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Zengi H, Safran EE, Şevgin Ö. The effect of home exercises with kinesiotaping on pain, functionality, and work performance in bus drivers with non-specific neck pain. J Back Musculoskelet Rehabil 2024:BMR240001. [PMID: 38943382 DOI: 10.3233/bmr-240001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/01/2024]
Abstract
BACKGROUND Clinical research on the management and rehabilitation of work-related upper spinal pain in bus drivers is sparse, indicating a gap in knowledge and treatment strategies. This highlights the growing need for innovative approaches to rehabilitation programs in this area. OBJECTIVE To examine the effects of kinesio taping (KT) on pain, functionality, and work performance in bus drivers experiencing neck pain. METHODS The study involved 44 participants who were randomised into two different groups: the exercise group (n= 22) and the kinesio tape group (n= 22), with participants in both groups undertaking exercise interventions. Evaluations were made before and after 6 weeks of treatment. At the end of the 6-week, the participants' ROM, pain evaluations and functional scales were evaluated with disability, and work functionality. RESULTS Neck pain severity decreased in both groups (p< 0.001 for each value), but there was no difference between the groups (p: 0.071). When disability scores were evaluated, improvement was noted in both groups (p: 0.001 for each value), but no statistically significant difference was found (p: 0.754). When the improvements in ROM values before and after the treatment were examined, the difference between the groups was recorded only in the neck extension ROM value (p: 0.011). Significant improvement was noted in all sub-steps of job performance in both groups (p< 0.05). CONCLUSION KT added to ergonomic training and home exercise programmes is effective in controlling work-related musculoskeletal pain in drivers with neck pain. However, the addition of KT to exercise therapy was found to be no more effective than exercise therapy alone in improving pain control, functionality and work performance.
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Affiliation(s)
- Hakan Zengi
- Institute of Health Sciences, Department of Physiotherapy and Rehabilitation, Uskudar University, Istanbul, Turkey
| | - Elif Esma Safran
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey
| | - Ömer Şevgin
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Uskudar University, Istanbul, Turkey
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2
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De Carvalho D, Randhawa K, Verville L, Hogg-Johnson S, Howarth SJ, Liang C, Mior S, Côté P. The Vehicle Seating Intervention Trial: Cross-Over Randomized Controlled Trial to Evaluate the Impact of 2 Car Seat Configurations on Spinal Posture. J Appl Biomech 2024; 40:40-49. [PMID: 37793656 DOI: 10.1123/jab.2023-0040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Revised: 07/16/2023] [Accepted: 08/27/2023] [Indexed: 10/06/2023]
Abstract
Driving posture can lead to musculoskeletal pain. Most work focuses on the lower back; therefore, we know little about automobile seat design and neck posture. This study evaluated an automobile driver seat that individualized upper back support to improve head and neck posture. Specifically, we examined the system's impact on anterior head translation with secondary outcomes of spine posture and perceptions of comfort/well-being compared with a control. Forty participants were block randomized to experience either the activated or deactivated version of the same seating system first. Participants completed two 30-minute simulated driving trials, separated by washout, with continuous measures of anterior head translation, spine posture, and pelvis orientation. Perceptions of comfort/well-being were assessed by survey and open-ended questions immediately following each condition. Small, but statistically significant decreases in anterior head translation and posterior pelvic tilt occurred with the activated seat system. Participants reported lower satisfaction with the activated seat system. Order of the 2 seat conditions affected differences in pelvis orientation and participant perceptions of comfort/well-being. An anthropometric-based seat system targeting upper back support can significantly affect head and pelvic posture but not satisfaction during simulated driving. Future work should examine long-term impacts of these posture changes on health outcomes.
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Affiliation(s)
- Diana De Carvalho
- Faculty of Medicine, Memorial University of Newfoundland, St. John's, NL, Canada
| | - Kristi Randhawa
- Institute for Disability and Rehabilitation Research, Ontario Tech University, Oshawa, ON, Canada
| | - Leslie Verville
- Institute for Disability and Rehabilitation Research, Ontario Tech University, Oshawa, ON, Canada
| | - Sheilah Hogg-Johnson
- Institute for Disability and Rehabilitation Research, Ontario Tech University, Oshawa, ON, Canada
- Division of Research and Innovation, Canadian Memorial Chiropractic College, Toronto, ON, Canada
| | - Samuel J Howarth
- Division of Research and Innovation, Canadian Memorial Chiropractic College, Toronto, ON, Canada
| | - Carmen Liang
- Division of Research and Innovation, Canadian Memorial Chiropractic College, Toronto, ON, Canada
| | - Silvano Mior
- Institute for Disability and Rehabilitation Research, Ontario Tech University, Oshawa, ON, Canada
- Division of Research and Innovation, Canadian Memorial Chiropractic College, Toronto, ON, Canada
| | - Pierre Côté
- Institute for Disability and Rehabilitation Research, Ontario Tech University, Oshawa, ON, Canada
- Faculty of Health Sciences, Ontario Tech University, Oshawa, ON, Canada
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3
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Stjernbrandt A, Pettersson H, Vihlborg P, Wahlström J, Lewis C. Occupational exposure to whole-body vibration and neck pain in the Swedish general population. ERGONOMICS 2024; 67:136-147. [PMID: 37161844 DOI: 10.1080/00140139.2023.2210792] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Accepted: 04/26/2023] [Indexed: 05/11/2023]
Abstract
The primary aim of this study was to determine if occupational exposure to whole-body vibration (WBV) was associated with reporting neck pain. A cross-sectional study was conducted on a sample of the general population living in northern Sweden, aged 24-76 years. Data was retrieved through a digital survey that collected subjectively reported information on exposure to WBV and biomechanical exposures as well as neck pain. The study included 5,017 participants (response rate 44%). Neck pain was reported by 269 men (11.8%) and 536 women (20.2%). There was a statistically significant association between reporting occupational exposure to WBV half the time or more (adjusted OR 1.91; 95% CI 1.22-3.00) and reporting neck pain. In gender-stratified analyses, the same pattern was observed in men, while there were too few women to determine any association. We conclude that occupational exposure to whole-body vibration was associated with neck pain in men.Practitioner summary: This cross-sectional, survey-based study investigated associations between self-reported occupational whole-body vibration and neck pain. It showed significant associations between frequent exposure to whole-body vibration and neck pain among men but not women. In occupational health care settings, whole-body vibration could be considered as a possible risk factor for neck pain.
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Affiliation(s)
- Albin Stjernbrandt
- Department of Public Health and Clinical Medicine, Section of Sustainable Health, Umeå University, Umeå, Sweden
| | - Hans Pettersson
- Department of Public Health and Clinical Medicine, Section of Sustainable Health, Umeå University, Umeå, Sweden
| | - Per Vihlborg
- Department of Geriatrics, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - Jens Wahlström
- Department of Public Health and Clinical Medicine, Section of Sustainable Health, Umeå University, Umeå, Sweden
| | - Charlotte Lewis
- Department of Public Health and Clinical Medicine, Section of Sustainable Health, Umeå University, Umeå, Sweden
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4
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Bezzina A, Austin E, Nguyen H, James C. Workplace Psychosocial Factors and Their Association With Musculoskeletal Disorders: A Systematic Review of Longitudinal Studies. Workplace Health Saf 2023; 71:578-588. [PMID: 37698343 PMCID: PMC10676046 DOI: 10.1177/21650799231193578] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/13/2023]
Abstract
This systematic review examines literature regarding the relationship between workplace psychosocial factors and musculoskeletal disorders (MSDs). Musculoskeletal disorders are the leading cause of work disability, resulting in billions of dollars of financial losses. Evidence suggests that workplace psychosocial factors can lead to the development and progression of MSDs. A data search was conducted in MEDLINE, EMBASE, PsychINFO, Scopus, and CINAHL (Cumulative Index to Nursing and Allied Health Literature) from August 2009 to May 2020 inclusive. Other eligibility criteria included studies published in English, conducted on adults within a workplace setting, conducted in developed economies, and were stability-control longitudinal observational studies. Studies were independently screened for eligibility, using COVIDENCE (software for managing and streamlining systematic reviews) and assessed for quality by multiple authors, using the JBI Evidence synthesis tool. From 6,812 studies, 47 articles were included in the final analysis. The most common MSDs investigated were lower back pain, neck and shoulder pain, and upper extremity symptoms and disorders. Included articles identified that psychosocial workplace factors of support, collaboration, job control, and job demands were statistically significantly associated with risk and progression of MSDs. Review of the articles included in this article supports the theory that MSDs have a multifactorial, complex etiology that includes psychosocial factors. Interventions to enhance psychosocial work environment provide opportunities to reduce the risk of MSDs.
