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. 2000 Oct;57(10):673–677. doi: 10.1136/oem.57.10.673

Musculoskeletal dysfunction in physical education teachers

H Sandmark 1
PMCID: PMC1739871  PMID: 10984339

Abstract

OBJECTIVES—To investigate the prevalence of musculoskeletal disorders, especially symptomatic osteoarthrosis (OA) of the knee and hip, health and lifestyle factors among physical education (PE) teachers, and whether they differed from the general population in these respects.
METHODS—The study base was all Swedish men (n=290) and women (n=281) who graduated from the only training college for PE teachers in Sweden, between the years 1957 and 1965, and age matched referents, 255 men and 257 women, randomly selected from the Swedish population register. A postal questionnaire was sent to the subjects with questions on occupational history, participation in sports, musculoskeletal disorders, height, weight, smoking habits, and general health.
RESULTS—The PE teachers had a higher prevalence ratio (PR) of symptomatic OA of the knee (men: 2.8 95% confidence interval (95% CI) 1.6 to 4.8; women: 3.2 95% CI 1.8 to 5.5) and knee injury compared with the referents. The PE teachers reported more absence from work, and the women had had to change jobs more often because of knee disorders. The prevalence ratio for symptomatic OA of the hip was 2.7 (95% CI 1.0 to 7.1) for the female PE teachers. At the age of 25 the body mass index (BMI) of male PE teachers was higher than the male referents, but at an older age both the female and male PE teachers had lower BMI than the referents. The participation in sports activities was considerably higher in the group of PE teachers. They also smoked less, reported less serious diseases, and better health than the referents.
CONCLUSIONS—The PE teachers had a high risk of developing knee disorders, which entailed difficulties in continuing their work as PE teachers. They differed from the referents in lifestyle factors as they smoked less, were less overweight, and had a higher lifelong sports exposure.


