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Wang W, Ji C, Andersen LL, Wang Y, Lin Y, Jiang L, Chen S, Xu Y, Zhang Z, Shi L, Wang Y. Effectiveness of manual therapy, computerised mobilisation plus home exercise, and home exercise only in treating work-related neck pain: study protocol for a randomised controlled trial. BMC Musculoskelet Disord 2022; 23:1119. [PMID: 36550505 PMCID: PMC9773538 DOI: 10.1186/s12891-022-06093-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Accepted: 12/13/2022] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND Work-related neck pain (WRNP) is a leading cause of disability and absenteeism. Patients with neck pain often have neck muscle tenderness and decreased cervical mobility, which are sometimes combined with psychosocial issues, such as pain catastrophising, thereby reducing their work ability. Whilst multidisciplinary treatments, including pharmacological interventions, manual therapy and specific neck exercises, have produced positive outcomes, effective personalised treatment modalities are still needed. Furthermore, manual therapies using the hands can bring fatigue to therapist. Occiflex is a computerised device that can provide personalised segmental joint mobilisation based on symptoms and injury of the patient and then provide a medium range of joint activities to improve range of cervical motion. This study aims to compare the effect of computerised mobilisation performed with Occiflex with that of traditional manual therapy on WRNP. METHODS We will conduct a prospective randomised controlled trial including 150 patients with WRNP. These patients will be randomly assigned to one of three groups: (i) home exercise (TE), (ii) home exercise plus Occiflex therapy and (iii) home exercise plus manual therapy delivered by a physical therapist. Ten treatment sessions will be performed in four weeks. During the trial, these patients will receive only the assigned treatment and the standard patient education and will be asked not to use any analgesics unless strictly necessary. Assessments by trained evaluators will occur at baseline, week 4 and week 12. The primary outcome measures will include visual analogue scale (VAS) for pain and neck disability index (NDI) at each time point. Secondary outcome measures will include cervical range of motion (CROM), pressure pain threshold (PPT), global perceived effect (GPE) and sick leave. Group by time differences will be analysed using linear mixed models with repeated measures. DISCUSSION This protocol describes the methods for a randomised controlled trial to compare the effectiveness of computerised versus manual mobilisation techniques in treating WRNP. The results will provide an alternative method (Occiflex) that is possibly effective for treating neck pain whilst minimising the manual work done by therapists. TRIAL REGISTRATION The study protocol was retrospectively registered at http://www.chictr.org.cn (registration number: ChiCTR2100053076) on November 10, 2021.
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Affiliation(s)
- Weiming Wang
- grid.12981.330000 0001 2360 039XRehabilitation Medicine Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong Province Guangzhou, China
| | - Chang Ji
- grid.443378.f0000 0001 0483 836XGuangzhou Sport University, Guangdong Province Guangzhou, China
| | - Lars Louis Andersen
- grid.418079.30000 0000 9531 3915National Research Centre for the Working Environment, Copenhagen, Denmark
| | - Yafei Wang
- grid.12981.330000 0001 2360 039XRehabilitation Medicine Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong Province Guangzhou, China
| | - Yangyang Lin
- grid.12981.330000 0001 2360 039XRehabilitation Medicine Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong Province Guangzhou, China
| | - Li Jiang
- grid.12981.330000 0001 2360 039XRehabilitation Medicine Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong Province Guangzhou, China
| | - Shuwei Chen
- grid.284723.80000 0000 8877 7471Medical College of Rehabilitation, Southern Medical University, Guangdong Province Guangzhou, China
| | - Yangfan Xu
- grid.12981.330000 0001 2360 039XRehabilitation Medicine Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong Province Guangzhou, China
| | - Ziping Zhang
- grid.12981.330000 0001 2360 039XRehabilitation Medicine Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong Province Guangzhou, China
| | - Le Shi
- grid.12981.330000 0001 2360 039XRehabilitation Medicine Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong Province Guangzhou, China
| | - Yuling Wang
- grid.12981.330000 0001 2360 039XRehabilitation Medicine Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong Province Guangzhou, China
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Stevens ML, Karstad K, Mathiassen SE, Januario LB, Holtermann A, Hallman DM. What Determines Step-Rate at Work? An Investigation of Factors at the Shift, Worker, Ward, and Nursing Home Levels in Eldercare. Ann Work Expo Health 2021; 65:919-927. [PMID: 34137433 PMCID: PMC8501986 DOI: 10.1093/annweh/wxab027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2020] [Revised: 03/23/2021] [Accepted: 03/28/2021] [Indexed: 11/17/2022] Open
Abstract
Objectives Current knowledge on the determinants of step-rate at different organizational levels is limited. Thus, our aim was to identify, in eldercare, at what workplace level differences in step-rate occur and to identify determinants of workers’ step-rate at these levels. Methods Participants were 420 eldercare workers from 17 nursing homes (126 wards) in Denmark. Accelerometry was used to assess step-rate (steps per hour) of workers over multiple shifts. We assessed various determinants at different levels of the workplace, i.e. at the (i) shift, (ii) worker, (iii) ward, and (iv) nursing home levels. Variance components analysis identified the percentage contribution to total variance in step-rate from each respective level. Multi-level linear regression modelling was used to investigate the association between candidate determinants at each level and step-rate. Results Differences in eldercare workers’ step-rate occurred primarily between shifts (within workers; 44.9%) and between workers (within wards; 49.1%). A higher step-rate was associated with: (i) weekend and evening shifts (versus weekday/day); (ii) job as a care helper (versus care aide) and an increased proportion of time spent on direct care tasks; (iii) working in a somatic ward (versus dementia), an increased resident–staff ratio and permission to take unscheduled breaks; and (iv) lack of elevators. Conclusions We found that nearly all variability in step-rate in eldercare work occurs between shifts (within workers) and between workers (within wards). The main determinants of step-rate were related to the type of shift, type of work tasks, staffing ratio, break policy, and availability of elevators.
