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The influence of work-related exposures on the prognosis of neck/shoulder pain
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Occupational and Environmental Medicine. (Eva VingÄrd)
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2007 (English)In: European spine journal, ISSN 0940-6719, E-ISSN 1432-0932, Vol. 16, no 12, 2083-2091 p.Article in journal (Refereed) Published
Abstract [en]

To determine associations between work-related exposures and the prognosis of self-reported neck/shoulder pain. This prospective cohort study was based on 803 working subjects who reported neck/shoulder pain at baseline. The proportion of subjects who 5-6 years later were symptom-free was calculated. Data concerning work-related biomechanical, psychosocial, and organizational exposures were collected at baseline. The Cox regression analyses were used to calculate the relative chances (RC) of being symptom-free at the end of the study for single exposures, and also for up to three simultaneous work-related exposures. Adjustments were made for sex and age. Only 36% of the subjects were symptom-free 5-6 years later. The relative chance for being symptom-free at the end of the study was 1.32 (95% CI = 0.99-1.74) for subjects who were exposed to sitting >= 75% of the working time and 1.53 (95% CI = 1.02-2.29) for subjects who were exposed to job strain, i.e., the combination of high demands and low decision latitude. The relative chance of being symptom-free at the end of the study was 0.61 (95% CI = 0.40-0.94) for subjects with at least two out of three simultaneous biomechanical exposures at work; manual handling, working with the hands above shoulder level, and working with vibrating tools. In a heterogeneous population with moderate nonspecific neck/shoulder pain, sedentary work enhanced the chance of being symptom-free 5-6 years later, whereas simultaneous exposures to at least two of manual handling, working with hands above shoulder level and working with vibrating tools were associated with a lower chance of being symptom-free at the end of the study. This could imply that subjects with neck/shoulder pain should avoid such simultaneous exposures.

Place, publisher, year, edition, pages
2007. Vol. 16, no 12, 2083-2091 p.
Keyword [en]
disability, epidemiology, occupational health, prospective studies
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-14867DOI: 10.1007/s00586-007-0481-0ISI: 000251651000005OAI: oai:DiVA.org:uu-14867DiVA: diva2:42638
Available from: 2008-01-31 Created: 2008-01-31 Last updated: 2010-03-23Bibliographically approved

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