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Time course of neck-shoulder pain among workers
A longitudinal latent class growth analysis Objectives: The aims of this study were to (i) identify trajectories of neck-shoulder pain (NSP) over one year in an occupational population and (ii) determine whether these trajectories are predicted by NSP characteristics as well as personal and occupational factors at baseline. Methods: This longitudinal study was conducted among Danish workers (N=748) from 2012–2014. Text messages were used to collect frequent data on NSP over one year (14 waves in total). Peak NSP intensity in the past month was rated on a 0–10 numeric scale. A baseline...
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...
New DASH manual improves use of tool measuring upper limb function
January 24, 2012 (Toronto, Ontario)—An updated guide for health-care professionals and researchers on how to use the DASH (Disabilities of the Arm, Shoulder and Hand) Outcome Measure is now available from the Institute for Work & Health (IWH). The DASH Outcome Measure is a 30-item, self-report questionnaire that measures the symptoms and functioning of patients with musculoskeletal disorders of the hands, wrists, elbows and shoulders. The tool gives clinicians and researchers a single, reliable instrument to assess any or all joints in the upper extremity. A shorter, 11-item version called...
Improving the diagnostic criteria for work-related upper limb disorders for use in prevention and patient care
Musculoskeletal disorders of the upper limb (ULDs) may be caused or aggravated by work, and may limit capacity to work. However, their optimal classification remains controversial, with substantial disagreement among experts. We propose five requirements of a satisfactory classification scheme: 1) definitions that are clear, well documented, unambiguous and feasible to apply; 2) relevant and credible coverage; 3) repeatable findings; 4) agreement with a good reference standard (where there is one); and 5) practical utility in informing follow-on actions, such as risk control and better patient...
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...

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