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Affiliation(s)
- Aaron Bezzina
- School of Health Sciences, College of Health, Medicine and Wellbeing, University of Newcastle
- Centre for Resources Health and Safety, School of Public Health and Medicine, College of Health, Medicine and Wellbeing, University of Newcastle
| | - Emma Austin
- Drug and Alcohol Clinical Services, Hunter New England Local Health District, NSW Health
| | - Ha Nguyen
- Centre for Work Health and Safety, Department of Customer Service, NSW
| | - Carole James
- Sydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney
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5
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Lorenzino M, D'Agostin F, Rigutti S, Bovenzi M, Fantoni C, Bregant L. Mood regulates the physiological response to whole-body vibration at low intensity. APPLIED ERGONOMICS 2023; 108:103956. [PMID: 36577272 DOI: 10.1016/j.apergo.2022.103956] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/03/2021] [Revised: 12/06/2022] [Accepted: 12/19/2022] [Indexed: 06/17/2023]
Abstract
In the present study we evaluated the relationship between human vibrational comfort and psychophysiological processes. We exposed twenty-one participants to three levels of whole-body vibration at low intensity inside a full-scale mock-up of a ship cabin. Autonomic Nervous System (ANS) activity, mood and well-being state during each level of vibration exposure were measured. We found that a positive affective state determined greater changes in ANS activity in response to vibration variations compared to a negative affective condition. Furthermore, we found that variations of the vibration intensity did not always determine variations of the comfort experience at physiological and psychological level. The relevance of our findings is a challenge for comfort design research showing a gap between guidelines for comfort design and evidence based on psychophysiological responses to environmental stimulation.
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Affiliation(s)
- Martina Lorenzino
- Department of Engineering and Architecture, University of Trieste, Via Alfonso Valerio 6/1, 34127, Trieste, Italy.
| | - Flavia D'Agostin
- Clinical Department of Medical, Surgical and Health Sciences, Clinical Unit of Occupational Medicine, Via della Pietà 2/2, 34129, Trieste, Italy.
| | - Sara Rigutti
- Department of Life Science, Psychology Unit "Gaetano Kanizsa", University of Trieste, Via E. Weiss, 2, 34128, Trieste, Italy.
| | - Massimo Bovenzi
- Clinical Department of Medical, Surgical and Health Sciences, Clinical Unit of Occupational Medicine, Via della Pietà 2/2, 34129, Trieste, Italy.
| | - Carlo Fantoni
- Department of Life Science, Psychology Unit "Gaetano Kanizsa", University of Trieste, Via E. Weiss, 2, 34128, Trieste, Italy.
| | - Luigi Bregant
- Department of Engineering and Architecture, University of Trieste, Via Alfonso Valerio 6/1, 34127, Trieste, Italy.
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Lampe D, Deml B. Increasing physical activity in the vehicle with an interactive seating system in a male sample. ERGONOMICS 2023; 66:536-553. [PMID: 35876479 DOI: 10.1080/00140139.2022.2098384] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Accepted: 06/29/2022] [Indexed: 06/15/2023]
Abstract
An interactive seating system (IASS) was compared to a state-of-the-art massage seating system (MS) regarding the potential of reducing health risks from prolonged sitting in the vehicle. The study investigated if the systems (1) increase heart rate, which is associated with reduced metabolic and cardiovascular risks; (2) activate muscles with the potential to reduce musculoskeletal pain; (3) influence seating comfort and discomfort. The systems were compared in a passenger scenario in a laboratory study (30 male subjects). Only the use of the IASS significantly elevated the heart rate. Muscle activity showed tendencies to increase in the lower back only while using the MS. In comparison, the IASS activated all six captured muscles. Significantly less discomfort was found for the IASS compared to the MS. In comparison to the MS, the IASS showed a substantially higher potential for reducing health risks from static sitting in the vehicle.Practitioner summary: This laboratory study compared the effects of a novel automotive interactive seating system with those of a state-of-the-art massage seating system. Muscle activity, heart rate and discomfort indicated that the IASS has a significantly higher potential to reduce health risks associated with static seating in a vehicle.Abbreviations: AB: air bladder; AC: active condition; ADSS: active dynamic seating system; CLBP: chronic lumbar back pain; ECG: electrocardiography; EMG: electromyography; IASS: interactive seating system; MS: massage seating system; PC: passive condition; PDSS: passive dynamic seating system; RMS: rootmean-square; TI: time interval.
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Affiliation(s)
- Dario Lampe
- Mercedes-Benz AG, Boeblingen, Germany
- Institute of Human and Industrial Engineering (IFAB), Karlsruhe Institute of Technology (KIT), Karlsruhe, Germany
| | - Barbara Deml
- Institute of Human and Industrial Engineering (IFAB), Karlsruhe Institute of Technology (KIT), Karlsruhe, Germany
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7
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Joseph L, Vasanthan L, Standen M, Kuisma R, Paungmali A, Pirunsan U, Sitilertpisan P. Causal Relationship Between the Risk Factors and Work-Related Musculoskeletal Disorders Among Professional Drivers: A Systematic Review. HUMAN FACTORS 2023; 65:62-85. [PMID: 34126797 PMCID: PMC9846379 DOI: 10.1177/00187208211006500] [Citation(s) in RCA: 9] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Accepted: 03/10/2021] [Indexed: 06/12/2023]
Abstract
OBJECTIVE This review evaluates the evidence on the strength of causal relationship between categories of risk factors (RFs) and work-related musculoskeletal disorders (WRMSDs) among professional drivers. BACKGROUND A compilation of evidence on the causal relationship between RFs and WRMSDs among professional drivers is lacking. METHODS A systematic search of the literature was conducted in major electronic data bases that include Medline (1946 + via OvidSP), Embase (1974 + OvidSP), CINAHL (1982+), AMED, and Web of Science. The methodological quality of the studies was assessed and scored. A descriptive analysis on the categories of RFs associated with WRMSDs was conducted. The Bradford-Hill causation criteria and evidence interpretation tool were used to evaluate the causal relationship between RFs and WRMSDs in professional drivers. RESULTS Among the 54 studies reviewed, a strong evidence suggests a causal relationship between RFs such as whole-body vibration, awkward postures, lifting tasks, manual material handling, job stress, job demand, and previous pain episodes with WRMSDs. Moderate evidence was observed on RFs such as uncomfortable seat and low job satisfaction. The evidence on causal relationship between RFs such as years of professional driving, driving duration, and individual characteristics such as age and body mass index was inconclusive. CONCLUSION There is strong to moderate evidence on the causal relationship between the physical and psychosocial RFs and WRMSDs among professional drivers. APPLICATION Potential application of this review highlights evidence to occupational health practitioners, policy makers, and stakeholders on the strength of causal relationship between RFs and WRMSDs among professional drivers.
