Long-term effects of biomechanical exposure on severe shoulder pain in the Gazel cohort

Descatha, Alexis; Teysseyre, Denis; Cyr, Diane; Imbernon, Ellen; Chastang, Jean-François; Plenet, Aurélia; Bonenfant, Sébastien; Zins, Marie; Goldberg, Marcel; Leclerc, Annette

doi:10.5271/sjweh.3300

Cited by 17 publications

(29 citation statements)

References 22 publications

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“…This study focused on biomechanical risk factors for KP or knee osteoarthritis identified in the literature: handling of loads (>4 kg), kneeling, and standing (Coggon et al, 2000;Lau et al, 2000;Sandmark et al, 2000;Jones et al, 2007;Ingham et al, 2011;Descatha et al, 2012;Jensen et al, 2012). Handling of loads and kneeling were dichotomized into >2 h a day versus <2 h a day.…”

Section: Risk Factorsmentioning

confidence: 99%

“…KP may also predispose to knee osteoarthritis. Some studies have classified KP as chronic or severe (>30 days or >3 months or highly intense pain during the previous year), and sub-chronic or moderate (1-29 days or low intensity pain during the previous year) in order to distinguish between different types of pain (Miranda et al, 2002;Picavet and Schouten, 2003;Andersen et al, 2012;Descatha et al, 2012).…”

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confidence: 99%

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Incidence of Chronic and Other Knee Pain in Relation to Occupational Risk Factors in a Large Working Population

Herquelot¹,

Bodin²,

Petit³

et al. 2015

ANNHYG

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Section: Risk Factorsmentioning

confidence: 99%

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confidence: 99%

Incidence of Chronic and Other Knee Pain in Relation to Occupational Risk Factors in a Large Working Population

Herquelot¹,

Bodin²,

Petit³

et al. 2015

ANNHYG

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“…RC tendinopathy is particularly prevalent in workers and can cause work absenteeism and loss of productivity leading to important societal economic costs 6) . Rehabilitation of workers with RC tendinopathy may be challeng- ing, particularly when exposure to risk factors of shoulder-related pain and disability, such as working with arms above shoulder level, carrying loads, and use of vibrating tools, is common [7][8][9][10] .…”

Section: Introductionmentioning

confidence: 99%

Efficacy of exercise therapy in workers with rotator cuff tendinopathy: a systematic review

Desmeules

Boudreault

Dionne

et al. 2016

Journal of Occupational Health

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Objective: To perform a systematic review of randomized controlled trials (RCTs) on the efficacy of therapeutic exercises for workers suffering from rotator cuff (RC) tendinopathy. Methods: A literature search in four bibliographical databases (Pubmed, CINAHL, EMBASE, and PEDro) was conducted from inception up to February 2015. RCTs were included if participants were workers suffering from RC tendinopathy, the outcome measures included work-related outcomes, and at least one of the interventions under study included exercises. The methodological quality of the studies was evaluated with the Cochrane Risk of Bias Assessment tool. Results: The mean methodological score of the ten included studies was 54.4%±17.2%. Types of workers included were often not defined, and work-related outcome measures were heterogeneous and often not validated. Three RCTs of moderate methodological quality concluded that exercises were superior to a placebo or no intervention in terms of function and return-to-work outcomes. No significant difference was found between surgery and exercises based on the results of two studies of low to moderate methodological quality. One study of low methodological quality, comparing a workplace-based exercise program focusing on the participants' work demands to an exercise program delivered in a clinical setting, concluded that the work-based intervention was superior in terms of function and return-to-work outcomes. Conclusion: There is low to moderate-grade evidence that therapeutic exercises provided in a clinical setting are an effective modality to treat workers suffering from RC tendinopathy and to promote return-to-work. Further high quality studies comparing different rehabilitation programs including exercises in different settings with defined workers populations are needed to draw firm conclusions on the optimal program to treat workers.

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“…Most existing evidence of the impact of psychosocial work environment on musculoskeletal health has originated from long-term workers [18], where the potential for prevention is dramatically reduced [19] and where the typology of occupations does not reflect the emerging labour market. Research in the beginning of professional life is fairly sparse, mainly restricted to specific occupational groups [20–22] and commonly concerned with the impact of work-related psychosocial factors on already established health conditions [23].…”

Section: Introductionmentioning

confidence: 99%

Psychosocial Work Environment and Musculoskeletal Symptoms among 21-Year-Old Workers: A Population-Based Investigation (2011-2013)

et al. 2015

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BackgroundThe current labour market is becoming more flexible and informal, with job insecurity selectively affecting young workers. However, the role of these increasing adverse psychosocial working conditions on health outcomes remains little known among newly employed workers.ObjectiveTo estimate the associations between psychosocial work environment and musculoskeletal outcomes (widespread pain syndrome features and regional pain) in a population-based sample of young workers.MethodsCross-sectional data from workers aged 21 years were collected during the third wave of the EPITeen cohort study (2011-2013; n=650). The Job Content Questionnaire was used to characterize the psychosocial work environment according to the demand-control-support model. Data on pain and non-pain dimensions of the widespread pain syndrome (Fibromyalgia Survey Questionnaire) as well as on regional musculoskeletal pain (Nordic Musculoskeletal Questionnaire) were also collected. Crude and adjusted odds ratios (OR) with 95% confidence intervals (95% CI) were computed using logistic regression and all estimates were adjusted for sex, education and occupational biomechanical demands.ResultsJob insecurity was significantly associated to the non-pain dimension of the widespread pain syndrome (adjusted OR [95% CI]=1.51 [1.08, 2.12]). Young workers with strain jobs were significantly more likely to report high levels of non-pain symptoms when compared with those with no-strain jobs and this effect was even stronger when social support was added to the main exposure: workers with strain jobs and low social support had twice the odds of reporting high levels of non-pain features than those with high strain but high social support jobs (adjusted OR=1.86, 95% CI: 1.04, 3.31). These significant associations were not observed when widespread pain or multisite regional pain were the outcomes.ConclusionIn the beginning of professional life, high strain jobs were associated to non-pain complaints, especially when the work environment provided also low social support.

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Long-term effects of biomechanical exposure on severe shoulder pain in the Gazel cohort

Cited by 17 publications

References 22 publications

Incidence of Chronic and Other Knee Pain in Relation to Occupational Risk Factors in a Large Working Population

Incidence of Chronic and Other Knee Pain in Relation to Occupational Risk Factors in a Large Working Population

Efficacy of exercise therapy in workers with rotator cuff tendinopathy: a systematic review

Psychosocial Work Environment and Musculoskeletal Symptoms among 21-Year-Old Workers: A Population-Based Investigation (2011-2013)

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