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Lazzaretti Fernandes T, Taraballi F, Shao Z, Roessler PP, Cardona-Ramírez S. Nonoperative and Operative Soft-Tissue, Cartilage, and Bony Regeneration and Orthopaedic Biologics of the Elbow and Upper Extremity: An Orthoregeneration Network Foundation Review. Arthroscopy 2024:S0749-8063(24)00326-8. [PMID: 38723874 DOI: 10.1016/j.arthro.2024.04.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/16/2024] [Accepted: 04/17/2024] [Indexed: 06/10/2024]
Abstract
Orthoregeneration is defined as a solution for orthopaedic conditions that harnesses the benefits of biology to improve healing, reduce pain, improve function, and, optimally, provide an environment for tissue regeneration. Options include drugs, surgical intervention, scaffolds, biologics as a product of cells, and physical and electromagnetic stimuli. The goal of regenerative medicine is to enhance the healing of tissue after musculoskeletal injuries as both isolated treatment and adjunct to surgical management, using novel therapies to improve recovery and outcomes. Various orthopaedic biologics (orthobiologics) have been investigated for the treatment of pathology involving the elbow and upper extremity, including the tendons (lateral epicondylitis, medial epicondylitis, biceps tendonitis, triceps tendonitis), articular cartilage (osteoarthritis, osteochondral lesions), and bone (fractures, nonunions, avascular necrosis, osteonecrosis). Promising and established treatment modalities include hyaluronic acid; botulinum toxin; corticosteroids; leukocyte-rich and leukocyte-poor platelet-rich plasma; autologous blood; bone marrow aspirate comprising mesenchymal stromal cells (alternatively termed medicinal signaling cells and frequently mesenchymal stem cells [MSCs]) and bone marrow aspirate concentrate; MSCs harvested from adipose and skin (dermis) sources; vascularized bone grafts; bone morphogenic protein scaffold made from osteoinductive and conductive β-tricalcium phosphate and poly-ε-caprolactone with hydrogels, human MSCs, and matrix metalloproteinases; and collagen sponge. Autologous blood preparations such as autologous blood injections and platelet-rich plasma show positive outcomes for nonresponsive tendinopathy. In addition, cellular therapies such as tissue-derived tenocyte-like cells and MSCs show a promising ability to regulate degenerative processes by modulating tissue response to inflammation and preventing continuous degradation and support tissue restoration.
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Affiliation(s)
- Tiago Lazzaretti Fernandes
- Sports Medicine Division, Institute of Orthopaedics and Traumatology, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil; Hospital Sírio-Libanês, São Paulo, Brazil.
| | - Francesca Taraballi
- Center for Musculoskeletal Regeneration, Orthopedics and Sports Medicine, Houston, Texas, U.S.A.; Methodist Hospital, Houston Methodist Academic Institute, Houston, Texas, U.S.A
| | - Zhenxing Shao
- Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing, China; Beijing Key Laboratory of Sports Injuries, Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Beijing, China
| | - Philip P Roessler
- Department of Orthopedics and Trauma Surgery, University Hospital Bonn, Bonn, Germany; Gelenkzentrum Mittelrhein, Koblenz, Germany
| | - Sebastián Cardona-Ramírez
- Grupo de Investigación OHVRI, Escuela de Medicina Veterinaria, Facultad de Ciencias Agrarias, Universidad de Antioquia, Medellín, Colombia
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Zadeh SM, MacDermid J, Johnson J, Birmingham TB, Shafiee E. Applications of wearable sensors in upper extremity MSK conditions: a scoping review. J Neuroeng Rehabil 2023; 20:158. [PMID: 37980497 PMCID: PMC10656914 DOI: 10.1186/s12984-023-01274-w] [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: 02/18/2023] [Accepted: 10/30/2023] [Indexed: 11/20/2023] Open
Abstract
PURPOSE This scoping review uniquely aims to map the current state of the literature on the applications of wearable sensors in people with or at risk of developing upper extremity musculoskeletal (UE-MSK) conditions, considering that MSK conditions or disorders have the highest rate of prevalence among other types of conditions or disorders that contribute to the need for rehabilitation services. MATERIALS AND METHODS The preferred reporting items for systematic reviews and meta-analysis (PRISMA) extension for scoping reviews guideline was followed in this scoping review. Two independent authors conducted a systematic search of four databases, including PubMed, Embase, Scopus, and IEEEXplore. We included studies that have applied wearable sensors on people with or at risk of developing UE-MSK condition published after 2010. We extracted study designs, aims, number of participants, sensor placement locations, sensor types, and number, and outcome(s) of interest from the included studies. The overall findings of our scoping review are presented in tables and diagrams to map an overview of the existing applications. RESULTS The final review encompassed 80 studies categorized into clinical population (31 studies), workers' population (31 studies), and general wearable design/performance studies (18 studies). Most were observational, with 2 RCTs in workers' studies. Clinical studies focused on UE-MSK conditions like rotator cuff tear and arthritis. Workers' studies involved industrial workers, surgeons, farmers, and at-risk healthy individuals. Wearable sensors were utilized for objective motion assessment, home-based rehabilitation monitoring, daily activity recording, physical risk characterization, and ergonomic assessments. IMU sensors were prevalent in designs (84%), with a minority including sEMG sensors (16%). Assessment applications dominated (80%), while treatment-focused studies constituted 20%. Home-based applicability was noted in 21% of the studies. CONCLUSION Wearable sensor technologies have been increasingly applied to the health care field. These applications include clinical assessments, home-based treatments of MSK disorders, and monitoring of workers' population in non-standardized areas such as work environments. Assessment-focused studies predominate over treatment studies. Additionally, wearable sensor designs predominantly use IMU sensors, with a subset of studies incorporating sEMG and other sensor types in wearable platforms to capture muscle activity and inertial data for the assessment or rehabilitation of MSK conditions.
