Physical capacity in relation to low back, neck, or shoulder pain in a working population

H H Hamberg-van Reenen, G A M Ariëns, B M Blatter, J W R Twisk, W van Mechelen, P M Bongers

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

AIMS: To investigate the longitudinal relation between physical capacity (isokinetic lifting strength, static endurance of the back, neck, and shoulder muscles, and mobility of the spine) and low back, neck, and shoulder pain.

METHODS: In this prospective cohort study, 1789 Dutch workers participated. At baseline, isokinetic lifting strength, static endurance of the back, neck, and shoulder muscles, and mobility of the spine were measured in the pain free workers, as well as potential confounders, including physical workload. Low back, neck, and shoulder pain were self-reported annually at baseline and three times during follow up.

RESULTS: After adjustment for confounders, Poisson generalised estimation equations showed an increased risk of low back pain among workers in the lowest sex specific tertile of performance in the static back endurance tests compared to workers in the reference category (RR = 1.42; 95% CI 1.19 to 1.71), but this was not found for isokinetic trunk lifting strength or mobility of the spine. An increased risk of neck pain was shown for workers with low performance in tests of isokinetic neck/shoulder lifting strength (RR = 1.31; 95% CI 1.03 to 1.67) and static neck endurance (RR = 1.22; 95% CI 1.00 to 1.49). Among workers in the lowest tertiles of isokinetic neck/shoulder lifting strength or endurance of the shoulder muscles, no increased risk of shoulder pain was found.

CONCLUSIONS: The findings of this study suggest that low back or neck endurance were independent predictors of low back or neck pain, respectively, and that low lifting neck/shoulder strength was an independent predictor of neck pain. No association was found between lifting trunk strength, or mobility of the spine and the risk of low back pain, nor between lifting neck/shoulder strength or endurance of the shoulder muscles and the risk of shoulder pain.

Original languageEnglish
Pages (from-to)371-7
Number of pages7
JournalOccupational and Environmental Medicine
Volume63
Issue number6
DOIs
Publication statusPublished - Jun 2006

Cite this

@article{181363eff523402db16fb05d40908c04,
title = "Physical capacity in relation to low back, neck, or shoulder pain in a working population",
abstract = "AIMS: To investigate the longitudinal relation between physical capacity (isokinetic lifting strength, static endurance of the back, neck, and shoulder muscles, and mobility of the spine) and low back, neck, and shoulder pain.METHODS: In this prospective cohort study, 1789 Dutch workers participated. At baseline, isokinetic lifting strength, static endurance of the back, neck, and shoulder muscles, and mobility of the spine were measured in the pain free workers, as well as potential confounders, including physical workload. Low back, neck, and shoulder pain were self-reported annually at baseline and three times during follow up.RESULTS: After adjustment for confounders, Poisson generalised estimation equations showed an increased risk of low back pain among workers in the lowest sex specific tertile of performance in the static back endurance tests compared to workers in the reference category (RR = 1.42; 95{\%} CI 1.19 to 1.71), but this was not found for isokinetic trunk lifting strength or mobility of the spine. An increased risk of neck pain was shown for workers with low performance in tests of isokinetic neck/shoulder lifting strength (RR = 1.31; 95{\%} CI 1.03 to 1.67) and static neck endurance (RR = 1.22; 95{\%} CI 1.00 to 1.49). Among workers in the lowest tertiles of isokinetic neck/shoulder lifting strength or endurance of the shoulder muscles, no increased risk of shoulder pain was found.CONCLUSIONS: The findings of this study suggest that low back or neck endurance were independent predictors of low back or neck pain, respectively, and that low lifting neck/shoulder strength was an independent predictor of neck pain. No association was found between lifting trunk strength, or mobility of the spine and the risk of low back pain, nor between lifting neck/shoulder strength or endurance of the shoulder muscles and the risk of shoulder pain.",
keywords = "Adult, Epidemiologic Methods, Female, Humans, Lifting, Low Back Pain/physiopathology, Male, Neck Pain/physiopathology, Physical Endurance/physiology, Sex Factors, Shoulder Pain/physiopathology, Social Class",
author = "{Hamberg-van Reenen}, {H H} and Ari{\"e}ns, {G A M} and Blatter, {B M} and Twisk, {J W R} and {van Mechelen}, W and Bongers, {P M}",
year = "2006",
month = "6",
doi = "10.1136/oem.2006.026914",
language = "English",
volume = "63",
pages = "371--7",
journal = "Occupational and Environmental Medicine",
issn = "1351-0711",
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Physical capacity in relation to low back, neck, or shoulder pain in a working population. / Hamberg-van Reenen, H H; Ariëns, G A M; Blatter, B M; Twisk, J W R; van Mechelen, W; Bongers, P M.