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Affiliation(s)
- Matthew L Stevens
- Department of Musculoskeletal Disorders and Physical Workload, The National Research Centre for the Working Environment, Lersø Parkallé 105, 2100 København Ø, Denmark
| | - Kristina Karstad
- Department of Musculoskeletal Disorders and Physical Workload, The National Research Centre for the Working Environment, Lersø Parkallé 105, 2100 København Ø, Denmark
| | - Svend Erik Mathiassen
- Centre for Musculoskeletal Research, Department of Occupational Health Sciences and Psychology, University of Gävle, Kungsbäcksvägen 47, 801 76 Gävle, Sweden
| | - Leticia Bergamin Januario
- Centre for Musculoskeletal Research, Department of Occupational Health Sciences and Psychology, University of Gävle, Kungsbäcksvägen 47, 801 76 Gävle, Sweden
| | - Andreas Holtermann
- Department of Musculoskeletal Disorders and Physical Workload, The National Research Centre for the Working Environment, Lersø Parkallé 105, 2100 København Ø, Denmark.,Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230 Odense, Denmark
| | - David M Hallman
- Centre for Musculoskeletal Research, Department of Occupational Health Sciences and Psychology, University of Gävle, Kungsbäcksvägen 47, 801 76 Gävle, Sweden
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Eldin Alreni AS, McRobert C, McLean SM. Utilisation of outcome measures in the management of non-specific neck pain: A national survey of current physiotherapy practice in the UK. Musculoskelet Sci Pract 2021; 52:102347. [PMID: 33618232 DOI: 10.1016/j.msksp.2021.102347] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/21/2020] [Revised: 02/02/2021] [Accepted: 02/06/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND Routine utilisation of outcome measures (OMs) is an integral part of physiotherapy rehabilitation when managing non-specific neck pain (NSNP). Numerous relevant OMs exist; however, the extent to which OMs are used by physiotherapists in the UK for NSNP is unknown. OBJECTIVE To determine current utilisation patterns of OMs in UK physiotherapy practice when managing NSNP. METHODS An online web-based survey instrument was developed and physiotherapists were invited to participate if they were currently practicing in the UK and had some experience of managing patients with neck pain. Logistic regression analyses using the generalised linear models was carried out to identify characteristics associated with OMs utilisation. RESULTS A total of 2101 surveys were completed. One-third of the respondents reported not using OMs when managing NSNP. Lack of time and clear guidance about the suitability of available OMs were the most commonly reported reasons. A majority of the two-thirds of those who reported using OMs were consistently using pain and range of motion rating measures. Physical/functional limitations, psychological distress, and quality of life constructs, which are frequently associated with NSNP, were rarely measured. Years of practice (p = 0.000), nation (p = 0.019) and proportion of patients with neck pain (p = 0.034) variables were found to be independently associated with frequent use of OMs. CONCLUSION This survey established the poor integration of OMs in the UK when managing NSNP. Further attention is required to identify or develop OMs which are feasible for use in busy clinical practice and to market them more effectively to physiotherapists.
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Affiliation(s)
| | - Cliona McRobert
- School of Health Sciences, Institute of Clinical Sciences, University of Liverpool, Liverpool, UK.
| | - Sionnadh Mairi McLean
- Centre for Health and Social Care Research, Sheffield Hallam University, Sheffield, UK.
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Hallman DM, Gupta N, Bergamin Januario L, Holtermann A. Work-Time Compositions of Physical Behaviors and Trajectories of Sick Leave Due to Musculoskeletal Pain. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18041508. [PMID: 33562531 PMCID: PMC7915038 DOI: 10.3390/ijerph18041508] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/30/2020] [Revised: 01/26/2021] [Accepted: 02/02/2021] [Indexed: 12/24/2022]
Abstract
We aimed to investigate the association between work-time compositions of physical behavior and sick leave trajectories due to musculoskeletal pain over one year. We conducted a secondary analysis using the data of 981 workers in a Danish prospective cohort (DPHACTO 2012–2014). At baseline, we assessed physical behaviors (sitting, standing, light physical activity (LIPA), and moderate-to-vigorous physical activity (MVPA)) at work and during leisure, using accelerometers. Over 1 year follow-up, workers reported sick-leave days due to musculoskeletal pain at 4-week intervals. Four distinct trajectories of sick leave were previously identified in this cohort (“no sick leave”, “few days—increasing trajectory”, “some days—decreasing trajectory”, “some days—increasing trajectory”), and used as an outcome in multinomial regression models with work-time compositions as predictors, adjusted for compositions of behavior during leisure, age, sex, body mass index, and smoking habits. More time spent sitting relative to the other behaviors was negatively associated with the trajectory of few days—increasing sick leave (p = 0.004), while time in LIPA was positively associated with the trajectory of some days—increasing sick leave (p = 0.009). Standing and MVPA were not significantly associated with sick leave trajectories. In conclusion, work-time compositions with more sitting relative to the other behaviors had lower risk for an increasing trajectory of sick leave due to pain, while compositions with more LIPA had higher risk. This may have implications for prevention of pain-related sick leave in blue-collar workers.
