2444
        • Esen E.S.
        • Toprak D.
        Evaluation of low back pain frequency and related factors.
        Ankara Medical Journal. 2018; 18: 460-469
        • Fairbank J.C.
        • Couper J.
        • Davies J.B.
        • O'Brien J.P
        The Oswestry low back pain disability questionnaire.
        Physiotherapy. 1980; 66: 271-273
        • Fairbank J.C.
        • Pynsent P.B.
        The Oswestry disability index.
        Spine (Philadelphia, Pa 1976). 2000; 25 (discussion 2952): 2940-2952
        • Hawker G.A.
        • Mian S.
        • Kendzerska T.
        • French M.
        Measures of adult pain: Visual analog scale for pain (vas pain), numeric rating scale for pain (nrs pain), mcgill pain questionnaire (mpq), short-form mcgill pain questionnaire (sf-mpq), chronic pain grade scale (cpgs), short form-36 bodily pain scale (sf-36 bps), and measure of intermittent and constant osteoarthritis pain (icoap).
        Arthritis Care & Research (Hoboken). 2011; 63: S240-S252
        • Hemmati L.
        • Rojhani-Shirazi Z.
        • Malek-Hoseini H.
        • Mobaraki I.
        Evaluation of static and dynamic balance tests in single and dual task conditions in participants with nonspecific chronic low back pain.
        Journal of Chiropractic Medicine. 2017; 16: 189-194
        • Hisli-Sahin N.
        A study on the validity of the Beck Depression Inventory.
        Turkish Journal of Psychology. 1988; 6: 118-126
        • Hong S.
        • Shin D.
        Relationship between pain intensity, disability, exercise time and computer usage time and depression in office workers with non-specific chronic low back pain.
        Medical Hypotheses. 2020; 137109562
        • Hoogendoorn W.E.
        • Bongers P.M.
        • de Vet H.C.W.
        • Ariens G.A.M.
        • van Mechelen W.
        • Bouter L.M.
        High physical work load and low job satisfaction increase the risk of sickness absence due to low back pain: Results of a prospective cohort study.
        Occupational and Environmental Medicine. 2002; 59: 323-328
        • Hoy D.
        • Bain C.
        • Williams G.
        • March L.
        • Brooks P.
        • Blyth F.
        • Woolf A.
        • Vos T.
        • Buchbinder R.
        A systematic review of the global prevalence of low back pain.
        Arthritis & Rheumatism. 2012; 64: 2028-2037
        • Iizuka Y.
        • Iizuka H.
        • Mieda T.
        • Tsunoda D.
        • Sasaki T.
        • Tajika T.
        • Yamamoto A.
        • Takagishi K.
        Prevalence of chronic nonspecific low back pain and its associated factors among middle-aged and elderly people: an analysis based on data from a musculoskeletal examination in Japan.
        Asian Spine Journal. 2017; 11: 989-997
        • Ishak N.A.
        • Zahari Z.
        • Justine M.
        Kinesiophobia, pain, muscle functions, and functional performances among older persons with low back pain.
        Pain Research and Treatment. 2017; 20173489617
        • Jensen M.P.
        • Chen C.
        • Brugger A.M.
        Interpretation of visual analog scale ratings and change scores: a reanalysis of two clinical trials of postoperative pain.
        Journal of Pain. 2003; 4: 407-414
        • Kear B.M.
        • Guck T.P.
        • McGaha A.L.
        Timed Up and Go (TUG) test: normative reference values for ages 20 to 59 years and relationships with physical and mental health risk factors.
        Journal of Primary Care & Community Health. 2017; 8: 9-13
        • Kocyigit H.
        • Aydemir O.
        • Fisek G.
        • Olmez N.
        • Memis A.
        Reliability and validity of the Turkish version of Short Form-36.
        Drug Therapy. 1999; 12: 102-106
        • Kovacs F.M.
        • Abraira V.
        • Zamora J.
        • del Real M.T.G.
        • Llobera J.
        • Fernández C.
        • Bauza J.R.
        • Bauza K.
        • Coll J.
        • Cuadri M.
        • Duro E.
        • Gili J.
        • Gestoso M.
        • Gómez M.
        • González J.
        • Ibañez P.
        • Jover A.
        • Lazáro P.
        • Llinás M.
        • Rodríguez E.
        Correlation between pain, disability, and quality of life in patients with common low back pain.
        Spine (Phila Pa 1976). 2004; 29: 206-210
        • Krismer M.
        • van Tulder M.
        Strategies for prevention and management of musculoskeletal conditions. Low back pain (non-specific).
        Best Practice & Research Clinical Rheumatology. 2007; 21: 77-91
        • Küçük F.
        • Öztürk S.D.
        • Şenol H.
        • Özkeskİn M
        Examination of Working Posture, Musculoskeletal System Disorders, Disability Level Due to Lumbar Pain and Health Related Quality Of Life in Office Workers.
        Journal of Occupational Therapy and Rehabilitation. 2018; 6: 135-144
        • Macías-Toronjo I.
        • Rojas-Ocaña M.J.
        • Sánchez-Ramos J.L.
        • García-Navarro E.B.
        Pain catastrophizing, kinesiophobia and fear-avoidance in non-specific work-related low-back pain as predictors of sickness absence.
        PloS One. 2020; 15e0242994
        • Manek N.J.
        • MacGregor A.J.
        Epidemiology of back disorders: prevalence, risk factors, and prognosis.
        Current Opinion in Rheumatology. 2005; 17: 134-140
        • de Oliveira Sakamoto Silva Garbi M.
