Safety and Health at Work

Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency (산업안전보건연구원)
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Association between Upper Extremity Musculoskeletal Disorders and Psychosocial Factors at Work: A Review on the Job DCS Model's Perspective

  • Park, Jung-Keun (Center for Occupational Disease Research, Occupational Safety and Health Research Institute, KOSHA) ;
  • Jang, Seung-Hee (Center for Occupational Disease Research, Occupational Safety and Health Research Institute, KOSHA)
  • Received : 2010.05.18
  • Accepted : 2010.07.29
  • Published : 2010.09.30
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Abstract

Over years it has been increasingly concerned with how upper extremity musculoskeletal disorders (UEMSDs) are attributed to psychosocial job stressors. A review study was conducted to examine associations between UEMSDs and psychosocial work factors, and to recommend what to consider for the associations. For studies in which the job demand-control-support (DCS) model or its variables were specifically employed, published papers were selected and reviewed. A number of studies have reported relationships between UEMSDs symptoms and psychosocial exposure variables. For example, the findings are: higher numbness in the upper extremity was significantly attributed to by less decision latitude at work; work demands were significantly associated with neck and shoulder symptoms while control over time was associated with neck symptoms; and the combination of high psychosocial demands and low decision latitude was a significant predictor for shoulder and neck pain in a female working population. Sources of bias, such as interaction or study design, were discussed. UEMSDs were shown to be associated with psychosocial work factors in various studies where the job DCS model was addressed. Nonetheless, this review suggests that further studies should be conducted to much more clarify the association between UEMSDs and psychosocial factors.

