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Musculoskeletal symptoms among drivers of all-terrain vehicles
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Yrkesmedicin.
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Yrkes- och miljömedicin.
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Yrkes- och miljömedicin.
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Yrkes- och miljömedicin.
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2002 (Engelska)Ingår i: Journal of Sound and Vibration, ISSN 0022-460X, E-ISSN 1095-8568, Vol. 253, nr 1, s. 21-29Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

The aim of this cross-sectional study was to characterize the risk of experiencing musculoskeletal symptoms in the region of the neck, shoulders and upper and lower back for professional drivers of various categories of all-terrain vehicles and to assess the association between symptoms and duration of exposure to whole-body vibration (WBV) and shock from driving all-terrain vehicles. The study group consisted of 215 drivers of forest machines, 137 drivers of snowmobiles and 79 drivers of snowgroomers and a control group of 167 men randomly selected from the general population. The subjects were all from one of the four most northern counties in Sweden and they were all men. Musculoskeletal symptoms were assessed by use of a standardized questionnaire. In addition, the questionnaire held items about the driving time with all-terrain vehicles and a subjective estimation of exposure to unpleasant movements (shock, jolt, irregular sway). The job strain was measured according to Karasek's demands/control model. The prevalence ratios were adjusted for age, smoking and job strain. Among drivers, significantly increased prevalence ratios within the range of 1∂5–2·9 were revealed for symptoms from the neck–shoulder and thoracic regions during the previous year. None of the driver categories had a statistically significantly increased risk of low back pain. Forest vehicles were those most reported to cause unpleasant movements. In conclusion, drivers of all-terrain vehicles exhibit an increased risk of symptoms of musculoskeletal disorders in the neck–shoulder and thoracic regions. The increased risk is suggested to be related to physical factors such as exposure to whole-body vibration (WBV) and shock, static overload or extreme body postures. However, since symptoms of low back pain were not significantly increased, it appears that factors other than WBV would explain the occurrence of symptoms in the group of all-terrain drivers.

Ort, förlag, år, upplaga, sidor
2002. Vol. 253, nr 1, s. 21-29
Nationell ämneskategori
Arbetsmedicin och miljömedicin
Identifikatorer
URN: urn:nbn:se:umu:diva-3809DOI: 10.1006/jsvi.2001.4247OAI: oai:DiVA.org:umu-3809DiVA, id: diva2:142686
Tillgänglig från: 2004-03-24 Skapad: 2004-03-24 Senast uppdaterad: 2018-06-09Bibliografiskt granskad
Ingår i avhandling
1. Musculoskeletal disorders and whole-body vibration exposure among professional drivers of all-terrain vehicles
Öppna denna publikation i ny flik eller fönster >>Musculoskeletal disorders and whole-body vibration exposure among professional drivers of all-terrain vehicles
2004 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Abstract [en]

Musculoskeletal disorders are common among professional driver groups. Ergonomic risk factors at work are often suggested as causative, aggravating or preserving. The general aim with this thesis is to investigate the association between musculoskeletal disorders and physical exposure with special with special focus on whole-body vibration (WBV), among professional drivers of all-terrain vehicles (ATVs). Drivers of ATVs are expsosed to high magnitudes of WBV and shock. This thesis included drivers of forest machines, snowgroomers and snowmobiles. A cross-sectional study revealed that ATV drivers had an increased risk of musculoskeletal symptoms in the neck-shoulder and thoracic regions, even after adjusting for age, smoking habits and psychosocial stress. Prevalence rates were in the range of 1.5-2.9 (CI:1.2-5.2) compared to an age-matched group from the general population. No group of ATV drivers had a significantly increased risk of low back pain. Trend analysis showed no association between symptoms and exposure time. A clinical investigation of a subgroup found that it was for ATV drivers with neck pain to have assymetrical and focal neuropathies, pure or in mix with a nociceptive disorder, in the neck and upper extremities (47-79%), which was in contrast to referents with neck pain who had more nociceptive disorders (27% prevalence of neuropathy). Two studies measured characteristics of seated WBV exposure in forest machines (forwarders), snowgroomers and snowmobiles. The magnitudes of WBV in ATVs, measured and analyzed according to ISO 2631-1, were between 0.5-3.5 m/s2 (frequency weighted vector sum), which was considered high compared to limits suggested by the international standard ISO 2631-1 and the physical agent directive from the Euoropean Union (0.5 m/s2, rms). Drivers of ATVs were exposed to horizontally directed WBV and shocks. Non-neutral neck postures are ergonomic risk factors that occured infrequently and with short duration. The magnitude of seated WBV in forwarder vehicles varied substantiálly depending on model, terrain condition and driver. This may result in different conclusions regarding health risk assessments. The main conclusion from this thesis is that musculoskeletal symptoms and disorders in the neck and upper extremities, among drivers of ATVs, may be a result of long-time exposure to shock-type and horisozontally oriented seated WBV.

Förlag
s. 85
Serie
Umeå University medical dissertations, ISSN 0346-6612 ; 852
Nyckelord
Medicine, Whole-body vibration, Shock, Ergonomics, Epidemiology, Musculoskeletal, Driver, Medicin
Nationell ämneskategori
Dermatologi och venereologi
Forskningsämne
medicin
Identifikatorer
urn:nbn:se:umu:diva-216 (URN)91-7305-517-4 (ISBN)
Disputation
2004-04-16, Stora Föresläsningssalen, Arbetslivsinstitutet, Campus, Umeå, 13:00
Opponent
Handledare
Tillgänglig från: 2004-03-24 Skapad: 2004-03-24 Senast uppdaterad: 2018-06-09Bibliografiskt granskad

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Rehn, BörjeLundström, RonnieNilsson, TohrBergdahl, Ingvar AAhlgren, ChrisitinaFrom, CarinSundelin, GunnneviJärvholm, Bengt

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Rehn, BörjeLundström, RonnieNilsson, TohrBergdahl, Ingvar AAhlgren, ChrisitinaFrom, CarinSundelin, GunnneviJärvholm, Bengt
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