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Affiliation(s)
| | | | | | - Raija Kuisma
- North Karelia University of Applied Sciences, Joensus,
Finland
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8
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Jackson JA, Liv P, Sayed-Noor AS, Punnett L, Wahlström J. Risk factors for surgically treated cervical spondylosis in male construction workers: a 20-year prospective study. Spine J 2023; 23:136-145. [PMID: 36028215 DOI: 10.1016/j.spinee.2022.08.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/10/2022] [Revised: 08/15/2022] [Accepted: 08/17/2022] [Indexed: 02/08/2023]
Abstract
BACKGROUND CONTEXT Degenerative changes due to cervical spondylosis (CS) can detrimentally affect work ability and quality of life yet understanding of how physical exposure affects disease progression is limited. PURPOSE To assess the associations between occupational physical exposures and occurrence of surgically treated cervical spondylosis (ST-CS) and early exit from the labor market via disability pension. STUDY DESIGN/SETTING Prospective register study with 20 years follow-up period. PATIENT SAMPLE Swedish construction workers participating in a national health surveillance project conducted between 1971 and 1993. OUTCOME MEASURES Surgically treated cervical spondylosis (ST-CS) and early labor market exit at a minimum rate of 25% time on disability pension. METHODS Associations between occupational physical exposures (job exposure matrix) and subsequent ST-CS (National Hospital in-patient register) and early labor market exit via disability pension (Swedish Social Insurance Agency register) were assessed in a cohort of male construction workers (n=237,699). RESULTS A total of 1381 ST-CS cases were present and a 20 years incidence rate of 35.1 cases per 100,000 person years (95% confidence interval (CI) 33.2-36.9). Increased relative risk (RR) for ST-CS was found for workers exposed to non-neutral (RR 1.40, 95% CI 1.15-1.69), and awkward neck postures (1.52, 1.19-1.95), working with the hands above shoulder height (1.30, 1.06-1.60), and high upper extremity loading (1.35, 1.15-1.59). Increased risk was also present for workers who reported frequent neck (3.06, 2.18-4.30) and upper back (3.84, 2.57-5.73) pain in the 12 months prior to survey. Among workers with elevated arm exposure, higher risk was seen in those who also had more frequent neck pain. ST-CS cases took early retirement more often (41.3%) and at a younger age (53 years) than the total study cohort (14.8% and 56 years of age, respectively). CONCLUSIONS Occupational exposure to non-neutral neck postures, work with hands above shoulders and high loads born through the upper extremities increased the risk for ST-CS and early retirement due to disability. Decreasing postural and load exposure is salient for primary, secondary, and tertiary prevention of CS. Neck pain was shown to be a prognostic factor for ST-CS, which stresses the importance of acting early and taking preventative action to reduce workplace exposure, and the need for systematic medical check-ups within primary or occupational care to mitigate disease progression and early labour market exit due to disability.
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Affiliation(s)
- Jennie A Jackson
- Department of Public Health and Clinical Medicine, Faculty of Medicine, Umeå University, Umeå, Sweden; Department of Occupational Health Sciences and Psychology, University of Gävle, Gävle, Sweden.
| | - Per Liv
- Department of Epidemiology and Global Health, Faculty of Medicine, Umeå University, Umeå, Sweden
| | - Arkan S Sayed-Noor
- Deparment of Clinical Science and Education, Karolinska Institutet, Stockholm, Sweden
| | - Laura Punnett
- Department of Biomedical Engineering, University of Massachusetts Lowell, Lowell, MA, USA
| | - Jens Wahlström
- Department of Public Health and Clinical Medicine, Faculty of Medicine, Umeå University, Umeå, Sweden
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9
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Bonanni R, Cariati I, Romagnoli C, D’Arcangelo G, Annino G, Tancredi V. Whole Body Vibration: A Valid Alternative Strategy to Exercise? J Funct Morphol Kinesiol 2022; 7:jfmk7040099. [PMID: 36412761 PMCID: PMC9680512 DOI: 10.3390/jfmk7040099] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/01/2022] [Revised: 10/26/2022] [Accepted: 10/28/2022] [Indexed: 11/06/2022] Open
Abstract
Several studies agree that mechanical vibration can induce physiological changes at different levels, improving neuromuscular function through postural control strategies, muscle tuning mechanisms and tonic vibration reflexes. Whole-body vibration has also been reported to increase bone mineral density and muscle mass and strength, as well as to relieve pain and modulate proprioceptive function in patients with osteoarthritis or lower back pain. Furthermore, vibratory training was found to be an effective strategy for improving the physical performance of healthy athletes in terms of muscle strength, agility, flexibility, and vertical jump height. Notably, several benefits have also been observed at the brain level, proving to be an important factor in protecting and/or preventing the development of age-related cognitive disorders. Although research in this field is still debated, certain molecular mechanisms responsible for the response to whole-body vibration also appear to be involved in physiological adaptations to exercise, suggesting the possibility of using it as an alternative or reinforcing strategy to canonical training. Understanding these mechanisms is crucial for the development of whole body vibration protocols appropriately designed based on individual needs to optimize these effects. Therefore, we performed a narrative review of the literature, consulting the bibliographic databases MEDLINE and Google Scholar, to i) summarize the most recent scientific evidence on the effects of whole-body vibration and the molecular mechanisms proposed so far to provide a useful state of the art and ii) assess the potential of whole-body vibration as a form of passive training in place of or in association with exercise.
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Affiliation(s)
- Roberto Bonanni
- Department of Clinical Sciences and Translational Medicine, “Tor Vergata” University of Rome, Via Montpellier 1, 00133 Rome, Italy
| | - Ida Cariati
- Department of Clinical Sciences and Translational Medicine, “Tor Vergata” University of Rome, Via Montpellier 1, 00133 Rome, Italy
- Correspondence:
| | - Cristian Romagnoli
- Sport Engineering Lab, Department of Industrial Engineering, “Tor Vergata” University of Rome, Via Politecnico 1, 00133 Rome, Italy
| | - Giovanna D’Arcangelo
- Department of Systems Medicine, “Tor Vergata” University of Rome, Via Montpellier 1, 00133 Rome, Italy
- Centre of Space Bio-Medicine, “Tor Vergata” University of Rome, Via Montpellier 1, 00133 Rome, Italy
| | - Giuseppe Annino
- Department of Systems Medicine, “Tor Vergata” University of Rome, Via Montpellier 1, 00133 Rome, Italy
- Centre of Space Bio-Medicine, “Tor Vergata” University of Rome, Via Montpellier 1, 00133 Rome, Italy
| | - Virginia Tancredi
- Department of Systems Medicine, “Tor Vergata” University of Rome, Via Montpellier 1, 00133 Rome, Italy
- Centre of Space Bio-Medicine, “Tor Vergata” University of Rome, Via Montpellier 1, 00133 Rome, Italy
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10
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Barut Tusun R, Emiroğlu ON. Opinions of taxi drivers regarding occupational risks and prevention strategies: A cross- sectional study in Turkey. Work 2022; 75:195-209. [DOI: 10.3233/wor-211235] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND: Taxi drivers are prone to musculoskeletal problems and can suffer from cardiovascular disease, respiratory disease, and psychosocial problems. For occupational health and safety it is crucial to know the risk factors and initiatives to be taken for protection. OBJECTIVES: This study was carried out to evaluate the opinions of taxi drivers regarding occupational risks and prevention strategies. METHODS: This was a descriptive and cross-sectional study including 524 taxi drivers. A questionnaire was developed to determine the opinions of taxi drivers regarding occupational risks and intervention strategies. For the analysis of data, Mann-Whitney U (Z-table value), descriptive statistics (number, percentage) and Chi-square (χ2) test between dependent and independent variables were used. RESULTS: Among the taxi drivers, the occupation was reported to be risky for musculoskeletal system disorders by 67%, for cardiovascular diseases by 68.3%, for respiratory diseases by 46.9% and for psychosocial problems by 63.3%. When the opinions of taxi drivers regarding prevention from these risks were examined, 30.2% of them stated prevention from musculoskeletal system disorders, 34.0% from cardiovascular diseases, 31.3% from respiratory diseases and 40.1% from psychosocial problems. It was a prominent finding to see a decrease in the number of drivers who stated to show prevention behavior towards these risks compared to their states of recognizing them. CONCLUSİON: Drivers were insufficient both in recognizing health risks of their jobs and implementing intervention strategies. Education concerning health risks of their jobs and prevention from these risks is required.
