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What characterizes cleaners sustaining good musculoskeletal health after years with physically heavy work?

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Abstract

Objectives

The aim of this case–control study was to investigate characteristics of cleaners with good musculoskeletal health after years with physically heavy work.

Methods

One hundred and 41 female seniority cleaners participated. Twenty-five reported no musculoskeletal symptoms, whereas 83 reported severe symptoms in the low back, neck shoulders or upper limbs. The groups were of matching age, height, body weight and seniority (19 years). Muscular strength was recorded by isometric maximal voluntary contractions on a day without pain. Exposure to physical risk factors at work, psychosocial work factors, and leisure time physical activity were assessed by a postal questionnaire.

Results

Cleaners with good musculoskeletal health were not reporting different exposure to physical risk factors at work or leisure time physical activity, but had higher muscular strength and reported higher influence at work than cleaners with severe symptoms.

Conclusions

These findings suggest that muscular strength and influence at work are of relevance for sustaining good musculoskeletal health in workers with physically heavy work.

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References

  • Andersen JH, Haahr JP, Frost P (2007) Risk factors for more severe regional musculoskeletal symptoms—A two-year prospective study of a general working population. Arthritis Rheum 56:1355–1364. doi:10.1002/art.22513

    Article  PubMed  Google Scholar 

  • Andersen LL, Jorgensen MB, Blangsted AK, Pedersen MT, Hansen EA, Sjøgaard G (2008a) A randomized controlled intervention trial to relieve and prevent neck/shoulder pain. Med Sci Sports Exerc 40:983–990

    Article  PubMed  CAS  Google Scholar 

  • Andersen LL, Kjaer M, Søgaard K, Hansen L, Kryger A, Sjøgaard G (2008b) Effect of two contrasting types of physical exercises on chronic neck muscle pain. Arthritis Rheum 59:84–91. doi:10.1002/art.23256

    Article  PubMed  Google Scholar 

  • Antonovsky A (1996) The salutogenic model as a theory to guide health promotion. Health Promot Int 11:11–18. doi:10.1093/heapro/11.1.11

    Article  Google Scholar 

  • Ariens GAM, Bongers PM, Douwes M, Miedema MC, Hoogendoorn WE, van der Wal G, Bouter LM, van Mechelen W (2001) Are neck flexion, neck rotation, and sitting at work risk factors for neck pain? Results of a prospective cohort study. Occup Environ Med 58:200–207. doi:10.1136/oem.58.3.200

    Article  PubMed  CAS  Google Scholar 

  • Balogh I, Hansson G-Å, Ohlsson K, Strömberg U, Skerfving S (1999) Interindividual variation of physical load in a work task. Scand J Work Environ Health 25:57–66

    PubMed  CAS  Google Scholar 

  • Balogh I, Ohlsson K, Hansson GA, Engström T, Skerfving S (2006) Increasing the degree of automation in a production system: consequences for the physical workload. Int J Ind Ergon 36:353–365. doi:10.1016/j.ergon.2004.09.009

    Article  Google Scholar 

  • Blangsted AK, Søgaard K, Hansen EA, Hannerz H, Sjøgaard G (2008) One-year randomized controlled trial with different physical-activity programs to reduce musculoskeletal symptoms in the neck and shoulders among office workers. Scand J Work Environ Health 34:55–65

    PubMed  Google Scholar 

  • Bongers PM, Kremer AM, ter Laak J (2002) Are psychosocial factors, risk factors for symptoms and signs of the shoulder, elbow, or hand/wrist? A review of the epidemiological literature. Am J Ind Med 41:315–342

    Article  PubMed  Google Scholar 

  • Bongers P, IJmker S, van den Heuvel SG, Blatter B (2006) Epidemiology of work related neck and upper limb problems: psychosocial and personal risk factors (Part I) and effective interventions from a bio behavioural perspective (Part II). J Occup Rehabil 16:272–295. doi:10.1007/s10926-006-9044-1

