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Int. J. Environ. Res. Public Health 2019, 16(1), 130; https://doi.org/10.3390/ijerph16010130

Quantitative Measures of Physical Risk Factors Associated with Work-Related Musculoskeletal Disorders of the Elbow: A Systematic Review

1
University Hospital Tuebingen, Institute of Occupational and Social Medicine and Health Services Research (IASV), 72074 Tuebingen, Germany
2
Institute for Occupational Safety and Health of the German Social Accident Insurance (IFA), Unit Ergonomics, Referat Ergonomie, 53757 Sankt Augustin, Germany
*
Author to whom correspondence should be addressed.
Received: 20 November 2018 / Revised: 22 December 2018 / Accepted: 29 December 2018 / Published: 5 January 2019
(This article belongs to the Special Issue Safety and Analysis)
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Abstract

Background: Work-related musculoskeletal disorders at the elbow are a common health problem, which highly impacts workers’ well-being and performance. Besides existing qualitative information, there is a clear lack of quantitative information of physical risk factors associated with specific disorders at the elbow (SDEs). Objective: To provide evidence-based quantitative measures of physical risk factors associated with SDEs. Methods: Studies were searched from 2007 to 2017 in Medline, EMBASE, and Cochrane Work. The identified risk factors were grouped in main- and sub-categories of exposure using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) framework for rating evidence. Results: 133 different risk-factor specifications were identified in 10/524 articles and were grouped into 5 main- and 16 sub-categories of exposure. The risk factors were significantly associated with lateral epicondylitis, medial epicondylitis, or ulnar neuropathy. Significant risk factors such as wrist angular velocity (5°/s, with increasing prevalence ratio of 0.10%/(°/s), or forearm supination (≥45° and ≥5% of time combined with forceful lifting) were found. Conclusions: This review delivers a categorization of work-related physical risk-factor specifications for SDEs with a special focus on quantitative measures, ranked for evidence. These results may build the base for developing risk assessment methods and prospective preventive measures. View Full-Text
Keywords: elbow disorders; epicondylitis; ulnar neuropathy; quantitative measures; physical risk factors; work-related; force; repetition; posture elbow disorders; epicondylitis; ulnar neuropathy; quantitative measures; physical risk factors; work-related; force; repetition; posture
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Seidel, D.H.; Ditchen, D.M.; Hoehne-Hückstädt, U.M.; Rieger, M.A.; Steinhilber, B. Quantitative Measures of Physical Risk Factors Associated with Work-Related Musculoskeletal Disorders of the Elbow: A Systematic Review. Int. J. Environ. Res. Public Health 2019, 16, 130.

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