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Affiliation(s)
- Ruken Barut Tusun
- Faculty of Nursing, Sihhiye Campus, Hacettepe University, Ankara, Turkey
| | - Oya Nuran Emiroğlu
- Faculty of Nursing, Sihhiye Campus, Hacettepe University, Ankara, Turkey
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Pickard O, Burton P, Yamada H, Schram B, Canetti EFD, Orr R. Musculoskeletal Disorders Associated with Occupational Driving: A Systematic Review Spanning 2006–2021. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19116837. [PMID: 35682420 PMCID: PMC9180502 DOI: 10.3390/ijerph19116837] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Revised: 05/27/2022] [Accepted: 05/30/2022] [Indexed: 12/04/2022]
Abstract
Several occupations require workers to spend long periods of time driving road vehicles. This occupational task is associated with musculoskeletal disorders. The purpose of this review was to collate, synthesize, and analyze research reporting on musculoskeletal disorders associated with occupational driving, in order to develop a volume of evidence to inform occupational disorder mitigation strategies. A systematic search of academic databases (PubMed, EBSCO host, CINAHL, SPORTDiscus, and Web of Science) was performed using key search terms. Eligible studies were critically appraised using the Joanna Briggs Institute critical appraisal checklists. A Cohen’s kappa analysis was used to determine interrater agreement between appraisers. Of the 18,254 identified studies, 25 studies were selected and appraised. The mean critical appraisal score is 69% (range 38–100%), with a fair level of agreement (k = 0.332). The studies report that musculoskeletal disorders, most commonly lower back pain, is of concern in this population, particularly in truck, bus, and taxi drivers. Risk factors for these occupations include long hours in a sitting position, years in the profession, vehicle ergonomics, and vibration.
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Affiliation(s)
- Olivia Pickard
- Faculty of Health Sciences and Medicine, Bond University, Robina 4226, Australia; (O.P.); (P.B.); (H.Y.); (B.S.); (E.F.D.C.)
| | - Peta Burton
- Faculty of Health Sciences and Medicine, Bond University, Robina 4226, Australia; (O.P.); (P.B.); (H.Y.); (B.S.); (E.F.D.C.)
| | - Hayato Yamada
- Faculty of Health Sciences and Medicine, Bond University, Robina 4226, Australia; (O.P.); (P.B.); (H.Y.); (B.S.); (E.F.D.C.)
| | - Ben Schram
- Faculty of Health Sciences and Medicine, Bond University, Robina 4226, Australia; (O.P.); (P.B.); (H.Y.); (B.S.); (E.F.D.C.)
- Tactical Research Unit, Bond University, Robina 4226, Australia
| | - Elisa F. D. Canetti
- Faculty of Health Sciences and Medicine, Bond University, Robina 4226, Australia; (O.P.); (P.B.); (H.Y.); (B.S.); (E.F.D.C.)
- Tactical Research Unit, Bond University, Robina 4226, Australia
| | - Robin Orr
- Faculty of Health Sciences and Medicine, Bond University, Robina 4226, Australia; (O.P.); (P.B.); (H.Y.); (B.S.); (E.F.D.C.)
- Tactical Research Unit, Bond University, Robina 4226, Australia
- Correspondence: ; Tel.: +61-7-5595-4448
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12
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Naweed A, Bowditch L, Trigg J, Unsworth C. Injury by design: A thematic networks and system dynamics analysis of work-related musculoskeletal disorders in tram drivers. APPLIED ERGONOMICS 2022; 100:103644. [PMID: 34883454 DOI: 10.1016/j.apergo.2021.103644] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Revised: 10/18/2021] [Accepted: 11/08/2021] [Indexed: 06/13/2023]
Abstract
Tram driving is a safety critical task where work-related musculoskeletal disorders (WRMSDs) and injuries are associated with interacting occupational design factors over time. These interactions then carry implications for workforce retention, public safety, workplace relations and supports. To better understand such interactions, this study used thematic networks and system dynamics (causal loop diagrams) analysis with the aim to unearth a global theme underscoring occurrence of WRMSDs, and describe the factors influencing the system dynamics of WRMSD occurrence in tram drivers. Building on earlier work focused on occupational participation, secondary analysis of driver interviews (n = 13) and driving observations (n = 11) produced thematic network and causal loop models of risk factors that highlighted an Injury by Design problem structure as a global theme. Research targeting organisational culture, human factors, and design standards is needed to minimise WRMSDs risk in tram drivers.
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Netto K, Francis-Pester G, Lewis C, Dunnill P, Darling R. Posture and Muscle Activity during Waste Collection Work. Ann Work Expo Health 2021; 66:119-123. [PMID: 34347044 DOI: 10.1093/annweh/wxab022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Revised: 03/05/2021] [Accepted: 03/11/2021] [Indexed: 11/14/2022] Open
Abstract
The musculoskeletal load in waste collection has been examined through simulated assessment of pulling and pushing bins as well as lifting and throwing rubbish bags. With the onset of mechanization, many of these tasks do not exist and workers are faced with other loads not previously assessed. The purpose of this study was to quantify the postures and muscle activity during mechanized waste collection work. Three subtasks of mechanized waste collection were identified, namely driving, bin collection, and egress and access of the vehicle. Spinal, shoulder, and upper limb kinematics along with surface electromyography from three muscles were collected during these tasks in a typical work shift. During driving and bin collection, participants adopted a head-extended, torso forward-flexed posture with frequent rotations of the head and neck. Egress and access of the vehicle produced substantially larger ranges of movement compared with driving and bin collection. The forward-flex, sitting posture can increase the risk of low back pain if there are undulations in the terrain and if this posture is adopted for prolonged periods. The frequent head and neck rotations can increase the incidence and severity of neck pain. Prolonged driving has been linked with an increased cardiometabolic risk and egress and access has increased risk of trips and falls from a height. Managers of waste collection workers should consider implementing interventions to reduce the exposure of this important workforce to the deleterious demands of their work.
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Affiliation(s)
- Kevin Netto
- Curtin School of Allied Health, Curtin University, Kent St Bentley, WA, Australia
| | - Garry Francis-Pester
- Physiotherapy and Human Movement Clinic, Brunswick, Victoria, Australia.,College of Sport and Exercise Science, Victoria University, Footscray, Victoria, Australia
| | - Caleb Lewis
- School of Exercise and Nutrition Sciences, Deakin University, Burwood, Victoria, Australia
| | - Patrina Dunnill
- Curtin School of Allied Health, Curtin University, Kent St Bentley, WA, Australia.,School of Behavioural and Health Sciences Australian Catholic University, Fitzroy, Victoria, Australia
| | - Russell Darling
- Banyule City Council, 1 Flintoff St, Greensborough, Victoria, Australia
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Cariati I, Bonanni R, Annino G, Scimeca M, Bonanno E, D'Arcangelo G, Tancredi V. Dose-Response Effect of Vibratory Stimulus on Synaptic and Muscle Plasticity in a Middle-Aged Murine Model. Front Physiol 2021; 12:678449. [PMID: 34177622 PMCID: PMC8226218 DOI: 10.3389/fphys.2021.678449] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2021] [Accepted: 05/04/2021] [Indexed: 12/20/2022] Open
Abstract
Whole body vibration plays a central role in many work categories and can represent a health risk to the musculoskeletal system and peripheral nervous system. However, studies in animal and human models have shown that vibratory training, experimentally and/or therapeutically induced, can exert beneficial effects on the whole body, as well as improve brain functioning and reduce cognitive decline related to the aging process. Since the effects of vibratory training depend on several factors, such as vibration frequency and vibration exposure time, in this work, we investigated whether the application of three different vibratory protocols could modulate synaptic and muscle plasticity in a middle-aged murine model, counteracting the onset of early symptoms linked to the aging process. To this end, we performed in vitro electrophysiological recordings of the field potential in the CA1 region of mouse hippocampal slices, as well as histomorphometric and ultrastructural analysis of muscle tissue by optic and transmission electron microscopy, respectively. Our results showed that protocols characterized by a low vibration frequency and/or a longer recovery time exert positive effects at both hippocampal and muscular level, and that these effects improve significantly by varying both parameters, with an action comparable with a dose-response effect. Thus, we suggested that vibratory training may be an effective strategy to counteract cognitive impairment, which is already present in the early stages of the aging process, and the onset of sarcopenia, which is closely related to a sedentary lifestyle. Future studies are needed to understand the underlying molecular mechanisms and to determine an optimal vibratory training protocol.
