Occupational driving has often been associated with a high prevalence of back pain. The factors that contribute to cause the pain are diverse and might include prolonged sitting, poor postures, exposure to whole-body vibration and other non-driving factors such as heavy lifting, poor diet or other psychosocial factors. In Europe, truck drivers are likely to be considered an ‘at risk’ group according to the Physical Agents (Vibration) Directive and therefore risks will need to be reduced. This questionnaire-based study set out to examine the relationship between musculoskeletal problems and possible risk factors for HGV truck drivers to help prioritize action aimed at risk reduction. Truck drivers (n = 192) completed an occupational questionnaire with two measures of vibration exposure (weekly hours and distance driven). Items on manual handling, relevant ergonomics factors and musculoskeletal problems were also included. Reported exposures to vibration ranged from 12 to 85 h per week, with a mean of 43.8 h. Distances driven ranged from 256 to 6400 km (mean 2469 km). Most of the respondents (81%) reported some musculoskeletal pain during the previous 12 months and 60% reported low back pain. Contrary to expectations, vibration exposures were significantly lower among those who suffered musculoskeletal symptoms when distance was used as an exposure measure. Manual handling and subjective ratings of seat discomfort were associated with reported musculoskeletal problems.

Discomfort in vehicle seats is a multi-factorial problem with contributions occurring from effects of sitting duration, seat design, and the dynamic environment to which the occupant is exposed. This paper reports laboratory studies investigating the extent to which reports of discomfort are affected by vibration commencing or ceasing, and whether methods of assessment are sensitive enough to detect small changes in foam composition. Study 1 measured discomfort ratings for two conditions of 60 min each, comprising 30 min of vibration exposure followed by 30 min of static sitting in a car seat, and vice-versa. Study 2 measured discomfort ratings for three conditions over a period of 40 min each, whilst participants were sitting in one of two car seat compositions, and either exposed to vibration or not. In both studies participants operated a driving simulator. It is shown that exposure to vibration increases the rate of discomfort onset in comparison to periods of static sitting. When vibration stopped, there was an acute improvement in comfort but discomfort did not drop to the levels reported by those who had been unexposed. When vibration started after 30 min of static sitting, there was an acute increase in discomfort but not to the levels reported by those who had been exposed to 30 min of vibration. After 40 min of continuous exposure it was possible to detect significant differences in overall discomfort between the two seat compositions, although trends could be observed in less time.

Background—During stage rallying, musculoskeletal injuries may be provoked by the high magnitude of vibration and shock to which the driver and co-driver are exposed. Drivers and co-drivers experience similar exposure to whole body mechanical shocks and vibration but different exposure to hand/wrist stressors.Objectives—To investigate by a questionnaire study the prevalence of symptoms of musculoskeletal injuries after rallying in 13 professional and 105 amateur stage rally competitors.Methods—The self administered questionnaire investigated whole body and hand/wrist symptoms of musculoskeletal injury. It was loosely based on the Nordic design.Results—91% of participants who competed or tested for more than 10 days a year (n=90) reported discomfort in at least one body area after rallying. Problems in the lumbar spine (70%), cervical spine (54%), shoulders (47%), and thoracic spine (36%) were the most common. There was a higher prevalence of cervical spine discomfort for co-drivers (62%) than for drivers (46%). Conversely, there was higher prevalence of discomfort in the hands and wrists for drivers (32%) than co-drivers (9%). The prevalence of low back pain in rally participants is higher than that generally reported for workers exposed to whole body vibration. The prevalence of discomfort in the hand and wrist for rally drivers is similar to that previously reported for Formula 1 drivers.Conclusions—Most stage rally drivers and co-drivers report symptoms of musculoskeletal injury. It is logical to relate the high prevalence of symptoms of injury to the extreme environment of the rally car.