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. 1987 Sep;44(9):602–610. doi: 10.1136/oem.44.9.602

Prevalence rates and odds ratios of shoulder-neck diseases in different occupational groups.

M Hagberg 1, D H Wegman 1
PMCID: PMC1007885  PMID: 3311128

Abstract

The aim of the present study was to evaluate the association and impact of occupational exposure and diseases of the shoulder and neck. Prevalence rates, odds ratios, aetiological fractions, and their confidence intervals were computed for pooled and non-pooled data of previous published reports. By comparison with office workers and farmers, dentists had an increased odds ratio for cervical spondylosis (two studies) and for shoulder joint osteoarthrosis. Meat carriers, miners, and "heavy workers" also had significantly higher rates of cervical spondylosis compared with referents. Compared with iron foundry workers, civil servants had a significant odds ratio (4.8) of cervical disc disease and a 0.79 aetiological fraction. Whether this was due to exposure or healthy worker effect was not clear. In four occupational groups with high shoulder-neck load an odds ratio of 4.0 was found for thoracic outlet syndrome with an aetiological fraction of 0.75. Rotator cuff tendinitis in occupational groups with work at shoulder level (two studies) showed an odds ratio of 11 and an aetiological fraction of 0.91. Keyboard operators had an odds ratio of 3.0 for tension neck syndrome (five studies). Unfortunately, owing to the scanty description of the work task, the exposure could be analysed only by job title. Examination of published reports shows clearly that certain job titles are associated with shoulder-neck disorders. High rates and aetiological fractions for rotator cuff tendinitis and tension neck syndrome suggest that preventive measures could be effective. Although job descriptions are brief, the associations noted suggest that highly repetitive shoulder muscle contractions, static contractions, and work at shoulder level are hazardous exposure factors. In reports of cross sectional studies of occupational shoulder-neck disorders presentation of age, exposure, and effect distribution may help for future meta-analysis.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bremner J. M., Lawrence J. S., Miall W. E. Degenerative joint disease in a Jamaican rural population. Ann Rheum Dis. 1968 Jul;27(4):326–332. doi: 10.1136/ard.27.4.326. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Cunningham L. S., Kelsey J. L. Epidemiology of musculoskeletal impairments and associated disability. Am J Public Health. 1984 Jun;74(6):574–579. doi: 10.2105/ajph.74.6.574. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Greenland S. Interpretation and estimation of summary ratios under heterogeneity. Stat Med. 1982 Jul-Sep;1(3):217–227. doi: 10.1002/sim.4780010304. [DOI] [PubMed] [Google Scholar]
  4. Hagberg M. Occupational musculoskeletal stress and disorders of the neck and shoulder: a review of possible pathophysiology. Int Arch Occup Environ Health. 1984;53(3):269–278. doi: 10.1007/BF00398820. [DOI] [PubMed] [Google Scholar]
  5. Hagberg M., Sundelin G. Discomfort and load on the upper trapezius muscle when operating a wordprocessor. Ergonomics. 1986 Dec;29(12):1637–1645. doi: 10.1080/00140138608967275. [DOI] [PubMed] [Google Scholar]
  6. Herberts P., Kadefors R., Andersson G., Petersén I. Shoulder pain in industry: an epidemiological study on welders. Acta Orthop Scand. 1981 Jun;52(3):299–306. doi: 10.3109/17453678109050107. [DOI] [PubMed] [Google Scholar]
  7. Hünting W., Läubli T., Grandjean E. Postural and visual loads at VDT workplaces. I. Constrained postures. Ergonomics. 1981 Dec;24(12):917–931. doi: 10.1080/00140138108924914. [DOI] [PubMed] [Google Scholar]
  8. KELLGREN J. H., LAWRENCE J. S. Rheumatism in miners. II. X-ray study. Br J Ind Med. 1952 Jul;9(3):197–207. doi: 10.1136/oem.9.3.197. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Katevuo K., Aitasalo K., Lehtinen R., Pietilä J. Skeletal changes in dentists and farmers in Finland. Community Dent Oral Epidemiol. 1985 Feb;13(1):23–25. doi: 10.1111/j.1600-0528.1985.tb00413.x. [DOI] [PubMed] [Google Scholar]
