Predictors of Persistent Elbow Tendonitis Among Auto Assembly Workers
dc.contributor.author | Ebersole, Marissa | en_US |
dc.contributor.author | Armstrong, Thomas J. | en_US |
dc.contributor.author | Werner, Robert A. | en_US |
dc.contributor.author | Franzblau, Alfred | en_US |
dc.contributor.author | Gell, Nancy | en_US |
dc.contributor.author | Hartigan, Anne | en_US |
dc.date.accessioned | 2006-09-11T15:34:29Z | |
dc.date.available | 2006-09-11T15:34:29Z | |
dc.date.issued | 2005-09 | en_US |
dc.identifier.citation | Werner, Robert A.; Franzblau, Alfred; Gell, Nancy; Hartigan, Anne; Ebersole, Marissa; Armstrong, Thomas J.; (2005). "Predictors of Persistent Elbow Tendonitis Among Auto Assembly Workers." Journal of Occupational Rehabilitation 15(3): 393-400. <http://hdl.handle.net/2027.42/45018> | en_US |
dc.identifier.issn | 1573-3688 | en_US |
dc.identifier.issn | 1053-0487 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/45018 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=16119229&dopt=citation | en_US |
dc.description.abstract | Introduction : Lateral and medial epicondylitis associated with work activity is a common upper extremity musculoskeletal disorder with a prevalence of 4–30% depending upon the work setting and diagnostic criteria. The influence of treatment, ergonomic factors, medical history, psychosocial variables, and aging on the improvement of symptoms has not been well defined. Methods : This was a prospective cohort study of a cohort of 45 workers with active elbow tendonitis for an average of 13 months. Complete resolution of symptoms was the defined outcome measure. Results : The predictive factors for persistent elbow tendonitis included older age (OR = 1.1, 95% CI: 0.99, 1.33), higher hand repetition level for their job(s) (OR = 2.5, 95% CI: 1.00, 6.25), more deviation from a neutral wrist position during the work activity (OR = 2.0, 95% CI: 0.80, 5.56), and lower perceived decision authority on the job (OR = 0.9, 95% CI: 0.79, 0.98). Other ergonomic, psychosocial, and electrophysiologic measures were not predictive. The models had relatively high sensitivity and specificity. Treatment effects could not be evaluated due to incomplete data available. Conclusions : Older workers with jobs requiring more repetition and awkward wrist postures, and less decision authority were less likely to have resolution of their elbow tendonitis. Implications : Workers at highest risk for persistent elbow tendonitis should be placed at jobs with lower repetition levels and that use more neutral wrist postures. Effective interventions must address both the ergonomic and psychosocial risk factors in a multifaceted approach to this problem. | en_US |
dc.format.extent | 80151 bytes | |
dc.format.extent | 3115 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.language.iso | en_US | |
dc.publisher | Kluwer Academic Publishers-Plenum Publishers; Springer Science + Business Media, Inc. | en_US |
dc.subject.other | Natural History | en_US |
dc.subject.other | Health Psychology | en_US |
dc.subject.other | Cumulative Trauma Disorders | en_US |
dc.subject.other | Psychology | en_US |
dc.subject.other | Occupational Medicine/Industrial Medicine | en_US |
dc.subject.other | Clinical Psychology | en_US |
dc.subject.other | Tendonitis | en_US |
dc.subject.other | Occupational Diseases | en_US |
dc.title | Predictors of Persistent Elbow Tendonitis Among Auto Assembly Workers | en_US |
dc.type | Article | en_US |
dc.subject.hlbsecondlevel | Public Health | en_US |
dc.subject.hlbsecondlevel | Women's and Gender Studies | en_US |
dc.subject.hlbsecondlevel | Pediatrics | en_US |
dc.subject.hlbtoplevel | Social Sciences | en_US |
dc.subject.hlbtoplevel | Humanities | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Department of Physical Medicine and Rehabilitation, University of Michigan Health System, Ann Arbor, Michigan; Department of Environmental Health Sciences, School of Public Health, University of Michigan, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationum | Department of Physical Medicine and Rehabilitation, University of Michigan Health System, Ann Arbor, Michigan; Veteran Affairs Medical Center, Ann Arbor, Michigan; Department of Environmental Health Sciences, School of Public Health, University of Michigan, Ann Arbor, Michigan; Center for Ergonomics, Industrial, and Operations Engineering, University of Michigan, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationum | Department of Environmental Health Sciences, School of Public Health, University of Michigan, Ann Arbor, Michigan; Center for Ergonomics, Industrial, and Operations Engineering, University of Michigan, Ann Arbor, Michigan; Department of Emergency Medicine, University of Michigan Health System, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationum | Department of Physical Medicine and Rehabilitation, University of Michigan Health System, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationum | Center for Ergonomics, Industrial, and Operations Engineering, University of Michigan, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationum | Department of Environmental Health Sciences, School of Public Health, University of Michigan, Ann Arbor, Michigan; Center for Ergonomics, Industrial, and Operations Engineering, University of Michigan, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationumcampus | Ann Arbor | en_US |
dc.identifier.pmid | 16119229 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/45018/1/10926_2005_Article_5945.pdf | en_US |
dc.identifier.doi | http://dx.doi.org/10.1007/s10926-005-5945-6 | en_US |
dc.identifier.source | Journal of Occupational Rehabilitation | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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