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- Merisalu, E., et al.
(författare)
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Job specific risk factors, demographic parameters and musculoskeletal disorders among military personnel depending on type of service
- 2015
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Ingår i: Agronomy Research. - : Eesti Pollumajandusulikool. - 1406-894X. ; 13:3, s. 775-785
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Tidskriftsartikel (refereegranskat)abstract
- Current study aimed to analyse the prevalence of job specific risk factors (JSRF) and musculoskeletal disorders (MSDs) among military personnel depending on demographic factors and type of service. An anonymous questionnaire study was carried out in five departments of Estonian Defence Forces (EDF) among local service personnel (LSP) and the Peace Corp personnel (PCP) arrived back from mission. The average response rate was 38.7% (LSP 31.9% and PCP 77.6%). In LSP group there were 44.7% male participants, with mean age 39.2 ± 11 years, length of service in present position 5.8 ± 4.9 years and work load of 37.9 ± 8.4 hours per week. In PCP group 97.4% were males, with mean age 27.5 ± 5.7 years, service length on present position 3.1 ± 2.6 years and work load of 84.3 ± 60.9 hours per week. The dominant JSRF in LSP was 'demand for constant concentration' (76.5%) and night work (57%) in PCP (group difference p < 0.0001). 'Fast movements' and 'lifting loads >40 kg' were the specific tasks most often reported in mission. 'Job insecurity' was more often reported by the female; 'night work' and 'work-rest disbalance' by the male military personnel (p< 0.001).The prevalence of MSDs was higher among women and LSP than in men and PCP group (p< 0.05). In LSP mild to moderate discomfort reported by 2/3 because of neck-shoulder strain and by ½ because of lower back pain. In conclusion, MSDs seems to depend more on demographic parameters and type of service than JSRFs. Further studies are needed to focus on predictive factors of MSDs among military personnel.
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- Ntani, G., et al.
(författare)
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Patterns of change of multisite pain over 1 year of follow-up and related risk factors
- 2022
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Ingår i: European Journal of Pain. - : Wiley. - 1090-3801 .- 1532-2149. ; 26:7, s. 1499-1509
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Tidskriftsartikel (refereegranskat)abstract
- Background Multisite musculoskeletal pain is common and disabling. This study aimed to prospectively investigate the distribution of musculoskeletal pain anatomically, and explore risk factors for increases/reductions in the number of painful sites. Methods Using data from participants working in 45 occupational groups in 18 countries, we explored changes in reporting pain at 10 anatomical sites on two occasions 14 months apart. We used descriptive statistics to explore consistency over time in the number of painful sites, and their anatomical distribution. Baseline risk factors for increases/reductions by >= 3 painful sites were explored by random intercept logistic regression that adjusted for baseline number of painful sites. Results Among 8927 workers, only 20% reported no pain at either time point, and 16% reported >= 3 painful sites both times. After 14 months, the anatomical distribution of pain often changed but there was only an average increase of 0.17 painful sites. Some 14% workers reported a change in painful sites by >= 3. Risk factors for an increase of >= 3 painful sites included female sex, lower educational attainment, having a physically demanding job and adverse beliefs about the work-relatedness of musculoskeletal pain. Also predictives were as follows: older age, somatizing tendency and poorer mental health (each of which was also associated with lower odds of reductions of >= 3 painful sites). Conclusions Longitudinally, the number of reported painful sites was relatively stable but the anatomical distribution varied considerably. These findings suggest an important role for central pain sensitization mechanisms, rather than localized risk factors, among working adults. Significance Our findings indicate that within individuals, the number of painful sites is fairly constant over time, but the anatomical distribution varies, supporting the theory that among people at work, musculoskeletal pain is driven more by factors that predispose to experiencing or reporting pain rather than by localized stressors specific to only one or two anatomical sites.
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