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International Archives of Occupational and Environmental Health
Erschienen in:

23.03.2020 | Original Article

Dose–response association between multi-site musculoskeletal pain and work ability in physical therapists: a cross-sectional study

verfasst von: Yasmín Ezzatvar, Joaquín Calatayud, Lars L. Andersen, Jonas Vinstrup, Jorge Alarcón, José Casaña

Erschienen in: International Archives of Occupational and Environmental Health | Ausgabe 7/2020

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Abstract

Purpose

Multi-site musculoskeletal pain (MP) is common among health care professionals and is considered a threat to work ability and thereby a long and healthy working life. However, literature is scarce regarding these associations among physical therapists (PTs). This study aims to quantify the prevalence of local and multi-site MP among PTs, to investigate the associations between pain intensity and number of pain sites, respectively, with the level of work ability.

Methods

We conducted a survey among 1006 PTs about pain the previous month in different body areas and work ability. Work ability was measured using the Work Ability Index (WAI) including its seven categories. The odds of having lower level of work ability as a function of pain intensity (0–10) and multi-site pain were determined using binary logistic regression controlled for relevant confounders.

Results

The neck (36.3%) and the low back (32.3%) were the most commonly affected body areas. Furthermore, a dose–response relationship was observed between the number of pain sites and lower work ability (trend test, p < 0.001). With low pain intensity as reference, a moderate to strong association existed for lower levels of work ability in PTs who reported pain intensity of > 5 in one to two body regions (OR 2.14, 95% CI 1.27–3.60). This association was stronger when participants reported pain in three to four sites (OR 4.02, 95% CI 2.36–6.82) and even stronger when pain was experienced in five or more sites (OR 6.13, 95% CI 3.31–11.38).

Conclusions

Multi-site MP is strongly associated—in a dose–response fashion—with lower levels of work ability among PTs.
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Metadaten
Titel
Dose–response association between multi-site musculoskeletal pain and work ability in physical therapists: a cross-sectional study
verfasst von
Yasmín Ezzatvar
Joaquín Calatayud
Lars L. Andersen
Jonas Vinstrup
Jorge Alarcón
José Casaña
Publikationsdatum
23.03.2020
Verlag
Springer Berlin Heidelberg
Erschienen in
International Archives of Occupational and Environmental Health / Ausgabe 7/2020
Print ISSN: 0340-0131
Elektronische ISSN: 1432-1246
DOI
https://doi.org/10.1007/s00420-020-01533-6

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