Psychosocial factors and shoulder symptom development among workers

Smith, Caroline; Silverstein, Barbara; Fan, Z. Joyce; Bao, Stephen; Johnson, Peter W.

doi:10.1002/ajim.20644

Cited by 31 publications

(24 citation statements)

References 45 publications

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“…Three reviews reported that both repetitive and overhead work are risk factors for musculoskeletal disorders of the shoulder (5,44,45). One recent review found that shoulder symptoms occurred more frequently in subjects working in passive jobs (low demand andcontrol) or high-strain jobs (high demand, low control) (46). Furthermore, particular combinations of exposures (eg, holding a tool while working overhead) were associated with increased prevalence of musculoskeletal disorders at the shoulder (44).…”

Section: Discussionmentioning

confidence: 99%

Associations between work-related factors and specific disorders of the shoulder – a systematic review of the literature

Rijn¹,

Huisstede²,

Koes³

et al. 2010

Scand J Work Environ Health

368

198

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van Rijn RM, Huisstede BMA, Koes BW, Burdorf A. Associations between work-related factors and specific disorders of the shoulder -a systematic review of the literature.literature. . Scand J Work Environ Health. 2010;36(3):189-201.Objective Our aim was to provide a quantitative assessment of the exposure-response relationships between work-related physical and psychosocial factors and the occurrence of specific shoulder disorders in occupational populations.Methods A systematic review of the literature was conducted on the associations between type of work, physical load factors, and psychosocial aspects at work, on the one hand, and the occurrence of tendinitis of the biceps on the one hand, and the occurrence of tendinitis of the biceps and the occurrence of tendinitis of the biceps tendon, rotator cuff tears, subacromial impingement syndrome (SIS), and suprascapular nerve compression, on the , on the other hand. Associations between work factors and shoulder disorders were expressed in quantitative measures as . Associations between work factors and shoulder disorders were expressed in quantitative measures as odds ratio (OR) or relative risk (RR). ResultsThe occurrence of SIS was associated with force requirements >10% maximal voluntary contraction (MVC), lifting >20 kg >10 times/day, and high-level of hand force >1 hour/day (OR 2.8-4.2). Repetitive movements of the shoulder, repetitive motion of the hand/wrist >2 hours/day, hand-arm vibration, and working with hand above shoulder level showed an association with SIS (OR 1.04-4.7) as did upper-arm flexion ≥45° ≥15% of time (OR 2.43) and duty cycle of forceful exertions ≥9% time or duty cycle of forceful pinch >0% of time (OR 2.66). High psychosocial job demand was also associated with SIS (OR 1.5-3.19). Jobs in the fish processing industry had the highest risk for both tendinitis of the biceps tendon as well as SIS (OR 2.28 and 3.38, respectively). Work in a slaughterhouse and as a betel pepper leaf culler were associated with the occurrence of SIS only (OR 5.27 and 4.68, respectively). None of the included articles described the association between job title/risk factors and the occurrence of rotator cuff tears or suprascapular nerve compression. ConclusionsHighly repetitive work, forceful exertion in work, awkward postures, and high psychosocial job demand are associated with the occurrence of SIS. Shoulder disorders and complaints constitute an important health problem in the working population. In a general population, reported prevalences of shoulder complaints range from 6.9-26% for point prevalence, 18.6-31% for one-month prevalence, and 4.7-46.7% for one-year prevalence (1). In the United Kingdom, shoulder complaints accounted for 12% of the work-related diseases in the period 1997-2000 (2). Silverstein et al reported a claim incidence rate for shoulder disorders of for shoulder disorders of of 54.0 per 10 000 fulltime equivalents per year (3). The relationship between shoulder disorders/complaints and work-related factors has been reviewed by several...

