Volume 11, Issue 3 (Summer 2022)                   J Occup Health Epidemiol 2022, 11(3): 223-230 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Mohammadi S, Shidfar F, Saadat Mostafavi S R, Salehi R, Zarafshar A, Kabir Mokamelkhah E. Effects of Biomechanical Risk Factors as Cumulative Trauma on Rotator Cuff Tendinopathy in Workers - A Clinical Survey (2018 - 2019). J Occup Health Epidemiol 2022; 11 (3) :223-230
URL: http://johe.rums.ac.ir/article-1-546-en.html

Related article in
Google Scholar

1- Professor, Dept. of Occupational Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
2- MD, Dept. of Occupational Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
3- Assistant Prof., Dept. of Radiology, School of Medicine, Hazrat-e Rasool General Hospital, Iran University of Medical Sciences, Tehran, Iran.
4- MD, Dept. of Radiology, Fayazbaksh Hospital, Tehran, Iran.
5- MD, Dept. Occupational Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
6- Associated Prof., Occupational Medicine Research Center (OMRC), Dept. of Occupational Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran. , dr_kabir.@yahoo.com
Article history
Received: 2022/01/29
Accepted: 2022/08/17
ePublished: 2022/09/20
Abstract:   (1060 Views)
Background: Cumulative effects of biomechanical risk factors on rotator cuff tendinopathy have not yet been determined. Accordingly, this study aimed to investigate cumulative effects of biomechanical risk factors on rotator cuff tendinopathy among workers.
Materials & Methods: This descriptive study was conducted on 470 patients suspected of rotator cuff tendinopathy, who referred to the radiology department of Rasool-e-Akram Hospital in Tehran, Iran (July 2018-March 2019). To this end, ergonomic risk factors, including excessive hand raising, repetitive tasks, upper arm flexion, grip force, awkward posture, vibration, abduction, and rotation were evaluated. The subjects were divided into four categories, according to the number of affecting risk factors. Next, univariate and multivariate analyses were performed to identify predictors of rotator cuff tendinopathy. The study data were analyzed by SPSS V24.0.
Results: Risk factors, such as excessive hand raising, repetitive tasks, upper arm flexion, and awkward posture had a significant association with the frequency of rotator cuff tendinopathy (p < 0.05). Our study showed that shoulder tendinopathy had a statistically significant association with having at least one affecting risk factor (OR=3.96 95%CI: 2.26-6.96), two affecting risk factors (OR=6.82 95%CI: 4.13-11.26), three affecting risk factors (OR=10.25 95%CI: 4.35-24.14), and four affecting risk factors (OR=12.61 95%CI: 1.69-93.63).
Conclusion: The existence of more than one mechanical risk factor in the workplace is associated with a greater increase in the possibility of rotator cuff tendinopathy. In most workplaces, there is usually more than one mechanical risk factor, so it is necessary to pay attention to cumulative effects of all of them.

 
Full-Text [PDF 407 kb]   (365 Downloads)    