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Affiliation(s)
- Sohrob Milani Zadeh
- Biomedical Engineering, Physical Therapy, Western University, London, ON, Canada.
| | - Joy MacDermid
- Physical Therapy and Surgery, Western University, London, ON, Canada
- Clinical Research Lab, Hand and Upper Limb Center, St. Joseph's Health Center, London, ON, Canada
- Rehabilitation Science McMaster University, Hamilton, ON, Canada
| | - James Johnson
- Roth-McFarlane Hand and Upper Limb Centre, St. Joseph's Health Care, London, ON, Canada
| | - Trevor B Birmingham
- Biomedical Engineering, Physical Therapy, Western University, London, ON, Canada
| | - Erfan Shafiee
- School of Rehabilitation Therapy, Queen's University, Kingston, ON, Canada
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Aqueveque P, Peña G, Gutiérrez M, Gómez B, Germany E, Retamal G, Ortega-Bastidas P. Utilizing Motion Capture Systems for Instrumenting the OCRA Index: A Study on Risk Classification for Upper Limb Work-Related Activities. SENSORS (BASEL, SWITZERLAND) 2023; 23:7623. [PMID: 37688078 PMCID: PMC10490628 DOI: 10.3390/s23177623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/12/2023] [Revised: 08/17/2023] [Accepted: 08/29/2023] [Indexed: 09/10/2023]
Abstract
In the search to enhance ergonomic risk assessments for upper limb work-related activities, this study introduced and validated the efficiency of an inertial motion capture system, paired with a specialized platform that digitalized the OCRA index. Conducted in a semi-controlled environment, the proposed methodology was compared to traditional risk classification techniques using both inertial and optical motion capture systems. The inertial method encompassed 18 units in a Bluetooth Low Energy tree topology network for activity recording, subsequently analyzed for risk using the platform. Principal outcomes emphasized the optical system's preeminence, aligning closely with the conventional technique. The optical system's superiority was further evident in its alignment with the traditional method. Meanwhile, the inertial system followed closely, with an error margin of just ±0.098 compared to the optical system. Risk classification was consistent across all systems. The inertial system demonstrated strong performance metrics, achieving F1-scores of 0.97 and 1 for "risk" and "no risk" classifications, respectively. Its distinct advantage of portability was reinforced by participants' feedback on its user-friendliness. The results highlight the inertial system's potential, mirroring the precision of both traditional and optical methods and achieving a 65% reduction in risk assessment time. This advancement mitigates the need for intricate video setups, emphasizing its potential in ergonomic assessments.
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Affiliation(s)
- Pablo Aqueveque
- Departamento de Ingeniería Eléctrica, Facultad de Ingeniería, Universidad de Concepción, Concepción 4070386, Chile; (G.P.); (E.G.); (G.R.)
| | - Guisella Peña
- Departamento de Ingeniería Eléctrica, Facultad de Ingeniería, Universidad de Concepción, Concepción 4070386, Chile; (G.P.); (E.G.); (G.R.)
| | - Manuel Gutiérrez
- Departamento de Ergonomía, Facultad de Ciencias Biológicas, Universidad de Concepción, Concepción 4070386, Chile;
| | - Britam Gómez
- Ingeniería Biomédica, Facultad de Ingeniería, Universidad de Santiago de Chile, Santiago 8320000, Chile;
| | - Enrique Germany
- Departamento de Ingeniería Eléctrica, Facultad de Ingeniería, Universidad de Concepción, Concepción 4070386, Chile; (G.P.); (E.G.); (G.R.)
| | - Gustavo Retamal
- Departamento de Ingeniería Eléctrica, Facultad de Ingeniería, Universidad de Concepción, Concepción 4070386, Chile; (G.P.); (E.G.); (G.R.)
| | - Paulina Ortega-Bastidas
- Departamento de Kinesiología, Facultad de Medicina, Universidad de Concepción, Concepción 4030000, Chile;
- Programa de Doctorado en Ciencias de la Salud, Escuela Internacional de Doctorado, Universidad Rey Juan Carlos, 28943 Madrid, Spain
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Zhang Q, Cavuoto L. Investigating the Use of Changes in Facial Features as Indicators of Physical Workload. IISE Trans Occup Ergon Hum Factors 2023; 11:48-58. [PMID: 37387526 DOI: 10.1080/24725838.2023.2228329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/14/2022] [Revised: 06/15/2023] [Accepted: 06/19/2023] [Indexed: 07/01/2023]
Abstract
OCCUPATIONAL APPLICATIONSPhysical workload may lead to negative outcomes, including musculoskeletal disorders. In this study, we found that there were observable changes in facial features over the length of a low intensity, prolonged assembly task, and that these changes were correlated to other measures of physical workload. This method can be implemented by practitioners to evaluate physical workload.