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Affiliation(s)
- David M. Hallman
- Centre for Musculoskeletal Research, Department of Occupational Health Sciences and Psychology, University of Gävle, 801 76 Gävle, Sweden;
- Correspondence: ; Tel.: +46-736266413
| | - Nidhi Gupta
- National Research Centre for the Working Environment, 2100 Copenhagen, Denmark; (N.G.); (A.H.)
| | - Leticia Bergamin Januario
- Centre for Musculoskeletal Research, Department of Occupational Health Sciences and Psychology, University of Gävle, 801 76 Gävle, Sweden;
| | - Andreas Holtermann
- National Research Centre for the Working Environment, 2100 Copenhagen, Denmark; (N.G.); (A.H.)
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Galof K, Šuc L. Exploring Teachers' Back Pain Concerning Their Habits, Rules, Leisure Activities, and Physical Activity Breaks at Work. INQUIRY : A JOURNAL OF MEDICAL CARE ORGANIZATION, PROVISION AND FINANCING 2021; 58:469580211060256. [PMID: 34812685 PMCID: PMC8640309 DOI: 10.1177/00469580211060256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The role of a teacher in the Faculty of Health Sciences involves teaching students, preparing lessons, and participating in other activities such as research projects and management processes. Professional participation is part of their involvement in daily occupations, which are taking place in teachers' socio-cultural context and are necessary for their well-being. Teachers' work performance can be enabled or constrained by their professional habits, including habits while using computers. We investigated awareness of and adherence to recommendations on ergonomics and preventive measures for back pain among the Faculty of Health Sciences employees. This study was aimed at investigating the relationship between the influence of their habits during computer use and back pain. An online questionnaire was sent to the teaching staff of the Faculty of Health Sciences (n = 115). 73% of the staff opened the online questionnaire, 43% fully completed the questionnaire. Data were processed using SPSS statistical program, version 20.0. Descriptive statistics, Pearson's correlation coefficient, and factor analysis were calculated. Analysis of the results showed a significant statistical association between the professional habits and roles [daily computer use (r = .443, P < .01); position of different body parts during computer use [head (r = .669, P < .001), shoulder (r = .446, P < .01), legs and feet (r = .483, P < .01), screen inclination (r = .577, P < .01), adjusting chair settings (r = .608, P < .01), distance between eyes and screen (r = .766, P < .01)]; physical activities break at work [r = .758, P < .01], and back pain. Considering ergonomic principles when designing the work environment can have a major impact on employees' health and quality of work. As experts in the field of health sciences, faculty members are not sufficiently aware of the impact of an improperly designed work environment on employee health, which affects work habits.
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Affiliation(s)
- Katarina Galof
- Department of Occupational Therapy, Faculty of Health Sciences, University of Ljubljana, Ljubljana, Slovenia
| | - Lea Šuc
- The University Rehabilitation Institute Republic of Slovenia, Ljubljana, Slovenia
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Measuring upper limb disability for patients with neck pain: Evaluation of the feasibility of the single arm military press (SAMP) test. Musculoskelet Sci Pract 2020; 50:102254. [PMID: 32932051 DOI: 10.1016/j.msksp.2020.102254] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/15/2020] [Revised: 08/27/2020] [Accepted: 09/01/2020] [Indexed: 11/20/2022]
Abstract
BACKGROUND Non-specific neck pain (NSNP) is frequently associated with upper limb disability (ULD). Consequently, evaluation of ULD using an outcome measure is necessary during the management of patients with NSNP. The Single Arm Military Press (SAMP) test is a performance-based ULD measure developed for populations with neck pain. During the SAMP test, patients are asked to repeatedly lift a weight above their head for 30 s. The number of repetitions is counted. Its clinical utility in a patient group is still unknown. OBJECTIVE This study investigates the feasibility of the SAMP test from patients and clinicians' perspectives. METHODS Seventy female patients with NSNP were randomly allocated into one of three groups. Participants in each group completed the SAMP test using one of three proposed weights (½kg, 1 kg or 1½kg). The feasibility of the SAMP test was established using structured qualitative exit feedback interviews for patients and administrating clinicians. RESULTS Participants using ½kg achieved the highest number of repetitions, but a high proportion reported the weight as extremely light, whereas those who tested using the 1½kg achieved the lowest number of repetitions and participants reported the weight as being heavy. Participants tested using 1 kg achieved an average number of repetitions and a high proportion reported the weight as acceptably heavy. Clinicians and patients reported that the SAMP test was efficient and convenient. CONCLUSION The 1 kg SAMP test is feasible for use in female patients with NSNP. The measurement properties of the SAMP test should be determined in a patient group.
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Employee Musculoskeletal Complaints and Supervisor Support: Implications for Behavioral Stress Reactions. J Occup Environ Med 2020; 62:728-737. [PMID: 32890212 DOI: 10.1097/jom.0000000000001949] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE This research investigated the moderating role of supervisor support for employees with musculoskeletal complaints and their intentions to seek medical advice; take sick leave; transfer jobs; and resign. METHODS Cross-sectional questionnaire data were collected from 1024 Australian employees. RESULTS Regressions with bootstrapping revealed no support for the buffering role of supervisor support. In contrast to expectations, high supervisor support heightened, rather than lowered, musculoskeletal complaints on intentions to transfer jobs. For sick leave and resignation intentions, high supervisor support buffered the negative effects of musculoskeletal complaints for full-timers but exacerbated such intentions for part-timers. Furthermore, full-timers with high musculoskeletal complaints appeared more vulnerable to the exacerbating effects of low supervisor support compared with part-timers. CONCLUSIONS Supervisor support for employees with musculoskeletal complaints both weakens and strengthens behavioral stress reactions, depending on employment status.
