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Occupational lifting and pelvic pain during pregnancy
A study within the Danish National Birth Cohort Objectives : Pelvic pain during pregnancy is a common ailment, and the disease is a major cause of sickness absence during pregnancy. It is plausible that occupational lifting may be a risk factor of pelvic pain during pregnancy, but no previous studies have examined this specific exposure. The aim of this study was to examine the association between occupational lifting and pelvic pain during pregnancy. Methods : The study comprised 50 143 pregnant women, enrolled in the Danish National Birth Cohort in the period from 1996–2002. During pregnancy...
Individual participant data meta-analysis of mechanical workplace risk factors and low back pain
Objectives. We used individual participant data from multiple studies to conduct a comprehensive meta-analysis of mechanical exposures in the workplace and low back pain. Methods. We conducted a systematic literature search and contacted an author of each study to request their individual participant data. Because outcome definitions and exposure measures were not uniform across studies, we conducted 2 substudies: (1) to identify sets of outcome definitions that could be combined in a meta-analysis and (2) to develop methods to translate mechanical exposure onto a common metric. We used generalized...
A systematic review and meta-analysis of efficacy, cost-effectiveness, and safety of selected complementary and alternative medicine for neck and low-back pain
Background. Back pain is a common problem and a major cause of disability and health care utilization. Purpose. To evaluate the efficacy, harms, and costs of the most common CAM treatments (acupuncture, massage, spinal manipulation, and mobilization) for neck/low-back pain. Data Sources. Records without language restriction from various databases up to February 2010. Data Extraction. The efficacy outcomes of interest were pain intensity and disability. Data Synthesis. Reports of 147 randomized trials and 5 nonrandomized studies were included. CAM treatments were more effective in reducing pain...
The Influence of Ergonomic Devices on Mechanical Load during Patient Handling Activities in Nursing Homes
Objectives: Mechanical load during patient handling activities is an important risk factor for low back pain among nursing personnel. The aims of this study were to describe required and actual use of ergonomic devices during patient handling activities and to assess the influence of these ergonomic devices on mechanical load during patient handling activities. Methods: For each patient, based on national guidelines, it was recorded which specific ergonomic devices were required during distinct patient handling activities, defined by transferring a patient, providing personal care, repositioning...
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...
Evaluating Methods to use the Virtual Corset™ Inclinometer for Trunk Posture and Spinal Compression Measurements
Back posture and spinal compression – the force that squeezes the bones in our spine together as we sit, walk, stand, play, and work – are recognized risk factors for back injury among workers. In order to learn more about the relationships between workplace risk factors and back injury, researchers need to able to evaluate back posture and spinal compression during work for large numbers of individuals. There are sophisticated methods that can measure these risk factors but they are costly, time consuming, and impractical in the field. Instead, field studies tend to use simplified...
Manutention - Comparaison des façons de faire entre les experts et les novices
Le succès mitigé des programmes de formation sur la prévention des blessures au dos en manutention s'explique peut-être par la faiblesse de nos connaissances pratiques sur ce que font les experts dans la réalisation de leur travail. Des études ont montré que des manutentionnaires d'expérience, reconnus par leurs collègues comme étant des experts, ont développé des façons de faire différentes des novices qui pourraient être à la fois sécuritaires et avantageuses en termes...
Evidence summary shows what works in treating neck pain
Clinicians have tried various approaches to help workers with neck pain – but some have been proven ineffective in research. Supervised exercise with strength training is one approach that is quite possibly helpful in alleviating neck pain in workers. However, what likely won't work are mandatory work breaks, stress management programs or exercise instruction alone. These are just a few examples from a new Spine (vol. 33, no. 4S). The Institute for Work & Health (IWH) created this summary to share the evidence synthesis completed by the Bone and Joint Decade 2000-2010 Task Force on...
Évaluation de la validité de construit de tests portant sur l’endurance et les réponses réflexes des muscles du dos chez des sujets présentant une lombalgie chronique
Le présent projet de recherche s'intéresse aux lombalgies qui représentent un des plus importants problèmes de santé dans les pays industrialisés. Il y a un grand besoin de développer des outils de mesure valides et fidèles permettant de quantifier la présence de déficiences ou d'incapacités associées à la colonne vertébrale. Les mesures de l'endurance et des réponses réflexes des muscles dorsolombaires représentent deux de ces mesures pour lesquelles un protocole d'évaluation...
Les risques de troubles musculo-squelettiques aux membres supérieurs dans le secteur des services à l’automobile
Étude exploratoire Les troubles musculosquelettiques aux membres supérieurs (TMS-MS) comptaient en moyenne au Québec, entre 1998 et 2002, pour 8,7 % de l'ensemble des lésions compensées du secteur des Services à l'automobile, mais représentaient 14,9 % des jours d'arrêt de travail et 13,8 % des déboursés totaux de compensation. Une analyse de l'activité de travail réalisée sur quatre postes au Québec et dans cinq garages aux États-Unis, ainsi qu'une étude sur les postures...
TMS d’origine professionnelle : une préoccupation majeure
Numéro thématique du Bulletin épidémiologique habdomadaire 9 février 2010 / n°5-6 Source : http://www.invs.sante.fr/display/?doc=beh/2010/05_06/index.htm
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...
TMS du membre supérieur, le geste a la parole
16e Journée de l'Institut interuniversitaire de médecine du travail Paris Ile-de-France (Paris, 18 mars 2009) Le thème principal de cette journée, les troubles musculosquelettiques, a été abordé sous quatre angles : " L'articulation des connaissances", " Zoom sur l'Ile-de-France ", " L'impact socioprofessionnel " et les " Sollicitations 2009 " Source : http://www.dmt-prevention.fr/inrs-pub/inrs01.nsf/IntranetObject-accesParReference/TD%20165/$File/TD165.pdf
Les dentistes femmes ont deux fois plus de douleurs à la région scapulaire que les dentistes hommes
En clinique dentaire, la charge statique imposée aux muscles de la ceinture scapulaire cause de nombreux troubles musculosquelettiques (TMS). Un questionnaire a été complété avant le début de 15 journées de formation sur la prévention des TMS en clinique dentaire à travers le Québec. 258 dentistes hommes et 201 dentistes femmes ont répondu à la question « Au cours des 12 derniers mois, avez-vous eu des douleurs importantes qui vous ont dérangé dans vos activités ? ». Pour les douleurs...
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