Self-reported work-related musculoskeletal injuries and isometric handgrip strength

Abstract

Musculoskeletal injuries are common in car assembly workers, causing significant morbidity. There is evidence that increased muscle strength reduces musculoskeletal injury risk and that handgrip strength is a predictor of general muscle strength. Aims To investigate whether isometric handgrip strength (IHGS) is a predictor of increased musculoskeletal injury risk in automotive assembly workers. We measured IHGS in a cross-sectional survey of final assembly line workers in an automotive manufacturing plant. Weak handgrip was defined as two standard deviations below the normative mean value for age and gender. Self-reported musculoskeletal injury/accident data and recent musculoskeletal symptoms were recorded using a modified Nordic musculoskeletal questionnaire. Of 445 final assembly line workers, 206 (46%) participated. Sixty participants (29%) reported a musculoskeletal injury/accident at work in the preceding 5 years. Mean IHGS in this population was lower than international normative values. Odds ratios for self-reported injury (adjusted for gender and recent musculoskeletal symptoms) were 0.62 (95% CI 0.28-1.35) for left weak handgrip and 0.57 (95% CI 0.31-1.1) for right weak handgrip. In this study, weak handgrip did not predict increased risk of musculoskeletal injuries/accidents.