  10. Kuorinka I., Koskinen P. Occupational rheumatic diseases and upper limb strain in manual jobs in a light mechanical industry. Scand J Work Environ Health. 1979;5 Suppl 3:39–47. [PubMed] [Google Scholar]
  11. LAWRENCE J. S. Rheumatism in cotton operatives. Br J Ind Med. 1961 Oct;18:270–276. doi: 10.1136/oem.18.4.270. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Lawrence J. S. Disc degeneration. Its frequency and relationship to symptoms. Ann Rheum Dis. 1969 Mar;28(2):121–138. doi: 10.1136/ard.28.2.121. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Maeda K., Horiguchi S., Hosokawa M. History of the studies on occupational cervicobrachial disorder in Japan and remaining problems. J Hum Ergol (Tokyo) 1982 Sep;11(1):17–29. [PubMed] [Google Scholar]
  14. Miettinen O. S. Standardization of risk ratios. Am J Epidemiol. 1972 Dec;96(6):383–388. doi: 10.1093/oxfordjournals.aje.a121470. [DOI] [PubMed] [Google Scholar]
  15. Neer C. S., 2nd Impingement lesions. Clin Orthop Relat Res. 1983 Mar;(173):70–77. [PubMed] [Google Scholar]
  16. Newell D. J. Prevalence, aetiology and treatment of pain in the neck and arm. Trans Soc Occup Med. 1967 Jul;17(3):104–106. doi: 10.1093/occmed/17.3.104. [DOI] [PubMed] [Google Scholar]
  17. Onishi N., Nomura H., Sakai K., Yamamoto T., Hirayama K., Itani T. Shoulder muscle tenderness and physical features of female industrial workers. J Hum Ergol (Tokyo) 1976 Dec;5(2):87–102. [PubMed] [Google Scholar]
  18. Partridge R. E., Anderson J. A., McCarthy M. A., Duthie J. J. Rheumatic complaints among workers in iron foundries. Ann Rheum Dis. 1968 Sep;27(5):441–453. doi: 10.1136/ard.27.5.441. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Partridge R. E., Duthie J. J. Rheumatism in dockers and civil servants. A comparison of heavy manual and sedentary workers. Ann Rheum Dis. 1968 Nov;27(6):559–568. doi: 10.1136/ard.27.6.559. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Petersson C. J. Degeneration of the gleno-humeral joint. An anatomical study. Acta Orthop Scand. 1983 Apr;54(2):277–283. doi: 10.3109/17453678308996570. [DOI] [PubMed] [Google Scholar]
  21. Radin E. L. Mechanical aspects of osteoarthrosis. Bull Rheum Dis. 1976;26(7):862–865. [PubMed] [Google Scholar]
  22. Roos D. B. Congenital anomalies associated with thoracic outlet syndrome. Anatomy, symptoms, diagnosis, and treatment. Am J Surg. 1976 Dec;132(6):771–778. doi: 10.1016/0002-9610(76)90456-6. [DOI] [PubMed] [Google Scholar]
  23. SCHROTER G. Hat die berufliche Belastung Bedeutung für die Entstehung oder Verschlimmerung der Osteochondrose und Spondylose der Halswirbelsäule? Dtsch Gesundheitsw. 1959 Jan 22;14(4):174–177. [PubMed] [Google Scholar]
  24. Schröter G., Rademacher W. Die Bedeutung von Belastung und aussergewöhnlicher Haltung für das Entstehen von Vershleissschäden der HWS dargestellt an einem Kollektiv von Fleischabträgern. Z Gesamte Hyg. 1971 Nov;17(11):841–843. [PubMed] [Google Scholar]
  25. Schröter G. Zur Frage der Uberlastungsschäden der Halswirbelsäule bei Stenotypistinnen. Z Gesamte Hyg. 1968 May;14(5):333–337. [PubMed] [Google Scholar]
  26. Sällström J., Schmidt H. Cervicobrachial disorders in certain occupations, with special reference to compression in the thoracic outlet. Am J Ind Med. 1984;6(1):45–52. doi: 10.1002/ajim.4700060107. [DOI] [PubMed] [Google Scholar]
  27. Viikari-Juntura E. Neck and upper limb disorders among slaughterhouse workers. An epidemiologic and clinical study. Scand J Work Environ Health. 1983 Jun;9(3):283–290. doi: 10.5271/sjweh.2416. [DOI] [PubMed] [Google Scholar]
  28. Waris P., Kuorinka I., Kurppa K., Luopajärvi T., Virolainen M., Pesonen K., Nummi J., Kukkonen R. Epidemiologic screening of occupational neck and upper limb disorders. Methods and criteria. Scand J Work Environ Health. 1979;5 Suppl 3:25–38. [PubMed] [Google Scholar]
  29. Westgaard R. H., Aarås A. Postural muscle strain as a causal factor in the development of musculo-skeletal illnesses. Appl Ergon. 1984 Sep;15(3):162–174. doi: 10.1016/0003-6870(84)90057-7. [DOI] [PubMed] [Google Scholar]

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