scholarly journals Association between working in awkward postures, in particular overhead work, and pain in the shoulder region in the context of the 2018 BIBB/BAuA Employment Survey

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Julia Barthelme ◽  
Martha Sauter ◽  
Charlotte Mueller ◽  
Falk Liebers

Abstract Background Musculoskeletal disorders are the leading cause of work-related sick leave and incur substantial socioeconomic costs. With the aging of our society and employees, the problem is exacerbating, and prevention is becoming increasingly important. According to previous studies, exposure to awkward postures, such as overhead work, is associated with musculoskeletal problems. Objective This study aimed to determine the current prevalence of employees who work in awkward postures, specifically overhead, stratified by age, gender and occupation in the context of the 2018 BIBB/BAuA Employment Survey and to analyze associations between awkward working postures, in particular overhead work, and pain in the shoulder region. Method The study is based on secondary data from the German 2018 BIBB/BAuA Employment Survey. We have included 14,327 of the 20,012 employees aged < 67 years who work at least 35 h per week who took part in the survey. The classification of participants in occupational groups is based on the Blossfeld classification. The multivariate analysis was conducted by applying robust Poisson regression models adjusted block by block to obtain the relation between the self-reported frequency of working in awkward postures, in particular overhead work, and the occurrence of arm pain and neck and shoulder pain. Prevalence ratios (PR) are reported as effect estimates. Results 12.7% of participants indicated that they are often exposed to awkward postures at work; 5.0% stated they often performed overhead work. The majority of these employees worked in agricultural, unskilled and skilled manual occupations. The crude prevalence is 17.4% for arm pain and 48.4% for neck and shoulder pain. If subjects reported that they often performed overhead work, the risk of arm pain increased by 18% (PR 1.18, CI 1.04–1.34, final model). Conclusion Working in awkward postures, especially overhead work, is a risk factor for upper extremity musculoskeletal disorders. The development of prevention strategies should focus on the workforce in agricultural, unskilled and skilled manual occupations.

2021 ◽  
Author(s):  
Julia Barthelme ◽  
Martha Sauter ◽  
Charlotte Mueller ◽  
Falk Liebers

Abstract Background: Musculoskeletal disorders are the leading cause of work-related sick leave and incur substantial socioeconomic costs. With the aging of our society and employees, the problem is exacerbating, and prevention is becoming increasingly important. According to previous studies, exposure to awkward postures, such as overhead work, is associated with musculoskeletal problems. Objective: This study aimed to determine the current prevalence of employees who work in awkward postures, specifically overhead, stratified by age, gender and occupation in the context of the 2018 BIBB/BAuA Employment Survey and to analyze associations between awkward working postures, in particular overhead work, and pain in the shoulder region. Method: The study is based on secondary data from the German 2018 BIBB/BAuA Employment Survey . We have included 14,327 of the 20,012 employees aged between 15 and 67 who work at least 35 hours per week who took part in the survey. The classification of participants in occupational groups is based on the Blossfeld classification. The multivariate analysis was conducted by applying robust Poisson regression models adjusted block by block to obtain the relation between the self-reported frequency of working in awkward postures, in particular overhead work, and the occurrence of arm and neck/shoulder pain. Prevalence ratios (PR) are reported as effect estimates. Results: 12.6 % of participants indicated that they are often exposed to awkward postures at work; 5 % stated they often performed overhead work. The majority of these employees work in agricultural, unskilled, and skilled manual occupations. The crude prevalence is 17.4 % for arm pain and 48.4 % for neck and shoulder pain. If subjects reported that they often performed overhead work, the risk of arm pain increased by 18 % (PR 1.18, CI 1.04 – 1.34, final model). Conclusion: Working in awkward postures, especially overhead work, is a risk factor for musculoskeletal disorders in the arms. The development of prevention strategies should focus on the workforce in agricultural, unskilled and skilled manual occupations.