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Affiliation(s)
- Ida Cariati
- Ph.D. in Medical-Surgical Biotechnologies and Translational Medicine, Department of Clinical Sciences and Translational Medicine, "Tor Vergata" University of Rome, Rome, Italy
| | - Roberto Bonanni
- Department of Systems Medicine, "Tor Vergata" University of Rome, Rome, Italy
| | - Giuseppe Annino
- Department of Systems Medicine, "Tor Vergata" University of Rome, Rome, Italy.,Centre of Space Bio-Medicine, "Tor Vergata" University of Rome, Rome, Italy
| | - Manuel Scimeca
- Department of Biomedicine and Prevention, "Tor Vergata" University of Rome, Rome, Italy
| | - Elena Bonanno
- Department of Experimental Medicine, "Tor Vergata" University of Rome, Rome, Italy.,"Diagnostica Medica" and "Villa dei Platani", Neuromed Group, Avellino, Italy
| | - Giovanna D'Arcangelo
- Department of Systems Medicine, "Tor Vergata" University of Rome, Rome, Italy.,Centre of Space Bio-Medicine, "Tor Vergata" University of Rome, Rome, Italy
| | - Virginia Tancredi
- Department of Systems Medicine, "Tor Vergata" University of Rome, Rome, Italy.,Centre of Space Bio-Medicine, "Tor Vergata" University of Rome, Rome, Italy
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Rabal-Pelay J, Cimarras-Otal C, Marcen-Cinca N, Alcázar-Crevillén A, Laguna-Miranda C, Bataller-Cervero AV. Assessment of Spinal Range of Motion and Musculoskeletal Discomfort in Forklift Drivers. A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18062947. [PMID: 33805655 PMCID: PMC7998771 DOI: 10.3390/ijerph18062947] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/30/2021] [Revised: 03/08/2021] [Accepted: 03/10/2021] [Indexed: 11/16/2022]
Abstract
Forklifts are commonly used in industrial supply chains to transport heavy loads. Forklift drivers have the risk of developing musculoskeletal discomfort derived from the movement pattern required at work. This research aimed to investigate the spinal range of motion (ROM) and musculoskeletal discomfort of forklift drivers and compare it with a control group. Forklift drivers (39 males) and office workers (31 males) were recruited to assess cervical, thoracic, and lumbar ROM with an electronic double inclinometer. Additionally, musculoskeletal discomfort was registered with the Cornell Discomfort Musculoskeletal Questionnaire. Forklift drivers showed a higher cervical discomfort and ROM of lateral lumbar bending than office workers. Both groups reported lower ROM in cervical and lumbar lateral bending on the right side versus the left side. No differences of asymmetry were reported for any variable between groups. Specific exercise programs may correct these mobility imbalances.
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Affiliation(s)
- Juan Rabal-Pelay
- Faculty of Health Science, Universidad San Jorge, Autovía A-23 Zaragoza-Huesca Km. 299, 50830 Villanueva de Gállego, Spain; (J.R.-P.); (N.M.-C.); (A.V.B.-C.)
| | - Cristina Cimarras-Otal
- Faculty of Health Science, Universidad San Jorge, Autovía A-23 Zaragoza-Huesca Km. 299, 50830 Villanueva de Gállego, Spain; (J.R.-P.); (N.M.-C.); (A.V.B.-C.)
- Correspondence:
| | - Noel Marcen-Cinca
- Faculty of Health Science, Universidad San Jorge, Autovía A-23 Zaragoza-Huesca Km. 299, 50830 Villanueva de Gállego, Spain; (J.R.-P.); (N.M.-C.); (A.V.B.-C.)
| | | | - Carmen Laguna-Miranda
- BSH Electrodomésticos España S.A., Pol. Industrial Otallana, Avenida La Industria, 49, 50016 Zaragoza, Spain;
| | - Ana Vanessa Bataller-Cervero
- Faculty of Health Science, Universidad San Jorge, Autovía A-23 Zaragoza-Huesca Km. 299, 50830 Villanueva de Gállego, Spain; (J.R.-P.); (N.M.-C.); (A.V.B.-C.)
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Can a metric combining arm elevation and trapezius muscle activity predict neck/shoulder pain? A prospective cohort study in construction and healthcare. Int Arch Occup Environ Health 2020; 94:647-658. [PMID: 33278002 PMCID: PMC8068682 DOI: 10.1007/s00420-020-01610-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2020] [Accepted: 11/09/2020] [Indexed: 01/10/2023]
Abstract
OBJECTIVE To determine whether a composite metric of arm elevation and trapezius activity (i.e. neck/shoulder load) is more strongly associated with the 2-year course of neck and shoulder pain intensity (NSPi) among construction and healthcare workers than each exposure separately. METHODS Dominant arm elevation and upper trapezius muscle activity were estimated in construction and healthcare employees (n = 118) at baseline, using accelerometry and normalized surface electromyography (%MVE), respectively. At baseline and every 6 months for 2 years, workers reported NSPi (score 0-3). Compositions of working time were determined for arm elevation (< 30°; 30-60°; > 60°), trapezius activity (< 0.5%; 0.5-7.0%; > 7.0%MVE), and a composite metric "neck/shoulder load" (restitution, low, medium, and high load). Associations between each of these three compositions and the 2-year course of NSPi were determined using linear mixed models. RESULTS Associations between exposure compositions and the course of NSPi were all weak and in general uncertain. Time spent in 0.5-7.0%MVE showed the largest and most certain association with changes in NSPi during follow-up (β = - 0.13; p = 0.037; corresponding to a -0.01 change in NPSi every 6 months). Among pain-free workers at baseline, medium (β = - 0.23; p = 0.039) and high (β = 0.15; p = 0.031) neck/shoulder load contributed the most to explaining changes in NSPi. CONCLUSION The composite metric of neck/shoulder load did not show a stronger association with the course of NSPi than arm elevation or trapezius activity alone in the entire population, while some indications of a stronger association were found among those who were pain-free at baseline.
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17
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Work above shoulder level and shoulder complaints: a systematic review. Int Arch Occup Environ Health 2020; 93:925-954. [PMID: 32572582 PMCID: PMC7519900 DOI: 10.1007/s00420-020-01551-4] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2019] [Accepted: 05/09/2020] [Indexed: 01/06/2023]
Abstract
OBJECTIVE To investigate the association and the exposure-response relationship between work above shoulder height and shoulder pain or disorders. METHODS A systematic search was performed in Medline, Embase, and Health and Safety Science Abstracts. Included were articles with prospective cohort, case-control, cross-sectional, or intervention study designs. Quality assessment was based on an evaluation scheme adjusted to study design and normalized to 100%. The cut-off for sufficient quality to include articles was above 40% and cut-off for high-quality articles was above 50% of maximal score. The level of strength of evidence for an association between exposure and effect was assessed according to the GRADE guidelines. RESULTS Thirty-four articles were included. Articles that document large effects (higher risk estimates; OR ≥ 2) have higher quality score, include analyses of severe arm elevation, more often use clinical outcome, and report an exposure-response relationship compared to studies reporting lower risk estimates. The studies that reported large effects were all significant. An exposure-response relationship was found in many high-quality studies when relating exposure intensity of arm elevation (level of arm elevation, amplitude) as well as duration of arm elevation, especially > 90°. CONCLUSION We conclude on a limited evidence for an association between arm elevation at work and shoulder disorders. Severe arm elevation with elbows above shoulder level (i.e., > 90°) shows a moderate evidence for an association with shoulder disorders.
