Occupational risk factors for musculoskeletal disorders among railroad maintenance-of-way workers.

American Journal of Industrial Medicine
Paul LandsbergisMichelle Davis

Abstract

Our objective was to examine occupational risk factors for musculoskeletal disorders of the neck, back, and knee among railroad maintenance-of-way (MOW) workers. Four thousand eight-hundred sixteen active, retired, and disabled members of the Brotherhood of Maintenance of Way Employes Division (BMWED) completed a survey. We computed adjusted prevalence ratios (aPRs) using Poisson regression for neck, back, and knee musculoskeletal symptoms by work exposures, adjusted for age, region, race/ethnicity, smoking, and potential second job and spare time vehicle vibration exposure. Among active male BMWED members, we found associations between use of high-vibration vehicles and neck pain (aPR = 1.47, 95% confidence interval (CI): 1.07-2.03) and knee pain (aPR = 1.38, 95% CI: 1.04-1.82) for more than 1.9 years (vs 0) of full-time equivalent use; but not back pain. Back pain radiating below the knee (sciatica indicator) was associated with high-vibration vehicle use greater than 0.4 and less than 1.9 years (aPR = 1.58, 95% CI: 1.15-2.18). We also found significant associations between often or always lifting, pushing, pulling, or bending on the job (vs seldom or never) and neck pain (aPR = 2.43, 95% CI: 1.20-4.90), back pain (aPR = 1.94...Continue Reading

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Apr 26, 2019·Journal of Occupational and Environmental Medicine·Paul LandsbergisMichelle Davis

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Citations

Aug 31, 2020·Industrial Health·Eckardt JohanningPaul Landsbergis
Jun 10, 2021·American Journal of Industrial Medicine·Paul LandsbergisMarco Stillo
Jun 16, 2021·American Journal of Industrial Medicine·Paul LandsbergisMichelle Davis
Jul 20, 2021·Technology and Health Care : Official Journal of the European Society for Engineering and Medicine·Li-Xin GuoWei Fan
Jul 10, 2021·Journal of Occupational and Environmental Medicine·Paul LandsbergisMarco Stillo

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