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Wami SD, Mekonnen TH, Yirdaw G, Abere G. Musculoskeletal problems and associated risk factors among health science students in Ethiopia: a cross-sectional study. J Public Health (Oxf) 2020. [DOI: 10.1007/s10389-020-01201-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
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Bosman LC, Roelen CAM, Twisk JWR, Eekhout I, Heymans MW. Development of Prediction Models for Sick Leave Due to Musculoskeletal Disorders. JOURNAL OF OCCUPATIONAL REHABILITATION 2019; 29:617-624. [PMID: 30607694 DOI: 10.1007/s10926-018-09825-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Abstract
Purpose The aim of this study was to develop prediction models to determine the risk of sick leave due to musculoskeletal disorders (MSD) in non-sick listed employees and to compare models for short-term (i.e., 3 months) and long-term (i.e., 12 months) predictions. Methods Cohort study including 49,158 Dutch employees who participated in occupational health checks between 2009 and 2015 and sick leave data recorded during 12 months follow-up. Prediction models for MSD sick leave within 3 and 12 months after the health check were developed with logistic regression analysis using routinely assessed health check variables. The performance of the prediction models was evaluated with explained variance (Nagelkerke's R-square), calibration (Hosmer-Lemeshow test) and discrimination (area under the receiver operating characteristic curve, AUC) measures. Results A total of 376 (0.8%) and 1193 (2.4%) employees had MSD sick leave within 3 and 12 months after the health check. The prediction models included similar predictor variables (educational level, musculoskeletal complaints, distress, supervisor social support, work-home interference, intrinsic motivation, development opportunities, and work pace). The explained variances were 7.6% and 8.8% for the model with 3 and 12 months follow-up, respectively. Both prediction models showed adequate calibration and discriminated between employees with and without MSD sick leave 3 months (AUC = 0.761; Interquartile range [IQR] 0.759-0.763) and 12 months (AUC = 0.740; IQR 0.738-0.741) after the health check. Conclusion The prediction models could be used to determine the risk of MSD sick leave in non-sick listed employees and invite them to preventive consultations with occupational health providers.
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Affiliation(s)
- Lisa C Bosman
- Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, VU University Medical Center, De Boelelaan 1089a, 1081 HV, Amsterdam, The Netherlands.
- ArboNed Occupational Health Service, Utrecht, The Netherlands.
| | - Corné A M Roelen
- Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, VU University Medical Center, De Boelelaan 1089a, 1081 HV, Amsterdam, The Netherlands
- ArboNed Occupational Health Service, Utrecht, The Netherlands
- Department of Health Sciences, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
| | - Jos W R Twisk
- Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, VU University Medical Center, De Boelelaan 1089a, 1081 HV, Amsterdam, The Netherlands
| | - Iris Eekhout
- Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, VU University Medical Center, De Boelelaan 1089a, 1081 HV, Amsterdam, The Netherlands
- Netherlands Organization for Applied Scientific Research (TNO), Child Health, Leiden, Netherlands
| | - Martijn W Heymans
- Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, VU University Medical Center, De Boelelaan 1089a, 1081 HV, Amsterdam, The Netherlands
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Dencker-Larsen S, Rasmussen CL, Thorsen SV, Clays E, Lund T, Labriola M, Mortensen OS, Jørgensen MB, Gupta N, Rasmussen CDN, Holtermann A. Technically measured compositional physical work demands and prospective register-based sickness absence (PODESA): a study protocol. BMC Public Health 2019; 19:257. [PMID: 30832631 PMCID: PMC6398236 DOI: 10.1186/s12889-019-6581-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2018] [Accepted: 02/22/2019] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Various physical work demands are shown to be associated with sickness absence. However, these studies have: (a) predominantly used self-reported data on physical work demands that have been shown to be inaccurate compared with technical measurements, (b) principally focused on various physical work demands in 'isolation', i.e. ignoring their co-dependency - compositional nature -, and (c) mainly used register data on long-term sickness absence. The present article describes the protocol of a study with the objective of investigating the association between technically measured compositional data on physical work demands and prospective long- and short-term register-based data on sickness absence. METHODS 'The technically measured compositional Physical wOrk DEmands and prospective association with register-based Sickness Absence study (PODESA)' comprises data from two Danish cohorts (NOMAD and DPhacto) primarily on blue-collar workers. In the PODESA cohort, data on 1108 workers were collected at baseline (between 2011 and 2014). The cohort data comprise, e.g., self-reported information on descriptives, lifestyle, workday, and health, as well as accelerometer-based measurements of physical work demands (physical activity, movements, and postures). These baseline measurements are linked with prospective register-based data on sickness absence for up to four years after baseline. The prospective association between physical work demands and sickness absence will be analysed using a Compositional Data Analysis approach. DISCUSSION PODESA provides a unique possibility of unravelling which combinations of physical work demands are associated with prospective sickness absence. PODESA employs technically measured information on physical work demands (taking into account the compositionality of physical work demand data) and prospective sickness absence data. The findings from PODESA can be used to develop strengthened preventive interventions for sickness absence. Results are expected in 2019-2021.