In: Occupational and Environmental Medicine, Vol. 63, No. 6, 06.2006, p. 371-7.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Physical capacity in relation to low back, neck, or shoulder pain in a working population

AU - Hamberg-van Reenen, H H

AU - Ariëns, G A M

AU - Blatter, B M

AU - Twisk, J W R

AU - van Mechelen, W

AU - Bongers, P M

PY - 2006/6

Y1 - 2006/6

N2 - AIMS: To investigate the longitudinal relation between physical capacity (isokinetic lifting strength, static endurance of the back, neck, and shoulder muscles, and mobility of the spine) and low back, neck, and shoulder pain.METHODS: In this prospective cohort study, 1789 Dutch workers participated. At baseline, isokinetic lifting strength, static endurance of the back, neck, and shoulder muscles, and mobility of the spine were measured in the pain free workers, as well as potential confounders, including physical workload. Low back, neck, and shoulder pain were self-reported annually at baseline and three times during follow up.RESULTS: After adjustment for confounders, Poisson generalised estimation equations showed an increased risk of low back pain among workers in the lowest sex specific tertile of performance in the static back endurance tests compared to workers in the reference category (RR = 1.42; 95% CI 1.19 to 1.71), but this was not found for isokinetic trunk lifting strength or mobility of the spine. An increased risk of neck pain was shown for workers with low performance in tests of isokinetic neck/shoulder lifting strength (RR = 1.31; 95% CI 1.03 to 1.67) and static neck endurance (RR = 1.22; 95% CI 1.00 to 1.49). Among workers in the lowest tertiles of isokinetic neck/shoulder lifting strength or endurance of the shoulder muscles, no increased risk of shoulder pain was found.CONCLUSIONS: The findings of this study suggest that low back or neck endurance were independent predictors of low back or neck pain, respectively, and that low lifting neck/shoulder strength was an independent predictor of neck pain. No association was found between lifting trunk strength, or mobility of the spine and the risk of low back pain, nor between lifting neck/shoulder strength or endurance of the shoulder muscles and the risk of shoulder pain.

AB - AIMS: To investigate the longitudinal relation between physical capacity (isokinetic lifting strength, static endurance of the back, neck, and shoulder muscles, and mobility of the spine) and low back, neck, and shoulder pain.METHODS: In this prospective cohort study, 1789 Dutch workers participated. At baseline, isokinetic lifting strength, static endurance of the back, neck, and shoulder muscles, and mobility of the spine were measured in the pain free workers, as well as potential confounders, including physical workload. Low back, neck, and shoulder pain were self-reported annually at baseline and three times during follow up.RESULTS: After adjustment for confounders, Poisson generalised estimation equations showed an increased risk of low back pain among workers in the lowest sex specific tertile of performance in the static back endurance tests compared to workers in the reference category (RR = 1.42; 95% CI 1.19 to 1.71), but this was not found for isokinetic trunk lifting strength or mobility of the spine. An increased risk of neck pain was shown for workers with low performance in tests of isokinetic neck/shoulder lifting strength (RR = 1.31; 95% CI 1.03 to 1.67) and static neck endurance (RR = 1.22; 95% CI 1.00 to 1.49). Among workers in the lowest tertiles of isokinetic neck/shoulder lifting strength or endurance of the shoulder muscles, no increased risk of shoulder pain was found.CONCLUSIONS: The findings of this study suggest that low back or neck endurance were independent predictors of low back or neck pain, respectively, and that low lifting neck/shoulder strength was an independent predictor of neck pain. No association was found between lifting trunk strength, or mobility of the spine and the risk of low back pain, nor between lifting neck/shoulder strength or endurance of the shoulder muscles and the risk of shoulder pain.

KW - Adult

KW - Epidemiologic Methods

KW - Female

KW - Humans

KW - Lifting

KW - Low Back Pain/physiopathology

KW - Male

KW - Neck Pain/physiopathology

KW - Physical Endurance/physiology

KW - Sex Factors

KW - Shoulder Pain/physiopathology

KW - Social Class

U2 - 10.1136/oem.2006.026914

DO - 10.1136/oem.2006.026914

M3 - Article

VL - 63

SP - 371

EP - 377

JO - Occupational and Environmental Medicine

JF - Occupational and Environmental Medicine

SN - 1351-0711

IS - 6

ER -