Keywords: body mass index; hip osteoarthrosis; knee osteoarthrosis

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Selected References

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  1. Anderson J. J., Felson D. T. Factors associated with osteoarthritis of the knee in the first national Health and Nutrition Examination Survey (HANES I). Evidence for an association with overweight, race, and physical demands of work. Am J Epidemiol. 1988 Jul;128(1):179–189. doi: 10.1093/oxfordjournals.aje.a114939. [DOI] [PubMed] [Google Scholar]
  2. Andersson S., Nilsson B., Hessel T., Saraste M., Noren A., Stevens-Andersson A., Rydholm D. Degenerative joint disease in ballet dancers. Clin Orthop Relat Res. 1989 Jan;(238):233–236. [PubMed] [Google Scholar]
  3. Axmacher B., Lindberg H. Coxarthrosis in farmers. Clin Orthop Relat Res. 1993 Feb;(287):82–86. [PubMed] [Google Scholar]
  4. Cooper C., McAlindon T., Coggon D., Egger P., Dieppe P. Occupational activity and osteoarthritis of the knee. Ann Rheum Dis. 1994 Feb;53(2):90–93. doi: 10.1136/ard.53.2.90. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Eastmond C. J., Hudson A., Wright V. A radiological survey of the hips and knees in female specialist teachers of physical education. Scand J Rheumatol. 1979;8(4):264–268. doi: 10.3109/03009747909114633. [DOI] [PubMed] [Google Scholar]
  6. Felson D. T., Hannan M. T., Naimark A., Berkeley J., Gordon G., Wilson P. W., Anderson J. Occupational physical demands, knee bending, and knee osteoarthritis: results from the Framingham Study. J Rheumatol. 1991 Oct;18(10):1587–1592. [PubMed] [Google Scholar]
  7. 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]
  8. Klünder K. B., Rud B., Hansen J. Osteoarthritis of the hip and knee joint in retired football players. Acta Orthop Scand. 1980 Dec;51(6):925–927. doi: 10.3109/17453678008990896. [DOI] [PubMed] [Google Scholar]
  9. Kujala U. M., Kettunen J., Paananen H., Aalto T., Battié M. C., Impivaara O., Videman T., Sarna S. Knee osteoarthritis in former runners, soccer players, weight lifters, and shooters. Arthritis Rheum. 1995 Apr;38(4):539–546. doi: 10.1002/art.1780380413. [DOI] [PubMed] [Google Scholar]
  10. Lane N. E., Bloch D. A., Jones H. H., Marshall W. H., Jr, Wood P. D., Fries J. F. Long-distance running, bone density, and osteoarthritis. JAMA. 1986 Mar 7;255(9):1147–1151. [PubMed] [Google Scholar]
  11. Lindberg H., Montgomery F. Heavy labor and the occurrence of gonarthrosis. Clin Orthop Relat Res. 1987 Jan;(214):235–236. [PubMed] [Google Scholar]
  12. Lindberg H., Roos H., Gärdsell P. Prevalence of coxarthrosis in former soccer players. 286 players compared with matched controls. Acta Orthop Scand. 1993 Apr;64(2):165–167. doi: 10.3109/17453679308994561. [DOI] [PubMed] [Google Scholar]
  13. MANTEL N., HAENSZEL W. Statistical aspects of the analysis of data from retrospective studies of disease. J Natl Cancer Inst. 1959 Apr;22(4):719–748. [PubMed] [Google Scholar]
  14. Marti B., Knobloch M., Tschopp A., Jucker A., Howald H. Is excessive running predictive of degenerative hip disease? Controlled study of former elite athletes. BMJ. 1989 Jul 8;299(6691):91–93. doi: 10.1136/bmj.299.6691.91. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. McMichael A. J., Spirtas R., Kupper L. L., Gamble J. F. Solvent exposure and leukemia among rubber workers: an epidemiologic study. J Occup Med. 1975 Apr;17(4):234–239. [PubMed] [Google Scholar]
  16. Nauwald G. Untersuchungen zur Häufigkeit professioneller Kniegelenkserkrankungen bei älteren Rohrschlossern im Hochseeschiffbau. Beitr Orthop Traumatol. 1986 Mar;33(3):124–128. [PubMed] [Google Scholar]
  17. Ostlin P. Negative health selection into physically light occupations. J Epidemiol Community Health. 1988 Jun;42(2):152–156. doi: 10.1136/jech.42.2.152. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. 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]
  19. Puranen J., Ala-Ketola L., Peltokallio P., Saarela J. Running and primary osteoarthritis of the hip. Br Med J. 1975 May 24;2(5968):424–425. doi: 10.1136/bmj.2.5968.424-a. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Roos H., Lindberg H., Gärdsell P., Lohmander L. S., Wingstrand H. The prevalence of gonarthrosis and its relation to meniscectomy in former soccer players. Am J Sports Med. 1994 Mar-Apr;22(2):219–222. doi: 10.1177/036354659402200211. [DOI] [PubMed] [Google Scholar]
  21. Sandmark H., Hogstedt C., Vingård E. Primary osteoarthrosis of the knee in men and women as a result of lifelong physical load from work. Scand J Work Environ Health. 2000 Feb;26(1):20–25. doi: 10.5271/sjweh.505. [DOI] [PubMed] [Google Scholar]
  22. Sandmark H., Wiktorin C., Hogstedt C., Klenell-Hatschek E. K., Vingard E. Physical work load in physical education teachers. Appl Ergon. 1999 Oct;30(5):435–442. doi: 10.1016/s0003-6870(98)00048-9. [DOI] [PubMed] [Google Scholar]
  23. Sohn R. S., Micheli L. J. The effect of running on the pathogenesis of osteoarthritis of the hips and knees. Clin Orthop Relat Res. 1985 Sep;(198):106–109. [PubMed] [Google Scholar]
  24. Spector T. D., Harris P. A., Hart D. J., Cicuttini F. M., Nandra D., Etherington J., Wolman R. L., Doyle D. V. Risk of osteoarthritis associated with long-term weight-bearing sports: a radiologic survey of the hips and knees in female ex-athletes and population controls. Arthritis Rheum. 1996 Jun;39(6):988–995. doi: 10.1002/art.1780390616. [DOI] [PubMed] [Google Scholar]
  25. Thelin A. Hip joint arthrosis: an occupational disorder among farmers. Am J Ind Med. 1990;18(3):339–343. doi: 10.1002/ajim.4700180316. [DOI] [PubMed] [Google Scholar]
  26. Typpö T. Osteoarthritis of the hip. Radiologic findings and etiology. Ann Chir Gynaecol Suppl. 1985;201:1–38. [PubMed] [Google Scholar]
  27. Vingård E., Alfredsson L., Goldie I., Hogstedt C. Occupation and osteoarthrosis of the hip and knee: a register-based cohort study. Int J Epidemiol. 1991 Dec;20(4):1025–1031. doi: 10.1093/ije/20.4.1025. [DOI] [PubMed] [Google Scholar]
  28. Vingård E., Alfredsson L., Goldie I., Hogstedt C. Sports and osteoarthrosis of the hip. An epidemiologic study. Am J Sports Med. 1993 Mar-Apr;21(2):195–200. doi: 10.1177/036354659302100206. [DOI] [PubMed] [Google Scholar]
  29. Vingård E., Alfredsson L., Malchau H. Osteoarthrosis of the hip in women and its relationship to physical load from sports activities. Am J Sports Med. 1998 Jan-Feb;26(1):78–82. doi: 10.1177/03635465980260013101. [DOI] [PubMed] [Google Scholar]
  30. Wickström G., Hänninen K., Mattsson T., Niskanen T., Riihimäki H., Waris P., Zitting A. Knee degeneration in concrete reinforcement workers. Br J Ind Med. 1983 May;40(2):216–219. doi: 10.1136/oem.40.2.216. [DOI] [PMC free article] [PubMed] [Google Scholar]

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