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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Roquelaure, Yves Ha, Catherine Rouillon, Clarisse Fouquet, Natacha Leclerc, Annette Descatha, Alexis Touranchet, Annie Goldberg, Marcel Imbernon, Ellen |
| Organization | Members of Occupational Health Services of the Pays de la Loire Region |
| Description | Country affiliation: France Author Affiliation: Roquelaure Y ( Université d'Angers, Laboratoire d'Ergonomie et d'Epidémiologie en Santé au Travail, IFR 132, Centre Hospitalier Universitaire, Angers, France. yvroquelaure@chu-angers.fr) |
| 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. |
| File Format | HTM / HTML |
| ISSN | 00043591 |
| e-ISSN | 15290131 |
| DOI | 10.1002/art.24740 |
| Journal | Arthritis & Rheumatism |
| Issue Number | 10 |
| Volume Number | 61 |
| Language | English |
| Publisher | Wiley-Blackwell |
| Publisher Date | 2009-10-15 |
| Publisher Place | United States |
| Access Restriction | Open |
| Subject Keyword | Research Support, Non-u.s. Gov't Occupational Diseases Musculoskeletal Diseases Risk Factors Safety Management Epidemiology Physiopathology Pathology Employment Etiology Upper Extremity Diagnosis Discipline Rheumatic Diseases |
| Content Type | Text |
| Resource Type | Article |
| Subject | Immunology and Allergy Immunology Pharmacology (medical) Rheumatology |
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