Are work organization interventions effective in preventing or reducing work-related musculoskeletal
                    disorders? A systematic review of the literature

Stock, Susan; Nicolakakis, Nektaria; Vézina, Nicole; Vézina, Michel; Gilbert, Louis; Turcot, Alice; Sultan-Taïeb, Hélène; Sinden, Kathryn E.; Denis, Marie Agnès; Delga, Céline; Beaucage, Clément

doi:10.5271/sjweh.3696

Cited by 57 publications

(58 citation statements)

References 55 publications

(116 reference statements)

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“…Overall, 12 SRs reported on different interventions for the prevention of musculoskeletal disorders. They included mixed interventions with several different components,21–25 physical exercises at the workplace,26 work organisation and psychosocial working environment,27 educational interventions for the prevention of musculoskeletal disorders,28 ergonomic interventions29 and interventions in the area of manual handling of loads 30–32…”

Section: Resultsmentioning

confidence: 99%

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Evidence-based occupational health and safety interventions: a comprehensive overview of reviews

et al. 2019

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ObjectivesOccupational injuries and diseases are a huge public health problem and cause extensive suffering and loss of productivity. Nevertheless, many occupational health and safety (OHS) guidelines are still not based on the best available evidence. In the last decade, numerous systematic reviews on behavioural, relational and mixed interventions to reduce occupational injuries and diseases have been carried out, but a comprehensive synopsis is yet missing. The aim of this overview of reviews is to provide a comprehensive basis to inform evidence-based decision-making about interventions in the field of OHS.MethodsWe conducted an overview of reviews. We searched MEDLINE (Ovid), the Cochrane Library (Wiley), epistemonikos.org and Scopus (Elsevier) for relevant systematic reviews published between January 2008 and June 2018. Two authors independently screened abstracts and full-text publications and determined the risk of bias of the included systematic reviews with the ROBIS (Risk of Bias in Systematic Reviews) tool.ResultsWe screened 2287 abstracts and 200 full-texts for eligibility. Finally, we included 25 systematic reviews with a low risk of bias for data synthesis and analysis. We identified systematic reviews on the prevention of occupational injuries, musculoskeletal, skin and lung diseases, occupational hearing impairment and interventions without specific target diseases. Several interventions led to consistently positive results on individual diseases; other interventions did not show any effects, or the studies are contradictory. We provide detailed results on all included interventions.DiscussionTo our knowledge, this is the first comprehensive overview of behavioural, relational and mixed interventions and their effectiveness in preventing occupational injuries and diseases. It provides policymakers with an important basis for making evidence-based decisions on interventions in this field.PROSPERO registration numberCRD42018100341

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Section: Resultsmentioning

confidence: 99%

“…Lowry et al 24 found a significant reduction in the prevalence of shoulder pain with workplace adjustments (QoE: low). Additional breaks compared with conventional break schedules seem to reduce symptom intensity in different body regions (QoE: moderate) 27. Both SRs included a wide range of occupational groups.…”

Section: Resultsmentioning

confidence: 99%

Evidence-based occupational health and safety interventions: a comprehensive overview of reviews

et al. 2019

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“…Além de intervenções psicossociais, pausas suplementares (30 segundos a 5 minutos) mostraram ser mais efetivas que o cronograma de folga que alguns trabalhos convencionalmente determinam. Estas pausas não impactam negativamente a produção e são efetivas em diferentes conformações laborais 16 .…”

Section: Discussionunclassified

Relação Entre O Ambiente Laboral E Problemas Osteomusculares: Um Estudo Com Profissionais De Enfermagem Em Um Hospital Escola

