{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T04:12:32Z","timestamp":1768623152317,"version":"3.49.0"},"reference-count":42,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T00:00:00Z","timestamp":1733702400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:p>Both mechanical and psychological overload are inherent to the work of nurses and paramedics, resulting spondylogenic pain.<\/jats:p><jats:sec><jats:title>Aim of the study<\/jats:title><jats:p>To identify potential risk factors influencing the prevalence of non-specific cervical spine pain in professionally active nurses and paramedics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>324 nurses (53.2% of the total) and 285 paramedics (46.8%) were included in the study\u2212609 people in total. The study was carried out using an auditorium survey technique supervised by the researchers. The methods used were: Nordic Musculoskeletal Questionnaire, a spinal pain questionnaire validated according to IEA guidelines, a short version of the IPAQ and the author's survey questionnaire, concerning sociodemographic data, chronic diseases including metabolic syndrome (MetS). A univariate logistic regression model was used in the statistical analysis. The level of statistical significance was taken as <jats:italic>p<\/jats:italic> &amp;lt; 0.05.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Recurrent NP was significantly more common in paramedics compared to nurses (29.5 % vs. 9.3 %; <jats:italic>p<\/jats:italic> &amp;lt; 0.0001). In a univariate logistic regression model, the risk of NP was significantly increased by: length of service &amp;gt; 15 years (<jats:italic>p<\/jats:italic> &amp;lt; 0.024), presence of: low back pain (<jats:italic>p<\/jats:italic> &amp;lt; 0.0001), type 2 diabetes (<jats:italic>p<\/jats:italic> = 0.013), hypertension (<jats:italic>p<\/jats:italic> &amp;lt; 0.001), depression (<jats:italic>p<\/jats:italic> &amp;lt; 0.01). Of the modifiable factors, the risk of NP was significantly increased by high physical activity and short sleep &amp;lt;7 h (<jats:italic>p<\/jats:italic> &amp;lt; 0.001).<\/jats:p><\/jats:sec>","DOI":"10.3389\/fmed.2024.1466370","type":"journal-article","created":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T04:26:39Z","timestamp":1733718399000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Nonspecific cervical spine pain\/neck pain\/in medical personnel of north-eastern Poland\u2014A cross-sectional study"],"prefix":"10.3389","volume":"11","author":[{"given":"Anna","family":"Citko","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stanis\u0142aw","family":"G\u00f3rski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ludmi\u0142a","family":"Marcinowicz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cybulski","family":"Mateusz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sierakowska","family":"Matylda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2024,12,9]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"4206","DOI":"10.3390\/ijerph18084206","article-title":"The influence of verbal suggestion on post-needling soreness and pain processing after dry needling treatment: an experimental study","author":"S\u00e1nchez Romero","year":"2021","journal-title":"Int J Environ Res Public Health."},{"key":"B2","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1186\/s12891-021-04957-4","article-title":"Neck pain: global epidemiology, trends and risk factors","volume":"23","author":"Kazeminasab","year":"2022","journal-title":"BMC Musculoskelet Disord."},{"key":"B3","doi-asserted-by":"publisher","first-page":"48","DOI":"10.3390\/life13010048","article-title":"Prediction of patient satisfaction after treatment of chronic neck pain with mulligan's mobilization","volume":"13","author":"Fern\u00e1ndez-Carnero","year":"2022","journal-title":"Life"},{"key":"B4","doi-asserted-by":"publisher","first-page":"395","DOI":"10.47197\/retos.v46.93950","article-title":"Do patients' expectations influence conservative treatment in Chronic Low Back Pain? A narrative review","volume":"46","author":"Ballestra","year":"2022","journal-title":"Retos."},{"key":"B5","doi-asserted-by":"publisher","first-page":"S28","DOI":"10.1227\/01.NEU.0000249223.51871.C2","article-title":"Cervical radiculopathy: pathophysiology, presentation, and clinical evaluation","volume":"60","author":"Abbed","year":"2007","journal-title":"Neurosurgery."},{"key":"B6","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1016\/j.msksp.2017.11.007","article-title":"Identifying risk factors for first-episode neck pain: a systematic review","volume":"33","author":"Kim","year":"2018","journal-title":"Musculoskelet Sci Pract."},{"key":"B7","doi-asserted-by":"publisher","first-page":"366","DOI":"10.1186\/s12891-020-03379-y","article-title":"Risk factors for non-specific neck pain in young adults. A systematic review","volume":"21","author":"Jahre","year":"2020","journal-title":"BMC Musculoskelet Disord."},{"key":"B8","first-page":"1","article-title":"Relationship between mental workload and musculoskeletal disorders among Alzahra Hospital nurses","volume":"20","author":"Habibi","year":"2015","journal-title":"Iran J Nurs Midwifery Res."