A critical review of a pivotal scientific contribution: Liles and associates 24 years later.
OBJECTIVE
This review evaluates (in retrospect) the contribution of Liles and associates (1984) to the causality debate of the work relatedness of low back pain.


BACKGROUND
Often it takes years to appreciate the role of a paper with respect to the body of literature as a whole.


METHODS
Although many papers appear remarkable when they are first published, the real value of a contribution often can be appreciated by considering how the paper "fills in the pieces of the puzzle" over time. This paper examines how the Liles paper influenced low back pain causality efforts after its introduction.


RESULTS
This analysis indicates that Liles and associates contributed to the science of low back disorder causality by (a) advancing the idea of quantitative measures used for field studies, (b) identifying a dose-response relationship for low back pain, and (c) recognizing the influence of a system of work and nonwork influences related to low back pain development.


CONCLUSIONS
The Liles contribution to Human Factors has proven to play a pivotal role in our understanding of how low back pain is influenced by work exposure.


CONCLUSIONS
The concepts introduced here can help future efforts associated with understanding musculoskeletal disorder causality and work.
Marras
William S
WS
Ohio State University, The Biodynamics Laboratory, Columbus, OH 43210, USA. marras.1@osu.edu
D006804:Ergonomics; D006801:Humans; D017116:Low Back Pain / Q000209:etiology*; D012106:Research; D017132:Workplace