2002
DOI: 10.1007/s00420-002-0368-7
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Are changes in mechanical exposure and musculoskeletal health good performance indicators for primary interventions?

Abstract: More quantitative information is needed to describe the relationship between mechanical exposure and musculoskeletal health as presented in the model. In this case it is recommended that in primary intervention studies not only changes in health outcomes be measured but also changes in mechanical exposure along the pathway of the intervention. In this way a better insight will be gained about the dose-response relationships between exposure to physical-load risk factors and work-related musculoskeletal disorde… Show more

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Cited by 37 publications
(19 citation statements)
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References 47 publications
(85 reference statements)
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“…29 Comprehensive employee health programs should identify potential obstacles and facilitators that operate at multiple levels. 60,113,[117][118][119][120][121] Workers are often best qualified to evaluate programmatic congruence with their own psychosocial and material needs, and can identify incumbent health barriers and opportunities from their experiential knowledge of the workplace culture and environment. 118,122 Participatory approaches to organizational flexibility, cited as important ingredients in successful community health interventions, 123 can apply in work settings.…”
Section: Health Decision-making and Participatory Programsmentioning
confidence: 99%
“…29 Comprehensive employee health programs should identify potential obstacles and facilitators that operate at multiple levels. 60,113,[117][118][119][120][121] Workers are often best qualified to evaluate programmatic congruence with their own psychosocial and material needs, and can identify incumbent health barriers and opportunities from their experiential knowledge of the workplace culture and environment. 118,122 Participatory approaches to organizational flexibility, cited as important ingredients in successful community health interventions, 123 can apply in work settings.…”
Section: Health Decision-making and Participatory Programsmentioning
confidence: 99%
“…This has hampered our ability to recommend acceptable levels of biomechanical exposure at work (8), whereas for chemical agents many threshold limit values are available that guide the occupational health professional in the prevention of work-related diseases. Primary preventive interventions to reduce biomechanical exposure at work have difficulties in demonstrating that a reduction in biomechanical exposure results in a lower occurrence of musculoskeletal disorders (9,10). The assessment of biomechanical exposure has emerged as a key issue in developing guidelines to prevent the onset of musculoskeletal disorders in occupational populations and designing appropriate primary preventive interventions that reduce hazardous biomechanical exposure to levels that no longer harm the workforce.…”
Section: The Role Of Assessment Of Biomechanical Exposure At the Workmentioning
confidence: 99%
“…Although valuable information can be obtained from these laboratory measurements, there is a growing need for low back load assessment outside the laboratory, e.g., epidemiological surveys (Kuiper et al, 1999) and intervention studies (Lötters and Burdof, 2002). For such field studies it is often infeasible to utilize the above mentioned laboratory measurement techniques.…”
Section: Introductionmentioning
confidence: 99%