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Introduction - As a consequence of the mandatory lockdown set up to fight the spread of the Covid-19 epidemic, the work organization of most French workers was significantly changed with work interruptions and extended implementation of work from home The aim of this paper was to estimate the effects of the changes in the work organization due to lockdown on low back pain onset and its evolution Material and Methods - Workers were retrospectively interviewed online during three waves of the Coviprev study (access panel in the general population) between 8 June and 8 July 2020 about their work situation during lockdown, and their low back symptoms before and at the end of the lockdown Results - The rate of low back pain onset in workers who did not have any low back symptoms prior to the lockdown (n=2,113) was 10 4% [9 1-10 7] The work situation during the lockdown was associated with significantly increased risks of low back pain in people who began to work from home due to lockdown, and in those who continued to work outside home at a higher pace than usual (compared to working outside home as usual;odds-ratio of 2 81 [1 77-4 46] and 2 76 [1 50-5 09], respectively) The work situation during lockdown was also significantly associated with the evolution of low back pain in workers who already had these symptoms before the lockdown (n=1,111, 34 3% [32 7-36 0]) with an increased risk of worsening for those who worked outside the home at a higher rhythm than usual (odds-ratio 3 39 [1 38-8 31]) and more likely to improve for those who usually worked from home before the confinement (odds-ratio 1 86 [1 00-3 43]) Conclusion - While the Covid-19 epidemic is again in an increasing phase, measures should be recommended to workers in order to prevent a further increase in the burden due to low back pain
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Bulletin_Epidemiologique_Hebdomadaire
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Low back pain rate and evolution in different work situations during COVID-19 epidemic lockdown from 17 March to 10 May 2020, in metropolitan France
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