Cunha

Oliveira

Filho

et al. 2019

RBMC

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Este estudo teve por objetivo analisar a relação entre ambiente organizacional com os problemas osteomusculares em profissionais de enfermagem em um hospital escola. Trata-se de um estudo transversal analítico com abordagem quantitativa. Do total de 240 trabalhadores de enfermagem, 70 foram excluídos após aplicar os critérios de inclusão e exclusão. A amostra final foi constituída de 119 profissionais de enfermagem ao utilizar um nível de confiança de 95% e margem de erro de 5%. Os profissionais responderam questionários sociodemográficos, de informações laborais e o Questionário Nórdico de Sintomas Osteomusculares (QSNO). Dos 119 profissionais, 97,5% eram do sexo feminino, a faixa etária predominante foi de 20 a 35 anos e 63% relataram ter filho. Um total de 103 pessoas relataram algum sintoma osteomuscular, sendo a região lombar a mais acometida nos últimos 12 meses (60,5%) e nos últimos 7 dias (43,7%). A análise dos dados mostrou que aqueles que relataram algum sintoma nos últimos 12 meses também consideravam que o seu ambiente de trabalho trazia algum risco à saúde (p=0,02) e que as pessoas que possuíam filhos se afastaram mais do trabalho do que aquelas que não possuíam filhos (p=0,03). Além disso, aqueles que relataram que “costumavam se cansar” apresentaram algum sintoma osteomuscular nos últimos 12 meses (p<0,01) e nos últimos sete dias (p=0,02). Analisando os dados este estudo mostrou que a percepção de risco à saúde no ambiente de trabalho e sentimento de cansaço ou fadiga foram os fatores implicados em mais sintomas, enquanto que a satisfação no trabalho esteve relacionada a menos queixas álgicas.

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“…age) cannot be modified by prevention interventions or medical interventions, in contrast to potentially modifiable systemic conditions (e.g., obesity) [19,20]. Exposure to work-related biomechanical factors (e.g., repetitive movements, forceful manual exertion) and psychosocial factors (e.g., psychological job demand, social support) could be modified by workplace-based interventions [20][21][22][23].…”

Section: Introductionmentioning

confidence: 99%

Proportion of upper extremity musculoskeletal disorders attributable to personal and occupational factors: results from the French Pays de la Loire study

et al. 2020

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Background: Upper extremity musculoskeletal disorders (UEMSD) are one of the most common and costly occupational health problems. We aimed to assess the population-attributable fraction (PAF) of personal and occupational risk factors associated with incident UEMSD in a working population. Methods: From 2002 to 2005, a random sample of 3710 workers from the Pays de la Loire region in France, aged 20-59 were included by occupational physicians (OPs). Between 2007 and 2010, 1611 workers were re-examined by their OPs. Subjects free from UEMSD at baseline were included in this study (1275 workers, mean age: 38.2 years). Cox regression models with equal follow-up time and robust variance estimates were used to estimate ageadjusted and multivariable-adjusted relative risks (RRs) and their 95% confidence intervals (CIs). Based on multivariable models, PAF associated with each factor included in the models was estimated. Results: During the follow-up period, 143 (11%) cases of UEMSD were diagnosed. PAFs for factors associated with the incident UEMSD risk were 30% (7 to 51) for high physical exertion (RPE Borg scale ≥12), 12% (− 0.2 to 24) for low social support, 7% (− 3 to 17) for working with arms above shoulder level (≥2 h/day), 20% (12 to 28) for age group ≥45, 13% (3 to 22) for the age group 35-44, and 12% (0.3 to 24) for female gender. Conclusions: Our study suggests that an important fraction of UEMSD can be attributed to occupational exposures after the contributions of personal and other work-related factors are considered. In terms of public health, our findings are in agreement with the ergonomic literature postulating that a high proportion of UEMSD are preventable through modifying workplace risk factors. Such information is useful to help public health practitioners and policy makers implement programs of prevention of UEMSD in the working population.

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Are work organization interventions effective in preventing or reducing work-related musculoskeletal disorders? A systematic review of the literature

Cited by 57 publications

References 55 publications

Evidence-based occupational health and safety interventions: a comprehensive overview of reviews

Evidence-based occupational health and safety interventions: a comprehensive overview of reviews

Relação Entre O Ambiente Laboral E Problemas Osteomusculares: Um Estudo Com Profissionais De Enfermagem Em Um Hospital Escola

Proportion of upper extremity musculoskeletal disorders attributable to personal and occupational factors: results from the French Pays de la Loire study

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