0031 Work-related physical risk factors for specific shoulder disorders: systematic review and meta-analysis. (21st August 2017)

• Record Type: Journal Article
• Authors: Molen, Henk van der; Foresti, Chiara; Daams, Joost; Frings-Dresen, Monique; Kuijer, Paul
• Is Part Of: Occupational and environmental medicine. Volume 74(2017)Supplement 1
• Page Start: A8
• Page End: A8
• Publication Date: 2017-08-21
• Subjects: Medicine, Industrial -- Periodicals; Environmental health -- Periodicals; 616.980305
• DOI: 10.1136/oemed-2017-104636.21
• Languages: English
• ISSNs: 1351-0711

Abstract

Abstract : Objective: To examine the association between work-related physical risk factors and clinically assessed specific soft tissue shoulder disorders like supraspinatus tendinitis and impingement. Methods: Medline and Embase were searched from 2009 until 24 march 2016 and references were added of a systematic review on this topic describing studies published before 2009. Case-control and cohort studies were included if the soft tissue shoulder disorder was clinically assessed. Meta-analyses and GRADE were performed to assess the evidence and quality for the studies on work-related risk factors. Results: In total seven longitudinal studies including 16 710 patients with specific soft tissue shoulder disorders from a population of 2, 427, 535 workers from Denmark, Finland, France, Germany and Poland were included in the meta-analysis. Moderate to high evidence was found for associations between arm-hand elevation (OR=2.10, 95% CI 2.01–2.20), arm repetition (OR=1.69, 95% CI 1.03–2.78), hand force exertion (OR=1.57, 95% CI 1.27–1.93), shoulder load (OR=2.01, 95% CI 1.90–2.12) and low evidence for hand-arm vibrations (OR=1.34, 95% CI 1.01–1.77). Conclusions: Arm-hand elevation, arm repetition, hand force exertion and/or hand-arm vibration during work, increase the incidence of specific soft tissue shoulder disorders.