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European Journal of Applied Physiology

Erschienen in:

01.01.2006 | Original Article

Clinical signs and physical function in neck and upper extremities among elderly female computer users: the NEW study

verfasst von: B. Juul-Kristensen, R. Kadefors, K. Hansen, P. Byström, L. Sandsjö, G. Sjøgaard

Erschienen in: European Journal of Applied Physiology | Ausgabe 2/2006

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Abstract

The aim of the study was to present the prevalence of clinical signs and symptoms among female computer users above 45 years, both in a group with self-reported neck/shoulder trouble (NS cases) and in a group without such trouble (NS controls). The hypothesis was that computer users with self-reported neck/shoulder trouble have more clinical findings than those not reporting trouble, and that a corresponding pattern holds true for physical function. In total 42 and 61 questionnaire-defined NS cases and NS controls participated and went through a clinical examination of the neck and upper extremities and five physical function tests: maximal voluntary contraction (MVC) of shoulder elevation, abduction, and handgrip, as well as endurance at 30% MVC shoulder elevation and a physical performance test. Based on clinical signs and symptoms, trapezius myalgia (38%), tension neck syndrome (17%) and cervicalgia (17%) were the most frequent diagnoses among NS cases, and were significantly more frequent among NS cases than NS controls. A total of 60% of the subjects with reported trouble had one or several of the diagnoses located in the neck/shoulder. Physical function of the shoulder was lower in subjects with self-reported trouble as well as in the subgroup of NS cases with clinical diagnoses. In conclusion, the present clinical diagnoses and physical function tests differed between NS cases and NS controls, and are therefore recommended to be included as quantitative objective measures in assessing musculoskeletal health. Physical function tests should be further developed in order to be able to detect pre-stages of work-related disorders for preventive strategies.

Andersen JH, Kaergaard A, Frost P, Thomsen JF, Bonde JP, Fallentin N, Borg V, Mikkelsen S (2002) Physical, psychsocial, and individual risk factors for neck/shoulder pain with pressure tenderness in the muscles among workers performing monotonous, repetitive work. Spine 27:660–667CrossRefPubMed

Andersen JH, Thomsen JF, Overgaard E, Lassen CF, Brandt L, Vilstrup I, Kryger A, Mikkelsen S (2003) Computer use and carpal tunnel syndrome—a 1-year follow-up study. JAMA 289:2963–2969CrossRefPubMed

Bäckman E, Johansson V, Häger B, Sjöblom P, Henriksson KG (1995) Isometric muscle strength and muscular endurance in normal persons aged between 17 and 70 years. Scand J Rehabil Med 27:109–117PubMed

Bernard B (1997) Musculoskeletal disorders and workplace factors: A critical review of epidemiologic evidence for work-related musculoskeletal disorders of the neck, upper extremity, and low back. Department of Health and Human Services, NIOSH, Cincinnati, USA

Blangsted AK, Hansen K, Jensen C (2003) Muscle activity during computer-based office work in relation to self-reported job demands and gender. Eur J Appl Physiol 89:352–358PubMedCrossRef

Borg G (1970) Perceived exertion as an indicator of somatic stress. Scand J Rehabil Med 2:92–98PubMed

Borg G (1990) Psychophysical scaling with applications in physical work and the perception of exertion. Scand J Work Environ Health 16[Suppl 1]:55–58

Essendrop M, Schibye B, Hansen K (2001) Reliability of isometric muscle strength tests for the trunk, hands and shoulders. Int J Ind Ergon 28:379–387CrossRef

Friedman PJ (1998) Isokinetic peak torque in women with unilateral cumulative trauma disorders and healthy control subjects. Arch Phys Med Rehabil 79:816–819PubMedCrossRef

Frost P, Andersen JH (1999) Shoulder impingement syndrome in relation to shoulder intensive work. Occup Environ Med 56:494–498PubMed

Gerr F, Marcus M, Ensor C, Kleinbaum D, Cohen S, Edwards A, Gentry E, Ortiz DJ, Monteilh C (2002) A prospective study of computer users: I. Study design and incidence of musculoskeletal symptoms and disorders. Am J Ind Med 41:221-235CrossRefPubMed

Hagberg M, Wegman DH (1987) Prevalence rates and odds ratios of shoulder-neck diseases in different occupational groups. Br J Ind Med 44:602–610PubMed

Hansson G-Å, Strömberg U, Larsson B, Ohlsson K, Balogh I, Moritz U (1992) Electromyographic fatigue in neck/shoulder muscles and endurance in women with repetitive work. Ergonomics 35:1341–1352PubMedCrossRef

