Cigarette smoking and musculoskeletal disorders

Abate, Michele; Vanni, Daniele; Pantalone, Andrea; Salini, Vincenzo

doi:10.32098/mltj.02.2013.03

Cited by 116 publications

(75 citation statements)

References 45 publications

(53 reference statements)

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“…In such cases, there is a chaotic production of extra-cellular matrix by tenocytes and chaotic expansion of newly formed capillary vessels, and this results in decreased mechanical durability of the tendon and the clinical manifestation of its disorder. Smoking has a significant effect on the musculoskeletal system, which was presented by authors in the RCT and Achilles tendon studies; however, there are a lack of data about the effect of smoking on LHBT disorders, particularly at the microscopic level [7].…”

Section: Introductionmentioning

confidence: 99%

Cigarette smoking intensifies tendinopathy of the LHBT. A microscopic study after arthroscopic treatment

Zabrzyński¹,

Szukalski²,

Paczesny³

et al. 2019

pjp

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Smoking has a damaging effect on the musculoskeletal system, which was presented by authors in the rotator cuff and Achilles tendons studies; however, there are a lack of data about the effect of smoking on disorders of the long head of the biceps tendon (LHBT), particularly at the microscopic level. The purpose of this study was to investigate the effect of the tobacco smoking on the histopathologic alterations of the LHBT. Thirty-six patients with preoperatively diagnosed tendinopathy of the LHBT were referred to the Orthopaedics Department. All patients underwent arthroscopic treatment with further macroscopic and microscopic evaluation of biceps tendon samples. The active and former smokers were characterised by more advanced degenerative process of the tendinous tissue; moreover, it was intensified in the group of former smokers. Subjects who smoke more than 20 cigarettes per day also had more advanced microscopic alterations. The most severe microscopic alterations occurred in the former smokers who used tobacco for more than 20 years. However, the nonsmokers group revealed moderate degeneration in all LHBT samples. Tobacco smoking is an important risk factor of the LHBT disease, which essentially intensifies the degeneration of the tendinous tissue.

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Section: Introductionmentioning

confidence: 99%

Cigarette smoking intensifies tendinopathy of the LHBT. A microscopic study after arthroscopic treatment

Zabrzyński¹,

Szukalski²,

Paczesny³

et al. 2019

pjp

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“…A Brinkman index greater than or equal to 400 identifies subjects as heavy smokers, and lower than 400 as moderate smokers 22 . Smokers with a Brinkman index greater than 400 had lower muscle strength results 21 . The Authors concluded that smoking may be negatively associated with the individual's overall muscle strength 22 .…”

Section: Discussionmentioning

confidence: 99%

“…However, this group showed a prevalence of RC tears in the right shoulder, which may have contributed to this result. In their review article, Abate et al 21 found that loss of muscle mass and muscle strength is related to the individual's age and is significantly influenced by cigarette smoking 21 . Musculoskeletal damage induced by cigarette smoking is due to impaired muscle metabolism, increased inflammation, and oxidative stress 20 .…”

Section: Discussionmentioning

confidence: 99%

Cigarette smoking on the functional recovery of patients with rotator cuff tear submitted to physical therapy

Leffa

Novelli

Santos

et al. 2019

Muscle Ligaments and Tendons J

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Introduction: Rotator cuff (RC) tear is an inflammatory and degenerative shoulder disease. Nicotine is a potent vasoconstrictor that decreases oxygen support in the Codman's critical zone.Methods: Nonrandomized clinical trial of 24 patients with R/CT divided into nonsmoking (n=12) and smoking (n=12) groups, which received physical therapy three times a week for four weeks. The following were evaluated: pain level, range of motion (ROM), muscle strength, and functionality. Results: Pain was reduced in the long term only in the nonsmoking group. Functionality was improved in the nonsmoking group. Smokers started the treatment with a lower ROM of forward flexion, abduction, and external rotation of the left shoulder. After the intervention, they remained with less forward flexion and abduction of the left shoulder (p<0.05). The nonsmoking group increased the ROM of bilateral forward flexion, abduction, extension, and external rotation of the right upper limb (p<0.05). In the smoking group, muscle strength was lower for forward flexion, abduction, bilateral external rotation of the shoulder, and internal rotation of the left shoulder after the interventions (p<0.05). Conclusion: Cigarette smoking worsens functional outcomes following a physical therapy program for shoulder RCT. Level of evidence: IIb.

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“…second job (20+ hours per month) potential vibration exposure, categorized as low (car, van, bus, or coach use), medium (train or motorcycle use), or high (use of rock crusher, concrete production machinery, tractor, loader, excavator, bulldozer, grader, scraper, dumper, other earth-moving machinery, road roller, mower (seated), or off-road forestry vehicle); spare time potential vibration exposure, categorized as low (car, van, bus, or coach use), medium (train or motorcycle use), or high (use of snowmobile, ATV, horseback riding, mountain biking, mower, or tractor); and cigarette smoking (never smoked, past smoker, some current smoking, and daily smoking). 30…”

Section: Kneesmentioning

confidence: 99%

Occupational risk factors for musculoskeletal disorders among railroad maintenance‐of‐way workers

Landsbergis

Johanning

Stillo

et al. 2020

American J Industrial Med

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Background Our objective was to examine occupational risk factors for musculoskeletal disorders of the neck, back, and knee among railroad maintenance‐of‐way (MOW) workers. Methods Four thousand eight‐hundred sixteen active, retired, and disabled members of the Brotherhood of Maintenance of Way Employes Division (BMWED) completed a survey. We computed adjusted prevalence ratios (aPRs) using Poisson regression for neck, back, and knee musculoskeletal symptoms by work exposures, adjusted for age, region, race/ethnicity, smoking, and potential second job and spare time vehicle vibration exposure. Results Among active male BMWED members, we found associations between use of high‐vibration vehicles and neck pain (aPR = 1.47, 95% confidence interval (CI): 1.07‐2.03) and knee pain (aPR = 1.38, 95% CI: 1.04‐1.82) for more than 1.9 years (vs 0) of full‐time equivalent use; but not back pain. Back pain radiating below the knee (sciatica indicator) was associated with high‐vibration vehicle use greater than 0.4 and less than 1.9 years (aPR = 1.58, 95% CI: 1.15‐2.18). We also found significant associations between often or always lifting, pushing, pulling, or bending on the job (vs seldom or never) and neck pain (aPR = 2.43, 95% CI: 1.20‐4.90), back pain (aPR = 1.94, 95% CI: 1.24‐3.03), the sciatica indicator (aPR = 5.18, 95% CI: 1.28‐20.95), and knee pain (aPR = 2.84, 95% CI: 1.47‐5.51), along with positive gradients in the outcome by exposure time. Conclusions Biomechanical work exposures, including force and nonneutral postures, were associated with neck, lower back, and knee pain. Whole‐body vibration, as measured by the duration of use of high‐vibration vehicles, was associated with neck pain, knee pain, and sciatica. Prevention programs should address occupational risk factors for musculoskeletal disorders among MOW workers.

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Cigarette smoking and musculoskeletal disorders

Cited by 116 publications

References 45 publications

Cigarette smoking intensifies tendinopathy of the LHBT. A microscopic study after arthroscopic treatment

Cigarette smoking intensifies tendinopathy of the LHBT. A microscopic study after arthroscopic treatment

Cigarette smoking on the functional recovery of patients with rotator cuff tear submitted to physical therapy

Occupational risk factors for musculoskeletal disorders among railroad maintenance‐of‐way workers

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