Articlebronze1999

Risk factors for neck and upper limb disorders: results from 24 years of follow up.

Kerstin Fredriksson · Lars S. Alfredsson · Max Köster · Carina Bildt Thorbjörnsson · Allan Toomingas · Margareta Torgén +1 more

139 citations0/0 files storedOccupational and Environmental Medicine

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Ergonomics and Musculoskeletal Disorders Musculoskeletal pain and rehabilitation Workplace Health and Well-being

Abstract

OBJECTIVES: To investigate associations between different potential risk factors, related and not related to work, and disorders of the neck and upper extremities occurring up to 24 years later. METHODS: The study comprised 252 women and 232 men, Swedish citizens, 42-59 years of age and in a broad range of occupations. Information about potential risk factors was available from a former study conducted in 1969. Data on disorders of the neck, shoulder, and hand-wrist disorders were obtained retrospectively for the period 1970-93. RESULTS: Risk factors were found to differ between the sexes. Among women over-time work, high mental workload, and unsatisfactory leisure time were associated with disorders in the neck-shoulder region. Interaction was found between high mental workload and unsatisfactory leisure time. Neck symptoms earlier in life were associated with recurrent disorders. Hand and wrist disorders were associated mainly with physical demands at work. Among men blue collar work and a simultaneous presence of high mental workload and additional domestic workload predicted disorders in the neck-shoulder region. CONCLUSIONS: Factors related and not related to work were associated with disorders of the neck, shoulders, and hands and wrist up to 24 years later in life. These included factors related to working hours which previously have not been noted in this context. Interactions between risk factors both related and not related to work were commonly found.

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1987Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms 1987Prevalence rates and odds ratios of shoulder-neck diseases in different occupational groups.1992Occupational and individual risk factors for shoulder-neck complaints: Part II — The scientific basis (literature review) for the guide 1995Repetitive industrial work and neck and upper limb disorders in females

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