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Work above shoulder level and shoulder complaints: a systematic review.

ABSTRACT: OBJECTIVE:To investigate the association and the exposure-response relationship between work above shoulder height and shoulder pain or disorders. METHODS:A systematic search was performed in Medline, Embase, and Health and Safety Science Abstracts. Included were articles with prospective cohort, case-control, cross-sectional, or intervention study designs. Quality assessment was based on an evaluation scheme adjusted to study design and normalized to 100%. The cut-off for sufficient quality to include articles was above 40% and cut-off for high-quality articles was above 50% of maximal score. The level of strength of evidence for an association between exposure and effect was assessed according to the GRADE guidelines. RESULTS:Thirty-four articles were included. Articles that document large effects (higher risk estimates; OR???2) have higher quality score, include analyses of severe arm elevation, more often use clinical outcome, and report an exposure-response relationship compared to studies reporting lower risk estimates. The studies that reported large effects were all significant. An exposure-response relationship was found in many high-quality studies when relating exposure intensity of arm elevation (level of arm elevation, amplitude) as well as duration of arm elevation, especially?>?90°. CONCLUSION:We conclude on a limited evidence for an association between arm elevation at work and shoulder disorders. Severe arm elevation with elbows above shoulder level (i.e.,?>?90°) shows a moderate evidence for an association with shoulder disorders.

SUBMITTER: Wærsted M

PROVIDER: S-EPMC7519900 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature

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Work above shoulder level and shoulder complaints: a systematic review.

Wærsted Morten M Koch Markus M Veiersted Kaj Bo KB

International archives of occupational and environmental health 20200622 8

<h4>Objective</h4>To investigate the association and the exposure-response relationship between work above shoulder height and shoulder pain or disorders.<h4>Methods</h4>A systematic search was performed in Medline, Embase, and Health and Safety Science Abstracts. Included were articles with prospective cohort, case-control, cross-sectional, or intervention study designs. Quality assessment was based on an evaluation scheme adjusted to study design and normalized to 100%. The cut-off for suffici ...[more]

PMID: 32572582

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Work above shoulder level and shoulder complaints: a systematic review.

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Work above shoulder level and shoulder complaints: a systematic review.

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