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Could long-term overhead load in painters be associated with rotator cuff lesions? A pilot study.
PLOS ONE ( IF 3.7 ) Pub Date : 2019-03-15 , DOI: 10.1371/journal.pone.0213824
Markus Loew 1 , Sepehr Doustdar 2 , Christoph Drath 3 , Marc-André Weber 4 , Thomas Bruckner 5 , Felix Porschke 6 , Patric Raiss 7 , Marcus Schiltenwolf 2 , Haidara Almansour 2 , Michael Akbar 2
Affiliation  

BACKGROUND Use of the arm above shoulder level has been described as a risk factor for developing rotator cuff tears (RCT). There is a lack of information regarding the frequency and distribution of RCT in a population using their arms above shoulder level during daily work. The aim of this study was to analyze clinical and radiographic findings in a population of painters working more than 10 years and to compare the results with a control group (CG). MATERIALS AND METHODS 100 individuals working more than 10 years as a painter were compared to 100 matched controls without using their arms above shoulder level. MRI scans were performed in all participants. Clinically, the Constant score, DASH score and range of motion (ROM) of the shoulders were analyzed. RESULTS In the painter group (PG) a tear of the supraspinatus tendon was detected in 45% (10%full-thickness; 35% partial) compared to 8% in the (CG) (3% full-thickness; 5%partial; p<0.001). Impingement test was painful in 52% of PG and 7% of CG (p<0.001). The Constant score in the PG was significantly lower compared to the CG (62 vs. 93 points; p<0.001). PG had significantly worse DASH scores and inferior active and passive ROM of the dominant shoulders. In the multivariable logistic regression analysis, three risk factors (smoking, sports activity, and handedness) showed no effect. However, group membership (PG/CG) and age revealed a significant effect. CONCLUSION Long-term occupational load on the shoulders in painters seems to be associated with an increased risk for developing RCT. Our findings may provide support for developing preventive strategies for this unique cohort. Level of evidence: III.

中文翻译:

画家的长期头顶负担可能与肩袖损伤有关吗?初步研究。

背景技术在肩膀水平以上使用手臂已被描述为发展肩袖撕裂(RCT)的危险因素。缺乏关于在日常工作中使用手臂高于肩膀水平的人群中RCT频率和分布的信息。这项研究的目的是分析工作超过10年的画家群体的临床和影像学发现,并将结果与​​对照组(CG)进行比较。材料与方法将100名从事油漆工作超过10年的人与100名相匹配的对照组进行比较,而他们的手臂不在肩膀上。所有参与者均进行了MRI扫描。在临床上,对肩膀的恒定分数,DASH分数和运动范围(ROM)进行了分析。结果在画家组(PG)中,发现棘上肌腱撕裂的占45%(全层10%;部分35%),而CG组(3%全层;部分5%; 3%; 3%)。 p <0.001)。冲击试验在52%的PG和7%的CG上是痛苦的(p <0.001)。与CG相比,PG中的Constant评分显着较低(62分对93分; p <0.001)。PG的DASH评分显着更差,主肩膀的主动和被动ROM较差。在多变量logistic回归分析中,三个危险因素(吸烟,体育活动和惯用手)没有影响。但是,组成员身份(PG / CG)和年龄显示出显着影响。结论画家肩上的长期职业负担似乎与发展RCT的风险增加有关。我们的发现可能为开发针对这一独特人群的预防策略提供支持。证据级别:III。
更新日期:2019-03-17
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