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Affiliation(s)
- Sofie Dencker-Larsen
- National Research Centre for the Working Environment, Lersø Parkallé 105, Copenhagen, Denmark
| | - Charlotte Lund Rasmussen
- National Research Centre for the Working Environment, Lersø Parkallé 105, Copenhagen, Denmark
- Section of Social Medicine, University of Copenhagen, Øster Farimagsgade 5, 1014, Copenhagen, Denmark
| | - Sannie Vester Thorsen
- National Research Centre for the Working Environment, Lersø Parkallé 105, Copenhagen, Denmark
| | - Els Clays
- Department of Public Health and Primary Care, Ghent University, 4K3 (ingang 42), Corneel Heymanslaan 10, B–9000 Ghent, Belgium
| | - Thomas Lund
- Center for Social Medicine, Frederiksberg and Bispebjerg Hospital, Nordre Fasanvej 57, 2000 Frederiksberg, Denmark
| | - Merete Labriola
- Department of Public Health, Aarhus University, Bartholins Allé 2, 8000 Aarhus, Denmark
| | - Ole Steen Mortensen
- Section of Social Medicine, University of Copenhagen, Øster Farimagsgade 5, 1014, Copenhagen, Denmark
- Department of Occupational and Social Medicine, Holbæk Hospital, Smedelundsgade 60, 4300 Holbæk, Denmark
| | - Marie Birk Jørgensen
- Department of Forensic Science, University of Copenhagen, 2100 Copenhagen, Denmark
| | - Nidhi Gupta
- National Research Centre for the Working Environment, Lersø Parkallé 105, Copenhagen, Denmark
| | | | - Andreas Holtermann
- National Research Centre for the Working Environment, Lersø Parkallé 105, Copenhagen, Denmark
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230 Odense, Denmark
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Subramaniam S, Raju N, Jeganathan K, Periyasamy M. Evaluation of vibrant muscles over the shoulder region among workers of the hand screen printing industry. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2018; 24:278-285. [PMID: 28075248 DOI: 10.1080/10803548.2017.1280914] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
This study focuses on evaluation of the muscle activities associated with shoulder pain among workers of the hand screen printing (HSP) industry. Activities of three major muscles which showed higher muscle activity for a HSP job were observed for fatigue using surface electromyography (SEMG). The anatomical sites were chosen on the basis of a statistical survey and a visual inspection conducted before the experiment. Activities of the deltoid, teres major and infraspinatus were recorded using SEMG and the nature of muscle activities was studied for about 50 m of cloth printing. Data collected were processed using LabVIEW 2014 and the activities were analyzed using statistical tests and regression analyses. The results showed an increased risk of shoulder disorders with an increase in working time. Some of the risks which might cause disorders were predicted from the results; inspection and possible mitigations were suggested.
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Affiliation(s)
- Shankar Subramaniam
- a Department of Mechatronics Engineering , Kongu Engineering College , India
| | - Naveenkumar Raju
- b Department of Mechanical Engineering , Kongu Engineering College , India
| | - Karthick Jeganathan
- a Department of Mechatronics Engineering , Kongu Engineering College , India
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Feleus A, Miedema HS, Bierma-Zeinstra SMA, Hoekstra T, Koes BW, Burdorf A. Sick leave in workers with arm, neck and/or shoulder complaints; defining occurrence and discriminative trajectories over a 2-year time period. Occup Environ Med 2016; 74:114-122. [PMID: 27679674 DOI: 10.1136/oemed-2016-103624] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2016] [Revised: 08/01/2016] [Accepted: 08/20/2016] [Indexed: 11/03/2022]
Abstract
OBJECTIVES Impediments due to complaints of non-traumatic arm, neck and/or shoulder (CANS) during work often leads to consultation in primary care. This study examines the occurrence of sick leave among workers with new CANS, and evaluates sick leave trajectories and their characteristics. METHODS This prospective 2-year cohort study included workers with a new CANS presenting in general practice. Participants filled out postal questionnaires on sick leave at 6-monthly intervals. Latent class growth mixture modelling was used to identify distinct trajectories of sick leave. Multinomial regression analyses identified characteristics of the subgroups. RESULTS During follow-up, of the 533 participants 190 reported at least one episode of sick leave due to CANS. Three sick leave trajectories were distinguished: (1) 'low-risk' trajectory (n=366), with a constant low probability over time; (2) 'intermediate risk' trajectory, with a high probability at first consultation followed by a steep decrease in probability of sick leave (n=122); (3) 'high-risk' trajectory (n=45), with a constant high probability of sick leave. Compared to the 'low-risk' trajectory, the other trajectories were characterised by more functional limitations, less specific diagnoses, more work-related symptoms and low coworker support. Specific for the 'high-risk' subgroup were more recurrent symptoms, more musculoskeletal comorbidity, high score on somatisation and low score on job demands. CONCLUSIONS Three trajectories of sick leave were distinguished, graded from favourable to unfavourable. Several complaint-related and work-related factors and somatisation contributed modestly to identify an unfavourable trajectory of sick leave when presenting in primary care with CANS.