2002 ◽  
Vol 17 (2) ◽  
pp. 68-75 ◽  
Author(s):  
Patrice Berque ◽  
Heather Gray

Work-related musculoskeletal disorders in the neck-shoulder area are common among violin and viola players. The aim of this study was to investigate the influence of playing-related musculoskeletal disorders (PRMDs) on muscle activity, by measuring electromyographic activity in the upper trapezius (UT) muscles of violin and viola players under three experimental conditions: rest, performance of an easy piece, and performance of a difficult piece. Ten professional violin and viola players from a Scottish orchestra volunteered to take part in the study. Five subjects complained of pain in the neck-shoulder region; five were pain-free. Bilateral surface electromyography (EMG) was used, following submaximal reference voluntary contractions, to record the muscle activity of the UT muscles during the three experimental conditions. Subjects were randomly allocated to the conditions. A four-factor balanced analysis of variance (ANOVA) was performed. The results revealed that the pain-free subjects developed more UT muscle activity than subjects experiencing neck-shoulder pain (F = 4.07, df = 1, p = 0.05). Furthermore, the subjects developed significantly more UT activity when progressing from the rest condition to performance of the difficult piece (F = 36.64, df = 2, p> < 0.001). The PRMD subjects developed more UT activity than the pain-free subjects at rest. The opposite tendency was observed for the playing conditions. However, the results were not statistically significant for this interaction (F = 1.85, df = 2, p = 0.169). The results suggest that redistribution of the load to other synergistic muscles may be a strategy used by PRMD subjects to alleviate pain or discomfort at the nec-shoulder area. The voluntary monitoring of shoulder muscle activity may be of great importance in the prevention of PRMDs in viola and violin players.


2003 ◽  
Vol 07 (01) ◽  
pp. 1-14 ◽  
Author(s):  
Mircea Fagarasanu ◽  
Shrawan Kumar

Although several studies addressed the work-related shoulder pathology, there is still a lack of knowledge regarding the causal relationship between different factors in industrial/office activities and shoulder musculoskeletal disorders. The goal of this review is to evaluate in a realistic manner the role of the factors implicated in the shoulder disorders development in high-risk activities. This article reviews the actual state of information regarding the etiological relationship between physical and psychosocial stress and occupational musculoskeletal problems in shoulder area, emphasizing the relationship between ergonomic interventions on musculoskeletal system. Secondly, a comprehensive presentation of the pathophysiology and etiology of shoulder muscle problems is provided. Critical factors such as arm elevation, lack of rest, overloading of several muscles and mental stress during performed tasks are discussed in relation to shoulder musculoskeletal disorders development. Finally, using the available data, the authors present a thorough recommendation of mandatory redesign interventions with suggestions for future research in this area.


2022 ◽  
Vol 354 ◽  
pp. 00017
Author(s):  
Maria - Elena Boatca ◽  
Alexandra Coroian ◽  
Anca Draghici

According to the European Agency for Health and Safety at Work, changes in employment arrangements, new technologies and an increasing ageing population are key sources of emerging risks. New and emerging risks should be a major area of interest for every organisation, as a thorough risk prevention activity is key to high organisation efficiency and increased employee wellbeing. Musculoskeletal disorders (MSDs) are not a new risk category by themselves, but the changing characteristics of the work system generate new types of MSDs as a profession-related pathology (work-related MSDs). There is limited literature on this matter, hence the paper provides relevant insights and a new perspective on ergonomic risks and MSDs. Also, the paper presents a comparative analysis of ergonomic risks in the EU and Romania – based on secondary data – and identifies emerging risks in this category.


