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Why are manual workers at high risk of upper limb disorders? The role of physical work factors in a random sample of workers in France (the Pays de la Loire study).
Occup Environ Med. 2006 Nov; 63(11):754-61.OE

Abstract

OBJECTIVE

To investigate the reasons for the excess risk of upper limb musculoskeletal disorders among manual workers compared with other workers in a random sample of 2656 French men and women (20-59 years old) participating in a study on the prevalence of work related upper limb disorders conducted by France's National Institute of Health Surveillance.

METHODS

Prevalence ratios (PR) of physician-diagnosed musculoskeletal disorders of the shoulder, elbow, wrist, and hand (any of six leading disorders, rotator cuff syndrome, carpal tunnel syndrome) in manual versus non-manual workers were calculated using Cox regression models with a constant time of follow up and robust variance.

RESULTS

11.3% of men and 15.1% of women were diagnosed with an upper limb disorder. The risk was especially high in manual workers (PRs: 1.40 to 2.10). Physical work factors accounted for over 50% of occupational disparities overall, 62% (men) to 67% (women) for rotator cuff syndrome, and 96% (women) for carpal tunnel syndrome. The authors calculated that under lower levels of physical work exposures, up to 31% of cases among manual workers could have been prevented.

CONCLUSIONS

In working men and women, upper limb musculoskeletal disorders are frequent. Physical work exposures, such as repetitive and forceful movements, are an important source of risk and in particular account for a large proportion of excess morbidity among manual workers.

Authors+Show Affiliations

U687-IFR69, INSERM (National Institute of Health Research), Saint-Maurice, France.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16787978

Citation

Melchior, M, et al. "Why Are Manual Workers at High Risk of Upper Limb Disorders? the Role of Physical Work Factors in a Random Sample of Workers in France (the Pays De La Loire Study)." Occupational and Environmental Medicine, vol. 63, no. 11, 2006, pp. 754-61.
Melchior M, Roquelaure Y, Evanoff B, et al. Why are manual workers at high risk of upper limb disorders? The role of physical work factors in a random sample of workers in France (the Pays de la Loire study). Occup Environ Med. 2006;63(11):754-61.
Melchior, M., Roquelaure, Y., Evanoff, B., Chastang, J. F., Ha, C., Imbernon, E., Goldberg, M., & Leclerc, A. (2006). Why are manual workers at high risk of upper limb disorders? The role of physical work factors in a random sample of workers in France (the Pays de la Loire study). Occupational and Environmental Medicine, 63(11), 754-61.
Melchior M, et al. Why Are Manual Workers at High Risk of Upper Limb Disorders? the Role of Physical Work Factors in a Random Sample of Workers in France (the Pays De La Loire Study). Occup Environ Med. 2006;63(11):754-61. PubMed PMID: 16787978.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Why are manual workers at high risk of upper limb disorders? The role of physical work factors in a random sample of workers in France (the Pays de la Loire study). AU - Melchior,M, AU - Roquelaure,Y, AU - Evanoff,B, AU - Chastang,J-F, AU - Ha,C, AU - Imbernon,E, AU - Goldberg,M, AU - Leclerc,A, AU - ,, Y1 - 2006/06/20/ PY - 2006/6/22/pubmed PY - 2006/11/15/medline PY - 2006/6/22/entrez SP - 754 EP - 61 JF - Occupational and environmental medicine JO - Occup Environ Med VL - 63 IS - 11 N2 - OBJECTIVE: To investigate the reasons for the excess risk of upper limb musculoskeletal disorders among manual workers compared with other workers in a random sample of 2656 French men and women (20-59 years old) participating in a study on the prevalence of work related upper limb disorders conducted by France's National Institute of Health Surveillance. METHODS: Prevalence ratios (PR) of physician-diagnosed musculoskeletal disorders of the shoulder, elbow, wrist, and hand (any of six leading disorders, rotator cuff syndrome, carpal tunnel syndrome) in manual versus non-manual workers were calculated using Cox regression models with a constant time of follow up and robust variance. RESULTS: 11.3% of men and 15.1% of women were diagnosed with an upper limb disorder. The risk was especially high in manual workers (PRs: 1.40 to 2.10). Physical work factors accounted for over 50% of occupational disparities overall, 62% (men) to 67% (women) for rotator cuff syndrome, and 96% (women) for carpal tunnel syndrome. The authors calculated that under lower levels of physical work exposures, up to 31% of cases among manual workers could have been prevented. CONCLUSIONS: In working men and women, upper limb musculoskeletal disorders are frequent. Physical work exposures, such as repetitive and forceful movements, are an important source of risk and in particular account for a large proportion of excess morbidity among manual workers. SN - 1470-7926 UR - https://www.unboundmedicine.com/medline/citation/16787978/Why_are_manual_workers_at_high_risk_of_upper_limb_disorders_The_role_of_physical_work_factors_in_a_random_sample_of_workers_in_France__the_Pays_de_la_Loire_study__ L2 - http://oem.bmj.com/cgi/pmidlookup?view=long&pmid=16787978 DB - PRIME DP - Unbound Medicine ER -