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Affiliation(s)
- A Feleus
- Research Center Innovations in Care, Rotterdam University, Rotterdam, The Netherlands
| | - H S Miedema
- Research Center Innovations in Care, Rotterdam University, Rotterdam, The Netherlands
| | - S M A Bierma-Zeinstra
- Department of General Practice, Erasmus MC, Rotterdam, The Netherlands.,Department of Orthopaedic Surgery, Erasmus MC, Rotterdam, The Netherlands
| | - T Hoekstra
- Department of Health Sciences, VU University, Amsterdam, The Netherlands.,Department of Epidemiology and Biostatistics, VU University Medical Center, the EMGO Institute for Health and Care Research, Amsterdam, The Netherlands
| | - B W Koes
- Department of General Practice, Erasmus MC, Rotterdam, The Netherlands
| | - A Burdorf
- Department of Public Health, Erasmus MC, Rotterdam, The Netherlands
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13
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Kim JH, Suh BS, Kim SG, Kim WS, Shon YI, Son HS. Risk factors of work-related upper extremity musculoskeletal disorders in male cameramen. Ann Occup Environ Med 2015; 27:5. [PMID: 25664180 PMCID: PMC4320813 DOI: 10.1186/s40557-014-0052-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2014] [Accepted: 10/29/2014] [Indexed: 11/10/2022] Open
Abstract
OBJECTIVE The aim of this study is to determine the risk factors related to upper extremities work-related musculoskeletal disorders (WRMSDs) in cameramen. METHODS A questionnaire survey was performed on 166 cameramen in a broadcasting station. The questionnaire consisted of questions on the general characteristics, the health behavior, work type and duration, physical burden, ergonomic posture, and musculoskeletal symptoms. Definition of musculoskeletal disorders was based on NIOSH criteria. RESULTS The positive rate of WRMSDs symptoms by parts of the body was turned out to be the highest in the shoulder (14.5%) and the lowest in arm and elbow (6%). Logistic regression analysis revealed that symptoms in the shoulders increased with BMI (OR = 3.62, 95% CI = 1.03-12.71), physical burden (OR = 9.29, 95% CI = 1.72-61.78 in the very hard group) and ergonomic factors (OR = 4.50, 95% CI = 1.03-19.68). Ergonomic factors were only related to the symptoms of hand and wrist (OR = 10.21, 95% CI = 1.02-102.20). WRMSDs symptoms, in the whole upper extremities, were higher in the 50 or older age group (OR = 5.86, 95% CI = 1.03-33.26), higher BMI group (OR = 3.26, 95% CI = 1.28-13.53), non-exercise group (OR = 2.37, 95% CI = 1.24-12.59), high physical burden group (OR = 7.6, 95% CI = 1.34-52.74), and high grade ergonomic risk group (OR = 4.82, 95% CI = 1.29-16.06). CONCLUSION The most serious musculoskeletal disorders of male cameramen were shoulder pain. Ergonomic factors and physical burden were the most significant factors affecting WRMSDs in cameramen in this study. Cameramen should be educated to be able to improve the ergonomic occupational environment and to set up preventive measures against the risk factors during work.
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Affiliation(s)
- Jung Ho Kim
- Department of Occupational and Environmental Medicine, Kangbuk Samsung Medical Center of Sungkyunkwan University, Seoul, Republic of Korea
| | - Byung Seong Suh
- Department of Occupational and Environmental Medicine, Kangbuk Samsung Medical Center of Sungkyunkwan University, Seoul, Republic of Korea
| | - Soo Geun Kim
- Department of Occupational and Environmental Medicine, Kangbuk Samsung Medical Center of Sungkyunkwan University, Seoul, Republic of Korea
| | - Won Sool Kim
- Department of Occupational and Environmental Medicine, Kangbuk Samsung Medical Center of Sungkyunkwan University, Seoul, Republic of Korea
| | - You Il Shon
- Department of Occupational and Environmental Medicine, Kangbuk Samsung Medical Center of Sungkyunkwan University, Seoul, Republic of Korea
| | - Hee Seung Son
- Department of Occupational and Environmental Medicine, Kangbuk Samsung Medical Center of Sungkyunkwan University, Seoul, Republic of Korea
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14
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Schluter PJ, Dawson AP, Turner C. Pain-related psychological cognitions and behaviours associated with sick leave due to neck pain: findings from the Nurses and Midwives e-Cohort Study. BMC Nurs 2014; 13:5. [PMID: 24559152 PMCID: PMC3939627 DOI: 10.1186/1472-6955-13-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2013] [Accepted: 02/19/2014] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Sick leave due to neck pain (NP-SL) is costly and negatively impacts the productivity of the nursing and midwifery workforce. Identification of modifiable risk indicators is necessary to inform preventive efforts. This study aimed to investigate the role of pain-related psychological features (pain catastrophizing, fear of movement, and pain coping) in NP-SL alongside other potential risk indicators. METHODS A cross-sectional analysis of a large cohort study of Australian and New Zealand nurses and midwives, established between 1st April 2006 to 30th March 2008, was undertaken. Recruitment procedures adopted within each Nursing Council jurisdiction were governed by the individual regulatory authorities and their willingness to engage with the study. Invitations directed potential participants to a purpose-built internet-based survey, where study information was provided and consent requested. Once consent was obtained, a range of standardized tools combined into one comprehensive electronic questionnaire was elicited. Exposure variables assessed included pain characteristics and a broad range of psychological, psychosocial, occupational, general health and demographic factors. Two-way interactions between age and gender and candidate exposures were also assessed. Binary logistic regression was performed using manual backward stepwise elimination of non-significant terms. RESULTS The cohort included 4,903 currently working nurses or midwives aged 18-65 years. Of these, 2,481 (50.6%) reported neck pain in the preceding 12 months. Our sample comprised of 1,854 working nurses and midwives with neck pain in the preceding year who supplied sick leave data. Of these, 343 (18.5%) reported taking sick leave in the preceding year due to their neck pain. The final most parsimonious multivariable model demonstrated neck pain severity (adjusted odds ratio, [aOR] = 1.59), passive pain coping (aOR = 1.08) and fear of movement (aOR = 1.06) increased the likelihood of NP-SL in the previous year. Interactions between demographic and general health factors exhibited both protective and risk relationships with NP-SL, and there was no association between pain catastrophizing and NP-SL. CONCLUSIONS Findings demonstrate that sick leave due to neck pain was associated with pain severity, fear of movement and passive pain coping. In addition, there were complex interactions found between demographic and general health factors. These features represent potentially modifiable targets for preventive programs.
