The association of occupational physical demands and psychosocial working environment with disabling shoulder pain

D. P. Pope, A. J. Silman, N. Cherry, C. Pritchard, Gary John MacFarlane

Research output: Contribution to journalEditorial

48 Citations (Scopus)

Abstract

Objective-To estimate the individual and combined associations of physical and psychosocial working environment with disabling shoulder pain and to identify groups at "high risk" for shoulder pain.

Methods-A cross sectional survey was conducted at five manual occupational settings in south Manchester, United Kingdom (n=775, 83%).

Results-Both the duration of occupational physical demands (working postures, manual handling activities, and repetitive arm movements) and psychosocial working environment (psychological demands and lack of opportunity to learn new skills) were found to be significantly associated with shoulder pain. Three occupational factors identified a high risk group for shoulder pain: duration of lifting with one hand (prevalence rate ratio (PRR) (highest third) 2.0, 95% confidence interval (CI) 1.4 to 2.8), duration of working above shoulder level (PRR (highest third) 2.2, 95% Cl 1.5 to 3.3), and whether employees found their work stressful (PRR (highest third) 1.4, 95% Cl 1.0 to 2.1). In addition, a measure of psychological distress (General Health Questionnaire (GHQ) score) was found to identify a group at high risk for shoulder pain (PRR (highest third) 1.9, 95% Cl 1.3 to 2.9). In employees exposed to three or more of these factors, 79% (23/29) reported shoulder pain compared with only 16% (56/353) of those not exposed to any.

Conclusion-This study has identified a variety of occupational physical demands and psychosocial factors associated with shoulder pain. It has also identified groups of employees at a "high risk" for shoulder pain by their exposure to both physical and psychosocial factors.

Original languageEnglish
Pages (from-to)852-858
Number of pages6
JournalAnnals of the Rheumatic Diseases
Volume60
Publication statusPublished - 2001

Keywords

  • RISK-FACTORS
  • MUSCULOSKELETAL SYMPTOMS
  • INDIVIDUAL FACTORS
  • LIMB DISORDERS
  • NECK
  • WORKERS
  • BACK
  • PREVALENCE
  • DISEASE
  • AREA

Cite this

The association of occupational physical demands and psychosocial working environment with disabling shoulder pain. / Pope, D. P.; Silman, A. J.; Cherry, N.; Pritchard, C.; MacFarlane, Gary John.

In: Annals of the Rheumatic Diseases, Vol. 60, 2001, p. 852-858.

Research output: Contribution to journalEditorial

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abstract = "Objective-To estimate the individual and combined associations of physical and psychosocial working environment with disabling shoulder pain and to identify groups at {"}high risk{"} for shoulder pain.Methods-A cross sectional survey was conducted at five manual occupational settings in south Manchester, United Kingdom (n=775, 83{\%}).Results-Both the duration of occupational physical demands (working postures, manual handling activities, and repetitive arm movements) and psychosocial working environment (psychological demands and lack of opportunity to learn new skills) were found to be significantly associated with shoulder pain. Three occupational factors identified a high risk group for shoulder pain: duration of lifting with one hand (prevalence rate ratio (PRR) (highest third) 2.0, 95{\%} confidence interval (CI) 1.4 to 2.8), duration of working above shoulder level (PRR (highest third) 2.2, 95{\%} Cl 1.5 to 3.3), and whether employees found their work stressful (PRR (highest third) 1.4, 95{\%} Cl 1.0 to 2.1). In addition, a measure of psychological distress (General Health Questionnaire (GHQ) score) was found to identify a group at high risk for shoulder pain (PRR (highest third) 1.9, 95{\%} Cl 1.3 to 2.9). In employees exposed to three or more of these factors, 79{\%} (23/29) reported shoulder pain compared with only 16{\%} (56/353) of those not exposed to any.Conclusion-This study has identified a variety of occupational physical demands and psychosocial factors associated with shoulder pain. It has also identified groups of employees at a {"}high risk{"} for shoulder pain by their exposure to both physical and psychosocial factors.",
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AU - Silman, A. J.

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AU - Pritchard, C.

AU - MacFarlane, Gary John

PY - 2001

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N2 - Objective-To estimate the individual and combined associations of physical and psychosocial working environment with disabling shoulder pain and to identify groups at "high risk" for shoulder pain.Methods-A cross sectional survey was conducted at five manual occupational settings in south Manchester, United Kingdom (n=775, 83%).Results-Both the duration of occupational physical demands (working postures, manual handling activities, and repetitive arm movements) and psychosocial working environment (psychological demands and lack of opportunity to learn new skills) were found to be significantly associated with shoulder pain. Three occupational factors identified a high risk group for shoulder pain: duration of lifting with one hand (prevalence rate ratio (PRR) (highest third) 2.0, 95% confidence interval (CI) 1.4 to 2.8), duration of working above shoulder level (PRR (highest third) 2.2, 95% Cl 1.5 to 3.3), and whether employees found their work stressful (PRR (highest third) 1.4, 95% Cl 1.0 to 2.1). In addition, a measure of psychological distress (General Health Questionnaire (GHQ) score) was found to identify a group at high risk for shoulder pain (PRR (highest third) 1.9, 95% Cl 1.3 to 2.9). In employees exposed to three or more of these factors, 79% (23/29) reported shoulder pain compared with only 16% (56/353) of those not exposed to any.Conclusion-This study has identified a variety of occupational physical demands and psychosocial factors associated with shoulder pain. It has also identified groups of employees at a "high risk" for shoulder pain by their exposure to both physical and psychosocial factors.

AB - Objective-To estimate the individual and combined associations of physical and psychosocial working environment with disabling shoulder pain and to identify groups at "high risk" for shoulder pain.Methods-A cross sectional survey was conducted at five manual occupational settings in south Manchester, United Kingdom (n=775, 83%).Results-Both the duration of occupational physical demands (working postures, manual handling activities, and repetitive arm movements) and psychosocial working environment (psychological demands and lack of opportunity to learn new skills) were found to be significantly associated with shoulder pain. Three occupational factors identified a high risk group for shoulder pain: duration of lifting with one hand (prevalence rate ratio (PRR) (highest third) 2.0, 95% confidence interval (CI) 1.4 to 2.8), duration of working above shoulder level (PRR (highest third) 2.2, 95% Cl 1.5 to 3.3), and whether employees found their work stressful (PRR (highest third) 1.4, 95% Cl 1.0 to 2.1). In addition, a measure of psychological distress (General Health Questionnaire (GHQ) score) was found to identify a group at high risk for shoulder pain (PRR (highest third) 1.9, 95% Cl 1.3 to 2.9). In employees exposed to three or more of these factors, 79% (23/29) reported shoulder pain compared with only 16% (56/353) of those not exposed to any.Conclusion-This study has identified a variety of occupational physical demands and psychosocial factors associated with shoulder pain. It has also identified groups of employees at a "high risk" for shoulder pain by their exposure to both physical and psychosocial factors.

KW - RISK-FACTORS

KW - MUSCULOSKELETAL SYMPTOMS

KW - INDIVIDUAL FACTORS

KW - LIMB DISORDERS

KW - NECK

KW - WORKERS

KW - BACK

KW - PREVALENCE

KW - DISEASE

KW - AREA

M3 - Editorial

VL - 60

SP - 852

EP - 858

JO - Annals of the Rheumatic Diseases

JF - Annals of the Rheumatic Diseases

SN - 0003-4967

ER -