Henriksson KG, Bäckman E, Henriksson C, de Laval JH (1996) Chronic regional muscular pain in women with precise manipulation work. Scand J Rheumatol 25:213–223PubMedCrossRef

Jensen C (2003) Development of neck and hand-wrist symptoms in relation to duration of computer use at work. Scand J Work Environ Health 29:197–205PubMed

Jensen C, Vasseljen O, Westgaard RH (1993) The influence of electrode position on bipolar surface electromyogram recordings of the upper trapezius muscle. Eur J Appl Physiol 67:266–273CrossRefPubMed

Karlqvist L, Wigaeus Tornqvist E, Hagberg M, Hagman M, Toomingas A (2003) Self-reported working conditions of VDU operators and associations with musculoskeletal symptoms: a cross-sectional study focussing on gender differences. Int J Ind Ergon 30:277–294CrossRef

Kilbom Å (1988) Isometric strength and occupational muscle disorders. Eur J Appl Physiol 57:322–326CrossRef

Kramer JF, Potter P, Harburn KL, Speechley M, Rollman GB (2001) An upper body musculoskeletal assessment instrument for patients with work-related musculoskeletal disorders: a pilot study. J Hand Ther 14:115–121PubMed

Kryger A, Andersen JH, Lassen CF, Brandt L, Vilstrup I, Overgaard E, Thomsen JF, Mikkelsen S (2003) Does computer use pose an occupational hazard for forearm pain; from the NUDATA study. Occup Environ Med 60:e14CrossRefPubMed

Kuorinka I, Jonsson B, Kilbom Å, Vinterberg H, Biering-Sørensen F, Andersson G, Jørgensen K (1987) Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon 18:233–237CrossRefPubMed

Larsson B, Björk J, Elert J, Gerdle B (2000a) Mechanical performance and electromyography during repeated maximal isokinetic shoulder forward flexions in female cleaners with and without myalgia of the trapezius muscle and in healthy controls. Eur J Appl Physiol 83:257–267PubMedCrossRef

Larsson B, Björk J, Henriksson K-G, Gerdle B, Lindman R (2000b) The prevalences of cytochrome c oxidase negative and superpositive fibres and ragged-red fibres in the trapezius muscle of female cleaners with and without myalgia and of female healthy controls. Pain 84:379–387PubMedCrossRef

Lindegård A, Wahlström J, Hagberg M, Hansson G-Å, Jonsson P, Wigaeus Tornqvist E (2003) The impact of working technique on physical loads—an exposure profile among newspaper editors. Ergonomics 46:598–615PubMedCrossRef

Ljungquist T, Harms-Ringdahl K (1999) Intra- and inter-rater reliability of an 11-test package for assessing dysfunction due to back or neck pain. Physiother Res Int 4:214–232PubMedCrossRef

Ljungquist T, Fransson B, Harms-Ringdahl K, Björnham Å, Nygren Å (1999) A physiotherapy test package for assessing back and neck dysfunction—discriminative ability for patients versus healthy control subjects. Physiother Res Int 4:123–140PubMedCrossRef

Ljungquist T, Jensen IB, Nygren Å, Harms-Ringdahl K (2003) Physical performance tests for people with long-term spinal pain—aspects of construct validity. J Rehabil Med 35:69–75CrossRefPubMed

Lund JP, Donga R, Widmer CG, Stohler CS (1991) The pain-adaptation model: a discussion of the relationship between chronic musculoskeletal pain and motor activity. Can J Physiol Pharmacol 69:683–694PubMed

Mathiassen SE (1993) Variation in shoulder-neck activity. Physiological, psychophysical and methodological studies of isometric exercise and light assembly work. Arbete och Hälsa 7:1–106

Mayer TG, Barnes D, Kishino ND, Nichols G, Gatchel RJ, Mayer H, Mooney V (1988) Progressive isoinertial lifting evaluation I. A standardized protocol and normative database. Spine 13(9):993–1002PubMedCrossRef

Nordander C, Ohlsson K, Balogh I, Rylander L, Pålsson B, Skerfving S (1999) Fish processing work: the impact of two sex dependent exposure profiles on musculoskeletal health. Occup Environ Med 56:256–264PubMedCrossRef

Ohlsson K, Attewell RG, Johnsson B, Ahlm A, Skerfving S (1994a) An assessment of neck and upper extremity disorders by questionnaire and clinical examination. Ergonomics 37:891–897PubMedCrossRef

Ohlsson K, Hansson G-Å, Balogh I, Strömberg U, Pålsson B, Nordander C, Rylander L, Skerfving S (1994b) Disorders of the neck and upper limbs in women in the fish processing industry. Occup Environ Med 51:826–832PubMed