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Affiliation(s)
- Philip J Schluter
- School of Health Sciences, University of Canterbury, Private Bag 4800, Christchurch, CHCH 8140, New Zealand
- School of Nursing and Midwifery, University of Queensland, Brisbane, QLD 4072, Australia
| | - Anna P Dawson
- School of Nursing and Midwifery, University of Queensland, Brisbane, QLD 4072, Australia
- Sansom Institute for Health Research, University of South Australia, Adelaide, SA 5000, Australia
| | - Catherine Turner
- School of Nursing and Midwifery, University of Queensland, Brisbane, QLD 4072, Australia
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15
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Macdermid JC, Walton DM, Côté P, Santaguida PL, Gross A, Carlesso L. Use of outcome measures in managing neck pain: an international multidisciplinary survey. Open Orthop J 2013; 7:506-20. [PMID: 24115972 PMCID: PMC3793628 DOI: 10.2174/1874325001307010506] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/06/2013] [Revised: 03/19/2013] [Accepted: 03/19/2013] [Indexed: 01/10/2023] Open
Abstract
Purpose: To determine the outcome measures practice patterns in the neck pain management of various health disciplines. Methods: A survey of 381 clinicians treating patients with neck pain was conducted. Results: Respondents were more commonly male (54%) and either chiropractors (44%) or physiotherapists (32%). The survey was international (24 countries with Canada having the largest response (44%)). The most common assessment was a single-item pain assessment (numeric or visual analog) used by 75% of respondents. Respondents sometimes or routinely used the Neck Disability Index (49%), the Patient Specific Functional Scale (28%), and the Disabilities of the Arm, Shoulder and Hand (32%). Work status was recorded in terms of time lost by more than 50% of respondents, but standardized measures of work limitations or functional capacity testing were rarely used. The majority of respondents never used fear of movement, psychological distress, quality of life, participation measures, or global ratings of change (< 10% routinely use). Use of impairment measurers was prevalent, but the type selected was variable. Quantitative sensory testing was used sometimes or routinely by 53% of respondents, whereas 26% never used it. Ratings of segmental joint mobility were commonly used to assess motion (44% routinely use), whereas 66% of respondents never used inclinometry. Neck muscle strength, postural alignment and upper extremity coordination were assessed sometimes or routinely by a majority of respondents (>56%). With the exception of numeric pain ratings and verbal reporting of work status, all outcomes measures were less frequently used by physicians. Years of practice did not affect practice patterns, but reimbursement did affect selection of some outcome measures. Conclusions: Few outcome measures are routinely used to assess patients with neck pain other than a numeric pain rating scale. A comparison of practice patterns to current evidence suggessts overutilization of some measures that have questionable reliability and underutilization of some with better supporting evidence. This practice analysis suggests that there is substantial need to implement more consistent outcome measurement in practice. International consensus and better clinical measurement evidence are needed to support this.
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Affiliation(s)
- Joy C Macdermid
- School of Rehabilitation Sciences, McMaster University, Hamilton Ontario Canada, and Clinical Research Lab, Hand and Upper Limb Centre, St. Joseph's Health Centre, London, Ontario, Canada
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16
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Comparison of chronic occupational upper extremity versus lumbar disorders for differential disability-related outcomes and predictor variables. J Occup Environ Med 2013; 54:1002-9. [PMID: 22842915 DOI: 10.1097/jom.0b013e3182546daf] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
OBJECTIVE To systematically evaluate if an interdisciplinary functional restoration program (FRP), shown to be a viable treatment option for patients with chronic disabling occupational lumbar disorders, is as effective in treating chronic disabling occupational upper extremity disorders. METHODS Participants were 2484 consecutive patients with either arm or lumbar disorders admitted to an FRP. Analyses compared demographic, psychosocial, and work-related factors, and 1-year post-rehabilitation socioeconomic outcomes. RESULTS Socioeconomic outcomes showed that work-return and work-retention rates after successful completion of the FRP did not differ between the two groups, or among the upper extremity subgroups. CONCLUSIONS FRP is equally effective for patients with chronic upper extremity or lumbar spine disorders, regardless of the injury type, site in the upper extremity, or the disparity in injury-specific and psychosocial factors identified before treatment.
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Kääriä S, Laaksonen M, Leino-Arjas P, Saastamoinen P, Lahelma E. Low back pain and neck pain as predictors of sickness absence among municipal employees. Scand J Public Health 2012; 40:150-6. [DOI: 10.1177/1403494811435490] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Objective: To study whether having ever had local low back pain (LBP), sciatica, neck pain (NP), or some combination of LBP and NP, predicts sickness absence among municipal employees. Methods: The study sample ( n=6911, 80% women, response rate 67%) included employees of the City of Helsinki who reached the age of 40, 45, 50, 55, or 60 years between 2000–02. Survey data on pain, working conditions, and health behaviours were linked to register data on sickness absence for three subsequent years. Sickness absence was categorised as self-certified (lasting for 1–3 days) and medically certified (lasting for 4 days or more) and the number of spells during the follow up was analysed using Poisson regression analysis. Results: In women, medically certified sickness absence was predicted by sciatica (rate ratio, RR, 1.3, 95% CI 1.1–1.6), NP (RR 1.3, 95% CI 1.2–1.5) and the combination of sciatica and NP (RR 1.8, 95% CI 1.6–2.1), allowing for working conditions, body mass index, and smoking. In men, the corresponding RRs were 1.5 (95% CI 1.0–2.1), 1.7 (95% CI 1.2–2.4), and 2.2 (95% CI 1.6–2.9). Local LBP did not predict medically certified sickness absence. Self-certified sickness absence was modestly predicted by all pain categories in women (RRs between 1.2 and 1.5) and by NP alone and with local LBP or sciatica in men (RRs between 1.4 and 1.6). Conclusions: Medically certified sickness absence was predicted by sciatica and NP, but not by local LBP. The association was accentuated in those with both sciatica and NP. Pain combinations may have a stronger effect on work ability than pain in one location.
