Abstract
The aim of this study was to assess the effects of personal and work-related factors on the incidence of rotator cuff syndrome (RCS) in a large working population. A total of 3710 French workers were included in a cross-sectional study in 2002-2005. All completed a self-administered questionnaire about personal factors and work exposure. Using a standardized physical examination, occupational physicians established a diagnosis of RCS. Between 2007-2010, 1611 workers were re-examined. Associations between RCS and risk factors at baseline were analyzed by logistic regression. A total of 839 men and 617 women without RCS at baseline were eligible for analysis. RCS was diagnosed in 51 men (6.1%) and 45 women (7.3%). The risk of RCS increased with age for both genders [odds ratio (OR) 4.7 (95% confidence interval [95% CI] 2.2-10.0) for men aged 45-49 years and 5.4 (95% CI 2.3-13.2) for women aged 50-59 years; reference <40 years]. For men, the work-related risk factors were repeated posture with the arms above the shoulder level combined with high perceived physical exertion [OR 3.3 (95% CI 1.3-8.4)] and low coworker support [OR 2.0 (95% CI 1.1-3.9)]. For women, working with colleagues in temporary employment [OR 2.2 (95% CI 1.2-4.2)] and repeated arm abduction (60-90°) [OR 2.6 (95% CI 1.4-5.0)] were associated with RCS. Age was the strongest predictor for incident cases of RCS, and arm abduction was the major work-related risk factor for both genders. Lack of social support was a predictor for RCS among men.
Highlights
The risk of rotator cuff syndrome (RCS) increased with age for both genders [odds ratio (OR) 4.7 (95% confidence interval [95% CI] 2.2–10.0) for men aged 45–49 years and 5.4 for women aged 50–59 years; reference
Age was the strongest predictor for incident cases of RCS, and arm abduction was the major workrelated risk factor for both genders
Several studies have shown that the prevalence of RCS increased with age [9,10,11] and some suggested a link between RCS and both individual factors, such as diabetes mellitus or abdominal obesity [9, 10, 12, 13], and work-related factors [1,2,3,4, 10, 11, 14,15,16,17,18]
Summary
The aim of this study was to assess the effects of personal and work-related factors on the incidence of rotator cuff syndrome (RCS) in a large working population
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More From: Scandinavian Journal of Work, Environment & Health
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