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Acknowledgments | |
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Introduction | |
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Audience for the Book | |
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Apolitical Causality Assessment | |
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A Systems View of Low Back Pain Causality | |
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The Reality of Work | |
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How Might the Different Aspects of Work Be Associated with Back Pain | |
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Organization of the Book | |
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Back Pain Magnitude and Potential Risk Factors | |
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What is Back Pain? | |
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How Common is Back Pain? | |
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Back Pain at Work | |
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Epidemiology of Work Risk Factors | |
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Epidemiology of Physical Risk Factors | |
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Epidemiology of Individual (Personal) Risk Factors | |
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Age | |
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Gender | |
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Anthropometry | |
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Fitness/Strength | |
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Alcohol | |
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Smoking | |
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Heredity/Genetics | |
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Social Class and Psychological Factors | |
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Epidemiology of Work-Related Psychosocial/Organizational Factors | |
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Potential Interaction of Physical and Psychosocial Factors | |
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Key Points | |
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Function, Structure, and Support of the Back | |
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Body Coordinates | |
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Bony Structures of the Spine | |
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The Disc (and the Spinal Joint) | |
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Functional Spinal Unit | |
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Spine Support | |
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Ligaments | |
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Muscles | |
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Fascia | |
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Nerves | |
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Blood Vessels | |
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End Plates and Nutrition | |
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Facets | |
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The System | |
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Key Points | |
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The Process of Pain | |
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What is Pain? | |
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Origins of Pain | |
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Pain Transmission | |
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The Pain Process | |
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The Inflammatory Process (Cytokines) | |
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Peripheral Nervous System Sensitization | |
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Neuropathic Pain: The Cytokine Cascade and Nerve Sensitization | |
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Pain Mechanisms of the Central Nervous System | |
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Role of the Environment in Central Sensitization | |
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Implications for Low Back Pain | |
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Nerves at Risk of Sensitization | |
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Tissues at Risk of Sensitization | |
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Disk and Nerve Roots | |
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Facet Joints | |
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Muscular-Based Pain | |
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Lumbar Nerve Roots | |
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Relationship between Tissue Loading and Pain | |
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Conclusions | |
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Key Points | |
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Potential Pathways to Back Pain | |
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Views of Back Pain Causality | |
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A Unifying Model of Low Back Pain Pathways | |
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The Support Structure Disruption Pathways | |
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Support Structure Tolerance | |
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Disc Tolerance Summary | |
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Pain Tolerance | |
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The Muscle Function Disruption Pathway | |
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The Role of Individual Differences in the Pain Pathways | |
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System Feedback | |
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Summary | |
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Key Points | |
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The Assessment of Biomechanical Forces Acting on the Low Back | |
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Biomechanical Concepts Applicable to the Back | |
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Load Tolerance | |
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Moments and Levers | |
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External Versus Internal Loading | |
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How can we Modify Internal Spine Loads? | |
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Biomechanical Arrangement of the Musculoskeletal Lever System | |
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Length-Strength Relationship | |
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The Impact of Velocity on Muscle Force | |
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Temporal Relationships | |
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Incorporating Spine Load Reductions into the Work System | |
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Loading of the Lumbar Spine | |
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Spine Load Assessments | |
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Models of Spine Load | |
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Biologically Driven Modeling of Spine Loading | |
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Stability-Driven Spine Loading Models | |
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Predictions of Muscle (Motor) Control within Torso | |
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What Drives Motor Control? The Mental Model | |
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Summary | |
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Key Points | |
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The Influence of Physical Work Factors on Muscle Activities and Spine Loads | |
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Introduction | |
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Industrial Quantitative Surveillance of Physical Exposure | |
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Strength Capacity Assessments of Work Load | |
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Static Analyses of Work Load | |
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Dynamic Analyses of Work Load | |
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Surveillance Conclusions | |
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Spine Loading and Task Performance | |
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Spine Loading and Primary Physical Workplace Factors | |
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Moment Exposure | |
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Role of Trunk Muscle Cocontraction in Spine Loading | |
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Trunk Motion | |
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Nonsagittal Plane Loading | |
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Lateral Motion | |
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Twisting Motion | |
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Task Asymmetry | |
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Lift Height | |
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One-Handed Versus Two-Handed Lifting | |
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Lifting Versus Lowering | |
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Cumulative Exposure | |
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Duration of Exposure to Lifting Tasks | |
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Worker Experience, Task Frequency, and Moment Exposure | |
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Spine Loading Associated with Modification of Physical Workplace Factors | |
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Handles | |
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Lifting While Supporting the Body | |
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Team Lifting | |
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Pushing and Pulling | |
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Seated and Constrained Work Postures | |
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Physical Work Factor Summary | |
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Summary | |
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Key Points | |
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Psychosocial and Organizational Factor Influence on Spine Loading | |
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Introduction | |
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Psychosocial and Organizational Interactions | |
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Biomechanical Responses to Psychosocial Environment | |
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Biomechanical Responses to Mental Stress at Work | |
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Expectation | |
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Conclusions | |
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Key Points | |
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Individual Factors Role in Spine Loading | |
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Introduction | |
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Gender | |
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Personality | |
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Experience | |
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Conclusions | |
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Key Points | |
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Physical, Individual, and Psychosocial/Organizational Risk Factor Interactions | |
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When Risk Factors Collide | |
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The Magnitude of Influence of the Three Risk Factor Categories | |
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Can Risk Factor Interactions be Predicted? | |
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Conclusions | |
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Key Points | |
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Engineering Controls to Mediate Back Pain at Work: Tools for the Assessment of Physical Factor Impact on Spine Loads and Intervention Effectiveness | |
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Introduction | |
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Static Strength Prediction Programs | |
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Psychophysical Tolerance Limits | |
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Job Demand Index | |
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NIOSH Lifting Guide and Revised Equation | |
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The 1981 Lifting Guide | |
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The 1993 Revised Equation | |
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Video-Based Biomechanical Models | |
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Lumbar Motion Monitor Risk Assessment | |
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Lifting Threshold Limit Values (TLVs) | |
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Workplace Assessment Comparisons | |
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Conclusions | |
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Key Points | |
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Administrative Controls for the Workplace: Psychosocial and Organizational Interventions | |
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Implementing Psychosocial and Organizational Change | |
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Elements of the Process | |
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Traditional Administrative Controls | |
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Worker Selection | |
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Worker Rotation | |
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Training | |
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Stretching Programs | |
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Back Belts | |
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Summary | |
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Key Points | |
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Integrating Risk Interventions into the Workplace | |
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Introduction | |
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Systems Intervention | |
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Examples of Intervention Effectiveness | |
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Patient Handling Interventions | |
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Types of Physical Interventions | |
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Implementing Both Physical and Psychosocial Interventions | |
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Distribution Center Interventions | |
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Summary | |
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Key Points | |
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Understanding Recurrent Low Back Pain and Implications for Return to Work | |
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Introduction | |
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The Natural History of Low Back Pain Recovery | |
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How can One Quantify the Extent of Low Back Pain? | |
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Impairment Assessment | |
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Effort Sincerity | |
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Spine Loading of those Experiencing Low Back Pain | |
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Can Kinematic Impairment Assessments Predict Changes in Spine Loading? | |
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Lifting Exposure Limits for Workers with LBP | |
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Recurrence of LBP and Work | |
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A Return-to-Work Strategy | |
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Conclusions | |
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Key Points | |
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Conclusions | |
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Summary | |
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Index | |