    Article  Google Scholar 

  • Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D (2006) Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain 10:287–333. doi:10.1016/j.ejpain.2005.06.009

    Article  PubMed  Google Scholar 

  • Buckle PW, Devereux JJ (2002) The nature of work-related neck and upper limb musculoskeletal disorders. Appl Ergon 33:207–217. doi:10.1016/S0003-6870(02)00014-5

    Article  PubMed  Google Scholar 

  • Cole DC, Rivilis I (2004) Individual factors and musculoskeletal disorders: a framework for their consideration. J Electromyogr Kinesiol 14:121–127. doi:10.1016/j.jelekin.2003.09.021

    Article  PubMed  Google Scholar 

  • Cote P, Cassidy JD, Carroll LJ, Kristman V (2004) The annual incidence and course of neck pain in the general population: a population-based cohort study. Pain 112:267–273. doi:10.1016/j.pain.2004.09.004

    Article  PubMed  Google Scholar 

  • Essendrop M, Schibye B, Hansen K (2001) Reliability of isometric muscle strength tests for the trunk, hands and shoulders. Int J Ind Ergon 28:379–387. doi:10.1016/S0169-8141(01)00044-0

    Article  Google Scholar 

  • Faber A, Hansen K, Christensen H (2006) Muscle strength and aerobic capacity in a representative sample of employees with and without repetitive monotonous work. Int Arch Occup Environ Health 79:33–41. doi:10.1007/s00420-005-0025-z

    Article  PubMed  Google Scholar 

  • Hagner I-M, Hagberg M (1989) Evaluation of two floor-mopping work methods by measurement of load. Ergonomics 32(4):401–408. doi:10.1080/00140138908966106

    Article  PubMed  CAS  Google Scholar 

  • Hamberg-van Reenen HH, Ariens GAM, Blatter BM, Twisk JWR, van Mechelen W, Bongers PM (2006a) Physical capacity in relation to low back, neck, or shoulder pain in a working population. Occup Environ Med 63:371–377. doi:10.1136/oem.2006.026914

    Article  PubMed  CAS  Google Scholar 

  • Hamberg-van Reenen HH, Ariens GAM, Blatter BM, van der Beek AJ, Twisk JWR, van Mechelen W, Bongers PM (2006b) Is an imbalance between physical capacity and exposure to work-related physical factors associated with low-back, neck or shoulder pain? Scand J Work Environ Health 32:190–197

    PubMed  Google Scholar 

  • Hamberg-van Reenen HH, Ariens GAM, Blatter BM, van Mechelen W, Bongers PM (2007) A systematic review of the relation between physical capacity and future low back and neck/shoulder pain. Pain 130:93–107. doi:10.1016/j.pain.2006.11.004

    Article  PubMed  Google Scholar 

  • Hansson GA, Nordander C, Asterland P, Ohlsson K, Stromberg U, Skerfving S, Rempel D (2000) Sensitivity of trapezius electromyography to differences between work tasks—influence of gap definition and normalisation methods. J Electromyogr Kinesiol 10:103–115. doi:10.1016/S1050-6411(99)00030-9

    Article  PubMed  CAS  Google Scholar 

  • Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, Macera CA, Heath GW, Thompson PD, Bauman A (2007) Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc 39:1423–1434. doi:10.1249/mss.0b013e3180616b27

    Article  PubMed  Google Scholar 

  • Jensen C (2003) Development of neck and hand-wrist symptoms in relation to duration of computer use at work. Scand J Work Environ Health 29:197–205

    PubMed  Google Scholar 

  • Kristensen TS, Borg V, Hannerz H (2002) Socioeconomic status and psychosocial work environment: results from a Danish national study. Scand J Public Health 30:41–48

    Google Scholar 

  • Krüger D, Louhevaara V, Nielsen J, Schneider T (1997) Risk assessment and preventive strategies in cleaning work. Wirtschaftsverlag NW, Bremerhaven

