Neck and upper extremity pain in sonographers - a longitudinal study.
Background: Sonographers have reported a high occurrence of musculoskeletal pain for more than 25 years. Assessments of occupational risk factors have previously been based on cross-sectional surveys. The aim of this longitudinal study was to determine which factors at baseline that were associated...
| Publicado en: | BMC Musculoskeletal Disorders Vol. 21; no. 1; pp. 1 - 12 |
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| Autores principales: | , , , |
| Formato: | research Journal Article |
| Publicado: |
BioMed Central
3/12/2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=142203990&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 142203990 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14712474 1CI5 jtl: BMC Musculoskeletal Disorders issn: 14712474 maglogo: N pubinfo: dt: 3/12/2020 vid: 21 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 142203990 142203990 NLM32164619 142203990 10.1186/s12891-020-3096-9 NLM32164619 142203990 ppf: 1 ppct: 11 formats: tig: atl: Neck and upper extremity pain in sonographers - a longitudinal study. aug: au: Gremark Simonsen, Jenny Axmon, Anna Nordander, Catarina Arvidsson, Inger affil: Division of Occupational and Environmental Medicine, Lund University, SE-223 81, Lund, Sweden sug: subj: Neck Pain Epidemiology Echocardiography Computer Terminals Occupational Diseases Epidemiology Sweden Regression Ultrasonography Vision Disorders Epidemiology Cross Sectional Studies Upper Extremity Aged Adult Young Adult Prevalence Workload Middle Age Risk Factors Female Prospective Studies Job Descriptive Index Funding Source Aged: 65+ years Adult: 19-44 years Middle Aged: 45-64 years Female ab: Background: Sonographers have reported a high occurrence of musculoskeletal pain for more than 25 years. Assessments of occupational risk factors have previously been based on cross-sectional surveys. The aim of this longitudinal study was to determine which factors at baseline that were associated with neck/shoulder and elbow/hand pain at follow-up.Methods: A questionnaire was answered by 248 female sonographers at baseline and follow-up (85% of the original cohort). 208 were included in the analyses. Physical, visual, and psychosocial work-related conditions were assessed at baseline. Pain in two body regions (neck/shoulders and elbows/hands) was assessed at both baseline and follow up.Results: Pain at baseline showed the strongest association with pain at follow-up in both body regions [prevalence ratio (PR) 2.04; 95% confidence interval (CI) 1.50-2.76], for neck/shoulders and (PR 3.45; CI 2.29-5.22) for elbows/hands. Neck/shoulder pain at follow-up was associated with inability of ergonomic adjustments at the ultrasound device (PR 1.25; CI 1.05-1.49), a high mechanical exposure index (PR 1.66; CI 1.09-2.52), and adverse visual conditions (PR 1.24; CI 1.00-1.54) at baseline. Moreover, among participants with no neck/shoulder pain at baseline, high job demands (PR 1.78; CI 1.01-3.12), and a high mechanical exposure index (PR 2.0; CI 0.98-4.14) predicted pain at follow-up. Pain in the elbows/hands at follow-up was associated with high sensory demands at baseline (PR 1.63; CI 1.08-2.45), and among participants without pain at baseline high sensory demands predicted elbow/hand pain at follow-up (PR 3.34; CI 1.53-7.31).Conclusion: Pain at baseline was the strongest predictor for pain at follow-up in both body regions. We also found several occupational factors at baseline that were associated with pain at follow-up: inability to adjust equipment, adverse visual conditions, a high MEI, high job demands and high sensory demands. These results point at a possibility to influence pain with better ergonomics. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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