2013 ◽  
Vol 471 ◽  
pp. 167-171 ◽  
Author(s):  
R. Nawawi ◽  
Baba Md Deros ◽  
Dian Darina Indah Daruis ◽  
A. Ramli ◽  
R. Md Zein

Prevalence of neck-shoulder pain among sewing machine operators is well known. It may be due to the nature and incorrect posture used by sewing machine operators while performing sewing work. However, up till now there is no empirical evidence that can be used to relate the risk factors that would results towards the development of neck and shoulder pain among sewing machine operators. The main objective of this study is to identify and investigate the risk factors that result in neck and shoulder pain among Malaysian sewing machine operators. Twenty female sewing machine operators took part in answering a survey questionnaire to investigate the prevalence of neck and shoulder pain among sewing machine operators. The survey questionnaire was divided into five sections: socio-demographic, work background, workload information, physical exposures and physical musculoskeletal symptoms experienced by workers. Having done that, sewing machine operators who have been screened with neck and/or shoulder pain was evaluated with Rapid Upper Limb Assessment (RULA) to determine the level of workplace risk factors. Subjects without neck and/or shoulder pain were excluded. Results of the study shows that all sewing operators were expose to risk of prolonged sitting, repetitive task and working at high speed. Ninety five percent of sewing machine operators had experienced neck and/or shoulder pain and 80% of them were exposed to high work risk factors that require them to undergo further investigation. Shoulder pain was found to be strongly correlated with high work risk factor among sewing machine operators (p<0.05). In conclusion, occurrence of shoulder pain among sewing operators is due to posture and nature of sewing work.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Charlotte Mueller ◽  
Martha Sauter ◽  
Julia Barthelme ◽  
Falk Liebers

Abstract Background Manual handling operations (MHO) are tasks performed by hand that require repetitive and forceful hand and arm movements. MHO are currently performed in many workplaces in skilled and unskilled jobs in the production and service sectors. MHO are considered as work-related health risk factors. The relationship between MHO and the occurrence of disorders of the upper extremities has been established. MHO can cause diseases such as tenosynovitis or carpal tunnel syndrome. This study aims to assess the current prevalence of MHO in the German workforce and to evaluate the relationship between MHO and the occurrence of hand and arm complaints. Methods The analysis was based on the German 2018 BIBB/BAuA Employment Survey. For this analysis we included subjects aged between 16 and 66 who work at least 35 h per week. The self-reported frequency of MHO (never; rarely; sometimes; often) was considered as the exposure of interest and was stratified by gender and occupation. Prevalence ratios (PR) were used to report the relationship between MHO and self-reported pain in the hands and arms (robust log-linear Poisson regression). Adjustments were made for age, gender, actual weekly working hours, psychosocial workload, and other physical workloads. The regression analyses considered complete cases. Results The analyses included 14,299 employees. Frequent MHO were reported by 32.6% of men and 31.1% of women. These workloads were often reported by respondents who work in the agricultural sector (men: 70.1%; women: 79.0%), in unskilled (men: 59.4%; women: 66.9%), and skilled manual occupations (men: 72.7%; women: 66.7%). A higher frequency of self-reported MHO was associated with a higher prevalence of hand complaints (PR 2.26 CI 2.00–2.55 “often” vs. “never” = ref.) as well as arm pain (PR 1.73 CI 1.55–1.92 for “often” vs. “never” = ref.). Conclusion MHO are still frequent in many occupations. The shown association between MHO and pain in the hands and arms demonstrates the importance of MHO in the current German workforce and the necessity to further develop prevention strategies.


2021 ◽  
Author(s):  
Charlotte Mueller ◽  
Martha Sauter ◽  
Julia Barthelme ◽  
Falk Liebers

