The paper reviews the epidemiologic evidence linking low back pain (LBP) an
d exposure to whole body vibration (WBV). Particular emphasis is placed on
studies where the exposure is quantified. Biomechanical studies show a reso
nance at 4-5 Hz. At the resonance the transmissibility exceeds 1.0, and is
dependent on seat attenuation, posture and seat back inclination. Increased
spinal loading is evidenced by increased muscle activity, muscle fatigue,
and disc pressure, and by decreased stature. Physiologic changes also occur
with WBV. The risk of LBP can be reduced by vibration damping, good ergono
mic design, reducing exposure, and reducing other risks such as lifting.