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18
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Landsbergis P, Johanning E, Stillo M, Jain R, Davis M. Occupational risk factors for musculoskeletal disorders among railroad maintenance-of-way workers. Am J Ind Med 2020; 63:402-416. [PMID: 32144807 DOI: 10.1002/ajim.23099] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2019] [Revised: 02/17/2020] [Accepted: 02/18/2020] [Indexed: 11/12/2022]
Abstract
BACKGROUND Our objective was to examine occupational risk factors for musculoskeletal disorders of the neck, back, and knee among railroad maintenance-of-way (MOW) workers. METHODS Four thousand eight-hundred sixteen active, retired, and disabled members of the Brotherhood of Maintenance of Way Employes Division (BMWED) completed a survey. We computed adjusted prevalence ratios (aPRs) using Poisson regression for neck, back, and knee musculoskeletal symptoms by work exposures, adjusted for age, region, race/ethnicity, smoking, and potential second job and spare time vehicle vibration exposure. RESULTS Among active male BMWED members, we found associations between use of high-vibration vehicles and neck pain (aPR = 1.47, 95% confidence interval (CI): 1.07-2.03) and knee pain (aPR = 1.38, 95% CI: 1.04-1.82) for more than 1.9 years (vs 0) of full-time equivalent use; but not back pain. Back pain radiating below the knee (sciatica indicator) was associated with high-vibration vehicle use greater than 0.4 and less than 1.9 years (aPR = 1.58, 95% CI: 1.15-2.18). We also found significant associations between often or always lifting, pushing, pulling, or bending on the job (vs seldom or never) and neck pain (aPR = 2.43, 95% CI: 1.20-4.90), back pain (aPR = 1.94, 95% CI: 1.24-3.03), the sciatica indicator (aPR = 5.18, 95% CI: 1.28-20.95), and knee pain (aPR = 2.84, 95% CI: 1.47-5.51), along with positive gradients in the outcome by exposure time. CONCLUSIONS Biomechanical work exposures, including force and nonneutral postures, were associated with neck, lower back, and knee pain. Whole-body vibration, as measured by the duration of use of high-vibration vehicles, was associated with neck pain, knee pain, and sciatica. Prevention programs should address occupational risk factors for musculoskeletal disorders among MOW workers.
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Affiliation(s)
- Paul Landsbergis
- State University of New York (SUNY)‐Downstate Health Sciences UniversityBrooklyn New York
| | - Eckardt Johanning
- Johanning MD, PCAlbany New York
- Department of Medicine, Center for Family and Community MedicineColumbia UniversityNew York New York
| | - Marco Stillo
- State University of New York (SUNY)‐Downstate Health Sciences UniversityBrooklyn New York
| | - Rahul Jain
- State University of New York (SUNY)‐Downstate Health Sciences UniversityBrooklyn New York
| | - Michelle Davis
- State University of New York (SUNY)‐Downstate Health Sciences UniversityBrooklyn New York
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19
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Joseph L, Standen M, Paungmali A, Kuisma R, Sitilertpisan P, Pirunsan U. Prevalence of musculoskeletal pain among professional drivers: A systematic review. J Occup Health 2020; 62:e12150. [PMID: 32810918 PMCID: PMC7434558 DOI: 10.1002/1348-9585.12150] [Citation(s) in RCA: 27] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2020] [Revised: 06/17/2020] [Accepted: 06/23/2020] [Indexed: 12/26/2022] Open
Abstract
OBJECTIVES Professional drivers are at high risk of developing musculoskeletal pain (MSP) due to risk factors such as prolonged sitting, whole body vibration, awkward posture, and repetitive actions. This review investigates the reported prevalence of MSP among professional drivers. METHODS An electronic search of Medline (1946 + via OvidSP), Embase (1974 + OvidSP), CINAHL (1982+), AMED, PubMed, and Web of Science from 1990 to July 2019 was performed. Methodological quality of studies was assessed using three quality assessment tools for cross-sectional, case-control, and prospective cohort studies. The prevalence of MSP was reported using descriptive analysis. RESULTS A total of 56 studies conducted in 23 different countries across a total of 14 types of occupational transport were reviewed. Data of a total pooled population of 18 882 professional drivers were analyzed for MSP. The prevalence of MSP ranged between 43.1% and 93%. The low back was the most frequently reported body region for MSP with a meta-prevalence rate of 53% (N = 9998). Neck, shoulder, and upper back were the other common regions with high prevalence. CONCLUSION There is a high prevalence of MSP in professional drivers and low back was the most frequently reported body region, followed by neck, upper back, shoulder, knee, hip/thigh, wrist, ankle, and elbow. MSP is complicated in nature and therefore in-depth exploration of causal relationships between MSP and risk factors is necessary so that appropriate healthcare programs can be initiated to prevent and treat MSP effectively.
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Affiliation(s)
- Leonard Joseph
- School of Health SciencesUniversity of BrightonEast SussexUK
| | - Miles Standen
- School of Health SciencesUniversity of BrightonEast SussexUK
| | - Aatit Paungmali
- Department of Physical TherapyFaculty of Associated Medical SciencesChiang Mai UniversityChiang MaiThailand
| | - Raija Kuisma
- Karelia University of Applied SciencesJoensuuFinland
| | - Patraporn Sitilertpisan
- Department of Physical TherapyFaculty of Associated Medical SciencesChiang Mai UniversityChiang MaiThailand
| | - Ubon Pirunsan
- Department of Physical TherapyFaculty of Associated Medical SciencesChiang Mai UniversityChiang MaiThailand
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20
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Sekkay F, Imbeau D, Chinniah Y, Dubé PA, de Marcellis-Warin N, Beauregard N, Trépanier M. Risk factors associated with self-reported musculoskeletal pain among short and long distance industrial gas delivery truck drivers. APPLIED ERGONOMICS 2018; 72:69-87. [PMID: 29885729 DOI: 10.1016/j.apergo.2018.05.005] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/25/2017] [Revised: 05/09/2018] [Accepted: 05/10/2018] [Indexed: 06/08/2023]
Abstract
AIM This study investigated and compared the associations between self-reported exposures to individual as well as work-related physical and psychosocial risk factors for musculoskeletal (MS) disorders and the prevalence of MS symptoms in different body areas among short- (P&D) and long-distance (Bulk delivery) truck drivers working for the same large gas delivery company in Canada. METHODS 123 truck drivers nationwide participated in this questionnaire-based cross-sectional study. Univariate and multivariate logistic regression analyses were performed. RESULTS 43.1% of drivers reported MS pain in at least one body area over the past 12 months and 26.8% over the past 7 days. Bulk drivers had a significantly higher prevalence of MS pain than P&D drivers for both periods. When P&D and Bulk drivers were pooled together, belonging to the Bulk subgroup emerged as the strongest factor for low back pain (OR = 8.45, p = 0.002), for shoulder pain (OR = 3.70, p = 0.027) and for MS pain in any body area (OR = 4.05, p = 0.006). In Bulk drivers "High effort-reward imbalance" was strongly associated with MS pain in any body area (OR = 6.47, p = 0.01), with shoulder pain (OR = 4.95, p = 0.016), and with low back pain (OR = 4.51, p = 0.02). In P&D drivers MS pain in any body area was strongly associated with "Working with hands above shoulders" (OR = 6.58, p = 0.009) and "Whole-body vibration" (OR = 5.48, p = 0.018), while shoulder pain was strongly associated with "Hand-arm vibration" (OR = 7.27, p = 0.041). CONCLUSIONS Prevalence of MS pain was higher among industrial gas delivery truck drivers than in the general Quebec male worker population, and higher for Bulk drivers compared to P&D drivers. MS pain in Bulk drivers was mainly associated with psychosocial risk factors and lifestyle; MS pain in P&D drivers was mainly associated with physical risk factors.