References
1. Luime JJ, Koes BW, Hendriksen IJ, Burdorf A, Verhagen AP, Miedema HS, et al. Prevalence and incidence of shoulder pain in the general population; a systematic review. Scand J Rheumatol. 2004;33(2):73-81. [DOI] [PMID]
2. Hill CL, Gill TK, Shanahan EM, Taylor AW. Prevalence and correlates of shoulder pain and stiffness in a population-based study: the North West Adelaide Health Study. Int J Rheum Dis. 2010;13(3):215-22. [DOI] [PMID]
3. Linsell L, Dawson J, Zondervan K, Rose P, Randall T, Fitzpatrick R, et al. Prevalence and incidence of adults consulting for shoulder conditions in UK primary care; patterns of diagnosis and referral. Rheumatology. 2005;45(2):215-21. [DOI] [PMID]
4. Miranda H, Punnett L, Viikari-Juntura E, Heliövaara M, Knekt P. Physical work and chronic shoulder disorder. Results of a prospective population-based study. Ann Rheum Dis. 2008;67(2):218-23. [DOI] [PMID]
5. Silverstein BA, Bao SS, Fan ZJ, Howard N, Smith C, Spielholz P, et al. Rotator cuff syndrome: personal, work-related psychosocial and physical load factors. J Occup Environ Med. 2008;50(9):1062-76. [DOI] [PMID]
6. Silverstein BA, Viikari-Juntura E, Fan ZJ, Bonauto DK, Bao S, Smith C. Natural course of nontraumatic rotator cuff tendinitis and shoulder symptoms in a working population. Scand J Work Environ Health. 2006;32(2):99-108. [DOI] [PMID]
7. Kaergaard A, Andersen JH. Musculoskeletal disorders of the neck and shoulders in female sewing machine operators: prevalence, incidence, and prognosis. Occup Environ Med. 2000;57(8):528-34. [DOI] [PMID] [PMCID]
8. Bonde JP, Mikkelsen S, Andersen JH, Fallentin N, Baelum J, Svendsen SW, et al. PRIM Health Study Group. Prognosis of shoulder tendonitis in repetitive work: a follow up study in a cohort of Danish industrial and service workers. Occup Environ Med. 2003;60(9):E8. [DOI] [PMID] [PMCID]
9. Walker-Bone K, Palmer KT, Reading I, Coggon D, Cooper C. Prevalence and impact of musculoskeletal disorders of the upper limb in the general population. Arthritis Rheum. 2004;51(4):642-51. [DOI] [PMID]
10. Roquelaure Y, Bodin J, Ha C, Petit Le Manac'h A, Descatha A, Chastang JF, et al. Personal, biomechanical, and psychosocial risk factors for rotator cuff syndrome in a working population. Scand J Work Environ Health. 2011;37(6):502-11. [DOI] [PMID]
11. Lewis J, McCreesh K, Roy JS, Ginn K. Rotator Cuff Tendinopathy: Navigating the Diagnosis-Management Conundrum. J Orthop Sports Phys Ther. 2015;45(11):923-37. [DOI] [PMID]
12. Desmeules F, Boudreault J, Dionne CE, Frémont P, Lowry V, MacDermid JC, et al. Efficacy of exercise therapy in workers with rotator cuff tendinopathy: a systematic review. J Occup Health. 2016;58(5):389-403. [DOI] [PMID] [PMCID]
13. Biau DJ, Porcher R. Letter to the editor re: Orthopaedic surgeons prefer to participate in expertise-based randomized trials: Bednarska E, Bryant D, Devereaux, PJ. Orthopaedic surgeons prefer to participate in expertise-based randomized trials. Clin Orthop Relat Res. 2008;466:1734-1744. Clin Orthop Relat Res. 2009;467(1):298-300; author reply 301-2. [DOI] [PMID] [PMCID]
14. Croft P, Pope D, Silman A. The clinical course of shoulder pain: prospective cohort study in primary care. Primary Care Rheumatology Society Shoulder Study Group. BMJ. 1996;313(7057):601-2 [DOI] [PMID] [PMCID]
15. van der Windt DA, Koes BW, de Jong BA, Bouter LM. Shoulder disorders in general practice: incidence, patient characteristics, and management. Ann Rheum Dis. 1995;54(12):959-64 [DOI] [PMID] [PMCID]
16. Brox JI, Gjengedal E, Uppheim G, Bøhmer AS, Brevik JI, Ljunggren AE, et al. Arthroscopic surgery versus supervised exercises in patients with rotator cuff disease (stage II impingement syndrome): a prospective, randomized, controlled study in 125 patients with a 2 1/2-year follow-up. J Shoulder Elbow Surg. 1999;8(2):102-11. [DOI]
17. Holmgren T, Hallgren HB, Oberg B, Adolfsson L, Johansson K. Effect of specific exercise strategy on need for surgery in patients with subacromial impingement syndrome: randomised controlled study. Br J Sports Med. 2014;48(19):1456-7. [DOI] [PMID] [PMCID]
18. Ludewig PM, Borstad JD. Effects of a home exercise programme on shoulder pain and functional status in construction workers. Occup Environ Med. 2003;60(11):841-9. [DOI] [PMID] [PMCID]
19. Seitz AL, McClure PW, Finucane S, Boardman ND 3rd, Michener LA. Mechanisms of rotator cuff tendinopathy: intrinsic, extrinsic, or both? Clin Biomech (Bristol, Avon). 2011;26(1):1-12. [DOI] [PMID]
20. Soslowsky LJ, Thomopoulos S, Esmail A, Flanagan CL, Iannotti JP, Williamson JD 3rd, et al. Rotator cuff tendinosis in an animal model: role of extrinsic and overuse factors. Ann Biomed Eng. 2002 Sep;30(8):1057-63 [DOI] [PMID]
