Print Email Facebook Twitter Physical capacity in relation to low back, neck, or shoulder pain in a working population Title Physical capacity in relation to low back, neck, or shoulder pain in a working population Author van Hamberg - Reenen, H.H. Ariëns, G.A.M. Blatter, B.M. Twisk, J.W.R. van Mechelen, W. Bongers, P.M. TNO Kwaliteit van Leven Publication year 2006 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 fertile 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 fertiles 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. Subject WorkplaceVeilig en Gezond WerkenBiomechanicsCohort analysisConfidence intervalControlled studyDemographyEnduranceFollow upIsokinetic exerciseLow back painMajor clinical studyMultivariate analysisPatient mobilityPhysical capacityProspective studyRisk factorSpine mobilityWorkloadAdultEpidemiologic MethodsFemaleHumansLiftingLow Back PainMaleNeck PainPhysical EnduranceSex FactorsShoulder PainSocial ClassTillenRugklachtenHerniaArbeidsprestatieFunctievervullingHandenArmen To reference this document use: http://resolver.tudelft.nl/uuid:5de5b118-7a38-41ad-afe9-5b66f526f581 DOI https://doi.org/10.1136/oem.2006.026914 TNO identifier 239280 ISSN 1351-0711 Source Occupational and Environmental Medicine, 63 (6), 371-377 Document type article Files To receive the publication files, please send an e-mail request to TNO Library.