    Google Scholar 

  • Kuijer PPFM, van der Beek AJ, van Dieen JH, Visser B, Frings-Dresen MHW (2005) Effect of job rotation on need for recovery, musculoskeletal complaints, and sick leave due to musculoskeletal complaints: a prospective study among refuse collectors. Am J Ind Med 47:394–402. doi:10.1002/ajim.20159

    Article  PubMed  Google Scholar 

  • Kumar R, Kumar S (2008) Musculoskeletal risk factors in cleaning occupation—A literature review. Int J Ind Ergon 38:158–170. doi:10.1016/j.ergon.2006.04.004

    Article  Google Scholar 

  • Kumar R, Chaikumarn M, Kumar S (2005) Physiological, subjective and postural loads in passenger train wagon cleaning using a conventional and redesigned cleaning tool. Int J Ind Ergon 35:931–938. doi:10.1016/j.ergon.2005.04.008

    Article  Google Scholar 

  • Kuorinka I, Jonsson B, Kilbom Å, Vinterberg H, Biering-Sørensen F, Andersson G, Jørgensen K (1987) Standardised nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon 18:233–237. doi:10.1016/0003-6870(87)90010-X

    Article  PubMed  CAS  Google Scholar 

  • Laursen B, Søgaard K, Sjøgaard G (2003) Biomechanical model predicting electromyographic activity in three shoulder muscles from 3D kinematics and external forces during cleaning work. Clin Biomech (Bristol, Avon) 18:287–295. doi:10.1016/S0268-0033(03)00004-4

    Article  CAS  Google Scholar 

  • Li CY, Sung FC (1999) A review of the healthy worker effect in occupational epidemiology. Occup Med (Chic Ill) 49:225–229. doi:10.1093/occmed/49.4.225

    Article  CAS  Google Scholar 

  • Lund T, Labriola M, Christensen KB, Bultmann U, Villadsen E (2006) Physical work environment risk factors for long term sickness absence: prospective findings among a cohort of 5357 employees in Denmark. Br Med J 332:449–451. doi:10.1136/bmj.38731.622975.3A

    Article  Google Scholar 

  • Pearce N, Checkoway H, Kriebel D (2007) Bias in occupational epidemiology studies. Occup Environ Med 64:562–568. doi:10.1136/oem.2006.026690

    Article  PubMed  Google Scholar 

  • Prasartwuth O, Taylor JL, Gandevia SC (2005) Maximal force, voluntary activation and muscle soreness after eccentric damage to human elbow flexor muscles. J Physiol 567:337–348. doi:10.1113/jphysiol.2005.087767

    Article  PubMed  CAS  Google Scholar 

  • Rossignol M, Leclerc A, Allaert FA, Rozenberg S, Valat JP, Avouac B, Coste P, Litvak E, Hilliquin P (2005) Primary osteoarthritis of hip, knee, and hand in relation to occupational exposure. Occup Environ Med 62:772–777. doi:10.1136/oem.2005.020057

    Article  PubMed  CAS  Google Scholar 

  • Saltin B, Grimby G (1968) Physiological analysis of middle-aged and old former athletes: comparison with still active athletes of the same ages. Circulation 38:1104–1115

    PubMed  CAS  Google Scholar 

  • Sim J, Lacey R, Lewis M (2006) The impact of workplace risk factors on the occurrence of neck and upper limb pain: a general population study. BMC Public Health 6:234. doi:10.1186/1471-2458-6-234

    Article  PubMed  Google Scholar 

  • Sjøgaard G, Søgaard K, Hermens HJ, Sandsjö L, Läubli T, Thorn S, Vollenbroek-Hutten MMR, Sell L, Christensen H, Klipstein A, Kadefors R, Merletti R (2006) Neuromuscular assessment in elderly workers with and without work related shoulder/neck trouble: the NEW-study design and physiological findings. Eur J Appl Physiol 96:110–121. doi:10.1007/s00421-005-0042-3

    Article  PubMed  Google Scholar 

  • Søgaard K, Fallentin N, Nielsen J (1996) Work load during floor cleaning. The effect of cleaning methods and work technique. Eur J Appl Physiol 73:73–81. doi:10.1007/BF00262812