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References

  1. Niu S. Ergonomics and occupational safety and health: anILO perspective [CD-ROM]. In: Proceedings of the 17thWorld Congress on Ergonomics; 2009 Aug 9–14; Beijing,China. Taiwan: International Ergonomics Association; 2009.
  2. Park JK, Kim KS, Kim JY, Kim JY. Effects of factors on lowback pain symptoms in Korean hospital workers [CD-ROM].In: Proceedings of the 17th World Congress on Ergonomics;2009 Aug 9-14; Beijing, China. Taiwan: InternationalErgonomics Association; 2009.
  3. Kim YC, Lee KS, Chang SR, Choi EJ, Hong CW. Economicanalysis of work-related musculoskeletal disorders in Korea[CD-ROM]. In: Proceedings of the 15th World Congress onErgonomics; 2003 Jul; Seoul, Korea. Taiwan: InternationalErgonomics Association; 2003.
  4. Bongers PM, Kremer AM, ter Laak J. Are psychosocialfactors, risk factors for symptoms and signs of the shoulder,elbow, or hand/wrist? A review of the epidemiologicalliterature. Am J Ind Med 2002;41:315-42. https://doi.org/10.1002/ajim.10050
  5. Bongers PM, de Winter CR, Kompier MA, Hildebrandt VH.Psychosocial factors at work and musculoskeletal disease.Scand J Work Environ Health 1993;19:297-312. https://doi.org/10.5271/sjweh.1470
  6. Bernard BP, Putz-Anderson V. Musculoskeletal disorders andworkplace factors: a critical review of epidemiologic evidencefor work-related musculoskeletal disorders of the neck, upperextremity, and low back. Cincinnati (OH): Department ofHealth and Human Services, Public Health Service, Centersfor Disease Control, National Institute for OccupationalSafety and Health; 1997.
  7. Brogmus GE, Sorock GS, Webster BS. Recent trends in work-relatedcumulative trauma disorders of the upper extremitiesin the United States: an evaluation of possible reasons. JOccup Environ Med 1996;38:401-11. https://doi.org/10.1097/00043764-199604000-00019
  8. Park JK, Kim DS, Seo KB. Musculoskeletal disorder symptom features and control strategies in hospital workers. J Ergon Soc Korea 2008;27:81-92. https://doi.org/10.5143/JESK.2008.27.3.081
  9. Westgaard RH. Work-related musculoskeletal complaints:some ergonomics challenges upon the start of a new century.Appl Ergon 2000;31:569-80. https://doi.org/10.1016/S0003-6870(00)00036-3
  10. Johansson JA, Kadefors R, Rubenowitz S, KlingenstiernaU, Lindstrom I, Engstrom T, Johansson M. Musculoskeletalsymptoms, ergonomic aspects and psychosocial factors in twodifferent truck assembly concepts. Int J Ind Ergon 1993;12:35-48. https://doi.org/10.1016/0169-8141(93)90036-D
  11. Karasek RA Jr. Job demands, job decision latitude, andmental strain: implications for job redesign. Adm Sci Q1979;24:285-308. https://doi.org/10.2307/2392498
  12. Karasek R, Baker D, Marxer F, Ahlbom A, Theorell T. Jobdecision latitude, job demands, and cardiovascular disease:a prospective study of Swedish men. Am J Public Health1981;71:694-705. https://doi.org/10.2105/AJPH.71.7.694
  13. Karasek R, Theorell T. Healthy work: stress, productivity, andthe reconstruction of working life. New York (NY): BasicBooks; 1990. 381 p.
  14. Kristensen TS. The demand-control-support model:methodological challenges for future research. Stress Med1995;11:17-26. https://doi.org/10.1002/smi.2460110104
  15. Faucett J, Rempel D. VDT-related musculoskeletal symptoms:interactions between work posture and psychosocial workfactors. Am J Ind Med 1994;26:597-612. https://doi.org/10.1002/ajim.4700260503
  16. Skov T, Borg V, Orhede E. Psychosocial and physical riskfactors for musculoskeletal disorders of the neck, shoulders,and lower back in salespeople. Occup Environ Med1996;53:351-6. https://doi.org/10.1136/oem.53.5.351
  17. Toomingas A, Theorell T, Michélsen H, Nordemar R. Associations between self-rated psychosocial work conditionsand musculoskeletal symptoms and signs. Stockholm MUSICI Study Group. Scand J Work Environ Health 1997;23:130-9. https://doi.org/10.5271/sjweh.190
  18. MacDonald LA, Karasek RA, Punnett L, Scharf T.Covariation between workplace physical and psychosocialstressors: evidence and implications for occupational healthresearch and prevention. Ergonomics 2001;44:696-718. https://doi.org/10.1080/00140130119943
  19. Ostergren PO, Hanson BS, Balogh I, Ektor-Andersen J,Isacsson A, Orbaek P, Winkel J, Isacsson SO; MalmoShoulder Neck Study Group. Incidence of shoulder and neckpain in a working population: effect modification betweenmechanical and psychosocial exposures at work? Results froma one year follow up of the Malmo shoulder and neck studycohort. J Epidemiol Community Health 2005;59:721-8. https://doi.org/10.1136/jech.2005.034801
  20. DiNardi SR. The occupational environment: its evaluationand control. Fairfax (VA): American Industrial HygieneAssociation Press; 1997. 1365 p.
  21. Lundberg U. Psychophysiology of work: stress, gender,endocrine response, and work-related upper extremitydisorders. Am J Ind Med 2002;41:383-92. https://doi.org/10.1002/ajim.10038
  22. Kuorinka I, Forcier L, Hagberg M, Silverstein B, Wells R,Smith M, Hendrick HW, Carayon P, Perusse M. Work relatedmusculoskeletal disorders (WMSDs): a reference book forprevention. London (UK): Taylor and Francis; 1995. 421 p.
  23. Sim J, Lacey RJ, Lewis M. The impact of workplace riskfactors on the occurrence of neck and upper limb pain: ageneral population study. BMC Public Health 2006;6:234. https://doi.org/10.1186/1471-2458-6-234
  24. Warming S, Precht DH, Suadicani P, Ebbehoj NE.Musculoskeletal complaints among nurses related to patienthandling tasks and psychosocial factors: based on logbookregistrations. Appl Ergon 2009;40:569-76. https://doi.org/10.1016/j.apergo.2008.04.021
  25. Healthy work: challenges and opportunities to 2030 [Internet].London (UK): Bupa. 2009 – [2010 Feb 10]. Available from:http://www.bupa.com/jahia/webdav/site/bupacom/shared/Documents/PDFs/our-commitment/publication/health-at-work-report.pdf.
  26. Jaworek M, Marek T, Karwowski W, Andrzejczak C, GenaidyAM. Burnout syndrome as a mediator for the effect of work-relatedfactors on musculoskeletal complaints among hospitalnurses. Int J Ind Ergon 2010;40:368-75. https://doi.org/10.1016/j.ergon.2010.01.006

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