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Affiliation(s)
- Qian Zhang
- Department of Physics and Astronomy, College of Charleston, Charleston, SC, USA
| | - Lora Cavuoto
- Department of Industrial and Systems Engineering, University at Buffalo, State University of New York, Buffalo, NY, USA
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Tonak HA, Aydin Y, Ozcanyuz B, Ozcanli H, Uehara K, Morizaki Y. Psychometric Properties of the Turkish Version of the JHand for the Patient-Oriented Outcome Measure for Patients with Hand and Elbow Disorders. Eval Health Prof 2022; 46:152-158. [PMID: 36509709 DOI: 10.1177/01632787221146245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
The JHand is an easy-to-understand questionnaire that includes questions that exclude hand dominance. It was developed to evaluate patients with hand and elbow disorders. However, JHand has not been translated and validated in the Turkish language. The aim of this study is to investigate the psychometric properties of the culturally adapted Turkish version of the JHand for Turkish patients. A total of 262 patients were included in the study. JHand, Disabilities of the Arm, Shoulder, and Hand Questionnaire, and Hand20 were used to evaluate patients. Internal consistency and test-retest analyses were applied to determine the reliability of the Turkish version of the JHand. Confirmatory factor analysis and similar scale validity were used to determine its validity. The Turkish version of the JHand showed high levels of internal consistency and excellent test-retest reliability (Cronbach α = 0.907, ICC = 0.923). The model fit indices of the Turkish version of the JHand had good and acceptable fit with reference values. Statistically positive and very strong correlations were found between JHand and DASH (r = .825, p < .001) as well as the JHand and Hand20 (r = .846, p < .001). The Turkish version of the JHand had excellent internal consistency and test-retest reliability as well as a high level of validity.
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Affiliation(s)
- Hasan Atacan Tonak
- Department of Occupational Therapy, Hamidiye Faculty of Health Sciences, University of Health Sciences, Istanbul, Turkey
| | - Yener Aydin
- Division of Hand Surgery, Department of Orthopedics and Traumatology, Faculty of Medicine, 37502Akdeniz University, Antalya, Turkey
| | - Burc Ozcanyuz
- Division of Hand Surgery, Department of Orthopedics and Traumatology, Faculty of Medicine, 37502Akdeniz University, Antalya, Turkey
| | - Haluk Ozcanli
- Division of Hand Surgery, Department of Orthopedics and Traumatology, Faculty of Medicine, 37502Akdeniz University, Antalya, Turkey
| | - Kosuke Uehara
- Department of Orthopaedic Surgery, 26782The University of Tokyo Hospital, Tokyo, Japan
| | - Yutaka Morizaki
- Department of Orthopaedic Surgery, 26782The University of Tokyo Hospital, Tokyo, Japan
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Mehta P, Stubbs P, Tamminga SJ, Bierma-Zeinstra SMA, Stynes SM, Koes BW, Verhagen AP. Ergonomic interventions for treating work-related complaints of the arm, neck or shoulder in adults. Hippokratia 2022. [DOI: 10.1002/14651858.cd014644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Poonam Mehta
- Discipline of Physiotherapy, Graduate School of Health; University of Technology Sydney; Sydney Australia
| | - Peter Stubbs
- Discipline of Physiotherapy, Graduate School of Health; University of Technology Sydney; Sydney Australia
| | - Sietske J Tamminga
- Department of Public and Occupational Health; Amsterdam UMC, Location AMC; Amsterdam Netherlands
| | | | - Siobhán M Stynes
- Arthritis Research UK Primary Care Centre; Keele University; Keele UK
| | - Bart W Koes
- Center for Muscle and Health; University of Southern Denmark; Odense Denmark
| | - Arianne P Verhagen
- Discipline of Physiotherapy, Graduate School of Health; University of Technology Sydney; Sydney Australia
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Giuseppe LT, Marta C, Elena M, Riccardo G, GianRomolo B, Giancarlo P, Delfo A, Antonio LI, Alice M. Smart working perception in banking companies’ employees during the COVID-19 pandemic: A cross-sectional pilot study. Work 2022; 73:363-376. [DOI: 10.3233/wor-211152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND: The COVID-19 pandemic forced companies to make decisions to re-assess working-time and location in order to ensure business survival. The resorting to Smart Working (SW) has been adopted to support business continuity, especially in the banking sector. OBJECTIVE: This study aims at evaluating the attitude and opinions of the bank employees on SW, focusing on the demographic, social and occupational characteristics of the respondents. METHODS: A cross-sectional study was carried out to investigate the attitudes of the banking workers towards SW. The research was conducted from September 2020 to April 2021 through a validated questionnaire administered online. RESULTS: The workers more interested in SW were younger than 45 years old (p < 0.001), with a high educational level (p = 0.001), and lived > 50 km away from the workplace (p < 0.001). Who reported an improved productivity was aged < 45 years, childless (p < 0.001), not married (p = 0.004). Who thought that working in smart mode has penalized the teamwork was older than 45 years (OR = 1.39, 95% CI: 1.12-1.73), lived near the office (OR = 1.86, 95% CI: 1.16-2.99). CONCLUSIONS: SW could help finding a balance between private and working life, modifying the traditional working activity. However, it could enhance the risk of social isolation, impacting negatively on the working motivation. Establishing good practices on SW could be useful in the short-term to improve the time-management, focus better on work, and prevent possible psychological consequences on banking workers.
