Why are manual workers at high risk of upper limb disorders? The role of physical work factors in a random sample of workers in France (the Pays de la Loire study)
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<jats:p><jats:bold>Objective:</jats:bold>To investigate the reasons for the excess risk of upper limb musculoskeletal disorders among manual workers compared with other workers in a random sample of 2656 French men and women (20–59 years old) participating in a study on the prevalence of work related upper limb disorders conducted by France’s National Institute of Health Surveillance.</jats:p><jats:p><jats:bold>Methods:</jats:bold>Prevalence ratios (PR) of physician-diagnosed musculoskeletal disorders of the shoulder, elbow, wrist, and hand (any of six leading disorders, rotator cuff syndrome, carpal tunnel syndrome) in manual versus non-manual workers were calculated using Cox regression models with a constant time of follow up and robust variance.</jats:p><jats:p><jats:bold>Results:</jats:bold>11.3% of men and 15.1% of women were diagnosed with an upper limb disorder. The risk was especially high in manual workers (PRs: 1.40 to 2.10). Physical work factors accounted for over 50% of occupational disparities overall, 62% (men) to 67% (women) for rotator cuff syndrome, and 96% (women) for carpal tunnel syndrome. The authors calculated that under lower levels of physical work exposures, up to 31% of cases among manual workers could have been prevented.</jats:p><jats:p><jats:bold>Conclusions:</jats:bold>In working men and women, upper limb musculoskeletal disorders are frequent. Physical work exposures, such as repetitive and forceful movements, are an important source of risk and in particular account for a large proportion of excess morbidity among manual workers.</jats:p>
収録刊行物
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- Occupational and Environmental Medicine
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Occupational and Environmental Medicine 63 (11), 754-761, 2006-06-20
BMJ
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詳細情報 詳細情報について
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- CRID
- 1363670319479545728
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- NII論文ID
- 30021660677
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- ISSN
- 14707926
- 13510711
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- データソース種別
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