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Work related shoulder disorders: quantitative exposure-response relations with reference to arm posture

Svendsen, SW ; Bonde, JP ; Mathiassen, Svend Erik LU ; Stengaard-Pedersen, K and Frich, LH (2004) In Occupational and Environmental Medicine 61(10). p.844-853
Abstract
Aims: To determine quantitative exposure-response relations between work with highly elevated arms and supraspinatus tendinitis, shoulder pain with disability, and shoulder pain without disability. Methods: A cross sectional study was conducted in a historical cohort of 1886 males from three occupational groups. Exposure measurements were performed for four consecutive working days in a random sample of 72 currently employed subjects. Individual work histories were obtained by questionnaire and register data. Health status was ascertained by physical examination blinded towards exposure and symptoms. Data were analysed by generalised estimating equation and multiple logistic regression with adjustment for potential confounders. Results:... (More)
Aims: To determine quantitative exposure-response relations between work with highly elevated arms and supraspinatus tendinitis, shoulder pain with disability, and shoulder pain without disability. Methods: A cross sectional study was conducted in a historical cohort of 1886 males from three occupational groups. Exposure measurements were performed for four consecutive working days in a random sample of 72 currently employed subjects. Individual work histories were obtained by questionnaire and register data. Health status was ascertained by physical examination blinded towards exposure and symptoms. Data were analysed by generalised estimating equation and multiple logistic regression with adjustment for potential confounders. Results: For current upper arm elevation above 90degrees, a duration increment of 1% of the daily working hours was associated with odds ratios of 1.23 (95% CI 1.10 to 1.39) for supraspinatus tendinitis, 1.16 ( 95% CI 1.08 to 1.24) for shoulder pain with disability, and 1.08 ( 95% CI 1.04 to 1.13) for shoulder pain without disability. The outcomes were not related to duration of employment in one of the three trades. Conclusions: Quantitative exposure-response relations were established between current work with highly elevated arms and clinically verified shoulder disorders. Substantial long term cumulative effects were not shown. A potential for primary prevention was revealed. (Less)
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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Occupational and Environmental Medicine
volume
61
issue
10
pages
844 - 853
publisher
BMJ Publishing Group
external identifiers
  • pmid:15377771
  • wos:000223951300009
  • scopus:5044249114
ISSN
1470-7926
DOI
10.1136/oem.2003.010637
language
English
LU publication?
yes
id
8f49e1d1-8836-4045-b368-ca3c56806ef5 (old id 267313)
date added to LUP
2016-04-01 17:06:09
date last changed
2022-03-22 23:17:46
@article{8f49e1d1-8836-4045-b368-ca3c56806ef5,
  abstract     = {{Aims: To determine quantitative exposure-response relations between work with highly elevated arms and supraspinatus tendinitis, shoulder pain with disability, and shoulder pain without disability. Methods: A cross sectional study was conducted in a historical cohort of 1886 males from three occupational groups. Exposure measurements were performed for four consecutive working days in a random sample of 72 currently employed subjects. Individual work histories were obtained by questionnaire and register data. Health status was ascertained by physical examination blinded towards exposure and symptoms. Data were analysed by generalised estimating equation and multiple logistic regression with adjustment for potential confounders. Results: For current upper arm elevation above 90degrees, a duration increment of 1% of the daily working hours was associated with odds ratios of 1.23 (95% CI 1.10 to 1.39) for supraspinatus tendinitis, 1.16 ( 95% CI 1.08 to 1.24) for shoulder pain with disability, and 1.08 ( 95% CI 1.04 to 1.13) for shoulder pain without disability. The outcomes were not related to duration of employment in one of the three trades. Conclusions: Quantitative exposure-response relations were established between current work with highly elevated arms and clinically verified shoulder disorders. Substantial long term cumulative effects were not shown. A potential for primary prevention was revealed.}},
  author       = {{Svendsen, SW and Bonde, JP and Mathiassen, Svend Erik and Stengaard-Pedersen, K and Frich, LH}},
  issn         = {{1470-7926}},
  language     = {{eng}},
  number       = {{10}},
  pages        = {{844--853}},
  publisher    = {{BMJ Publishing Group}},
  series       = {{Occupational and Environmental Medicine}},
  title        = {{Work related shoulder disorders: quantitative exposure-response relations with reference to arm posture}},
  url          = {{http://dx.doi.org/10.1136/oem.2003.010637}},
  doi          = {{10.1136/oem.2003.010637}},
  volume       = {{61}},
  year         = {{2004}},
}