21. Rechardt M, Shiri R, Karppinen J, Jula A, Heliövaara M, Viikari-Juntura E. Lifestyle and metabolic factors in relation to shoulder pain and rotator cuff tendinitis: a population-based study. BMC Musculoskelet Disord. 2010;11:165. [DOI] [PMID] [PMCID]
22. Miranda H, Viikari-Juntura E, Heistaro S, Heliövaara M, Riihimäki H. A population study on differences in the determinants of a specific shoulder disorder versus nonspecific shoulder pain without clinical findings. Am J Epidemiol. 2005;161(9):847-55. [DOI] [PMID]
23. Viikari-Juntura E, Shiri R, Solovieva S, Karppinen J, Leino-Arjas P, Varonen H, et al. Risk factors of atherosclerosis and shoulder pain--is there an association? A systematic review. Eur J Pain. 2008;12(4):412-26. [DOI] [PMID]
24. Bodin J, Ha C, Petit Le Manac'h A, Sérazin C, Descatha A, Leclerc A, et al. Risk factors for incidence of rotator cuff syndrome in a large working population. Scand J Work Environ Health. 2012;38(5):436-46. [DOI] [PMID]
25. Grzywacz JG, Arcury TA, Mora D, Anderson AM, Chen H, Rosenbaum DA, Set al. Work organization and musculoskeletal health: clinical findings from immigrant Latino poultry processing and other manual workers. J Occup Environ Med. 2012;54(8):995-1001. [DOI] [PMID]
26. Svendsen SW, Bonde JP, Mathiassen SE, Stengaard-Pedersen K, Frich LH. Work related shoulder disorders: quantitative exposure-response relations with reference to arm posture. Occup Environ Med. 2004;61(10):844-53. [DOI] [PMID] [PMCID]
27. Mehta SK, Teefey SA, Middleton W, Steger-May K, Sefko JA, Keener JD. Prevalence and risk factors for development of subscapularis and biceps pathology in shoulders with degenerative rotator cuff disease: a prospective cohort evaluation. J Shoulder Elbow Surg. 2020;29(3):451-458. [DOI] [PMID] [PMCID]
28. Frost P, Bonde JP, Mikkelsen S, Andersen JH, Fallentin N, Kaergaard A, et al. Risk of shoulder tendinitis in relation to shoulder loads in monotonous repetitive work. Am J Ind Med. 2002;41(1):11-8 [DOI] [PMID]
29. Silverstein B, Fan ZJ, Smith CK, Bao S, Howard N, Spielholz P, et al. Gender adjustment or stratification in discerning upper extremity musculoskeletal disorder risk? Scand J Work Environ Health. 2009;35(2):113-26 [DOI] [PMID]
30. Leong HT, Fu SC, He X, Oh JH, Yamamoto N, Hang S. Risk factors for rotator cuff tendinopathy: A systematic review and meta-analysis. J Rehabil Med. 2019;51(9):627-637 [DOI] [PMID]
31. Sutinen P, Toppila E, Starck J, Brammer A, Zou J, Pyykkö I. Hand-arm vibration syndrome with use of anti-vibration chain saws: 19-year follow-up study of forestry workers. Int Arch Occup Environ Health. 2006;79(8):665-71. [DOI] [PMID]
32. Solomonow M. Sensory-motor control of ligaments and associated neuromuscular disorders. J Electromyogr Kinesiol. 2006;16(6):549-67. [DOI] [PMID]
33. Barbe MF, Barr AE. Inflammation and the pathophysiology of work-related musculoskeletal disorders. Brain Behav Immun. 2006;20(5):423-9 [DOI] [PMID] [PMCID]
34. de Zwart BC, Frings-Dresen MH, Kilbom A. Gender differences in upper extremity musculoskeletal complaints in the working population. Int Arch Occup Environ Health. 2001;74(1):21-30. [DOI] [PMID]
35. Kannus P, Józsa L. Histopathological changes preceding spontaneous rupture of a tendon. A controlled study of 891 patients. J Bone Joint Surg Am. 1991;73(10):1507-25. [DOI] [PMID]
36. Teunis T, Lubberts B, Reilly BT, Ring D. A systematic review and pooled analysis of the prevalence of rotator cuff disease with increasing age. J Shoulder Elbow Surg. 2014;23(12):1913-1921. [DOI] [PMID]
37. Miranda H, Punnett L, Viikari-Juntura E, Heliövaara M, Knekt P. Physical work and chronic shoulder disorder. Results of a prospective population-based study. Ann Rheum Dis. 2008;67(2):218-23. [DOI] [PMID]
38. Best TM, Kirkendall DT, Almekinders LC, Garrett WE. Basic Science and Injury of Muscle, Tendon, and Ligaments. In: DeLee JD, Drez D, Miller MD, editors. Orthopaedic sports medicine: principles and practice. Philadelphia, United States: W.B. Saunders;c2003.
39. Woo SL. Anatomy, biology, and biomechanics of tendon and ligament. In: Buckwalter JA, Einhorn TA, Simon SR, American Academy of Orthopaedic Surgeons, editors. Orthopaedic basic science: biology and biomechanics of the musculoskeletal system. 2nd ed. Rosemont, IL, United States: American Academy of Orthopaedic Surgeons; 2000. P.581-616.
40. Andersen JH, Haahr JP, Frost P. Risk factors for more severe regional musculoskeletal symptoms: a two-year prospective study of a general working population. Arthritis Rheum. 2007;56(4):1355-64. [DOI] [PMID]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

2024 CC BY 4.0 | Journal of Occupational Health and Epidemiology

Designed & Developed by : Yektaweb