Palmer K, Walker-Bone K, Linaker C, Reading I, Kellingray S, Coggon D, Cooper C (2000) The Southampton examination schedule for the diagnosis of musculoskeletal disorders of the upper limb. Ann Rheum Dis 59:5–11CrossRefPubMed

Palmer K, Cooper C, Walker-Bone K, Syddall H, Coggon D (2001) Use of keyboards and symptoms in the neck and arm: evidence from a national survey. Occup Med 51:392–395CrossRef

Plagenhoef S (1971) Patterns of human motion. Prentice-Hall, New Jersey

Punnett L, Bergqvist U (1997) National Institute for Working Life—ergonomic expert committee document no 1. Visual display unit work and upper extremity musculoskeletal disorders. A review of epidemiological findings. Arbete och Hälsa 16:1–161

Punnett L, Wegman DH (2004) Work-related musculoskeletal disorders: the epidemiologic evidence and the debate. J Electromyogr Kinesiol 14:13–23CrossRefPubMed

Ranney D, Wells R, Moore A (1995) Upper limb musculoskeletal disorders in highly repetitive industries: precise anatomical physical findings. Ergonomics 38:1408–1423PubMedCrossRef

Rohmert W (1960) Ermittlung von erholungspausen für statische arbeit des menschen. Int Z Angew Physiol 18:123–164CrossRefPubMed

Salerno DF, Franzblau A, Werner RA, Chung KC, Schultz JS, Becker MP, Armstrong TJ (2000) Reliability of physical examination of the upper extremity among keyboard operators. Am J Ind Med 37:423–430CrossRefPubMed

Sjøgaard G, Søgaard K, Hermens H, Sandsjo L, Läubli T, Thorn S, Vollenbroek-Hutten MM, Sell L, Christensen H, Klipstein A, Kadefors R, Merletti R (2004) Neuromuscular assessment in elderly workers from four EU countries with and without work related musculoskeletal disoders. The NEW study design and physiological findings. Eur J Appl Physiol (in press)

Søgaard K, Fallentin N, Nielsen J (1996) Work load during floor cleaning. The effect of cleaning methods and work technique. Eur J Appl Physiol 73:73–81CrossRef

Stål M, Moritz U, Johnson B, Pinzke S (1997) The natural course of musculoskeletal symptoms and clinical findings in upper extremities of female milkers. Int J Occup Environ Health 3:190–197PubMed

Toomingas A, Nilsson T, Hagberg M, Lundström R (1999) Predictive aspects of the abduction external rotation test among male industrial and office workers. Am J Ind Med 35:32–42CrossRefPubMed

Viikari-Juntura E (1983) Neck and upper limb disorders among slaughterhouse workers. An epidemiologic and clinical study. Scand J Work Environ Health 9:283–290PubMed

Viikari-Juntura E, Takala E-P, Alaranta H (1988) Neck and shoulder pain and disability—evaluation by repetitive gripping test. Scand J Work Environ Health 20:167–173

Viikari-Juntura E, Takala E-P, Riihimäki H, Martikainen R, Jäppinen P (2000) Predictive validity of symptoms and signs in the neck and shoulders. J Clin Epidemiol 53:800–808CrossRefPubMed

Wahlström J, Svensson J, Hagberg M, Johnson PW (2000) Differences between work methods and gender in computer mouse use. Scand J Work Environ Health 25:390–397

Wolfe F, Smythe HA, Yunus MB, Bennett RM, Bombardier C, Goldenberg DL, Tugwell P, Campbell SM, Abeles M, Clark P, Fam AG, Farber SJ, Fiechtner JJ, Franklin CM, Gatter RA, Hamaty D, Lessard J, Lichtbroun AS, Masi AT, McCain GA, Reynolds WJ, Romano TJ, Russell IJ, Sheon RP (1990) The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. Report of the Multicenter Criteria Committee. Arthritis Rheum 33:160–172PubMedCrossRef

Zetterberg C, Forsberg A, Hansson E, Nielsen P, Inge G, Olsson B-M (1997) Neck and upper extremity problems in car assembly workers. A comparison of subjective complaints, work satisfaction, physical examination and gender. Int J Ind Ergon 19:227–289CrossRef

Titel: Clinical signs and physical function in neck and upper extremities among elderly female computer users: the NEW study
verfasst von: B. Juul-Kristensen
R. Kadefors
K. Hansen
P. Byström
L. Sandsjö
G. Sjøgaard
Publikationsdatum: 01.01.2006
Verlag: Springer-Verlag
Erschienen in: European Journal of Applied Physiology / Ausgabe 2/2006
Print ISSN: 1439-6319
Elektronische ISSN: 1439-6327
DOI: https://doi.org/10.1007/s00421-004-1220-4

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