Dose-Response Relationships between Work-Related Musculoskeletal Neck Symptom and Physical Risk Factors (2 year follow-up study) / 대한산업의학회지

ABSTRACT

OBJECTIVES: To estimate the association of work-related musculoskeletal neck symptom and occupational risk factors, and to identify the dose-response relationships between work-related musculoskeletal neck symptom and physical condition. METHODS: Workers from four metal industry companies were enrolled in the study. General characteristics, psyhcosocial and physical risk factors and work-related musculoskeletal neck symptom were investigated by questionnaire in the baseline study. At the follow-up study 2 years later, the neck symptom was surveyed. Workers who did not complain neck symptom at baseline and complain at follow-up, and workers who did complain neck symptom at baseline and follow-up were defined as case. The adjusted odds ratios (ORs) of physical risk factors were estimated for these subjects. Additionally, subjects who did not change their work at follow-up were analysed. RESULTS: Among the cohort of 251, 199 (79.3%) were used in the analysis, of which 71 (35.7%) were classified as cases. The adjusted ORs and the ORs of the subjects who did not change their work were increased with exposure to the following kinds of work 'repetitive', 'lift', 'push/pull', 'neck/shoulder (overhead/bend)', 'hand/wrist (bend/pinch)', 'trunk (twist/bend)', 'pressure point', and 'incentive work'. Finally, with increasing exposure to 'repetitive', 'lift', 'push/pull', 'awkward postures', 'pressure point', and 'incentive work', the risks of work-related musculoskeletal neck symptom were increased. CONCLUSIONS: Work-related musculoskeletal neck symptom was increased with increasing exposure time of certain physical risk factors, and a dose-response relationship was observed.