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Affiliation(s)
- La Torre Giuseppe
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - Chiappetta Marta
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - Mazzalai Elena
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - Gresele Riccardo
- Coordinamento Regionale Veneto Banche di Credito Cooperativo (BCC), Federazione italiana sindacale lavoratori assicurazione e credito (FISAC) CGIL, Rovigo, Italy
| | - Bazzo GianRomolo
- Unione Italiana Lavoratori del Credito, Esattorie ed Assicurazioni, UILCA, Rome, Italy
| | - Pederzolli Giancarlo
- Federazione Italiana Reti dei Servizi del Terziario (FIRST), CISL Alto Adige Trentino Veneto, Rome, Italy
| | - Azzolin Delfo
- Federazione Autonoma Bancari Italiani (FABI), Coordinamento Regionale Veneto Banca di Credito Cooperativo (BCC), Rome, Italy
| | | | - Mannocci Alice
- Faculty of Economics, Universitas Mercatorum, Rome, Italy
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Arooj A, Amjad F, Tanveer F, Arslan AU, Ahmad A, Gilani SA. Translation, cross-cultural adaptation and psychometric properties of Urdu version of upper limb functional index; a validity and reliability study. BMC Musculoskelet Disord 2022; 23:691. [PMID: 35858863 PMCID: PMC9297551 DOI: 10.1186/s12891-022-05628-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/27/2022] [Accepted: 07/06/2022] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND The upper limb functional index is broadly used outcome measure for musculoskeletal disorders of the upper limb. The main objective of the study was to translate and validate the upper limb functional index (ULFI) outcome measure in the Urdu language. METHODS Upper limb functional index was translated into Urdu language using Beaton et al. guidelines through forward and backward translation along with the expert committee reviews. Two fifty (n = 250) Urdu-speaking patients with sub-acute or chronic conditions of upper limb musculoskeletal disorders were included in the study. The mean age was 32.33 ± 4.67 years. The data were collected from the physical therapy department of The University of Lahore Teaching hospital. All participants completed the upper limb functional index-Urdu (ULFI-U), Numeric pain rating scale (NPRS), Quick Disability of arm, shoulder, and hand (QuickDash), and (health survey) SF-12 at baseline while only ULFI-U at day three. Reliability was assessed through internal consistency by Cronbach's alpha and test-retest reliability by intra-class correlation (ICC). Content validity was measured by Lynn and Lawshee method. Spearman's correlation has been used to measure criterion validity. The construct validity was measured through hypothesis testing. The structural validity has been explained through factor analysis by exploratory factor analysis (EFA) using Maximum likelihood extraction (MLE) with Promax rotation. RESULTS The English version of ULFI was translated into the Urdu language with minor alterations. The Urdu version ULFI has demonstrated high levels of reliability with intra-class correlation (ICC2,1= 0.91) and Cronbach's alpha (α = 0.94). The content validity index found as 0.808, the criterion validity for ULFI-U correlating with quick Dash was found excellent (r = 0.845) and ULFI-U established strong correlation with 6 domains of SF-12(r = 0.697 to 0.767) and weak correlation with its 2 domains and NPRS(r = 0.520). A two-factor structure was obtained using EFA. CONCLUSIONS The ULFI-U is a valid and reliable patient-reported outcome (PRO) that can be used to assess upper limb musculoskeletal disorders in Urdu-speaking patients. TRIAL REGISTRATION This study was registered in the U. S National Library on clinicaltrial.gov under registration no. NCT05088096 . (Date: 21/10/2021).
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Affiliation(s)
- Ayesha Arooj
- University Institute of Physical Therapy, Faculty of Allied Health Sciences, The University of Lahore, Lahore, Pakistan
| | - Fareeha Amjad
- University Institute of Physical Therapy, Faculty of Allied Health Sciences, The University of Lahore, Lahore, Pakistan
| | - Fahad Tanveer
- University Institute of Physical Therapy, Faculty of Allied Health Sciences, The University of Lahore, Lahore, Pakistan
| | - Asad Ullah Arslan
- Head of Department University Institute of Physical Therapy, Faculty of Allied Health Sciences, The University of Lahore, Lahore, Pakistan
| | - Ashfaq Ahmad
- University Institute of Physical Therapy, Associate Dean Faculty of Allied Health Sciences, The University of Lahore, Lahore, Pakistan
| | - Syed Amir Gilani
- Dean Faculty of Allied Health Sciences, Directorate of International Linkages, The University of Lahore, Lahore, Pakistan
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Workplace-related musculoskeletal injury trends in the United States from 1992 to 2018. Injury 2022; 53:1920-1926. [PMID: 35331477 DOI: 10.1016/j.injury.2022.03.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/07/2021] [Revised: 02/24/2022] [Accepted: 03/05/2022] [Indexed: 02/02/2023]
Abstract
INTRODUCTION The purpose of our study is to assess workplace-related musculoskeletal (wrMSK) injury trends by utilizing Bureau of Labor Statistics (BLS) data. We hypothesize that trunk injuries are the most commonly reported, injuries occur most frequently in the manufacturing sector, and that injury type occurrence differs according to body region affected. METHODS This study assessed wrMSK injury data provided by the BLS from 1992 to 2018. The three main body regions analyzed were lower extremity (LE), upper extremity (UE), and trunk. Injury data was also assessed by industrial sector (Agriculture, Manufacturing, Healthcare, and Construction) and injury type (fractures, multiple injuries, sprains/strains/tears, tendonitis, cuts/lacerations, pain/soreness, and bruises). Negative binomial regression and pairwise comparisons with a Benjamini-Hochberg adjustment were utilized to compare calculated incidence rate ratios for wrMSK injuries. Exponentiated beta estimates were used to calculate the estimated annual percent changes of wrMSK injuries within each industrial sector. RESULTS Occurrence of wrMSK injuries from 1992 to 2018 was significantly lower for LE when compared to both upper extremity and trunk (p < 0.001). Manufacturing is shown to be the industry with the most wrMSK injuries in each of UE, LE, and trunk. wrMSK injuries were shown to decrease in each industrial sector over the timespan assessed, with the greatest percent change occurring in the manufacturing sector. Lacerations and tendonitis were the most common diagnosis types in UE, while pain/soreness and strains/sprains/tears were most common in trunk and bruises were most common in LE. DISCUSSION From 1992 to 2018, trunk injuries were the most frequently occurring wrMSK injury, but not to a significantly higher degree than upper extremity injuries. wrMSK injury types that may require orthopedic surgical care affect specific body regions to different degrees, with cuts/lacerations and tendonitis most commonly affecting the upper extremity. Thus, it appears that wrMSK injuries in the upper extremity are of particular importance from an orthopedic care perspective.