},{"key":"B9","doi-asserted-by":"publisher","first-page":"594","DOI":"10.2519\/jospt.2023.12063","article-title":"Effectiveness of exercise interventions for preventing neck pain: a systematic review with meta-analysis of randomized controlled trials","volume":"53","author":"Teichert","year":"2023","journal-title":"J Orthop Sports Phys Ther."},{"key":"B10","doi-asserted-by":"publisher","first-page":"1524","DOI":"10.1080\/00140139.2019.1661525","article-title":"Effect of neck flexion angles on neck muscle activity among smartphone users with and without neck pain","volume":"62","author":"Namwongsa","year":"2019","journal-title":"Ergonomics."},{"key":"B11","doi-asserted-by":"publisher","first-page":"513","DOI":"10.1016\/j.csm.2021.03.006","article-title":"Cervical disc herniations, radiculopathy, and myelopathy","volume":"40","author":"Watkins","year":"2021","journal-title":"Clin Sports Med."},{"key":"B12","doi-asserted-by":"publisher","first-page":"e57480","DOI":"10.5812\/mejrh.57480","article-title":"Workplace stresses and musculoskeletal disorders among nurses: a cross-sectional study","volume":"4","author":"Dehdashti","year":"2017","journal-title":"Middle East J Rehabil Health Stud."},{"key":"B13","doi-asserted-by":"publisher","first-page":"72","DOI":"10.13075\/ijomeh.1896.02262","article-title":"Fatigue based on the subjective feeling of people representing selected medical professions","volume":"37","author":"Puszczalowska-Lizis","year":"2024","journal-title":"Int J Occup Med Environ Health."},{"key":"B14","doi-asserted-by":"publisher","first-page":"1965807","DOI":"10.1155\/2018\/1965807","article-title":"Sedentary lifestyle and nonspecific low back pain in medical personnel in North-East Poland","volume":"2018","author":"Citko","year":"2018","journal-title":"BioMed Res Int."},{"key":"B15","doi-asserted-by":"publisher","first-page":"2867","DOI":"10.3390\/jcm9092867","article-title":"Is there an association between diabetes and neck and back pain? results of a case-control study","volume":"9","author":"Lima Florencio","year":"2020","journal-title":"J Clin Med."},{"key":"B16","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1097\/BRS.0000000000004485","article-title":"Association between hypercholesterolemia and neck pain in a cross-sectional population-based study","volume":"48","author":"Ahorukomeye","year":"2023","journal-title":"Spine."},{"key":"B17","doi-asserted-by":"publisher","first-page":"201","DOI":"10.5114\/fmpcr.2017.69275","article-title":"Analysis of risk factors of recurring non-specific low back pain with particular emphasis on \u201cnew\u201d predictive factors","volume":"19","author":"Citko","year":"2017","journal-title":"Fam Med Primary Care Rev."},{"key":"B18","doi-asserted-by":"publisher","first-page":"48","DOI":"10.56984\/8ZG0DF528","article-title":"Self-assessment of back pain incidence in nursing staff and physicians","volume":"23","author":"Puszcza\u0142owska-Lizis","year":"2023","journal-title":"Fizjoterapia Polska."},{"key":"B19","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1016\/0003-6870(87)90010-X","article-title":"Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms","volume":"18","author":"Kuorinka","year":"1987","journal-title":"Appl Ergon."},{"key":"B20","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1093\/occmed\/49.3.171","article-title":"Repeatability and validity of an upper limb and neck discomfort questionnaire: the utility of the standardized Nordic questionnaire","volume":"49","author":"Palmer","year":"1999","journal-title":"Occup Med (Lond)."},{"key":"B21","first-page":"123","article-title":"Validation of the questionnaire for adolescents concerning ailments of lumbosacral region","volume":"65","author":"Baczkiewicz","year":"2011","journal-title":"Przegl Epidemiol."},{"key":"B22","doi-asserted-by":"publisher","first-page":"1381","DOI":"10.1249\/01.MSS.0000078924.61453.FB","article-title":"International physical activity questionnaire: 12-country reliability and validity","volume":"35","author":"Craig","year":"2003","journal-title":"MedSciSport Exerc."},{"key":"B23","first-page":"33","article-title":"Physical activity and physical fitness as determinants of health and longevity","volume-title":"Exercise, Fitness and Health","author":"Paffenbarger","year":"1990"},{"key":"B24","doi-asserted-by":"publisher","first-page":"519","DOI":"10.5664\/jcsm.26918","article-title":"Behavioral and psychological consequences of sleep restriction","volume":"3","author":"Banks","year":"2007","journal-title":"J Clin Sleep Med"},{"key":"B25","doi-asserted-by":"publisher","first-page":"7","DOI":"10.5487\/TR.2011.27.1.007","article-title":"Possible health effects of caffeinated coffee consumption on Alzheimer's disease and cardiovascular disease","volume":"27","author":"You","year":"2011","journal-title":"Toxicol Res."},{"key":"B26","doi-asserted-by":"publisher","first-page":"968","DOI":"10.1136\/annrheumdis-2013-204428","volume":"73","author":"Hoy","year":"2014","journal-title":"Ann Rheum Dis."