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Affiliation(s)
- Firdaous Sekkay
- Department of Mathematics and Industrial Engineering, Polytechnique Montreal, Montreal, Canada.
| | - Daniel Imbeau
- Department of Mathematics and Industrial Engineering, Polytechnique Montreal, Montreal, Canada
| | - Yuvin Chinniah
- Department of Mathematics and Industrial Engineering, Polytechnique Montreal, Montreal, Canada
| | - Philippe-Antoine Dubé
- Department of Mathematics and Industrial Engineering, Polytechnique Montreal, Montreal, Canada
| | | | - Nancy Beauregard
- School of Industrial Relations, University of Montreal, Montreal, Canada
| | - Martin Trépanier
- Department of Mathematics and Industrial Engineering, Polytechnique Montreal, Montreal, Canada
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21
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Feng Z, Zhan J, Wang C, Ma C, Huang Z. The association between musculoskeletal disorders and driver behaviors among professional drivers in China. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2018; 26:551-561. [PMID: 30205765 DOI: 10.1080/10803548.2018.1482088] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
The main objective of this study is to explore correlations between the severity of musculoskeletal disorders (MSDs) and aberrant driving behaviors among professional taxi drivers. Questionnaires were administered to 162 taxi drivers in a Chinese city. Drivers with more severe MSDs reported more general and dangerous error behaviors and negative moods. Interestingly, MSDs affect drivers' error behaviors through negative moods. The study also examined the effects of age, driving experience, traffic accidents, mood states, safety awareness and driving skills on aberrant driving behaviors. The results showed that age and driving experience were significant predictors of aberrant driving behaviors. Anger was a significant predictor of aggressive violations and dangerous errors. Additionally, drivers who reported higher levels of safety awareness also reported fewer aggressive violations, and drivers with higher levels of driving skills reported fewer dangerous error behaviors.
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Affiliation(s)
- Zhongxiang Feng
- School of Automobile and Traffic Engineering, Hefei University of Technology, People's Republic of China
| | - Jingjing Zhan
- School of Automobile and Traffic Engineering, Hefei University of Technology, People's Republic of China
| | - Chuanlian Wang
- School of Automobile, Chang'an University, People's Republic of China
| | - Changxi Ma
- School of Traffic and Transportation, Lanzhou Jiaotong University, People's Republic of China
| | - Zhipeng Huang
- School of Automobile and Traffic Engineering, Hefei University of Technology, People's Republic of China
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22
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Flodin U, Rolander B, Löfgren H, Krapi B, Nyqvist F, Wåhlin C. Risk factors for neck pain among forklift truck operators: a retrospective cohort study. BMC Musculoskelet Disord 2018; 19:44. [PMID: 29426319 PMCID: PMC5807762 DOI: 10.1186/s12891-018-1956-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/04/2017] [Accepted: 01/29/2018] [Indexed: 12/29/2022] Open
Abstract
BACKGROUND No previous research has been performed into neck pain among forklift operators. This is a common complaint among these workers, who number around 150,000 in Sweden and six million in Europe. The aim of the study was to examine long-term exposure to unnatural neck positions among forklift operators as a risk factor for neck pain. METHODS A retrospective cohort study was conducted of all eligible employees at a high-level warehouse. Forklift operators and office workers answered an 18-page questionnaire comprising questions about joint pain, work tasks, work postures and year of start for all items. By using person years in the exposed and less-exposed groups before start of neck pain we were able to calculate Incident Rate ratios for various exposures. RESULTS Forty nine percent of the forklift operators reported having experienced neck pain compared to 30 % of office workers. Being a forklift operator was associated with an increased risk of neck pain (OR = 5.1, 95% CI 1.4-18.2). Holding the head in an unnatural position resulted in significantly increased risks for neck pain, irrespective of type of position. The risks for neck pain remained after taking other ergonomic exposures and psychosocial aspects into consideration. CONCLUSIONS This is the first published study showing that forklift operators have an increased risk of neck pain. The results are therefore of significance for improving work schedules, the adjustment of work tasks for these workers and the design of the vehicles.
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Affiliation(s)
- U Flodin
- Occupational and Environmental Medicine, and Department of Clinical and Experimental Medicine, Linköping University, Östergötland, 581 85, Linköping, Sweden.
| | - B Rolander
- Department of Behavioral Science and Social Work, School of Health Sciences, Jönköping University, Jönköping, Sweden.,Futurum, Academy for Health and Care, Region Jönköping County, Jönköping, Sweden
| | - H Löfgren
- Neuro-Orthopedic Center, Ryhov Hospital, Jönköping, Sweden
| | - B Krapi
- Occupational and Environmental Medicine, and Department of Clinical and Experimental Medicine, Linköping University, Östergötland, 581 85, Linköping, Sweden
| | - F Nyqvist
- Occupational and Environmental Medicine, and Department of Clinical and Experimental Medicine, Linköping University, Östergötland, 581 85, Linköping, Sweden
| | - C Wåhlin
- Occupational and Environmental Medicine, and Department of Clinical and Experimental Medicine, Linköping University, Östergötland, 581 85, Linköping, Sweden.,Unit of Intervention and Implementation Research, Institute for Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
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23
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Krajnak K. Health effects associated with occupational exposure to hand-arm or whole body vibration. JOURNAL OF TOXICOLOGY AND ENVIRONMENTAL HEALTH. PART B, CRITICAL REVIEWS 2018; 21:320-334. [PMID: 30583715 PMCID: PMC6415671 DOI: 10.1080/10937404.2018.1557576] [Citation(s) in RCA: 34] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/02/2023]
Abstract
Workers in a number of different occupational sectors are exposed to workplace vibration on a daily basis. This exposure may arise through the use of powered-hand tools or hand-transmitted vibration (HTV). Workers might also be exposed to whole body vibration (WBV) by driving delivery vehicles, earth moving equipment, or through use of tools that generate vibration at low dominant frequencies and high amplitudes, such as jackhammers. Occupational exposure to vibration has been associated with an increased risk of musculoskeletal pain in the back, neck, hands, shoulders, and hips. Occupational exposure may also contribute to the development of peripheral and cardiovascular disorders and gastrointestinal problems. In addition, there are more recent data suggesting that occupational exposure to vibration may enhance the risk of developing certain cancers. The aim of this review is to provide an assessment of the occupations where exposure to vibration is most prevalent, and a description of the adverse health effects associated with occupational exposure to vibration. This review will examine (1) various experimental methods used to measure and describe the characteristics of vibration generated by various tools and vehicles, (2) the etiology of vibration-induced disorders, and (3) how these data were employed to assess and improve intervention strategies and equipment that reduces the transmission of vibration to the body. Finally, there is a discussion of the research gaps that need to be investigated to further reduction in the incidence of vibration-induced illnesses and injuries.
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Affiliation(s)
- Kristine Krajnak
- a Health Effects Laboratory Division , National Institute for Occupational Safety and Health , Morgantown , WV , USA
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Raffler N, Rissler J, Ellegast R, Schikowsky C, Kraus T, Ochsmann E. Combined exposures of whole-body vibration and awkward posture: a cross sectional investigation among occupational drivers by means of simultaneous field measurements. ERGONOMICS 2017; 60:1564-1575. [PMID: 28402232 DOI: 10.1080/00140139.2017.1314554] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/22/2016] [Accepted: 03/23/2017] [Indexed: 06/07/2023]
Abstract
OBJECTIVE Multifactorial workloads such as whole-body vibration (WBV), awkward posture and heavy lifting are potential predictors for low back pain (LBP). In this study, we investigate the association between LBP and these exposures among 102 professional drivers. METHODS The combined exposures of WBV and posture are measured at different workplaces. Health and personal data as well as information about lifting tasks are collected by a questionnaire. RESULTS The daily vibration exposure value (odds ratio 1.69) and an index for awkward posture (odds ratio 1.63) show significant association with the occurence of LBP. Awkward posture and heavy lifting appear to be more strongly associated with sick leave than WBV exposure. Furthermore, a combination of the measurement results of WBV and awkward posture into one quantity also shows significant correlation to LBP. CONCLUSION The combined exposure of WBV and awkward posture can be described in terms of the daily vibration exposure and the index for awkward posture. This facilitates work place assessments and future research in this area. Practitioner Summary: For the first time, quantitative measures combining whole-body vibration and awkward posture exposures have shown to correlate with the occurrence of low back pain significantly. This validates the proposed quantities and measurement methods, which facilitate workplace assessments and assist in the design of further studies which are necessary to establish a causal exposure-response relationship.
