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Predictors for Clinical Outcomes Related to Upper Extremity Musculoskeletal Disorders in a Healthy Working Population

Author

Listed:
  • Oliver Lotter

    (Department of Plastic, Aesthetic, Hand and Reconstructive Surgery, Academic District Hospital, Zeppelinstrasse 21, 78532 Tuttlingen, Germany)

  • Tobias Lieb

    (Office for Occupational and Hand Therapy, Neuhauser Strasse 85, 78532 Tuttlingen, Germany)

  • Jochen Molsner

    (IAS-Group for Occupational Health Management, Koenigstrasse 6, 78532 Tuttlingen, Germany)

  • Viktor Breul

    (Department of Medical Scientific Affairs, Aesculap AG, Am Aesculap Platz, 78532 Tuttlingen, Germany)

Abstract

A wide range of endpoints and methods of analysis can be observed in occupational health studies in the context of work-related musculoskeletal disorders (WMSDs). Comparison of study results is therefore difficult. We investigated the association between different clinical endpoints and the presence of upper extremity WMSDs in a healthy working population. Furthermore, the influence of socio-demographic, work-related, and individual predictors on different endpoints was examined. Two self-administered questionnaires were distributed to 70 workers and employees. In addition, a standardized physical examination and an industry test were performed in this cross-sectional study. Correlations between WMSDs and clinical endpoints were analyzed with the Spearman method and prediction ellipses. Multiple regression models were used to study the strength of associations with a pre-defined set of potential influencing factors. The prevalence of WMSDs was 56% (39/70). Disabilities of Arm, Shoulder, and Hand (DASH) score/pain under strain showed the strongest correlations with WMSDs. When analyzing the correlation between WMSDs and pre-selected predictors, none of the predictors could be identified as a risk factor. The DASH score remains a close candidate for best surrogate endpoint for WMSDs detection. Standardized analysis methods could improve the methodological quality of future occupational health studies.

Suggested Citation

  • Oliver Lotter & Tobias Lieb & Jochen Molsner & Viktor Breul, 2021. "Predictors for Clinical Outcomes Related to Upper Extremity Musculoskeletal Disorders in a Healthy Working Population," IJERPH, MDPI, vol. 18(17), pages 1-15, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:17:p:9171-:d:626087
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    References listed on IDEAS

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    1. Valentin Amrhein & Sander Greenland & Blake McShane, 2019. "Scientists rise up against statistical significance," Nature, Nature, vol. 567(7748), pages 305-307, March.
    2. Oliver Lotter & Tobias Lieb & Viktor Breul & Jochen Molsner, 2020. "Is Repetitive Workload a Risk Factor for Upper Extremity Musculoskeletal Disorders in Surgical Device Mechanics? A Cross-Sectional Analysis," IJERPH, MDPI, vol. 17(4), pages 1-19, February.
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