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Quebec Serve and Protect Low Back Pain Study: What About Mental Quality of Life?
Background As of now, the impact of low back pain (LBP) and its chronic state, chronic low back pain (CLBP), on mental health-related quality of life (HRQOL) has never been investigated among police officers. The present investigation aims at studying this relationship using a biopsychosocial model. Methods Between May and October 2014, a Web-based cross-sectional study was conducted among Quebec police officers (Quebec, Canada). Mental HRQOL was measured using the role emotional (RE) and the mental health (MH) domains of the SF-12v2 Health Survey. The impact of CLBP on mental HRQOL (as opposed...
Troubles musculo-squelettiques et facteurs psychosociaux au travail
Ce rapport présente l'état des connaissances scientifiques sur la façon dont les facteurs psychosociaux influencent les troubles musculo-squelettiques (TMS). Il analyse l'impact des TMS sur l'aptitude au travail et la qualité du travail. Près de 40 millions de travailleurs en Europe souffrent de TMS des membres et du dos, ce qui en fait la maladie professionnelle la plus répandue dans l'UE. L'objectif de ce rapport est d'influencer les efforts d'intervention et de fournir des recommandations scientifiquement fondées pour...
Carpal tunnel syndrome and manual work
The OCTOPUS cohort, results of a ten-year longitudinal study This large longitudinal cohort study provides a prospective validation of the ACGIH TLV® method for the assessment of biomechanical exposures at work. It confirmed that “forceful hand exertions” more than “any exertion” significantly increase the risk of CTS. This study suggests that the current limits (AL and TLV) might not be sufficiently protective for some workers. Source: Violante FS, Farioli A, Graziosi F, Marinelli F, Curti S, Armstrong TJ, Mattioli S, Bonfiglioli R. Scand J Work Environ Health , 2016...
Health beliefs, low mood, and somatizing tendency: contribution to incidence and persistence of musculoskeletal pain with and without reported disability
Objective This study aims to investigate whether associations of psychological risk factors with the incidence and persistence of disabling musculoskeletal pain differ from those for non-disabling musculoskeletal pain. Methods As part of the international Cultural and Psychosocial Influences in Disability (CUPID) study, 1105 Spanish nurses and office workers were asked at baseline about health beliefs concerning pain, mental health, and somatizing tendency. Musculoskeletal pain in the past months at ten anatomical sites (back, neck, and left and right shoulder, elbow, wrist/hand, and knee) was...
Musculoskeletal pain in Europe: the role of personal, occupational, and social risk factors
Objectives The prevalence of musculoskeletal pain in European countries varies considerably. We analyzed data from the fifth European Working Conditions Survey (EWCS) to explore the role of personal, occupational, and social risk factors in determining the national prevalence of musculoskeletal pain. Methods Over the course of 2010, 43 816 subjects from 34 countries were interviewed. We analyzed the one-year prevalence of back and neck/upper-limb pain. Individual-level risk factors studied included: sex; age; educational level; socioeconomic status; housework or cooking; gardening and repairs;...
Personal and workplace psychosocial risk factors for carpal tunnel syndrome: a pooled study cohort
Background Between 2001 and 2010, six research groups conducted coordinated multiyear, prospective studies of carpal tunnel syndrome (CTS) incidence in US workers from various industries and collected detailed subject-level exposure information with follow-up symptom, physical examination, electrophysiological measures and job changes. Objective This analysis of the pooled cohort examined the incidence of dominant-hand CTS in relation to demographic characteristics and estimated associations with occupational psychosocial factors and years worked, adjusting for confounding by personal risk factors...
International variation in absence from work attributed to musculoskeletal illness: findings from the CUPID study
Objectives To quantify the variation in rates of absence due to musculoskeletal pain across 47 occupational groups (mostly nurses and office workers) from 18 countries, and to explore personal and group-level risk factors that might explain observed differences. Methods A standardised questionnaire was used to obtain information about musculoskeletal pain, sickness absence and possible risk factors in a cross-sectional survey of 12 416 workers (92–1017 per occupational group). Additionally, group-level data on socioeconomic variables, such as sick pay and unemployment rates, were assembled...
The demographic and contextual correlates of work-related repetitive strain injuries among Canadian men and women
Background The study sought to identify gender differences in work-related repetitive strain injuries (RSI), as well as examine the degree to which non-work factors such as family roles interact with gender to modify RSI risk. Another aim is to examine whether there are potential provincial differences in work-related RSI risk. Methods The 2003/2005 Canadian Community Health Survey included over 89,000 respondents who reported working in the past 12 months. Separate multi-level models for men and women were used to identify the correlates of work-related RSIs. Results Women reported sustaining...