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Affiliation(s)
- Nastaran Raffler
- a Institute for Occupational Health and Safety of the German Social Accident Insurance (IFA) , Sankt Augustin , Germany
- b Institute and Outpatient Clinic for Occupational Medicine, University Hospital, Aachen University of Technology , Aachen , Germany
| | - Jörg Rissler
- a Institute for Occupational Health and Safety of the German Social Accident Insurance (IFA) , Sankt Augustin , Germany
| | - Rolf Ellegast
- a Institute for Occupational Health and Safety of the German Social Accident Insurance (IFA) , Sankt Augustin , Germany
| | - Christian Schikowsky
- b Institute and Outpatient Clinic for Occupational Medicine, University Hospital, Aachen University of Technology , Aachen , Germany
| | - Thomas Kraus
- b Institute and Outpatient Clinic for Occupational Medicine, University Hospital, Aachen University of Technology , Aachen , Germany
| | - Elke Ochsmann
- b Institute and Outpatient Clinic for Occupational Medicine, University Hospital, Aachen University of Technology , Aachen , Germany
- c Faculty of Health Care and Health Sciences, Zwickau University of Applied Sciences , Zwickau , Germany
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Kresal F, Suklan J, Roblek V, Jerman A, Meško M. Psychosocial Risk Factors for Low Back Pain and Absenteeism among Slovenian Professional Drivers. Cent Eur J Public Health 2017; 25:135-140. [DOI: 10.21101/cejph.a4385] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2015] [Accepted: 09/12/2016] [Indexed: 11/15/2022]
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Ortego G, Villafañe JH, Doménech-García V, Berjano P, Bertozzi L, Herrero P. Is there a relationship between psychological stress or anxiety and chronic nonspecific neck-arm pain in adults? A systematic review and meta-analysis. J Psychosom Res 2016; 90:70-81. [PMID: 27772562 DOI: 10.1016/j.jpsychores.2016.09.006] [Citation(s) in RCA: 59] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/10/2016] [Revised: 07/28/2016] [Accepted: 09/08/2016] [Indexed: 11/20/2022]
Abstract
PURPOSE To systematically review and analyze the research evidence linking stress or anxiety to chronic nonspecific neck-arm pain (NSNAP) in adults. SUBJECTS AND METHODS Data were obtained from Pubmed, Scopus, PsycInfo, Web of Science, Physiotherapy Evidence Database (PEDro) and The Cochrane library database from their inception to July 2015. Two authors independently conducted the searches, extracted data, and completed methodological quality assessments. The methodological quality of the cohort and case-control studies was evaluated using the Newcastle-Ottawa scale, whilst the quality of the Randomized Controlled Trial (RCT) was evaluated using the PEDro scale. RESULTS Twenty-eight studies involving 39,166 participants met the inclusion criteria. Four studies, including 5 pair-wise comparisons, were included in the meta-analysis: Three were cohort studies and 1 was a cross-sectional study. The meta-analysis outcome demonstrated a relationship between chronic NSNAP and psychological stress. The estimate odds ratio for all studies combined was 2.33 (95% CI, 1.04-5.18; p=0.039). A high heterogeneity of the findings appeared (Q=28.94, I2=86% p=0.00). CONCLUSION This study shows that there is a strong relationship between stress and chronic NSNAP. Despite this finding, we cannot support that stress is a risk factor for chronic NSNAP due to the low quality of the results according to the Grading of Recommendations Assessment, Development and Evaluation (GRADE). It was not possible to make a quantitative analysis comparing the relationship between anxiety and chronic NSNAP. However, according to the qualitative analysis there is a strong relationship between anxiety and chronic NSNAP.
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Affiliation(s)
- Gorka Ortego
- iPhysio Research Group, Universidad San Jorge, Campus Universitario, Autov A23 km 299, 50830, Villanueva de Gállego Zaragoza, Spain.
| | | | - Victor Doménech-García
- iPhysio Research Group, Universidad San Jorge, Campus Universitario, Autov A23 km 299, 50830, Villanueva de Gállego Zaragoza, Spain
| | | | | | - Pablo Herrero
- iPhysio Research Group, Universidad San Jorge, Campus Universitario, Autov A23 km 299, 50830, Villanueva de Gállego Zaragoza, Spain
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Abstract
Shoulder pain is very common, and it causes substantial morbidity. Standardised classification systems based upon presumed patho-anatomical origins have proved poorly reproducible and hampered epidemiological research. Despite this, there is evidence that exposure to combinations of physical workplace strains such as overhead working, heavy lifting and forceful work as well as working in an awkward posture increases the risk of shoulder disorders. Psychosocial risk factors are also associated. There is currently little evidence to suggest that either primary prevention or treatment strategies in the workplace are very effective, and more research is required, particularly around the cost-effectiveness of different strategies.
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Affiliation(s)
- Catherine H Linaker
- Arthritis Research-UK/MRC Centre for Musculoskeletal Health and Work, University of Southampton, Southampton General Hospital, Southampton SO16 6YD, UK; Arthritis Research-UK/MRC Centre for Musculoskeletal Health and Work, University of Southampton, Southampton General Hospital, Southampton SO16 6YD, UK
| | - Karen Walker-Bone
- Arthritis Research-UK/MRC Centre for Musculoskeletal Health and Work, University of Southampton, Southampton General Hospital, Southampton SO16 6YD, UK; Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton SO16 6YD, UK.
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KOLLOCK R, GAMES K, WILSON AE, SEFTON JM. Effects of vehicle-ride exposure on cervical pathology: a meta-analysis. INDUSTRIAL HEALTH 2015; 53:197-205. [PMID: 25739897 PMCID: PMC4463183 DOI: 10.2486/indhealth.2014-0156] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/30/2014] [Accepted: 01/26/2015] [Indexed: 06/04/2023]
Abstract
Research to date on the effect vehicle-ride exposure has on the development of cervical pathologies in mounted Warfighters is conflicting. The purpose of this study was to determine if the literature suggests a definite effect of vehicle-ride exposure on cervical pathology. Databases were searched using multiple combinations of select terms. Twelve studies meeting the inclusion criteria were included in the meta-analysis. The results of the meta-analysis revealed that overall vehicle-ride exposure was likely to increase cervical pathology (p=0.01, odds ratio=1.59, 95% CI=1.16-2.17). Using vehicle type as a moderator it was found that vehicle-ride exposure in ground-based vehicles (p=0.01, odds ratio=2.33, 95% CI=1.41-3.85) and fixed-wing aircraft (p=0.01, odds ratio =1.59, 95% CI=1.13-2.23) were likely to increase cervical pathology. Using operator/other personnel moderator it was found that in the populations tested, fighter pilots or fighter jet weapons systems operators were more likely to develop a cervical pathology (p<0.001, odds ratio=1.78, 95% CI=1.26-2.50). The available studies indicate an increase in cervical pathology for personnel exposed to ground-based vehicles and fixed-wing aircraft.
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Affiliation(s)
- Roger KOLLOCK
- Department of Kinesiology and Health, Northern Kentucky
University, USA
| | - Kenneth GAMES
- Department of Applied Medicine and Rehabilitation, Indiana
State University, USA
| | | | - JoEllen M. SEFTON
- Warrior Research Center, Neuromechanics Research Laboratory,
School of Kinesiology, Auburn University, USA
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