},{"key":"B27","doi-asserted-by":"crossref","first-page":"1204","DOI":"10.1016\/S0140-6736(20)30925-9","article-title":"2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019","volume":"396","year":"2020","journal-title":"Lancet"},{"key":"B28","doi-asserted-by":"publisher","first-page":"j3221","DOI":"10.1136\/bmj.j3221","article-title":"Advances in the diagnosis and management of neck pain","volume":"358","author":"Cohen","year":"2017","journal-title":"BMJ."},{"key":"B29","doi-asserted-by":"publisher","first-page":"12311","DOI":"10.1038\/s41598-020-69382-4","article-title":"Prevalence of neck\/shoulder pain among public hospital workers in China and its associated factors: a cross-sectional study","volume":"23","author":"Dong","year":"2020","journal-title":"Sci Rep."},{"key":"B30","doi-asserted-by":"publisher","first-page":"e20210108","DOI":"10.1590\/1983-1447.2022.20210108.pt","article-title":"Factors related to musculoskeletal pain of nurses in the hospital setting: cross-sectional study","volume":"43","author":"Schultz","year":"2022","journal-title":"Rev Gaucha Enferm."},{"key":"B31","doi-asserted-by":"publisher","first-page":"1749","DOI":"10.2147\/JPR.S366536","article-title":"Prevalence of pain and its risk factors among ICU personnel in tertiary hospital in china: a cross-sectional study","volume":"15","author":"Wang","year":"2022","journal-title":"J Pain Res."},{"key":"B32","doi-asserted-by":"publisher","first-page":"275","DOI":"10.1177\/2165079918809107","article-title":"Prevalence and risk factors of work-related musculoskeletal disorders among intensive care unit nurses in China","volume":"67","author":"Yang","year":"","journal-title":"Workplace Health Saf"},{"key":"B33","doi-asserted-by":"publisher","first-page":"79","DOI":"10.5387\/fms.2022-02","article-title":"Clinical features of neck and shoulder pain (Katakori) in Japanese hospital workers","volume":"68","author":"Onda","year":"2022","journal-title":"Fukushima J Med Sci."},{"key":"B34","doi-asserted-by":"publisher","first-page":"7060","DOI":"10.3390\/jcm12227060","article-title":"The prevalence of neck and back pain among paramedics in Poland","volume":"12","author":"Bryndal","year":"2023","journal-title":"J Clin Med."},{"key":"B35","doi-asserted-by":"publisher","first-page":"e27334","DOI":"10.17795\/whb27334","article-title":"The prevalence rate of work-related musculoskeletal disorders among iranian female workers","volume":"2","author":"Choobineh","year":"2015","journal-title":"Women Health Bull."},{"key":"B36","doi-asserted-by":"publisher","first-page":"677","DOI":"10.1007\/s00586-010-1630-4","article-title":"The association between physical activity and neck and low back pain: a systematic review","volume":"20","author":"Sitthipornvorakul","year":"2011","journal-title":"Eur Spine J."},{"key":"B37","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1186\/1471-2474-11-171","article-title":"Prevalence of neck pain in subjects with metabolic syndrome\u2013a cross-sectional population-based study","volume":"11","author":"M\u00e4ntyselk\u00e4","year":"2010","journal-title":"BMC Musculoskelet Disord."},{"key":"B38","doi-asserted-by":"publisher","first-page":"46","DOI":"10.1007\/s00776-011-0177-5","article-title":"Characteristics of neck and shoulder pain (called katakori in Japanese) among members of the nursing staff","volume":"17","author":"Iizuka","year":"2012","journal-title":"J Orthop Sci."},{"key":"B39","doi-asserted-by":"publisher","first-page":"e12236","DOI":"10.1002\/1348-9585.12236","article-title":"Short sleep and chronic neck and shoulder discomfort in nurses","volume":"63","author":"Chin","year":"2021","journal-title":"J Occup Health."},{"key":"B40","doi-asserted-by":"publisher","first-page":"323","DOI":"10.5114\/fmpcr.2017.69299","article-title":"Recommendations of the Polish society of physiotherapy, the Polish society of family medicine and the college of family physicians in Poland in the field of physiotherapy of back pain syndromes in primary health care","volume":"19","author":"Kassolik","year":"2017","journal-title":"Fam Med Prim Care Rev."},{"key":"B41","doi-asserted-by":"publisher","first-page":"6478","DOI":"10.3390\/jcm12206478","article-title":"Effects of a therapeutic exercise protocol for patients with chronic non-specific back pain in primary health care: a single-group retrospective cohort study","volume":"12","author":"Cuenca-Zald\u00edvar","year":"2023","journal-title":"J Clin Med."},{"key":"B42","doi-asserted-by":"publisher","first-page":"70","DOI":"10.15557\/PiMR.2020.0012","article-title":"Epidemiology and the consequences of fear of missing out (FOMO). The role of general practitioners in early diagnosis, treatment and prevention of FOMO in teenagers and young adults","volume":"16","author":"Citko","year":"2020","journal-title":"Pediatria i Medycyna Rodzinna."}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2024.1466370\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T04:26:43Z","timestamp":1733718403000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2024.1466370\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,9]]},"references-count":42,"alternative-id":["10.3389\/fmed.2024.1466370"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2024.1466370","relation":{},"ISSN":["2296-858X"],"issn-type":[{"value":"2296-858X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,9]]},"article-number":"1466370"}}