Can a metric combining arm elevation and trapezius muscle activity predict neck/shoulder pain? A prospective cohort study in construction and healthcare

被引:9
作者
Merkus, Suzanne Lerato [1 ]
Mathiassen, Svend Erik [2 ]
Lunde, Lars-Kristian [1 ]
Koch, Markus [1 ]
Waersted, Mikael Forsman [1 ]
Forsman, Mikael [3 ,4 ]
Knardahl, Stein [1 ]
Veiersted, Kaj Bo [1 ]
机构
[1] Natl Inst Occupat Hlth, Oslo, Norway
[2] Univ Gavle, Ctr Musculoskeletal Res, Dept Occupat & Publ Hlth Sci, Gavle, Sweden
[3] KTH Royal Inst Technol, Sch Engn Sci Chem Biotechnol & Hlth, Huddinge, Sweden
[4] Karolinska Inst, IMM Inst Environm Med, Stockholm, Sweden
关键词
Electromyography; Actigraphy; Neck; shoulder load; Physically demanding work; Musculoskeletal pain; Compositional data analysis; SHOULDER PAIN; MUSCULOSKELETAL DISORDERS; RISK-FACTORS; NECK-SHOULDER; BIOMECHANICAL EXPOSURE; WORK TASKS; POSTURES; TRUNK; TIME; ELECTROMYOGRAPHY;
D O I
10.1007/s00420-020-01610-w
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective To determine whether a composite metric of arm elevation and trapezius activity (i.e. neck/shoulder load) is more strongly associated with the 2-year course of neck and shoulder pain intensity (NSPi) among construction and healthcare workers than each exposure separately. Methods Dominant arm elevation and upper trapezius muscle activity were estimated in construction and healthcare employees (n = 118) at baseline, using accelerometry and normalized surface electromyography (%MVE), respectively. At baseline and every 6 months for 2 years, workers reported NSPi (score 0-3). Compositions of working time were determined for arm elevation (< 30 degrees; 30-60 degrees; > 60 degrees), trapezius activity (< 0.5%; 0.5-7.0%; > 7.0%MVE), and a composite metric "neck/shoulder load" (restitution, low, medium, and high load). Associations between each of these three compositions and the 2-year course of NSPi were determined using linear mixed models. Results Associations between exposure compositions and the course of NSPi were all weak and in general uncertain. Time spent in 0.5-7.0%MVE showed the largest and most certain association with changes in NSPi during follow-up (beta = - 0.13; p = 0.037; corresponding to a -0.01 change in NPSi every 6 months). Among pain-free workers at baseline, medium (beta = - 0.23; p = 0.039) and high (beta = 0.15; p = 0.031) neck/shoulder load contributed the most to explaining changes in NSPi. Conclusion The composite metric of neck/shoulder load did not show a stronger association with the course of NSPi than arm elevation or trapezius activity alone in the entire population, while some indications of a stronger association were found among those who were pain-free at baseline.
引用
收藏
页码:647 / 658
页数:12
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