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Fifolato TM, Nardim HCB, do Carmo Lopes ER, Suzuki KAK, da Silva NC, de Souza Serenza F, Fonseca MCR. Association between muscle strength, upper extremity fatigue resistance, work ability and upper extremity dysfunction in a sample of workers at a tertiary hospital. BMC Musculoskelet Disord 2021; 22:508. [PMID: 34074292 PMCID: PMC8170978 DOI: 10.1186/s12891-021-04256-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/01/2020] [Accepted: 04/13/2021] [Indexed: 11/20/2022] Open
Abstract
Background Upper extremity musculoskeletal disorders negatively affect ability to perform activities of daily living, self-care and work. Therefore, outcome measurements that address muscle strength, fatigue resistance, functionality and work physical capacity must be defined to assess and plan specific actions to minimize them. Objective To investigate the association of upper extremity muscle strength with upper extremity fatigue resistance, work ability and upper extremity dysfunction in a sample of workers from a tertiary hospital. Methods Shoulder and elbow isokinetic strength were assessed by Biodex System 4™, isometric hand grip by JAMAR™, upper extremity fatigue resistance by Functional Impairment Test Hand and Neck/Shoulder/Arm (FIT-HaNSA), ability to work by the Work Ability Index and upper extremity dysfunction by the Quick-Disabilities of the Arm, Shoulder and Hand QuickDASH-Br questionnaire. The Nordic questionnaire and Numeric Pain Rating Scale (NPRS) were used for pain description. The associations were analysed by Spearman’s correlation coefficient (rho) (p < 0.05). Results Twenty-seven participants: 59.2% women; mean age 46 years old; 70.3% obese/overweight; 62.9% active with predominantly dynamic muscle contraction work. Besides predominance of good to moderate work ability (81.4%) and comorbidities (37%), all participants had symptoms of the upper extremities for at least 12 months, with a predominance of low-intensity in the shoulder (55.5%). In addition, 88.8% reported pain in other segments. Muscle strength of abduction (rho = 0.49), adduction (rho = 0.40), internal rotation (rho = 0.44) and hand grip (rho = 0.68) presented moderate correlation with FIT-HaNSA. Hand grip (rho = − 0.52) showed moderate correlation with upper extremity dysfunction. Conclusions The results of this preliminary study suggested the association of shoulder strength with fatigue resistance. Also, hand grip strength was associated with upper extremity dysfunction and fatigue resistance. No association was found with the Work Ability Index in this sample. So, it is suggested that hand grip and shoulder strength could be outcome measurements used for future interventions focused on upper extremity preventive exercises to improve strength and fatigue resistance of workers at risk for the development of musculoskeletal disorders. Other individual, psychosocial and organizational risk factors must also be considered as influences on upper extremity function.
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Affiliation(s)
- Thaís Marques Fifolato
- Post Graduation Program in Rehabilitation and Functional Performance, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil.,Medical School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil
| | - Heloísa Correa Bueno Nardim
- Post Graduation Program in Rehabilitation and Functional Performance, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil.,Medical School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil
| | - Ester Rodrigues do Carmo Lopes
- Medical School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil.,Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil
| | - Karen A Kawano Suzuki
- Medical School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil.,Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil
| | - Natalia Claro da Silva
- Post Graduation Program in Rehabilitation and Functional Performance, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil.,Medical School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil
| | - Felipe de Souza Serenza
- Post Graduation Program in Rehabilitation and Functional Performance, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil.,Medical School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil
| | - Marisa C Registro Fonseca
- Post Graduation Program in Rehabilitation and Functional Performance, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil. .,Medical School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil. .,Department of Health Sciences, Ribeirão Preto Medical School, University of São Paulo, Bandeirantes Av 3900, Ribeirão Preto, SP, 14049-900, Brazil.
