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. 2002 Aug;59(8):537–544. doi: 10.1136/oem.59.8.537

Chronic neck and shoulder pain, age, and working conditions: longitudinal results from a large random sample in France

B Cassou 1, F Derriennic 1, C Monfort 1, J Norton 1, A Touranchet 1
PMCID: PMC1740331  PMID: 12151610

Abstract

Aims: To analyse the effects of age and occupational factors on both the incidence and the disappearance of chronic neck and shoulder pain after a five year follow up period.

Methods: A prospective longitudinal investigation (ESTEV) was carried out in 1990 and 1995 in seven regions of France. A random sample of male and female workers born in 1938, 1943, 1948, and 1953 was selected from the occupational physicians' files. In 1990, 21 378 subjects were interviewed (88% of those contacted), and 87% were interviewed again in 1995. Chronic neck and shoulder pain satisfying specific criteria, and psychosocial working conditions were investigated by a structured self administered questionnaire and a clinical examination.

Results: Prevalence (men 7.8%, women 14.8% in 1990) and incidence (men 7.3%, women 12.5% for the period 1990–95) of chronic neck and shoulder pain increased with age, and were more frequent among women than men in every birth cohort. The disappearance rate of chronic neck and shoulder pain decreased with age. Some adverse working conditions (repetitive work under time constraints, awkward work for men, repetitive work for women) contributed to the development of these disorders, independently of age. Psychosocial factors seemed to play a role in both the development and disappearance of chronic neck and shoulder pain. Data did not show specific interactions between age and working conditions.

Conclusions: The aging of the workforce appears to contribute to the widespread concern about chronic neck and shoulder pain. A better understanding of work activity regulation of older workers can open up new preventive prospects.