A prospective study of musculoskeletal outcomes among manufacturing workers: II. Effects of psychosocial stress and work organization factors
Objective : The aim of this study was to characterize associations between psychosocial and work organizational risk factors and upper-extremity musculoskeletal symptoms and disorders. Background : Methodological limitations of previous studies of psychosocial and work organizational risk factors and musculoskeletal outcomes have produced inconsistent associations. Method : In this prospective epidemiologic study of 386 workers, questionnaires to assess decision latitude (“control”) and psychological job demands (“demand”) were administered to study participants and were...
A prospective study of musculoskeletal outcomes among manufacturing workers: I. Effects of physical risk factors
Objective: To better characterize associations between physical risk factors and upper-extremity musculoskeletal symptoms and disorders, a prospective epidemiologic study of 386 manufacturing workers was performed. Background : Methodological limitations of previous studies have resulted in inconsistent associations. Method: An individual, task-based exposure assessment strategy was used to assess upper-extremity exertion intensity, repetition, and time-in-posture categories. Participants recorded time spent performing daily work tasks on a preprinted log, which was then used to calculate time...
Prévention des troubles musculo-squelettiques du membre supérieur chez le personnel administratif du centre hospitalier de Niort
Enquête de satisfaction prospective après la mise à disposition de repose-poignets clavier et souris Une enquête de satisfaction prospective concernant l'utilisation de repose-poignets a été réalisée auprès de 135 personnes équipées. La satisfaction globale était de 59,3% pour pour le repose-poignets clavier et de 81,5% pour le repose-poignets souris. Les repose-poignets pourraient donc être un moyen efficace de prévention primaire des TMS du membre supérieur et améliorer les conditions...
Does a history of physical exposures at work affect hand-grip strength in midlife?
A retrospective cohort study in Denmark This retrospective cohort study evaluates the associations between physical exposures throughout working life and late midlife hand-grip strength (HGS). Exposure to lifting, standing/walking, and kneeling were analyzed in multiple regression models. Physical exposures in working life were associated with a slightly higher HGS among men but no associations between physical exposures and HGS were seen among women. Source : Møller A, Reventlow S, Hansen ÅM, Andersen LL, Siersma V, Lund R, Avlund K, Andersen JH, Mortensen OS. Scand J Work Environ...
Quel avenir pour les salariés atteints de TMS ?
L’INVS vient de publier une étude comparant le devenir professionnel de salariés atteints et non-atteints de TMS et mettant en évidence l’impact de cette maladie professionnelle sur le parcours de travail. L’objectif était d’étudier le devenir professionnel de salariés ayant un trouble musculo-squelettique du membre supérieur (TMS-MS) et de salariés ayant des douleurs musculo-squelettiques, comparés aux salariés sans douleurs. Entre 2002 et 2005, 83 médecins du travail ont examiné 3 710 salariés...
Employment and occupational outcomes of workers with musculoskeletal pain in a French region
Objectives To study the employment and occupational outcomes of workers who were diagnosed with upper limb musculoskeletal disorders (UL-MSDs) or had complained of upper limb musculoskeletal pain a few years before compared with workers who had no upper limb pain. Methods In 2002–2005, an epidemiological surveillance system was set up. Occupational physicians examined 3710 randomly selected workers. It focused on six UL-MSDs: rotator cuff syndrome, lateral epicondylitis, flexor-extensor peritendinitis of the hands and fingers, de Quervain's disease, carpal tunnel syndrome and ulnar tunnel...
Validation of the ACGIH TLV for hand activity level in the OCTOPUS cohort: a two-year longitudinal study of carpal tunnel syndrome
Objectives This study aimed to evaluate the risk of musculoskeletal disorders to the hand-wrist system. The American Conference of Governmental Industrial Hygienists (ACGIH) proposed threshold limit values (TLV©) based on hand activity level (HAL) and normalized peak force (PF). We validated ACGIH TLV© in OCTOPUS, a large cohort study on carpal tunnel syndrome (CTS). Conclusions We found a dose–response relationship between ACGIH TLV© classification and risk of CTS. The increased risk observed for workers exposed between AL and TLV suggests that the current AL and TLV might...
Occupational lifting during pregnancy and risk of fetal death in a large national cohort study
Objective The aim of the present study was to examine the association between occupational lifting and the risk of fetal death according to gestational age. Methods We used data from the Danish National Birth Cohort (1996–2002). Among 71 500 occupationally active women, 2886 experienced a fetal death. Information on lifting and relevant covariates was collected in interviews around week 16 of pregnancy. The majority of fetal losses (N=2032) happened before the scheduled interview, and exposure data were collected retrospectively from these women. We analyzed early miscarriage (≤12 weeks...
