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Dose-response relationship between cumulative physical workload and osteoarthritis of the hip
A meta-analysis applying an external reference population for exposure assignment Background: There is consistent evidence from observational studies of an association between occupational lifting and carrying of heavy loads and the diagnosis of hip osteoarthritis. However, due to the heterogeneity of exposure estimates considered in single studies, a dose-response relationship between cumulative physical workload and hip osteoarthritis could not be determined so far. Methods: This study aimed to analyze the dose-response relationship between cumulative physical workload and hip osteoarthritis...
Workers' compensation claims for musculoskeletal disorders and injuries of the upper extremity and knee among union carpenters in Washington State, 1989-2008
BACKGROUND: Numerous aspects of construction place workers at risk of musculoskeletal disorders and injuries (MSDIs). Work organization and the nature of MSDIs create surveillance challenges. METHODS: By linking union records with workers' compensation claims, we examined 20-year patterns of MSDIs involving the upper extremity (UE) and the knee among a large carpenter cohort. RESULTS: MSDIs were common and accounted for a disproportionate share of paid lost work time (PLT) claims; UE MSDIs were three times more common than those of the knee. Rates declined markedly over time and were most pronounced...
Feasibility of using urinary biomarkers to identify occupational musculoskeletal disorders of the lower limbs
Interest has developed in biomarkers in body fluids, which are indicative of degradation of bone, cartilage and synovial tissue. These are currently being investigated in the clinical context in terms of diagnosis, prognosis and efficacy of treatment for rheumatoid and osteo-arthritis. There is also interest in the use of such biomarkers in sports medicine and now occupational medicine. The cause of occupational lower limb musculoskeletal disorders may involve complex multifactorial issues, such as psychological, and organisational factors as well as abnormal biological processes caused by over...
Lower limb MSD
Relative to work-related musculoskeletal disorders of the upper extremity and lower back area, much less investigative focus has been placed on the prevention of lower limb musculoskeletal disorders and injury (LLD) in the workplace. This work was commissioned to examine more closely the nature and extent of workplace lower limb problems and the causal agents with the aim of informing evidence based guidance and advice for workers and employers. It had the following objectives: • To identify the nature and extent of work related LLD that are suffered by workers as well as key risk factors...

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