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Dale AM, Buckner-Petty S, Evanoff BA, Gage BF. Predictors of long-term opioid use and opioid use disorder among construction workers: Analysis of claims data. Am J Ind Med 2021; 64:48-57. [PMID: 33231876 PMCID: PMC7799490 DOI: 10.1002/ajim.23202] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2020] [Revised: 10/28/2020] [Accepted: 10/29/2020] [Indexed: 12/13/2022]
Abstract
BACKGROUND Construction workers have high rates of work-related musculoskeletal disorders, which lead to frequent opioid use and opioid use disorder (OUD). This paper quantified the incidence of opioid use and OUD among construction workers with and without musculoskeletal disorders. METHODS We conducted a retrospective study using union health claims from January 2015 to June 2018 from 19,909 construction workers. Claims for diagnoses of chronic musculoskeletal disorders, acute musculoskeletal injuries, musculoskeletal surgery, and other conditions were linked to new opioid prescriptions. We examined the effects of high doses (≥50 morphine mg equivalents per day), large supply (more than 7 days per fill), long-term opioid use (60 or more days supplied within a calendar quarter), and musculoskeletal disorders, on the odds of a future OUD. RESULTS There were high rates (42.8% per year) of chronic musculoskeletal disorders among workers, of whom 24.1% received new opioid prescriptions and 6.3% received long-term opioid prescriptions per year. Workers receiving opioids for chronic musculoskeletal disorders had the highest odds of future OUD: 4.71 (95% confidence interval 3.09-7.37); workers prescribed long-term opioids in any calendar quarter had a nearly 10-fold odds of developing an OUD. CONCLUSIONS Among construction workers, opioids initiated for musculoskeletal pain were strongly associated with incident long-term opioid use and OUD. Musculoskeletal pain from physically demanding work is likely one driver of the opioid epidemic in occupations like construction. Prevention of work injuries and alternative pain management are needed for workers at risk for musculoskeletal injuries.
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Affiliation(s)
- Ann Marie Dale
- Division of General Medical Sciences, Washington University School of Medicine, St. Louis, MO; Institution at which the work was performed: Washington University School of Medicine in St. Louis
| | - Skye Buckner-Petty
- Division of General Medical Sciences, Washington University School of Medicine, St. Louis, MO; Institution at which the work was performed: Washington University School of Medicine in St. Louis
| | - Bradley A. Evanoff
- Division of General Medical Sciences, Washington University School of Medicine, St. Louis, MO; Institution at which the work was performed: Washington University School of Medicine in St. Louis
| | - Brian F. Gage
- Division of General Medical Sciences, Washington University School of Medicine, St. Louis, MO; Institution at which the work was performed: Washington University School of Medicine in St. Louis
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12
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Thacker J, Bosello F, Ridehalgh C. Do behaviour change techniques increase adherence to home exercises in those with upper extremity musculoskeletal disorders? A systematic review. Musculoskeletal Care 2020; 19:340-362. [PMID: 33331093 DOI: 10.1002/msc.1532] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2020] [Revised: 11/27/2020] [Accepted: 11/29/2020] [Indexed: 01/13/2023]
Abstract
OBJECTIVES To investigate whether behaviour change techniques (BCTs) can influence adherence to home exercise in people with upper extremity musculoskeletal disorders (UEMD). DESIGN A systematic review of randomised control trials, non-randomised control trials, case-control studies and cohort studies. Results were presented narratively. Participants were those with UEMD. The intervention was any home exercise programme, alongside a BCT designed to increase exercise adherence. Any duration of intervention was accepted. The main outcome sought was adherence to home exercise. A systematic search was performed on four online databases. Grey literature was searched. RESULTS The search resulted in 28,755 titles. 77 full-text articles were assessed for eligibility. Six studies were included in the qualitative synthesis. Four studies had Some Concern of Bias, whilst two studies had High Risk of Bias. Three studies found statistically significant differences in exercise adherence (p < 0.05) between the Intervention group and Control group. The BCT 'Social Support (unspecified)' was used within all studies that found significant differences in adherence levels at outcome. However, multiple BCTs were received by the Intervention groups within all studies, making it impossible to identify the effects of any single BCT upon adherence levels. CONCLUSION Social support may be relevant in patients' adherence levels to HEPs. However, confidence in the results is uncertain given the small number of studies found, and their High RoB. Future studies should validate their measurement and definition of adherence, as well as the number of BCTs they use, to provide reproducible evidence.
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Affiliation(s)
| | - Francesca Bosello
- European School of Physiotherapy, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands
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13
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de Macêdo TAM, Cabral ELDS, Silva Castro WR, de Souza Junior CC, da Costa Junior JF, Pedrosa FM, da Silva AB, de Medeiros VRF, de Souza RP, Cabral MAL, Másculo FS. Ergonomics and telework: A systematic review. Work 2020; 66:777-788. [DOI: 10.3233/wor-203224] [Citation(s) in RCA: 32] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND: Telework has been widely studied by public and private organizations; however, in ergonomics, studies that focused on this topic are still sporadic. OBJECTIVE: Thus, this article endeavours to systematize the qualified scientific research related to ergonomics and teleworking to determine the main benefits and disadvantages and to identify the main issues addressed by authors. METHODS: A thorough research was conducted in the Scopus/Embase and Web of Science databases for this review. The following descriptors were used for the cataloguing of articles: “teleworking”, “telecommuting”, “telecommuters”, “home office”, “ergonomics” and “human factors”. 36 studies were selected. RESULTS: The study highlights four relevant questions in the scientific literature: a) where is the discussion of these themes consolidated; b) what are the main descriptors related to the discussion; c) which journals and conferences establish a scientific debate on the topic; and d) what are its main advantages and disadvantages. CONCLUSIONS: Results suggest that telecommuting can be a valuable tool for balancing professional and family life, which helps to improve the well-being of workers; however, several factors can influence the overall remote working experience which leads to the need for companies to adopt unique strategies reflecting their unique situation.
