Document Detail


Predictors of upper extremity discomfort: a longitudinal study of industrial and clerical workers.
MedLine Citation:
PMID:  15794494     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Upper extremity discomfort associated with work activity is common with a prevalence of over 50% in many settings. This study followed a cohort of 501 active workers for an average of 5.4 years. Cases were defined as workers who were asymptomatic or had a low discomfort score of 1 or 2 at baseline testing and went on to report a discomfort score of 4 or above on a 10-point visual analog scale. This change is considered clinically significant. Controls had a low baseline discomfort score and continued to have a low discomfort rating throughout the study. The risk factors found to have the highest predictive value for identifying a person who is likely to develop a significant upper extremity discomfort rating included age over 40, a BMI over 28, a complaint of baseline discomfort, the severity of the baseline discomfort rating and a job that had a high hand activity level (based upon hand repetition and force). The risk profile identified both ergonomic and personal health factors as risks and both factors may be amenable to prevention strategies.
Authors:
Robert A Werner; Alfred Franzblau; Nancy Gell; Sheryl S Ulin; Thomas J Armstrong
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Journal of occupational rehabilitation     Volume:  15     ISSN:  1053-0487     ISO Abbreviation:  J Occup Rehabil     Publication Date:  2005 Mar 
Date Detail:
Created Date:  2005-03-29     Completed Date:  2005-07-13     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9202814     Medline TA:  J Occup Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  27-35     Citation Subset:  IM    
Affiliation:
Department of Physical Medicine and Rehabilitation, University of Michigan Health System, Ann Arbor, Michigan, USA. rawerner@med.umich.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Distribution
Aged
Body Mass Index
Case-Control Studies
Causality
Cohort Studies
Comorbidity
Female
Human Engineering
Humans
Industry
Logistic Models
Longitudinal Studies
Male
Middle Aged
Musculoskeletal Diseases / epidemiology*,  physiopathology
Occupational Diseases / epidemiology*,  physiopathology
Pain / epidemiology*,  physiopathology
Risk Factors
Sex Distribution
United States / epidemiology
Upper Extremity*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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