Skip to main content
Log in

Occupational and individual factors related to musculoskeletal symptoms in five body regions among Swedish nursing personnel

  • Original Article
  • Published:
International Archives of Occupational and Environmental Health Aims and scope Submit manuscript

Abstract

The relationship between individual factors, physical and psychosocial exposure at work, and musculoskeletal symptoms in the neck, shoulders, low back, hands, and knees was studied among female nursing personnel working at a Swedish hospital. The personnel had participated in a course in work technique (patient transfer and handling principles). Prior to the course, the subjects had filled in a questionnaire (n = 688). The aim of this cross-sectional study was to elucidate whether different individual and work factors are related to musculoskeletal symptoms in a specific body region. Due to the cross-sectional design, however, causality cannot be discussed. Univariate analyses and multiple logistic regression analyses were performed and yielded similar results. The latter analyses showed that in the present hospital setting, individual factors together with physical and psychosocial work factors were related to symptoms in the neck, low back, and hands; individual factors and psychosocial work factors were related to symptoms in the shoulders; while only individual factors were related to symptoms in the knees. The results of the present study showed that various individual factors and physical and psychosocial work factors were related to musculoskeletal symptoms in the different body regions. Thus, the identification of risk factors might have far-reaching implications for the way in which effective health programs for prevention should be designed in the hospital setting.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Ahlberg-Hultén G, Sigala F, Theorell T (1993) Social support at work and job strain in relation to low back pain and pain in neck and shoulders in female health care personnel. National Institute of Psychosocial Factors and Health, Stockholm, Sweden

    Google Scholar 

  • Armstrong TJ, Buckle P, Fine LJ, Hagberg M, Jonsson B, Kilbom Å, Kourinka IAA, Silverstein BA, Sjogaard G, Viikari-Juntura ERA (1993) A conceptual model for work-related neck and upper-limb musculoskeletal disorders. Scand J Work Environ Health 19:73–84

    PubMed  Google Scholar 

  • Axelson O, Fredriksson M, Ekberg K (1994) Use of prevalence ratio versus the prevalence odds ratio as a measure of risk in cross sectional studies. Occup Environ Med 51:574

    PubMed  Google Scholar 

  • Bongers PM, Winter CR, Kompier MAJ, Hildebrandt VH (1993) Psychosocial factors at work and musculoskeletal disease. Scand J Work Environ Health 19:297–312

    PubMed  Google Scholar 

  • Collet D (1991) Modelling binary data. Chapman & Hall, London

    Google Scholar 

  • Concato J, Feinstein AR, Holford TR (1993) The risk of determining risk with multivariate models. Ann Intern Med 118:201–210

    PubMed  Google Scholar 

  • Dean AD, Dean JA, Burton AH, Dicker RC (1990) EPI Info, version 5: a word processing, database and statistics program for epidemiology on micro-computors. USD Inc. Stone Mountain, Ga.

    Google Scholar 

  • Engkvist I-L, Hagberg M, Lidén A, Malker B (1992) Over-exertion accidents among nurses aides in Sweden. Safety Sci: 15:97–108

    Article  Google Scholar 

  • Estryn-Behar M, Kaminski M, Peigne E, Maillard MF, Pelletier A, Delaporte MF, Paoli MC, Leroux JM (1990) Strenuous working conditions and musculo-skeletal disorders among female hospital workers. Int Arch Occup Environ Health 62:47–57

    Article  PubMed  Google Scholar 

  • Fleiss IL (1981) Statistical methods for rates and proportions. Wiley, New York

    Google Scholar 

  • Gundewall B, Liljegvist M, Hansson T (1993) Primary prevention of back symptoms and absence from work. Spine 5:587–594

    Google Scholar 

  • Houtman ILD, Bongers PM, Smudlers PGW, Kompier MAJ (1994). Psychosocial stressors at work and musculoskeletal problems. Scand J Work Environ Health 20:139–145

    PubMed  Google Scholar 

  • Jensen RC (1990) Back injuries among nursing personnel related to exposure: Appl Occup Environ Hyg 5:38–45

    Google Scholar 

  • Karasek R, Theorell T (1990) Healthy work. Basic Books, New York

    Google Scholar 

  • Kilbom A (1994) Repetitive work of the upper extremity. Part II. The scientific basis (knowledge base) for the guide. Int J Indust Ergonomics 14:59–86

    Article  Google Scholar 

  • Kourinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sörensen F, Andersson GBJ, Jörgensen K (1987) Standardized Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergonomics 18:233–237

    Article  Google Scholar 

  • Lagerström M, Hagberg M, Wigaeus Hjclm E, The Moses-Study Group (1994) Cumulative incidence of low back symptoms among female nursing personnel during a three-year intervention program. Tenth international symposium in epidemiology in occupational health, Como, Italy, ISEOH'94

