Development and validation of a cumulative exposure shoulder risk assessment tool based on fatigue failure theory

Hani, Dania Bani; Huangfu, Rong; Sesek, Richard; Schall, Mark C.; Davis, Gerard A.; Gallagher, Sean

doi:10.1080/00140139.2020.1811399

Cited by 25 publications

(9 citation statements)

References 38 publications

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“…The Shoulder Tool was initially validated against five shoulder outcomes that included office visits for shoulder symptoms, shoulder pain reports, and worker attribution of shoulder symptoms to their current job (Bani Hani et al, 2021). The current analysis demonstrates that results of analyses by The Shoulder Tool are also significantly associated with definitive diagnoses of bicipital tendinosis made by occupational medicine physicians.…”

Section: Discussionmentioning

confidence: 83%

“…Recently, assessment tools derived from fatigue failure principles have been developed to evaluate the risk of MSD outcomes resulting from lifting/ lowering tasks (LiFFT; , hand intensive tasks (DUET; Gallagher, Schall Jr, Sesek, & Huangfu, 2018), and stressful shoulder tasks (The Shoulder Tool;Bani Hani, et al, 2021). These tools have been previously validated against MSD outcomes including pain and clinic visits for musculoskeletal complaints from a large ergonomics study of 6 manufacturing facilities from a large automotive manufacturer (Sesek, 1999).…”

Section: Introductionmentioning

confidence: 99%

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Validation of Fatigue Failure Risk Assessment Tools Against Physician-Diagnosed Outcomes

Bandekar

Sesek

Schall

et al. 2021

Proceedings of the Human Factors and Ergonomics Society Annual

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Evidence suggests that musculoskeletal disorders (MSDs) may be the result of a fatigue failure process in musculoskeletal tissues. Recently risk assessment tools using fatigue failure principles have been developed to evaluate risk of low back disorders (LiFFT), distal upper extremity disorders (DUET), and shoulder disorders (The Shoulder Tool). All have been validated against multiple musculoskeletal disorder outcomes such as joint pain and clinic visits for MSD complaints. This paper provides validation of DUET against occupational physician diagnosed carpal tunnel syndrome (CTS) and The Shoulder Tool against diagnosed bicipital tendinosis. Results demonstrated that in both cases the fatigue failure risk assessment tools were significantly associated with physician-diagnosed outcomes in both crude and adjusted analyses (p < 0.01).

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Section: Discussionmentioning

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Validation of Fatigue Failure Risk Assessment Tools Against Physician-Diagnosed Outcomes

Bandekar

Sesek

Schall

et al. 2021

Proceedings of the Human Factors and Ergonomics Society Annual

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“…Our study investigated the relationship between shoulder pain and physical occupational factors in both generations. When considering shoulder pain and physical occupational factors the exposure-response relationship is not well understood [ 24 ]. However, several key occupational shoulder pain risk factors have been identified including repetitive motion, heavy loading, forceful actions, vibrational tasks and working with elevated arms [ 24 – 26 ].…”

Section: Discussionmentioning

confidence: 99%

“…When considering shoulder pain and physical occupational factors the exposure-response relationship is not well understood [ 24 ]. However, several key occupational shoulder pain risk factors have been identified including repetitive motion, heavy loading, forceful actions, vibrational tasks and working with elevated arms [ 24 – 26 ]. The finding of this study suggest occupation may play a role in the development of shoulder pain.…”

Section: Discussionmentioning

confidence: 99%

Testing the association between shoulder pain prevalence and occupational, physical activity, and mental health factors in two generations of Australian adults

Hodgetts,

Jacques,

Daffin

et al. 2023

Chiropr Man Therap

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Background Shoulder pain is common among the adult population, but it appears to reduce in prevalence around retirement age. Associations between shoulder pain and work-place exposures, physical activity, or mental health status are unclear and may change with age. This study aimed to determine the prevalence of self-reported shoulder pain in Australian adults across two generations and test the association with occupational factors, physical activity, and mental health. Methods In this cross-sectional study we used data from a longitudinal Australian pregnancy cohort (the Raine Study). We analysed data from the children (Gen2) at the 22-year follow-up (N = 1128) and parents (Gen1) at the 26-year follow-up (N = 1098). Data were collected on self-reported shoulder pain, occupational factors (employment status and work description), physical activity, and mental health at the respective follow-ups. Prevalence rates were provided as percentages with 95% confidence intervals. Univariate analysis for group comparisons included chi squared for categorical comparisons. The association of predictor variables and shoulder pain was assessed using logistical regression. Results In Gen1 31.4% of adults aged 40–80 reported the presence of shoulder pain in the last month, with no significant difference between females and males. Gen1 participants younger than 65 reported more shoulder pain (OR[95%CI] = 1.80 [1.04–3.09]). Gen2 females (14.7%) reported shoulder pain in either shoulder more frequently than males (7.7%) and bilateral shoulder pain (8.0%) more frequently than males (1.9%). Gen1 had increased odds of reporting shoulder pain if their work was “physical or heavy manual” compared to “sedentary” (OR [95% CI] = 1.659 [1.185–2.323]) and when categorised with depression (OR [95% CI] = 1.940 [1.386–2.715]) or anxiety (OR [95% CI] = 1.977 [1.368–2.857]). Gen2 participants with depression (OR [95% CI] = 2.356 [1.620–3.427]) or anxiety (OR [95% CI] = 2.003 [1.359–2.952]) reported more shoulder pain. Conclusion Overall, shoulder pain was more prevalent in young females than males and was more prevalent in those under the age of 65. Cross-sectional associations were established between some occupational factors in older adults and depression in all adults, and shoulder pain.

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“…The tool is based on fatigue failure theory and assumes that each lifting task results in damage, the accumulation of which can result in injury. Jobs with higher damage accumulation have been associated with musculoskeletal pain (Barbe et al, 2013; Gallagher et al, 2017a; Gallagher et al, 2018; Bani Hani et al, 2021). The ultimate strength of a given material is described as the single load that will lead to irreversible damage/failure of that material.…”

Section: Introductionmentioning

confidence: 99%

Exploring the Addition of Torso Flexion to the LIFFT Analysis Tool

Capanoglu,

Barim,

Sesek

et al. 2023

Proceedings of the Human Factors and Ergonomics Society Annual

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The Lifting Fatigue Failure Tool (LiFFT) is an ergonomic assessment tool based on fatigue failure theory that uses the lower back load moment to evaluate the risk associated with multi-task jobs involving manual lifting. The current LiFFT tool does not account for the moment associated with flexing the lifter's torso. This study explores the incorporation of torso flexion into the LiFFT model while maintaining the relative simplicity of the original LiFFT tool. Automotive manufacturing workers (n=607) performing various tasks were included in the study. Non-manual material handling (MMH) tasks with no MMH load moment were considered "zero" risk. The moment associated with trunk flexion was considered if a worker flexed at the torso during non-MMH assembly tasks. The torso moment from bending was computed using the "average" worker height and weight for the data set used in this study. The proposed model yielded higher odds ratios than the original model.

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Development and validation of a cumulative exposure shoulder risk assessment tool based on fatigue failure theory

Cited by 25 publications

References 38 publications

Validation of Fatigue Failure Risk Assessment Tools Against Physician-Diagnosed Outcomes

Validation of Fatigue Failure Risk Assessment Tools Against Physician-Diagnosed Outcomes

Testing the association between shoulder pain prevalence and occupational, physical activity, and mental health factors in two generations of Australian adults

Exploring the Addition of Torso Flexion to the LIFFT Analysis Tool

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