For decades individuals, organizations and agencies have engaged in research and discussion/argument regarding the benefit, real or imagined, of industrial back belts to prevent low back injuries, which accounts for 20% of all workplace injuries.
As reported in multiple articles and discussion based forums, the proposed mechanisms for low back injury prevention center around the belts ability to increase intra-abdominal pressure that helps keep the spinal column more stable through reduced movement, serves as a reminder to the person wearing the belt that they are to lift properly according to accepted proper lifting biomechanics, and that the belts compression on the spine helps reduce the forces that are applied directly to the spine.
The lack of sound evidence, or the prevalence of conflicting data analyzing back belts in the industrial setting for low back injury prevention, has resulted in the National Institute for Occupational Safety and Health (NIOSH), a United States federal agency responsible for conducting research and making recommendations for the prevention of work-related injury and illness, to conclude that “the results cannot be used to either support or refute the effectiveness of back belts in injury reduction.”
Therefore, this discussion must begin with an understanding of some basic principles related to the spine and trunk (sometimes referred to as the core).
With this understanding I submit that what is outlined below is a more common sense and effective way to reduce low back injury while at work or at home or on your field of competition – without the use of a back belt.
A properly trained and conditioned body, coupled with a reduction of the risk factors of low back injury through proper biomechanics, is the most effective intervention to reduce low back injuries. Add to this a reward and recognition system for compliance and actual injury rate reduction and you have a well-functioning program that will yield the results overtime.
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