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Affiliation(s)
| | - Eric Lucas dos Santos Cabral
- Department of Production Engineering, Technology Center, Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil
| | - Wilkson Ricardo Silva Castro
- Department of Production Engineering, Technology Center, Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil
| | | | - João Florêncio da Costa Junior
- Department of Production Engineering, Technology Center, Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil
- School of Applied Social Sciences, Education, Arts and Humanities, Universidade Potiguar (UnP) Laureate, Natal, RN, Brazil
| | - Felipe Martins Pedrosa
- Department of Production Engineering, Technology Center, Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil
| | - Aleson Belo da Silva
- Department of Production Engineering, Technology Center, Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil
| | | | - Ricardo Pires de Souza
- Department of Production Engineering, Technology Center, Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil
| | - Marco Antônio Leandro Cabral
- Department of Production Engineering, Technology Center, Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil
| | - Francisco Soares Másculo
- Department of Production Engineering, Technology Center, Universidade Federal da Paraíba, João Pessoa, PB, Brazil
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Ceballos AGC, Carvalho FM. Verbal Aggression Against Teacher and Upper Extremity Musculoskeletal Pain. Saf Health Work 2020; 11:187-192. [PMID: 32596014 PMCID: PMC7303528 DOI: 10.1016/j.shaw.2020.02.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2019] [Revised: 02/18/2020] [Accepted: 02/27/2020] [Indexed: 01/05/2023] Open
Abstract
Background This study investigated the relationship between verbal aggression against school teachers and upper extremity (neck, shoulder, upper limb, and/or upper back) musculoskeletal pain. Methods This was a cross-sectional study of 525 elementary school teachers from Jaboatão dos Guararapes, Northeast Brazil. Results The prevalence of upper extremity musculoskeletal pain among teachers who reported verbal aggression in the past six months (67.7%) was higher than that among those who did not report verbal aggression (51.7%): (prevalence ratio = 1.21; 95% confidence interval = 1.04-1.40). The prevalence of upper extremity musculoskeletal pain was associated with verbal aggression, sex, and common mental disorders, controlled by skin color, age, monthly income, teachers' education, years working as a teacher, workload, and obesity. Furthermore, the measure of the association between verbal aggression and upper extremity musculoskeletal pain was modified by sex and common mental disorders, considered altogether. Teachers who suffered verbal aggression, of the feminine sex, and also having common mental disorders reported high prevalence (85.4%) of upper extremity musculoskeletal pain. Conclusion The association between verbal violence in the school and complaints of upper extremity musculoskeletal pain was strong and modified by teachers' sex and common mental disorders.
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Affiliation(s)
- Albanita G C Ceballos
- Federal University of Pernambuco, Medical Science Center, Cidade Universitária, Recife, PE, Brazil
| | - Fernando M Carvalho
- Federal University of Bahia, Largo Do Terreiro de Jesus, Centro Histórico, Salvador, BA, Brazil
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15
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Monaco MGL, Uccello R, Muoio M, Greco A, Spada S, Coggiola M, Pedata P, Caputo F, Chiodini P, Miraglia N. Work-related upper limb disorders and risk assessment among automobile manufacturing workers: A retrospective cohort analysis. Work 2019; 64:755-761. [PMID: 31815715 DOI: 10.3233/wor-193037] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023] Open
Abstract
OBJECTIVE To estimate the three-year cumulative risk of work-related upper limb disorders (WRULDs) in a cohort of automotive industry workers and to provide a first test of the ability of the European Assembly Worksheet (EAWS) methodology to predict WRULDs. METHODS 292 workers were investigated by reviewing workers' medical records during the period from 2012-2015 to determine their exposure to biomechanical overload according to EAWS risk scores (0-25, low risk, Green zone; 26-50, medium risk, Yellow zone; >50, High risk; Red zone). RESULTS The risks were 0.83%, 5.71%, and 11.88% for the Control (unexposed), Green and Yellow Groups, respectively. Only the comparison between the Yellow/Control Groups was significant (p = 0.0014). In total, we observed 17 cases of musculoskeletal disorders (MSDs) (14 symptomatic and 3 cases detected by physical examination). CONCLUSIONS The EAWS is a useful tool for the preliminary risk assessments of biomechanical overload among automotive industry workers. The finding of mainly non-specific disorders highly suggests that health surveillance should aim to identify not only full-blown diseases but also symptomatic cases.
