Work with prolonged arm elevation as a risk factor for shoulder pain: A longitudinal study among young adults

Hanvold, Therese Nordberg; Wærsted, Morten; Mengshoel, Anne Marit; Bjertness, Espen; Veiersted, Kaj Bo

doi:10.1016/j.apergo.2014.08.019

Cited by 40 publications

(50 citation statements)

References 39 publications

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“…These two studies pertained to middle-aged workers, mostly men, in industrial settings. Hanvold et al [ 23 ] followed young workers from school and during their early working life. They found an association between the duration of arm inclination above 60° and 90° and shoulder pain only to be significant among women [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

Association of objectively measured arm inclination with shoulder pain: A 6-month follow-up prospective study of construction and health care workers

et al. 2017

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ObjectivesThe aim was to determine the association of occupational arm inclination with shoulder pain in construction and health care workers.MethodsArm inclination relative to the vertical was measured with an accelerometer placed on the dominant upper arm for up to four full days at baseline in 62 construction workers and 63 health care workers. The pain intensity in the shoulder and mechanical and psychosocial work factors were measured by self-reports at baseline and prospectively after 6 months. The associations between exposures and shoulder pain were analyzed with multilevel mixed-effects linear regressions.ResultsFor the total study population working with the dominant arm at inclinations > 30° and >120° was associated with lower levels of shoulder pain both cross-sectionally and after 6 months. Associations were attenuated when adjusting for individual and social factors, psychological state, and exposure during leisure time, especially for the high inclination levels. Analyses, only including subjects with no pain at baseline revealed no significant associations. While stratified analysis showed negative associations in the construction worker group, there were no significant association in health care workers. Compared to the number of hypotheses tested, the number of significant findings was low. Adjustment by Bonferroni-correction made almost all findings insignificant.ConclusionsAll analyses reflected a negative association between arm inclination and shoulder pain, but few analyses showed these associations to be statistically significant. If there is a relationship between arm inclination and shoulder pain, these findings could indicate that pain-avoidance may modify how workers perform their tasks.

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Section: Introductionmentioning

confidence: 99%

Association of objectively measured arm inclination with shoulder pain: A 6-month follow-up prospective study of construction and health care workers

et al. 2017

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“…Another 2015 review that specifically examined the evidence for mechanical risk factors for shoulder disorders identified manual handling (heavy lifting, pushing, pulling, holding and carrying), working above shoulder height, repetitive work, vibration, and working in awkward postures [68]. The review drew on several recent articles addressing shoulder pain, shoulder disorders, and MSDs in general [6,13,43,50,[69][70][71].…”

Section: Contemporary Perspectivementioning

confidence: 99%

“…A prospective study over a 2.5 year period of 41 young adults that included 15 hair-dressers, 15 electricians and 11 others with various exposures suggested that work with prolonged arm elevation > 60° is an early work-related risk factor among women [50]. Arm elevation was measured with inclinometers during a full working day and twice in the follow-up period.…”

Section: Overhead Work and Shoulder Tendinopathymentioning

confidence: 99%

Occupational Risk Factors for Shoulder Tendon Disorders 2015 Update

Rhode¹

2015

MOJOR

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Rotator cuff (RC) injuries have been classified as intrinsic when that tendon injury results from direct tendon overload, intrinsic degeneration, or other insult. RC injury mechanisms are Case Report AbstractEvidence for work-related exposure as a cause of shoulder tendinopathy is updated. Previous studies indicated that forceful movements combined with hands above head increases the likelihood of shoulder disorders. Hands above the shoulder and arm flexion or abduction at greater than 60° combined with forceful or repetitious motions results in significantly increased occurrence of shoulder tendinopathy. Shoulder disease is multifactorial with genetics, age, and bodyweight correlated with increased occurrence though they are minor factors for young workers. Normal aging of the rotator cuff may underlie much of shoulder disease for individuals older than 60 thereby presenting a complication for the determination of work-related rotator cuff tears in this group. In contrast, there is sufficient evidence to support work-related musculoskeletal disorders of the shoulder in younger individuals who have not undergone the aging processes. Numerous reviews along with individual cross sectional and longitudinal studies conclude that shoulder tendinopathy can result from work-related exposures based on the odds and relative risks of occurrence in a working population compared to a group that has not been similarly exposed to comparable manual effort.

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“…Psychosocial factors may also have some effect on the experience of pain and risk for disability [8]. Previous studies have shown less interest in industrial workers or risk factors among industrial workers; however, some evidence exists that risk factors for MSD include painful or strenuous working postures [18], loaded working positions [4] and being a new employee, such as a first year workers [19], whereas satisfaction with one's work and a safe working environment protect against MSD [20,21].…”

Section: Introductionmentioning

confidence: 99%

Musculoskeletal disorders and disability among forest industry workers in lower and higher sickness absence groups: a case-control study

Matikainen

Sjögren

2019

European Journal of Physiotherapy

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Work with prolonged arm elevation as a risk factor for shoulder pain: A longitudinal study among young adults

Cited by 40 publications

References 39 publications

Association of objectively measured arm inclination with shoulder pain: A 6-month follow-up prospective study of construction and health care workers

Association of objectively measured arm inclination with shoulder pain: A 6-month follow-up prospective study of construction and health care workers

Occupational Risk Factors for Shoulder Tendon Disorders 2015 Update

Musculoskeletal disorders and disability among forest industry workers in lower and higher sickness absence groups: a case-control study

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