| Popis: |
Objective To examine the association between work-related physical risk factors and clinically assessed specific soft tissue shoulder disorders like supraspinatus tendinitis and impingement. Methods Medline and Embase were searched from 2009 until 24 march 2016 and references were added of a systematic review on this topic describing studies published before 2009. Case-control and cohort studies were included if the soft tissue shoulder disorder was clinically assessed. Meta-analyses and GRADE were performed to assess the evidence and quality for the studies on work-related risk factors. Results In total seven longitudinal studies including 16 710 patients with specific soft tissue shoulder disorders from a population of 2,427,535 workers from Denmark, Finland, France, Germany and Poland were included in the meta-analysis. Moderate to high evidence was found for associations between arm-hand elevation (OR=2.10, 95% CI 2.01–2.20), arm repetition (OR=1.69, 95% CI 1.03–2.78), hand force exertion (OR=1.57, 95% CI 1.27–1.93), shoulder load (OR=2.01, 95% CI 1.90–2.12) and low evidence for hand-arm vibrations (OR=1.34, 95% CI 1.01–1.77). Conclusions Arm-hand elevation, arm repetition, hand force exertion and/or hand-arm vibration during work, increase the incidence of specific soft tissue shoulder disorders. |