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Affiliation(s)
| | - Rossella Uccello
- Occupational Medicine Area - Hygiene, Occupational and Forensic Section, Department of Experimental Medicine, School of Medicine, University of Campania "Luigi Vanvitelli", Naples (NA), Italy
| | - Mariarosaria Muoio
- Occupational Medicine Area - Hygiene, Occupational and Forensic Section, Department of Experimental Medicine, School of Medicine, University of Campania "Luigi Vanvitelli", Naples (NA), Italy
| | - Alessandro Greco
- Department of Engineering, University of Campania "Luigi Vanvitelli", Aversa (CE), Italy
| | - Stefania Spada
- FCA, Manufacturing Planning & Control - Ergonomics, Turin, Italy
| | - Maurizio Coggiola
- SC Medicina del Lavoro U - Rischio Occupazionale AOU Città della Salute e della Scienza di Torino, Turin, Italy
| | - Paola Pedata
- Occupational Medicine Area - Hygiene, Occupational and Forensic Section, Department of Experimental Medicine, School of Medicine, University of Campania "Luigi Vanvitelli", Naples (NA), Italy
| | - Francesco Caputo
- Department of Engineering, University of Campania "Luigi Vanvitelli", Aversa (CE), Italy
| | - Paolo Chiodini
- Medical Statistics Unit, University of Campania "Luigi Vanvitelli", Naples (NA), Italy
| | - Nadia Miraglia
- Occupational Medicine Area - Hygiene, Occupational and Forensic Section, Department of Experimental Medicine, School of Medicine, University of Campania "Luigi Vanvitelli", Naples (NA), Italy
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A Pilot Study of Five Types of Maximum Hand Strength among Manufacturing Industry Workers in Taiwan. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16234742. [PMID: 31783550 PMCID: PMC6926616 DOI: 10.3390/ijerph16234742] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/15/2019] [Revised: 11/24/2019] [Accepted: 11/25/2019] [Indexed: 12/22/2022]
Abstract
Background: The purpose of this study is to collect five types of maximum hand strength among workers in the manufacturing industry in Taiwan. Methods: This study is a cross sectional study with a stratified and convenient sample of workers on the production line in manufacturing industries in Central Taiwan. In total, we recruited 198 healthy subjects to participate in this study. Five types of hand strength were measured in both hands three times with 3 min rests between trials. Results: The strength of females for these five types of hand exertions were 52.0% to 67.6% of the strength of males (p < 0.001). For both genders, there was a main effect for the types of hand strength for the right hand (p < 0.001) and the left hand (p < 0.001). In general, the hand strength in U.S. and EU countries was 1.2 to 1.7 times greater than the strength among the three types of hand exertions in this study. Conclusion: These results can be used to evaluate the musculoskeletal burdens on the upper extremities in the manufacturing industry and could also be used for tool and job design and job modifications.
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17
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Tonnon SC, Robroek SRJ, van der Beek AJ, Burdorf A, van der Ploeg HP, Caspers M, Proper KI. Physical workload and obesity have a synergistic effect on work ability among construction workers. Int Arch Occup Environ Health 2019; 92:855-864. [PMID: 30941545 DOI: 10.1007/s00420-019-01422-7] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2018] [Accepted: 03/12/2019] [Indexed: 12/26/2022]
Abstract
PURPOSE Obesity and high physical workload are both associated with poor work ability, but the interaction between obesity and high physical workload on work ability is not yet fully understood. Obesity and high physical workload may share a common mechanical pathway, possibly leading to a synergistic negative effect on work ability. The purpose of this study was to investigate the effect of obesity on work ability in workers with high versus low physical work load. METHODS A longitudinal study was conducted among 36,435 Dutch construction workers who participated in at least two periodic medical examinations during the years 2008-2015. Logistic regression analyses were used to investigate the effect of manual material handling and strenuous work postures in sports on the association between obesity and work ability. Work ability was measured using the self-reported Work Ability Index consisting of seven dimensions. Confounding effects were tested for age, educational level, smoking, vigorous physical activity, psychosocial work demands, and working hours. Additive interaction between obesity and physical workload on work ability was tested using the relative excess risk due to interaction (RERI). RESULTS Construction workers with overweight (OR = 1.09; 95% CI 1.02-1.16) or obesity (OR = 1.27; 95% CI 1.17-1.38) had an increased risk of poor/moderate work ability. Exposure to manual material handling (OR = 1.58; 95% CI 1.49-1.68) or strenuous work postures (OR = 1.80; 95% CI 1.70-1.90) also increased the risk of poor/moderate work ability. The effect of the combination of obesity with high physical workload was greater than the sum of the individual effects (strenuous work postures: RERI = 0.39; 95% CI 0.10-0.67; manual material handling: RERI = 0.26; 95% CI 0.02-0.51). CONCLUSIONS Obesity and high physical workload were associated with poor work ability and had a synergistic, negative effect on work ability. Interventions that prevent obesity and high physical workload might have a beneficial effect on work ability.
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Affiliation(s)
- Susanne C Tonnon
- Department of Public and Occupational Health, Amsterdam Public Health research institute, VU University Medical Center, PO Box 7057, 1007 MB, Amsterdam, The Netherlands
| | - Suzan R J Robroek
- Department of Public Health, Erasmus MC University Medical Center, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands
| | - Allard J van der Beek
- Department of Public and Occupational Health, Amsterdam Public Health research institute, VU University Medical Center, PO Box 7057, 1007 MB, Amsterdam, The Netherlands.
| | - Alex Burdorf
- Department of Public Health, Erasmus MC University Medical Center, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands
| | - Hidde P van der Ploeg
- Department of Public and Occupational Health, Amsterdam Public Health research institute, VU University Medical Center, PO Box 7057, 1007 MB, Amsterdam, The Netherlands
| | - Margo Caspers
- Volandis, Postbus 85, 3840 AB, Harderwijk, The Netherlands
| | - Karin I Proper
- Department of Public and Occupational Health, Amsterdam Public Health research institute, VU University Medical Center, PO Box 7057, 1007 MB, Amsterdam, The Netherlands.,National Institute for Public Health and the Environment, Centre for Nutrition, Prevention and Health Services, Postbus 1, 3720 BA, Bilthoven, The Netherlands
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