    Article  Google Scholar 

  • Søgaard K, Laursen B, Jensen BR, Sjøgaard G (2001) Dynamic loads on the upper extremities during two different floor cleaning methods. Clin Biomech (Bristol, Avon) 16:866–879. doi:10.1016/S0268-0033(01)00083-3

    Article  Google Scholar 

  • Søgaard K, Blangsted AK, Herod A, Finsen L (2006) Work design and the labouring body: examining the impacts of work organization on the Danish cleaners’ health. Antipode 38:579–602. doi:10.1111/j.0066-4812.2006.00596.x

    Article  Google Scholar 

  • Spector PE (1987) Method variance as an artifact in self-reported affect and perceptions at work—myth or significant problem. J Appl Psychol 72:438–443. doi:10.1037/0021-9010.72.3.438

    Article  Google Scholar 

  • Unge J, Ohlsson K, Nordander C, Hansson GA, Skerfving S, Balogh I (2007) Differences in physical workload, psychosocial factors and musculoskeletal disorders between two groups of female hospital cleaners with two diverse organizational models. Int Arch Occup Environ Health 81:209–220. doi:10.1007/s00420-007-0208-x

    Article  PubMed  Google Scholar 

  • van der Beek AJ, Frings-Dresen MHW (1998) Assessment of mechanical exposure in ergonomic epidemiology. Occup Environ Med 55:291–299. doi:10.1136/oem.55.5.291

    Article  PubMed  Google Scholar 

  • van den Heuvel SG, van der Beek AJ, Blatter BM, Hoogendoorn WE, Bongers PM (2005) Psychosocial work characteristics in relation to neck and upper limb symptoms. Pain 114:47–53

    Article  PubMed  Google Scholar 

  • Walker-Bone K, Palmer KT, Reading I, Coggon D, Cooper C (2004) Prevalence and impact of musculoskeletal disorders of the upper limb in the general population. Arthritis Rheum Arthritis Care Res 51:642–651. doi:10.1002/art.20535

    Article  Google Scholar 

  • Westgaard RH, Winkel J (1997) Ergonomic intervention research for improved musculoskeletal health: a critical review. Int J Ind Ergon 20:463–500. doi:10.1016/S0169-8141(96)00076-5

    Article  Google Scholar 

  • Williams LJ, Cote JA, Buckley MR (1989) Lack of method variance in self-reported affect and perceptions at work—reality or artifact? J Appl Psychol 74:462–468. doi:10.1037/0021-9010.74.3.462

    Article  Google Scholar 

  • Woods V, Buckle P (2005) An investigation into the design and use of workplace cleaning equipment. Int J Ind Ergon 35:247–266. doi:10.1016/j.ergon.2004.09.004

    Article  Google Scholar 

  • Woods V, Buckle P (2006) Musculoskeletal ill health amongst cleaners and recommendations for work organisational change. Int J Ind Ergon 36:61–72. doi:10.1016/j.ergon.2005.08.001

    Article  Google Scholar 

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Authors and Affiliations

  1. National Research Center for the Working Environment, Lersø Parkalle 105, 2100, Copenhagen, Denmark

    A. Holtermann, A. K. Blangsted & K. Hansen

  2. Grontmij Carlbro, Glostrup, Denmark

    H. Christensen

  3. Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark

    K. Søgaard

Authors
  1. A. Holtermann
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  2. A. K. Blangsted
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  3. H. Christensen
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  4. K. Hansen
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  5. K. Søgaard
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Correspondence to A. Holtermann.

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Holtermann, A., Blangsted, A.K., Christensen, H. et al. What characterizes cleaners sustaining good musculoskeletal health after years with physically heavy work?. Int Arch Occup Environ Health 82, 1015–1022 (2009). https://doi.org/10.1007/s00420-009-0401-1

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  • DOI: https://doi.org/10.1007/s00420-009-0401-1

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