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Quantitative Measures of Physical Risk Factors Associated with Work-Related Musculoskeletal Disorders of the Elbow: A Systematic Review

Author

Listed:
  • David H. Seidel

    (University Hospital Tuebingen, Institute of Occupational and Social Medicine and Health Services Research (IASV), 72074 Tuebingen, Germany
    Institute for Occupational Safety and Health of the German Social Accident Insurance (IFA), Unit Ergonomics, Referat Ergonomie, 53757 Sankt Augustin, Germany)

  • Dirk M. Ditchen

    (Institute for Occupational Safety and Health of the German Social Accident Insurance (IFA), Unit Ergonomics, Referat Ergonomie, 53757 Sankt Augustin, Germany)

  • Ulrike M. Hoehne-Hückstädt

    (Institute for Occupational Safety and Health of the German Social Accident Insurance (IFA), Unit Ergonomics, Referat Ergonomie, 53757 Sankt Augustin, Germany)

  • Monika A. Rieger

    (University Hospital Tuebingen, Institute of Occupational and Social Medicine and Health Services Research (IASV), 72074 Tuebingen, Germany)

  • Benjamin Steinhilber

    (University Hospital Tuebingen, Institute of Occupational and Social Medicine and Health Services Research (IASV), 72074 Tuebingen, Germany)

Abstract

Background: Work-related musculoskeletal disorders at the elbow are a common health problem, which highly impacts workers’ well-being and performance. Besides existing qualitative information, there is a clear lack of quantitative information of physical risk factors associated with specific disorders at the elbow (SDEs). Objective: To provide evidence-based quantitative measures of physical risk factors associated with SDEs. Methods: Studies were searched from 2007 to 2017 in Medline, EMBASE, and Cochrane Work. The identified risk factors were grouped in main- and sub-categories of exposure using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) framework for rating evidence. Results: 133 different risk-factor specifications were identified in 10/524 articles and were grouped into 5 main- and 16 sub-categories of exposure. The risk factors were significantly associated with lateral epicondylitis, medial epicondylitis, or ulnar neuropathy. Significant risk factors such as wrist angular velocity (5°/s, with increasing prevalence ratio of 0.10%/(°/s), or forearm supination (≥45° and ≥5% of time combined with forceful lifting) were found. Conclusions: This review delivers a categorization of work-related physical risk-factor specifications for SDEs with a special focus on quantitative measures, ranked for evidence. These results may build the base for developing risk assessment methods and prospective preventive measures.

Suggested Citation

  • David H. Seidel & Dirk M. Ditchen & Ulrike M. Hoehne-Hückstädt & Monika A. Rieger & Benjamin Steinhilber, 2019. "Quantitative Measures of Physical Risk Factors Associated with Work-Related Musculoskeletal Disorders of the Elbow: A Systematic Review," IJERPH, MDPI, vol. 16(1), pages 1-23, January.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:1:p:130-:d:195187
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    Cited by:

    1. Dora Janela & Fabíola Costa & Maria Molinos & Robert G. Moulder & Jorge Lains & Virgílio Bento & Justin K. Scheer & Vijay Yanamadala & Steven P. Cohen & Fernando Dias Correia, 2022. "Digital Rehabilitation for Elbow Pain Musculoskeletal Conditions: A Prospective Longitudinal Cohort Study," IJERPH, MDPI, vol. 19(15), pages 1-16, July.
    2. P. Paul F. M. Kuijer & Joris van der Pas & Henk F. van der Molen, 2020. "Work Disabling Nerve Injury at Both Elbows Due to Laptop Use at Flexible Workplaces inside an Office: Case-Report of a Bilateral Ulnar Neuropathy," IJERPH, MDPI, vol. 17(24), pages 1-8, December.

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