        • Hortense P.
        • Gomez R.R.F.
        • da Silva T.B.C.R.
        • Castanho A.C.F.
        • Sousa F.A.E.F.
        Pain intensity, disability and depression in individuals with chronic back pain1.
        Revista Latino-Americana de Enfermagem. 2014; 22: 569-575
        • Nasution I.
        • Lubis N.
        • Amelia S.
        • Hocin K.
        The correlation of pain intensity and quality of life in chronic LBP patients in Adam Malik general hospital.
        in: IOP Conference Series: Earth and Environmental Science. 125. 2018012183
        • Ortiz-Hernández L.
        • Tamez-González S.
        • Martı́nez-Alcántara S.
        • Méndez-Ramı́rez I.
        Computer use increases the risk of musculoskeletal disorders among newspaper office workers.
        Archives of Medical Research. 2003; 34: 331-342
        • Pan Y.J.
        • Pan C.H.
        • Chan H.Y.
        • Kuo K.H.
        Depression and pain: An appraisal of cost effectiveness and cost utility of antidepressants.
        Journal of Psychiatric Research. 2015; 63: 123-131
        • Pinheiro M.B.
        • Ferreira M.L.
        • Refshauge K.
        • Ordoñana J.R.
        • Machado G.C.
        • Prado L.R.
        • Maher C.G.
        • Ferreira P.H.
        Symptoms of depression and risk of new episodes of low back pain: A systematic review and meta-analysis.
        Arthritis Care & Research. 2015; 67: 1591-1603
        • Pitchai P.
        • Chauhan S.K.
        • Sreeraj S.
        Impact of kinesiophobia on quality of life in subjects with low back pain: A cross-sectional study.
        International Journal of Physiotherapy and Research. 2017; 5: 2232-2239
        • Podsiadlo D.
        • Richardson S.
        The timed “Up & Go”: A test of basic functional mobility for frail elderly persons.
        Journal of the American Geriatrics Society. 1991; 39: 142-148
        • Rapała A.
        • Rapała K.
        • Lachowicz W.
        Methods of clinical evaulations and scales of assessment of the cervical and lumbar disc disaease based on the Oswestry scale.
        Ortopedia, Traumatologia, Rehabilitacja. 2004; 6: 149-154
        • Sherafat S.
        • Salavati M.
        • Takamjani I.E.
        • Akhbari B.
        • Rad S.M.
        • Mazaheri M.
        • Negahban H.
        • Lali P.
        Effect of dual-tasking on dynamic postural control in individuals with and without nonspecific low back pain.
        Journal of Manipulative and Physiological Therapeutics. 2014; 37: 170-179
        • Sirbu E.
        • Onofrei R.
        • Szasz S.
        • Susan M.
        Predictors of disability in patients with chronic low back pain.
        Archives of Medical Science. 2020; 16
        • Sribastav S.S.
        • Long J.
        • He P.
        • He W.
        • Ye F.
        • Li Z.
        • Wang J.
        • Liu H.
        • Wang H.
        • Zheng Z.
        Risk factors associated with pain severity in patients with non-specific low back pain in Southern China.
        Asian Spine Journal. 2018; 12: 533-543
        • Tavares J.
        • Rodacki A.L.
        • Hoflinger F.
        • dos Santos Cabral A.
        • Paulo A.C.
        • Rodacki C.L.
        Physical performance, anthropometrics and functional characteristics influence the intensity of nonspecific chronic low back pain in military police officers.
        International Journal of Environmental Research and Public Health. 2020; 17: 6434
        • Tezer E.
        Reliability and validity of job satisfaction scale.
        Turkish Psychological Counseling and Guidance Journal. 2001; 2: 33-39
        • Uçurum S.G.
        • Kalkan A.C.
        The relationship between pain, kinesiophobia and quality of life in patients with low back pain.
        Ege Journal of Medicine. 2018; 57: 131-135
        • Vlaeyen J.W.S.
        • Kole-Snijders A.M.J.
        • Boeren R.G.B.
        • van Eek H.
        Fear of movement/(re) injury in chronic low back pain and its relation to behavioral performance.
        Pain. 1995; 62: 363-372
        • Williams R.A.
        • Pruitt S.D.
        • Doctor J.N.
        • Epping-Jordan J.E.
        • Wahlgren D.R.
        • Grant I.
        • Patterson T.L.
        • Webster J.S.
        • Slater M.A.
        • Atkinson J.H.
        The contribution of job satisfaction to the transition from acute to chronic low back pain.
        Archives of Physical Medicine and Rehabilitation. 1998; 79: 366-374
        • Yakut E.
        • Düger T.
        • Öksüz Ç.
        • Yörükan S.
        • Üreten K.
        • Turan D.
        • Frat T.
        • Kiraz S.
        • Krd N.
        • Kayhan H.
        • Yakut Y.
        • Güler C.
        Validation of the Turkish version of the Oswestry Disability Index for patients with low back pain.
        Spine (Phila Pa 1976). 2004; 29: 581-585
        • Ye S.
        • Jing Q.
        • Wei C.
        • Lu J.
        Risk factors of non-specific neck pain and low back pain in computer-using office workers in China: A cross-sectional study.
        BMJ Open. 2017; 7e014914
        • Yilmaz Ö.T.
        • Yakut Y.
        • Uygur F.
        • Uluğ N.
        Turkish version of the Tampa Scale for Kinesiophobia and its test-retest reliability.
        Physiotherapy Rehabilitation. 2011; 22: 44-49