Abstract Background: Manual handling operations (MHO) are tasks performed by hand that require a high frequency of repetitive and forceful movements of the hand and forearm. MHO are currently performed in a large number of workplaces in skilled and unskilled professions in the production and service sectors. MHO are considered a work-related health risk factor. The relationship between MHO and the occurrence of disorders of the upper extremities has already been established. MHO can cause diseases such as tenosynovitis of the forearm and carpal tunnel syndrome. This study aims to assess the current prevalence of exposure to MHO in the German workforce and to evaluate the relationship between MHO and the occurrence of disorders in the hands and arms. Methods: The analysis was based on the German 2018 BIBB/BAuA Employment Survey . We included subjects aged between 15 and 66 who work at least 35 hours per week. The self-reported frequency of MHO (never; rarely; sometimes; often) was considered the exposure of interest and was stratified by gender and occupation. Prevalence ratios were used to report the relationship between MHO and self-reported pain in the hands and arms (robust log-linear Poisson regression). Adjustments were made for age, gender, actual weekly working hours, psychosocial workload, and other physical workloads. Results: The analysis included 14,299 employees. Nearly 33% of the male and 31% of the female subjects reported that they often perform MHO. These workloads were often reported by respondents who work in the agricultural sector (men: 70%; women: 79%), in unskilled (men: 59%; women: 67%) and skilled manual occupations (men: 73%; women: 67%). A higher frequency of self-reported MHO was clearly associated with a higher prevalence of hand complaints (PR 2.26 CI: 2.00 - 2.55) as well as arm pain (PR 1.73 CI: 1.55 – 1.92). Conclusion: MHO are still frequent in many occupations. The association between self-reported frequencies of MHO and pain in the hands and arms shown here demonstrates the importance of MHO in the current German workforce and the necessity to further develop prevention strategies.


2013 ◽  
Vol 39 (4) ◽  
pp. 390-400 ◽  
Author(s):  
Therese N Hanvold ◽  
Morten Wærsted ◽  
Anne Marit Mengshoel ◽  
Espen Bjertness ◽  
Hein Stigum ◽  
...  

2005 ◽  
Vol 4 (4) ◽  
pp. 241-279
Author(s):  
Bohdana Sherehiy ◽  
Waldemar Karwowski ◽  
Tadeusz Marek

A systematic review of the published literature was carried out in order to identify the most important risk factors for musculoskeletal disorders (MSD) in the nursing profession. A standardized checklist was used in order to assess the methodological quality of the publications selected for the review. Specific criteria were established to assess the strength and consistence of evidence for potential risk factors for MSD. The results support a notion of the importance of physical work-related factors for the development of musculoskeletal problems in nursing. Lifting in awkward and forward-bent postures were especially high-risk tasks that resulted in variety of reported musculoskeletal problems. This review also revealed that psychosocial factors, especially work organization issues and "social relations at work" were strongly related to the musculoskeletal outcomes in the studied population. Such risk factors as psychological job demands and job control were also associated with musculoskeletal problems; however, the evidence concerning these factors were weak and inconsistent. Further research is needed to establish the moderating and combined effects of different risk factors for musculoskeletal disorders in the nursing profession.


2000 ◽  
Vol 15 (1) ◽  
pp. 39-44
Author(s):  
Christine Zaza ◽  
Mark S Fleiszer ◽  
Frank W Maine ◽  
Chris Mechefske

Many studies indicate that percussionists are among the instrumentalists at higher risk for playing-related musculoskeletal disorders. Several drummers with musculoskeletal disorders have reported an alleviation of symptoms and a return to pain-free playing with the use of a newly developed oriented polymer drumstick. These anecdotal reports have prompted the authors to investigate the properties of the oriented drumsticks compared with wooden drumsticks. This paper reviews the musculoskeletal problems of percussionists as well as the risk factors for work-related musculoskeletal disorders, and presents the results of preliminary tests comparing the properties of the oriented polymer drumsticks with those of wooden drumsticks. Electronic devices for measuring vibration amplitude were attached to the drumsticks, which were mounted with a clamp on one end. The drumsticks were tapped gently and the response was recorded. There was a noticeable difference in amplitude between the two types of drumsticks: the oriented polymer drumsticks stopped vibrating sooner than the wooden drumsticks. Risk factors for work-related musculoskeletal disorders include high repetition, high force, and other factors, such as vibration. With regard to carpal tunnel syndrome risk, the vibration properties of oriented polymer drumsticks are potentially favorable compared with wooden drumsticks. The authors’ next step is to determine whether the oriented polymer drumsticks are associated with a reduction of risk for playing-related musculoskeletal disorders in drummers.


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