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Risk factors for upper-extremity musculoskeletal disorders in the working population.
Arthritis Rheum. 2009 Oct 15; 61(10):1425-34.AR

Abstract

OBJECTIVE

To assess the relative importance of personal and occupational risk factors for upper-extremity musculoskeletal disorders in the working population.

METHODS

A total of 3,710 workers (58% men) participating in a surveillance program of musculoskeletal disorders in a French region in 2002-2005 were included. Upper-extremity musculoskeletal disorders were diagnosed by 83 trained occupational physicians performing a standardized physical examination. Personal factors and work exposure were assessed by a self-administered questionnaire. Statistical associations between musculoskeletal disorders, personal, and occupational factors were analyzed using logistic regression modeling.

RESULTS

A total of 472 workers experienced at least 1 upper-extremity musculoskeletal disorder. The risk of upper-extremity musculoskeletal disorders increased with age for both sexes (P < 0.001, odds ratio [OR] < or =4.9 in men and < or =5.0 in women), and in cases of prior history of upper-extremity musculoskeletal disorders (OR 3.1 and 5.0, respectively, P < 0.001). In men, upper-extremity musculoskeletal disorders were associated with obesity (OR 2.2, P = 0.014), high level of physical demand (OR 2.0, P < 0.001), high repetitiveness of the task (OR 1.5, P = 0.027), postures with the arms at or above shoulder level (OR 1.7, P = 0.009) or with full elbow flexion (OR 1.6, P = 0.006), and high psychological demand (OR 1.5, P = 0.005). In women, upper-extremity musculoskeletal disorders were associated with diabetes mellitus (OR 4.9, P = 0.001), postures with extreme wrist bending (OR 2.0, P < 0.001), use of vibrating hand tools (OR 2.2, P = 0.025), and low level of decision authority (OR 1.4, P = 0.042).

CONCLUSION

Personal and work-related physical and psychosocial factors were strongly associated with clinically diagnosed upper-extremity musculoskeletal disorders.

Authors+Show Affiliations

Université d'Angers, Laboratoire d'Ergonomie et d'Epidémiologie en Santé au Travail, IFR 132, Centre Hospitalier Universitaire, Angers, France. yvroquelaure@chu-angers.frNo affiliation info availableNo 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

19790112

Citation

Roquelaure, Yves, et al. "Risk Factors for Upper-extremity Musculoskeletal Disorders in the Working Population." Arthritis and Rheumatism, vol. 61, no. 10, 2009, pp. 1425-34.
Roquelaure Y, Ha C, Rouillon C, et al. Risk factors for upper-extremity musculoskeletal disorders in the working population. Arthritis Rheum. 2009;61(10):1425-34.
Roquelaure, Y., Ha, C., Rouillon, C., Fouquet, N., Leclerc, A., Descatha, A., Touranchet, A., Goldberg, M., & Imbernon, E. (2009). Risk factors for upper-extremity musculoskeletal disorders in the working population. Arthritis and Rheumatism, 61(10), 1425-34. https://doi.org/10.1002/art.24740
Roquelaure Y, et al. Risk Factors for Upper-extremity Musculoskeletal Disorders in the Working Population. Arthritis Rheum. 2009 Oct 15;61(10):1425-34. PubMed PMID: 19790112.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Risk factors for upper-extremity musculoskeletal disorders in the working population. AU - Roquelaure,Yves, AU - Ha,Catherine, AU - Rouillon,Clarisse, AU - Fouquet,Natacha, AU - Leclerc,Annette, AU - Descatha,Alexis, AU - Touranchet,Annie, AU - Goldberg,Marcel, AU - Imbernon,Ellen, AU - ,, PY - 2009/10/1/entrez PY - 2009/10/1/pubmed PY - 2009/11/18/medline SP - 1425 EP - 34 JF - Arthritis and rheumatism JO - Arthritis Rheum. VL - 61 IS - 10 N2 - OBJECTIVE: To assess the relative importance of personal and occupational risk factors for upper-extremity musculoskeletal disorders in the working population. METHODS: A total of 3,710 workers (58% men) participating in a surveillance program of musculoskeletal disorders in a French region in 2002-2005 were included. Upper-extremity musculoskeletal disorders were diagnosed by 83 trained occupational physicians performing a standardized physical examination. Personal factors and work exposure were assessed by a self-administered questionnaire. Statistical associations between musculoskeletal disorders, personal, and occupational factors were analyzed using logistic regression modeling. RESULTS: A total of 472 workers experienced at least 1 upper-extremity musculoskeletal disorder. The risk of upper-extremity musculoskeletal disorders increased with age for both sexes (P < 0.001, odds ratio [OR] < or =4.9 in men and < or =5.0 in women), and in cases of prior history of upper-extremity musculoskeletal disorders (OR 3.1 and 5.0, respectively, P < 0.001). In men, upper-extremity musculoskeletal disorders were associated with obesity (OR 2.2, P = 0.014), high level of physical demand (OR 2.0, P < 0.001), high repetitiveness of the task (OR 1.5, P = 0.027), postures with the arms at or above shoulder level (OR 1.7, P = 0.009) or with full elbow flexion (OR 1.6, P = 0.006), and high psychological demand (OR 1.5, P = 0.005). In women, upper-extremity musculoskeletal disorders were associated with diabetes mellitus (OR 4.9, P = 0.001), postures with extreme wrist bending (OR 2.0, P < 0.001), use of vibrating hand tools (OR 2.2, P = 0.025), and low level of decision authority (OR 1.4, P = 0.042). CONCLUSION: Personal and work-related physical and psychosocial factors were strongly associated with clinically diagnosed upper-extremity musculoskeletal disorders. SN - 0004-3591 UR - https://www.unboundmedicine.com/medline/citation/19790112/Risk_factors_for_upper_extremity_musculoskeletal_disorders_in_the_working_population_ L2 - https://doi.org/10.1002/art.24740 DB - PRIME DP - Unbound Medicine ER -