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Section: Discussionmentioning

confidence: 99%

Associations between work-related factors and specific disorders of the shoulder – a systematic review of the literature

Rijn¹,

Huisstede²,

Koes³

et al. 2010

Scand J Work Environ Health

368

198

View full text Add to dashboard Cite

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“…Smith et al (15) found that having either a passive or high-strain job was associated with higher incidence of shoulder symptoms. The same was true for low control.…”

Section: Discussionmentioning

confidence: 99%

“…The underlying principle is that workrelated stress, measured by levels of job demands and control (demand-control quadrants), can affect workers' health. Several studies have investigated how this interaction between job demands and job control is related to MSD development in industrial workers (15)(16)(17), but only a few have looked into the prevalence of MSDs among healthcare workers. This issue is particularly poorly covered in the nursing profession.…”

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confidence: 99%

Effects of Psychosocial Strain on Back Symptoms in Tehran General Hospital Nursing Personnel

Golabadi

Attarchi

Raeisi

et al. 2013

Archives of Industrial Hygiene and Toxicology

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Nursing is a stressful and highly demanding job. The aim of this study was to investigate the association between psychosocial job strain and the prevalence of back symptoms in nursing personnel using the demand-control model. In a cross-sectional study, 545 nursing professionals answered to a self-administered questionnaire on demography, job content, and lower and upper back symptoms (LBS and UBS, respectively). Based on their answers, the participants were grouped as follows: low strain, high strain, active job, and passive job. The groups were compared in regard to the prevalence of LBS and UBS (totalling 58.5 % and 47.9 %, respectively) over the past 12 months. We found no association between job control and back symptoms, but participants with high psychosocial job demands showed greater risk of LBS (OR=1.57 and p=0.014) and UBS (OR=1.73 and p=0.005) than those with low job demands. LBS in the low strain, high strain, and active job groups was more prevalent than in the passive group (OR=1.64, OR=2. 49 and OR=1.90, respectively; p≤0.05). In addition, the high strain group showed greater prevalence of UBS than the passive group (OR=1.82 and p=0.019). Our study suggests that psychosocial job strain, high psychosocial demands in particular, may be associated with greater prevalence of back symptoms in nursing personnel. Our fi ndings may help to design preventive measures that would lower the prevalence of musculoskeletal disorders in this profession. Arh Hig Rada Toksikol 2013;64:505-512 Musculoskeletal disorders (MSDs) are among the most common complaints among factory workers (1, 2). The United States and Canada spend 3.1 % and 4.2 %, respectively for indirect costs of MSDs. Annually, billions of dollars are spent on diagnostic and therapeutic procedures related to MSDs (3, 4). According to Caruso and Waters (5), musculoskeletal disorders are also a major cause of morbidity among healthcare workers. Trinkoff et al. (6) suggest that MSDs may be associated with increased nurse turnover. Owen (7) showed that 20 % of nurses had changed their jobs at least once because of an MSD. KEY WORDS: lower back pain, musculoskeletal system, nurses, stress, upper back pain Golabadi M, et al. PSYCHOSOCIAL STRAIN AND BACK SYMPTOMS IN NURSESWith a prevalence of 30 % to 60 %, low back disorders (LBD) are the most frequent MSDs among nurses (6). About 30 % of all LBDs are work-related (8), including psychosocial factors such as job strain (9-13).In his demand-control model, Karasek (14) defi nes job strain as a combination of high psychological job demands and low job control at work. This model has extensively been used to assess psychosocial job hazard in investigations of various work-related health outcomes. The underlying principle is that workrelated stress, measured by levels of job demands and Unauthenticated Download Date | 5/11/18 12:12 PM

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“…Seven of the studies specifically examined life events, finding statistically significant associations with work injury, although these life events were not generally related to family health. More recent research on the relationship between work stress and work injury has generally found that higher work stress, or some components of work stress (high demand, low control, low support), have a statistically significant association with higher injury rates [Low et al, 1996;Murata et al, 2000;Li et al, 2001;Nolting et al, 2002;Wilkins and MacKenzie, 2007;Salminen et al, 2003;Swaen et al, 2004;Nakata et al, 2006;Soori et al, 2008;Smith et al, 2009].…”

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confidence: 96%