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Affiliation(s)
- Sanna Kääriä
- Department of Public Health, University of Helsinki, Helsinki, Finland
| | - Mikko Laaksonen
- Department of Public Health, University of Helsinki, Helsinki, Finland
| | | | | | - Eero Lahelma
- Department of Public Health, University of Helsinki, Helsinki, Finland
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Risk factors for illness absence due to musculoskeletal disorders in a 4-year prospective study of a petroleum-manufacturing population. J Occup Environ Med 2011; 53:434-40. [PMID: 21407094 DOI: 10.1097/jom.0b013e3182128b12] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVES To quantify risk factors for nonoccupational absence from musculoskeletal disorders (MSD) among petroleum-manufacturing employees. METHODS We conducted a 4-year follow-up study including 860 employees with an MSD illness absence of 4 days or longer and 5691 employees with no MSD absence. Odds ratios were calculated using logistic regression. RESULTS Risk of MSD absence from low back and non-low back disorders was significantly associated with physically demanding job, overweight/obesity, prior absence from MSD, and absence from cardiovascular, respiratory, or mental illness, or accidents during the study period. Smoking also increased risk of low back disorders. CONCLUSIONS Results suggest it is possible to reduce the impact of MSD through integrated safety prevention and health promotion programs including traditional elements of job factor evaluation, training, and ergonomics, but also health counseling and support for weight reduction, smoking cessation, and personal fitness programs.
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Karels CH, Bierma-Zeinstra SM, Verhagen AP, Koes BW, Burdorf A. Sickness absence in patients with arm, neck and shoulder complaints presenting in physical therapy practice: 6 months follow-up. ACTA ACUST UNITED AC 2010; 15:476-81. [PMID: 20570208 DOI: 10.1016/j.math.2010.04.001] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2009] [Revised: 03/29/2010] [Accepted: 04/15/2010] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To describe sickness absence in patients with arm, neck and/or shoulder complaints and to evaluate determinants of sickness absence during 6 months follow-up. METHODS A prospective cohort study in physical therapy practice with follow-up measurements at 3 and 6 months. The main outcome measure was the occurrence of sickness absence due to arm, neck and shoulder complaints during 6 months follow-up. Determinants were tested in univariate and multivariate GEE (Generalized Estimating Equations) analysis. RESULTS At baseline 161 patients (33%) reported absence from work. The multivariate analysis showed that self-reported work-relatedness of complaints, previous musculoskeletal trauma, higher severity of complaints at baseline, more somatization and low decision authority at work were associated with sickness absence during the follow-up period. CONCLUSION In physical therapy practice, social and psychological factors (at work) influence the occurrence of sickness absence in patients with arm, neck and/or shoulder complaints. These factors can be taken into account when developing and evaluating interventions to reduce sickness absence among these patients.
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Affiliation(s)
- Celinde H Karels
- Department of General Practice, Erasmus Medical Centre University, PO Box 2040, 3000 CA Rotterdam, The Netherlands.
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Chetty L. Physiotherapy and ergonomics for a work-related musculoskeletal disorder. INTERNATIONAL JOURNAL OF THERAPY AND REHABILITATION 2010. [DOI: 10.12968/ijtr.2010.17.2.46334] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Affiliation(s)
- Laran Chetty
- National Health Service, Royal Free Hospital, Health and Work Centre, London, United Kingdom
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Roquelaure Y, Ha C, Rouillon C, Fouquet N, Leclerc A, Descatha A, Touranchet A, Goldberg M, Imbernon E. Risk factors for upper-extremity musculoskeletal disorders in the working population. ACTA ACUST UNITED AC 2009; 61:1425-34. [PMID: 19790112 DOI: 10.1002/art.24740] [Citation(s) in RCA: 100] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
OBJECTIVE To assess the relative importance of personal and occupational risk factors for upper-extremity musculoskeletal disorders in the working population. METHODS A total of 3,710 workers (58% men) participating in a surveillance program of musculoskeletal disorders in a French region in 2002-2005 were included. Upper-extremity musculoskeletal disorders were diagnosed by 83 trained occupational physicians performing a standardized physical examination. Personal factors and work exposure were assessed by a self-administered questionnaire. Statistical associations between musculoskeletal disorders, personal, and occupational factors were analyzed using logistic regression modeling. RESULTS A total of 472 workers experienced at least 1 upper-extremity musculoskeletal disorder. The risk of upper-extremity musculoskeletal disorders increased with age for both sexes (P < 0.001, odds ratio [OR] < or =4.9 in men and < or =5.0 in women), and in cases of prior history of upper-extremity musculoskeletal disorders (OR 3.1 and 5.0, respectively, P < 0.001). In men, upper-extremity musculoskeletal disorders were associated with obesity (OR 2.2, P = 0.014), high level of physical demand (OR 2.0, P < 0.001), high repetitiveness of the task (OR 1.5, P = 0.027), postures with the arms at or above shoulder level (OR 1.7, P = 0.009) or with full elbow flexion (OR 1.6, P = 0.006), and high psychological demand (OR 1.5, P = 0.005). In women, upper-extremity musculoskeletal disorders were associated with diabetes mellitus (OR 4.9, P = 0.001), postures with extreme wrist bending (OR 2.0, P < 0.001), use of vibrating hand tools (OR 2.2, P = 0.025), and low level of decision authority (OR 1.4, P = 0.042). CONCLUSION Personal and work-related physical and psychosocial factors were strongly associated with clinically diagnosed upper-extremity musculoskeletal disorders.
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Affiliation(s)
- Yves Roquelaure
- Université d'Angers, Laboratoire d'Ergonomie et d'Epidémiologie en Santé au Travail, IFR 132, Centre Hospitalier Universitaire, Angers, France.
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