  • Ljungberg A-F, Kilbom Å, Hägg G (1989) Occupational lifting by nursing aides and warehouse workers. Ergonomics 32:59–78

    PubMed  Google Scholar 

  • McAbee RR (1988) Nurses and back injuries. A literature review. Aaohn J 36:200–209

    Google Scholar 

  • Mykletun RJ, Bru E, Berge WT, Svebak S (1994) Psychological and organisational factors at work, personality, and musculoskeletal pain of female hospital staff. In: Research on musculoskeletal disorders among health care personnel. TemaNord: 616. Nordic Council of Ministers, Copenhagen

    Google Scholar 

  • Niedhammer I, Lert F, Marne MJ (1994) Back pain and associated factors in French nurses. Int Arch Occup Environ Health 66:349–357

    Article  PubMed  Google Scholar 

  • Nisell R, Vingård E (1992) Arbetsrelaterade sjukdomstillstånd i rörelseorganen. En medicinsk knuskapsöversikt (Work load related disorders of the musculoskeletal system. A review. Summary in English). Arbete och Hälsa: 40. National Institute of Occupational Health, Solna, Sweden

    Google Scholar 

  • Punnett L (1987) Upper extremity musculoskeletal disorders in hospital workers. J Hand Surg Am 12:858–862

    PubMed  Google Scholar 

  • Rissanen A, Heilövaara M, Knekt P, Aromaa A, Maatela J (1990) Risk of disability and mortality due to overweight in a Finnish population. Br Med J :835–837

  • Rygghälsovårdsgruppen (1987) The Stockholm training concept. Work positions and techniques for moving patients in the health care sector. Stockholms Läns Landsting, Sweden

    Google Scholar 

  • SAS Institute Inc. (1989) SAS/STATT User's Guide, Version 6, 4th edn. SAS Institute Inc., Cary, N.Y.

    Google Scholar 

  • Tan CC (1991) Occupational health problems among nurses. Scand J Environ Health 17:221–230

    Google Scholar 

  • Theorell T (1993) On the psychosocial environment in care. In: Occupational health for health care workers. International congress on occupational health. Ecomed, Landsberg Germany

    Google Scholar 

  • Theorell T, Harms-Ringdahl K, Alhberg-Hultén G, Westin B (1991) Psychosocial job factors and symptoms from the locomotor system — a multicausal analysis. Scand J Rehabil Med 23:165–173

    PubMed  Google Scholar 

  • Venning PJ, Walter SD, Stitt LW (1987) Personal and job related factors as determinants of incidence of back injuries among nursing personnel. J Occup Med 29:820–825

    PubMed  Google Scholar 

  • Videman T, Rauhala H, Asp S, Lindström K, Cedercreutz G, Kämppi M, Tola S, Troup JDG (1989) Patient-handling skill, back injuries, and back pain. An intervention study in nursing. Spine 14:148–156

    PubMed  Google Scholar 

  • Wenemark M, Toomingas A, Hagberg M, Johansson K, Stockholm MUSIC 1 Study Group (1992) Jämförelse av tre olika metoder för registrering av besvär i röreseorganen-läkarintervju, smärtritning och det Nordiska frägeformuläret. In: Hagberg M, Hogstedt C (eds) Stockholmsunder-sökningen 2. MUSIC Books, Stockholm

    Google Scholar 

  • Westgaard RH, Jansen T (1992) Individual and work related factors associated with symptoms of musculoskeletal complaints. II Different risk factors among sewing machine operators. Br J Med 49:154–162

    Google Scholar 

  • Wickström G (1978) Effect of work on degenerative back disease. A review. Scand J Work Environ Haelth Suppl 1:1–12

    Google Scholar 

  • Wickström G (1994) Natural science and humaniora in intervention research. In: Research on musculoskeletal disorders among health care personnel. TemaNord: 616. Nordic Councils of Ministers, Copenhagen

    Google Scholar 

  • Wickström G, Hyytiäinen K, Laine M, Pentti J, Selonen R (1993) A five year intervention study to reduce low back disorders in the metal industry. Int J Ind Ergonomics 12:25–33

    Article  Google Scholar 

  • Wigaeus Hjelm E, Hagberg M, Hellström S, UPP-Study Group (1993) Prevention of musculoskeletal disorders in nursing aides by physical training. In: Occupational health for health care workers. International congress on occupational health. Ecomed, Landsberg, Germany

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Consortia

Additional information

All members of the Moses Study Group are presented in the Acknowledgements

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lagerström, M., Wenemark, M., Hagberg, M. et al. Occupational and individual factors related to musculoskeletal symptoms in five body regions among Swedish nursing personnel. Int. Arch Occup Environ Heath 68, 27–35 (1996). https://doi.org/10.1007/BF01831630

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01831630

Key words

Navigation