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Soft-tissue rheumatic disorders of the neck and upper limb: prevalence and risk factors

Soft-tissue rheumatic disorders of the neck and upper limb: prevalence and risk factors
Soft-tissue rheumatic disorders of the neck and upper limb: prevalence and risk factors
Objectives: to review the epidemiologic literature concerning the occurrence of and the risk factors for pain and specific soft-tissue rheumatic conditions that affect the neck and upper limbs.
Methods: an extensive search of the literature, including a search of Medline and EMBASE, authoritative recent reviews, and relevant textbooks, was performed. Studies that furnished data about the occurrence of or risk factors for regional pain or specific soft-tissue entities were extracted.
Results: numerous epidemiologic studies among different populations suggest a high prevalence of pain in the neck (10% to 19%), shoulder (18% to 26%), elbow (8% to 12%), and wrist/hand (9% to 17%) at any point in time. Less clear is the proportion of pain caused by specific upper-limb disorders as compared with nonspecific pain; however, as many as 6% of adults may have carpal tunnel syndrome. Significant risk factors for these disorders include age, female gender, obesity, and association with mechanical exposures (eg, posture, force, repetition, vibration) in the workplace. Also implicated are psychologic well-being and psychosocial workplace factors such as high levels of demand, poor control, and poor support.
Conclusion: pain and soft-tissue rheumatic disorders of the neck and upper limb are common. It appears that individual, mechanical, and psychosocial factors all contribute to upper-limb disorders, suggesting that future strategies for prevention will need to address each of these factors if they are to be successful.
upper limb disorders, epidemiology, occurrence, risk factors
0049-0172
185-203
Walker-Bone, Karen E.
ad7d1336-ed2c-4f39-ade5-da84eb412109
Palmer, Keith T.
0cfe63f0-1d33-40ff-ae8c-6c33601df850
Reading, Isabel
6f832276-87b7-4a76-a9ed-b4b3df0a3f66
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Walker-Bone, Karen E.
ad7d1336-ed2c-4f39-ade5-da84eb412109
Palmer, Keith T.
0cfe63f0-1d33-40ff-ae8c-6c33601df850
Reading, Isabel
6f832276-87b7-4a76-a9ed-b4b3df0a3f66
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6

Walker-Bone, Karen E., Palmer, Keith T., Reading, Isabel and Cooper, Cyrus (2003) Soft-tissue rheumatic disorders of the neck and upper limb: prevalence and risk factors. Seminars in Arthritis and Rheumatism, 33 (3), 185-203. (doi:10.1016/S0049-0172(03)00128-8).

Record type: Article

Abstract

Objectives: to review the epidemiologic literature concerning the occurrence of and the risk factors for pain and specific soft-tissue rheumatic conditions that affect the neck and upper limbs.
Methods: an extensive search of the literature, including a search of Medline and EMBASE, authoritative recent reviews, and relevant textbooks, was performed. Studies that furnished data about the occurrence of or risk factors for regional pain or specific soft-tissue entities were extracted.
Results: numerous epidemiologic studies among different populations suggest a high prevalence of pain in the neck (10% to 19%), shoulder (18% to 26%), elbow (8% to 12%), and wrist/hand (9% to 17%) at any point in time. Less clear is the proportion of pain caused by specific upper-limb disorders as compared with nonspecific pain; however, as many as 6% of adults may have carpal tunnel syndrome. Significant risk factors for these disorders include age, female gender, obesity, and association with mechanical exposures (eg, posture, force, repetition, vibration) in the workplace. Also implicated are psychologic well-being and psychosocial workplace factors such as high levels of demand, poor control, and poor support.
Conclusion: pain and soft-tissue rheumatic disorders of the neck and upper limb are common. It appears that individual, mechanical, and psychosocial factors all contribute to upper-limb disorders, suggesting that future strategies for prevention will need to address each of these factors if they are to be successful.

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More information

Published date: 2003
Keywords: upper limb disorders, epidemiology, occurrence, risk factors

Identifiers

Local EPrints ID: 24545
URI: http://eprints.soton.ac.uk/id/eprint/24545
ISSN: 0049-0172
PURE UUID: bda058d7-c4d3-4998-a49a-997c75bcf811
ORCID for Karen E. Walker-Bone: ORCID iD orcid.org/0000-0002-5992-1459
ORCID for Isabel Reading: ORCID iD orcid.org/0000-0002-1457-6532
ORCID for Cyrus Cooper: ORCID iD orcid.org/0000-0003-3510-0709

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Date deposited: 31 Mar 2006
Last modified: 09 Jan 2022 03:02

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Contributors

Author: Keith T. Palmer
Author: Isabel Reading ORCID iD
Author: Cyrus Cooper ORCID iD

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