Abstract
AIMS: To quantify the relative contribution of work related physical factors, psychosocial workplace factors, and individual factors and aspects of somatisation to the onset of neck/shoulder pain. METHODS: Four year prospective cohort study of workers from industrial and service companies in Denmark. Participants were 3123 workers, previously enrolled in a cross sectional study, where objective measurement of physical workplace factors was used. Eligible participants were followed on three subsequent occasions with approximately one year intervals. Outcomes of interest were: new onset of neck/shoulder pain (symptom cases); and neck/shoulder pain with pressure tenderness in the muscles of the neck/shoulder region (clinical cases). RESULTS: During follow up, 636 (14.1%) participants reported neck/shoulder pain of new onset; among these, 82 (1.7%) also had clinical signs of substantial muscle tenderness. High shoulder repetition was related to being a future symptom case, and a future clinical case. Repetition was strongly intercorrelated with other physical measures. High job demands were associated with future status as a symptom case, and as a clinical case. A high level of distress predicted subsequent neck/shoulder pain, and neck/shoulder pain with pressure tenderness. CONCLUSIONS: High levels of distress, and physical and psychosocial workplace factors are predictors of onset of pain in the neck and/or shoulders, particularly pain with pressure tenderness in the muscles
| Originalsprog | Engelsk |
|---|---|
| Tidsskrift | Occupational & Environmental Medicine |
| Vol/bind | 60 |
| Nummer | 9 |
| Sider (fra-til) | 649-654 |
| Antal sider | 6 |
| ISSN | 1351-0711 |
| Status | Udgivet - 2003 |
Emneord
- Cohort Studies
- Denmark
- epidemiology
- etiology
- Humans
- methods
- Muscle,Skeletal
- Neck
- Neck Pain
- Occupational Diseases
- Occupational Medicine
- Pain
- physiopathology
- Prospective Studies
- Questionnaires
- Risk Factors
- Shoulder Pain
- Work
- Workplace