Risk factors for foot and ankle disorders among assembly plant workers
| Autor: | W. Monroe Keyserling, Anne G. Hartigan, Robert A. Werner, Neal Wiggermann, Nancy Gell |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty Cross-sectional study Physical examination Sitting Young Adult Musculoskeletal disorder Risk Factors Occupational Exposure Surveys and Questionnaires Odds Ratio medicine Humans Ankle Injuries Risk factor Foot Injuries Ankle pain Aged medicine.diagnostic_test business.industry Public Health Environmental and Occupational Health Middle Aged medicine.disease Arthralgia United States Biomechanical Phenomena Occupational Diseases Cross-Sectional Studies Logistic Models medicine.anatomical_structure Multivariate Analysis Physical therapy Female Ergonomics Ankle business Foot (unit) |
| Zdroj: | American Journal of Industrial Medicine. 53:1233-1239 |
| ISSN: | 0271-3586 |
| DOI: | 10.1002/ajim.20898 |
| Popis: | Background Jobs that necessitate prolonged standing and walking activities are commonly associated with worker's complaints of foot and ankle pain. The objective of this study was to determine the relative contributions of work activity (time spent standing, walking, or sitting), floor surface characteristics, weight, BMI, age, foot biomechanics, and other demographic and medical history factors to the prevalence of foot and ankle disorders. Methods A cross-sectional observational study design was used to evaluate employees of an engine manufacturing plant. The main outcome variable was foot or ankle disorders defined by pain and a positive physical examination. The independent variables included baseline demographics, medical history, ergonomic exposures, psychosocial factors, shoe characteristics and foot biomechanics. Results Twenty-four percent of the cohort met the case definition of foot/ankle disorder with 10% defined as new cases. Fifty-two percent had symptoms of foot/ankle. An increased risk of presenting with foot/ankle disorders was associated with high metatarsal pressure on gait assessment, increased time spent walking, female gender, reported high job dissatisfaction, a history of rheumatoid arthritis, osteoporosis or vascular disorder. For the truck/forklift drivers, an increased number of times getting in and out of the vehicle was associated with a higher prevalence of ankle/foot problems. Conclusions An increased risk is associated with higher metatarsal pressure and increased time spent walking. These findings suggest several options for primary and secondary prevention strategies. The use of shoe orthoses with a medial longitudinal arch and metatarsal pad as well as including optional sit/stand workstations may be helpful. Am. J. Ind. Med. 53:1233–1239, 2010. © 2010 Wiley-Liss, Inc. |
| Databáze: | OpenAIRE |
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