title: [Approach to treatment of lumbar pain syndromes and criteria of evaluating driving capability in professional drivers of large motor vehicles].
abstract: In truck drivers the negative effects of long-lasting body posture stress, vibration, muscular effort, changing of weather and climate conditions, monotony of driving, irregular rest, sleep and diet summarize. Our investigations performed on 80 professional truck drivers admitted to the commission demonstrated that in 35.5% back pain was the leading or one of leading diagnoses. The temporary working disability was injustifiable too long--32.5% more than 2 years, and the number of attacks in 70% over 4. The performed treatment was neither complex, nor continuous. 91.3% have lost the driving ability for professional truck driving. 89% of them were classified as able for an adequate job with full time, and 8.2% for part time. Only in 2.8% total permanent working disability was found. We developed following approach to the treatment of back pain in professional truck drivers: In the first attack the treatment should be carefully performed with high professional physiotherapy. In the second attack there should be performed possible improvements of working conditions and regime. In the third attack the disability is imminent, and the driver should be transferred to another adequate job. Such approach in the treatment ensures to truck driver maximal possible working span and profitable business.
authors.affiliation: Medicinski fakultet-Visa medicinska skola Zagreb.
authors.forename: V
authors.initials: V
authors.lastname: Mandić
authors.forename: K
authors.initials: K
authors.lastname: Ostojić
authors.forename: I
authors.initials: I
authors.lastname: Jelcić
mesh_terms: D001416:Back Pain / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000175:diagnosis*; D014938:Work Capacity Evaluation
vernacular_title: Pristup lijecenju lumbalnog bolnog sindroma i kriteriji ocjene vozacke sposobnosti profesionalnih vozaca teskih motornih vozila.