Natural course of nontraumatic rotator cuff tendinitis and shoulder symptoms in a working population
| Autor: | Eira Viikari-Juntura, Z. Joyce Fan, Barbara Silverstein, Caroline K. Smith, Dave K. Bonauto, Stephen Bao |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male Washington Shoulder medicine.medical_specialty Asymptomatic Occupational medicine Rotator Cuff Tendinitis Surveys and Questionnaires Prevalence medicine Humans Rotator cuff Prospective Studies Prospective cohort study business.industry Incidence Incidence (epidemiology) Public Health Environmental and Occupational Health Middle Aged medicine.disease Health Surveys Confidence interval Occupational Diseases medicine.anatomical_structure Tendinopathy Physical therapy Female Shoulder Injuries medicine.symptom business Psychosocial |
| Zdroj: | Scandinavian Journal of Work, Environment & Health. 32:99-108 |
| ISSN: | 1795-990X 0355-3140 |
| DOI: | 10.5271/sjweh.985 |
| Popis: | Objectives This study assessed the prevalence, incidence, and persistence of nontraumatic rotator cuff tendinitis and shoulder symptoms over a 1-year period in a working population and the predictive value of symptoms and physical findings. Methods A 1-year prospective study of 436 active workers was conducted at 12 different worksites. Detailed health interviews, psychosocial questionnaires, and physical examinations were conducted at baseline and again after 1 year, with shorter evaluations at 4 and 8 months. Individual observed exposure assessment of shoulder posture, arm–hand activity, and hand forces was conducted. Results The prevalence of rotator cuff tendinitis at baseline was 7.6% [95% confidence interval (95% CI 5.1–10.1%)] for the right and 4.8% (95% CI 3.0–7.0%) for the left, compared with shoulder symptoms of 18.6% (95% CI 14.9–22.3%) (right) and 11.2% (95% CI 8.2–14.2%) (left). The incidence of rotator cuff tendinitis was 5.5% (95% CI 2.8–6.8%) and 2.9% (95% CI 1.0–3.8%), respectively. Higher proportions of participants with current symptoms or physical findings at baseline became clinical cases after 1 year than those without symptoms or findings. The 1-year persistence of clinical case status was 31.3% (95% CI 26.9–35.7%) (right) and 31.6% (95% CI 27.2–36.0%) (left). There were significant differences at baseline between the asymptomatic participants and the clinical cases with respect to physical health on the 12-item Short-form Health Survey (P=0.0002), the perception of general health (P=0.0027), and the frequency of high hand force exposure (P=0.0177). Conclusions Considerable movement occurs between different stages of shoulder problems. Symptoms and physical findings alone appear to predict clinical case status within 1 year. Frequent follow-up is necessary to capture changes in health and exposure status in prospective studies. |
| Databáze: | OpenAIRE |
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