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Selected References

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  1. Ariëns G. A., van Mechelen W., Bongers P. M., Bouter L. M., van der Wal G. Physical risk factors for neck pain. Scand J Work Environ Health. 2000 Feb;26(1):7–19. doi: 10.5271/sjweh.504. [DOI] [PubMed] [Google Scholar]
  2. Chiang H. C., Ko Y. C., Chen S. S., Yu H. S., Wu T. N., Chang P. Y. Prevalence of shoulder and upper-limb disorders among workers in the fish-processing industry. Scand J Work Environ Health. 1993 Apr;19(2):126–131. doi: 10.5271/sjweh.1496. [DOI] [PubMed] [Google Scholar]
  3. Eisen E. A. Methodology for analyzing episodic events. Scand J Work Environ Health. 1999;25 (Suppl 4):36–42. [PubMed] [Google Scholar]
  4. Eriksen W., Natvig B., Knardahl S., Bruusgaard D. Job characteristics as predictors of neck pain. A 4-year prospective study. J Occup Environ Med. 1999 Oct;41(10):893–902. doi: 10.1097/00043764-199910000-00010. [DOI] [PubMed] [Google Scholar]
  5. Fredriksson K., Alfredsson L., Köster M., Thorbjörnsson C. B., Toomingas A., Torgén M., Kilbom A. Risk factors for neck and upper limb disorders: results from 24 years of follow up. Occup Environ Med. 1999 Jan;56(1):59–66. doi: 10.1136/oem.56.1.59. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Frost P., Andersen J. H. Shoulder impingement syndrome in relation to shoulder intensive work. Occup Environ Med. 1999 Jul;56(7):494–498. doi: 10.1136/oem.56.7.494. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Kaergaard A., Andersen J. H. Musculoskeletal disorders of the neck and shoulders in female sewing machine operators: prevalence, incidence, and prognosis. Occup Environ Med. 2000 Aug;57(8):528–534. doi: 10.1136/oem.57.8.528. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Leino-Arjas P. Smoking and musculoskeletal disorders in the metal industry: a prospective study. Occup Environ Med. 1998 Dec;55(12):828–833. doi: 10.1136/oem.55.12.828. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Magni G., Moreschi C., Rigatti-Luchini S., Merskey H. Prospective study on the relationship between depressive symptoms and chronic musculoskeletal pain. Pain. 1994 Mar;56(3):289–297. doi: 10.1016/0304-3959(94)90167-8. [DOI] [PubMed] [Google Scholar]
  10. Miranda H., Viikari-Juntura E., Martikainen R., Takala E. P., Riihimäki H. A prospective study of work related factors and physical exercise as predictors of shoulder pain. Occup Environ Med. 2001 Aug;58(8):528–534. doi: 10.1136/oem.58.8.528. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Punnett L., Fine L. J., Keyserling W. M., Herrin G. D., Chaffin D. B. Shoulder disorders and postural stress in automobile assembly work. Scand J Work Environ Health. 2000 Aug;26(4):283–291. doi: 10.5271/sjweh.544. [DOI] [PubMed] [Google Scholar]
  12. Schierhout G. H., Myers J. E. Is self-reported pain an appropriate outcome measure in ergonomic-epidemiologic studies of work-related musculoskeletal disorders? Am J Ind Med. 1996 Jul;30(1):93–98. doi: 10.1002/(SICI)1097-0274(199607)30:1<93::AID-AJIM16>3.0.CO;2-3. [DOI] [PubMed] [Google Scholar]
  13. Skov T., Borg V., Orhede E. Psychosocial and physical risk factors for musculoskeletal disorders of the neck, shoulders, and lower back in salespeople. Occup Environ Med. 1996 May;53(5):351–356. doi: 10.1136/oem.53.5.351. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Takala E. P., Viikari-Juntura E., Moneta G. B., Saarenmaa K., Kaivanto K. Seasonal variation in neck and shoulder symptoms. Scand J Work Environ Health. 1992 Aug;18(4):257–261. doi: 10.5271/sjweh.1580. [DOI] [PubMed] [Google Scholar]
  15. Toomingas A., Alfredsson L., Kilbom A. Possible bias from rating behavior when subjects rate both exposure and outcome. Scand J Work Environ Health. 1997 Oct;23(5):370–377. doi: 10.5271/sjweh.234. [DOI] [PubMed] [Google Scholar]
  16. Viikari-Juntura E., Riihimäki H., Tola S., Videman T., Mutanen P. Neck trouble in machine operating, dynamic physical work and sedentary work: a prospective study on occupational and individual risk factors. J Clin Epidemiol. 1994 Dec;47(12):1411–1422. doi: 10.1016/0895-4356(94)90085-x. [DOI] [PubMed] [Google Scholar]
  17. Viikari-Juntura E., Vuori J., Silverstein B. A., Kalimo R., Kuosma E., Videman T. A life-long prospective study on the role of psychosocial factors in neck-shoulder and low-back pain. Spine (Phila Pa 1976) 1991 Sep;16(9):1056–1061. doi: 10.1097/00007632-199109000-00008. [DOI] [PubMed] [Google Scholar]
  18. de Zwart B. C., Broersen J. P., Frings-Dresen M. H., van Dijk F. J. Musculoskeletal complaints in The Netherlands in relation to age, gender and physically demanding work. Int Arch Occup Environ Health. 1997;70(5):352–360. doi: 10.1007/s004200050229. [DOI] [PubMed] [Google Scholar]
  19. de Zwart B. C., Broersen J. P., Frings-Dresen M. H., van Dijk F. J. Repeated survey on changes in musculoskeletal complaints relative to age and work demands. Occup Environ Med. 1997 Nov;54(11):793–799. doi: 10.1136/oem.54.11.793. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. de Zwart B. C., Broersen J. P., van der Beek A. J., Frings-Dresen M. H., Van Dijk F. J. Selection related to musculoskeletal complaints among employees. Occup Environ Med. 1997 Nov;54(11):800–806. doi: 10.1136/oem.54.11.800. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. de Zwart B. C., Frings-Dresen M. H., van Dijk F. J. Physical workload and the aging worker: a review of the literature. Int Arch Occup Environ Health. 1995;68(1):1–12. doi: 10.1007/BF01831627. [DOI] [PubMed] [Google Scholar]
  22. van der Windt D. A., Thomas E., Pope D. P., de Winter A. F., Macfarlane G. J., Bouter L. M., Silman A. J. Occupational risk factors for shoulder pain: a systematic review. Occup Environ Med. 2000 Jul;57(7):433–442. doi: 10.1136/oem.57.7.433. [DOI] [PMC free article] [PubMed] [Google Scholar]

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