Actes du 3e congrès francophone sur les troubles musculosquelettiques
Le congrès 2011 est structuré autour de deux thèmes principaux, traversés par des préoccupations telles que l’évaluation des interventions et la spécificité des secteurs et des populations : quelle place accorder aux risques psychosociaux et aux outils pour prévenir les troubles musculosquelettiques (TMS) ? Les liens entre TMS et risques psychosociaux La médiatisation du thème des risques psychosociaux conduit à explorer leurs interactions avec la prévention des TMS. Quelles questions sur l’organisation...
Office work can really harm you
Better workstations and posture are not delivering the anticipated benefits as computer-bound office workers creak under the strain of escalating workloads. A new study has found even good posture and ergonomic office equipment do not prevent back, neck, wrist and shoulder injuries and are failing to protect overburdened sedentary workers from a raised risk of heart disease, obesity and diabetes. Researchers from the University of Sydney blamed the overall workplace environment for the poor health of office workers. Their survey of nearly 1,000 Australian workers across six government departments...
Prevention of musculoskeletal disorders in workers: classification and health surveillance
The underlying purpose of this commentary and position paper is to achieve evidence-based recommendations on prevention of work-related musculoskeletal disorders (MSDs). Such prevention can take different forms (primary, secondary and tertiary), occur at different levels (i.e. in a clinical setting, at the workplace, at national level) and involve several types of activities. Members of the Scientific Committee (SC) on MSDs of the International Commission on Occupational Health (ICOH) and other interested scientists and members of the public recently discussed the scientific and clinical future...
The Relationship Between Chronic Conditions and Work-Related Injuries and Repetitive Strain Injuries in Canada
Objective: To examine the relationships between arthritis, hypertension, heart disease, diabetes, and back problems, and the risk of work-related injuries (WRIs) and work-related repetitive strain injuries (RSIs).Methods: Using data from the 2003 and 2005 Canadian Community Health Surveys (n = 79,114), we examined the relationship between each chronic condition and WRIs and RSIs, adjusting for various demographic and work-related variables that may confound this relationship. Results : Statistically elevated risks were observed for arthritis and back problems for both WRIs and RSIs among both men...
Validation of the ACGIH TLV for hand activity level in the OCTOPUS cohort: a two-year longitudinal study of carpal tunnel syndrome
This study aimed to evaluate the risk of musculoskeletal disorders to the hand-wrist system. The American Conference of Governmental Industrial Hygienists (ACGIH) proposed threshold limit values (TLV©) based on hand activity level (HAL) and normalized peak force (PF). We validated ACGIH TLV© in OCTOPUS, a large cohort study on carpal tunnel syndrome (CTS). Source: http://www.sjweh.fi/show_abstract.php?abstract_id=3312&utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+Sjweh-Online-firstArticles+%28SJWEH+-+Online-first+articles%29
Risk factors for incidence of rotator cuff syndrome in a large working population
Objectives: The aim of this study was to assess the effects of personal and work-related factors on the incidence of rotator cuff syndrome (RCS) in a large working population. Methods: A total of 3710 French workers were included in a cross-sectional study in 2002–2005. All completed a self-administered questionnaire about personal factors and work exposure. Using a standardized physical examination, occupational physicians established a diagnosis of RCS. Between 2007–2010, 1611 workers were re-examined. Associations between RCS and risk factors at baseline were analyzed by logistic...
Prospective evaluation of the 1991 NIOSH Lifting Equation
An epidemiological prospective cohort study of the ability of the 1991 NIOSH Lifting Equation to predict loss of time from work due to low back pain (LBP) or to predict reports of LBP followed 515 industrial workers in jobs requiring manual handling for 18 months. Baseline measurements were made of their jobs, histories of musculoskeletal trouble and of psychosocial variables. Longitudinal analysis of tasks was based on 367 subject/job combinations. The strongest predictor of future LBP was a history of LBP. No relationship was found between the Composite Lifting Index (CLI) and either the incidence...
Les troubles musculo-squelettiques dans l'agroalimentaire
Le 28 avril 2009 se tenait au conseil économique, social et environnemental (CESE, Paris), une conférence consacrée aux troubles musculo-squelettiques dans le secteur agroalimentaire. L'occasion d'un large échange de vues et de connaissances entre professionnels, médecins, chercheurs, pouvoirs publics et partenaires sociaux. http://agriculture.gouv.fr/sections/magazine/en-bref/conference-troubles

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