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Impact of Workplace Exposure and Stress on Neck Pain and Disabilities in Women: A Longitudinal Follow-up After a Rehabilitation Intervention
Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden.
University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research. Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden.ORCID iD: 0000-0001-7543-4397
Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden.
Department of Public Health & Clinical Medicine, Occupational and Environmental Medicine, Umeå University, Umeå, Sweden.
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2018 (English)In: Annals of Work Exposures and Health, ISSN 2398-7316, Vol. 62, no 5, p. 591-603Article in journal (Refereed) Published
Abstract [en]

Introduction: The aim was to evaluate if pain, disability, and work productivity are influenced by physical and psychosocial work exposures as well as by stress, up to 1 year after a randomized controlled trial treatment intervention, and to determine whether any such association differed between treatment and control groups.

Methods: Ninety-seven working women suffering non-specific neck pain (n = 67 treatment group, n = 30 control group) were followed from end of treatment intervention and at 9- and 15-month follow-ups, respectively. Physical and psychosocial exposures, as well as perceived stress, were assessed after the treatment intervention. Pain, neck disability, and work productivity were assessed at baseline, after intervention 3 months later and at 9- and 15-month follow-ups. Longitudinal assessment was conducted using the exposure level at 3 months as predictor of pain, disability, and work productivity at 3, 9, and 15 months, respectively. Mixed models were used to estimate longitudinal associations, accounting for within-individual correlation of repeated outcome measures by incorporation of a random intercept. Age and duration of neck pain were adjusted for in all models. To evaluate group differences, interactions between exposures and treatment groups were estimated.

Results: High perceived stress was associated with more neck pain, more neck disability, and decreased work productivity in both cross-sectional and longitudinal analyses. High 'control of decision' was associated with less neck pain, less neck disability, and higher work productivity in cross-sectional analyses but only to less disability and higher productivity in longitudinal analyses. Shoulder/arm load was the only physical exposure variable that was significantly associated with work productivity in the univariate analyses. Only small differences were observed between treatment and control groups.

Conclusion: High perceived stress and low 'control of decision' were associated with more neck pain, increased neck disability, and decreased work productivity. Treatment interventions for individuals with neck pain should take into account psychosocial workplace exposures and stress to improve intermediate and long-term results.

Place, publisher, year, edition, pages
Oxford University Press , 2018. Vol. 62, no 5, p. 591-603
Keywords [en]
non-specific neck pain, physiotherapy, shoulder pain, work productivity
National Category
Occupational Health and Environmental Health
Identifiers
URN: urn:nbn:se:hig:diva-26396DOI: 10.1093/annweh/wxy018ISI: 000449420200007PubMedID: 29562318Scopus ID: 2-s2.0-85050676120OAI: oai:DiVA.org:hig-26396DiVA, id: diva2:1194750
Part of project
Rehabilitation of people with neck pain. Effects of individualized treatment based on prognostic indicators and tests of functioning, Forte
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2009-01403AFA Insurance, 090288Available from: 2018-04-03 Created: 2018-04-03 Last updated: 2019-08-22Bibliographically approved

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Björklund, Martin

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