Abstract
Objective: To investigate the prevalence and occupational risk factors of neck and upper limb disorders among secondary school teachers. Methods: One hundred secondary schools in Hong Kong were randomly chosen. Every full-time teacher received a questionnaire and a letter describing the purpose of the study. Questionnaires were collected 1 to 3 weeks later. Results: Among 3,100 secondary school teachers, the lifelong prevalence of neck pain and upper limb pain was 69.3% (2091/3018) and 35.8% (1088/3042) respectively. The lifelong cumulative incidence of both neck and upper limb pain was 31.6% (938/2966). Multiple logistic regression analysis showed that gender, age and working in head down posture were identified as risk factors for neck and upper limb pain. High workload, low colleague support and high anxiety were found to be significant on affecting the neck pain and upper limb pain developed after becoming teachers. Conclusions: Neck pain and upper limb pain were highly prevalent in secondary school teachers in Hong Kong. Gender, age, head down posture and some psychological factors were found to be significant risk factors.
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Bovim G, Schrader H, Sand T. Neck pain in general population. Spine 1994;19(12):1307–9.
Cote P, Cassidy JD, Carroll L. The Saskatchewan health and back pain Survey. Spine 1998;23(15):1689–98.
Rempel DM, Harrison RJ, Barnhart S. Work related cumulative trauma disorders of the upper extremity. JAMA 1992;267:838–42.
Kamwendo K, Linton SJ, Moritz U. Neck and shoulder disorders in medical secretaries. Scand J Rehab Med 1991;23:127–33.
Tola S, Riihimaki H, Videman T, Viikari-Juntura E, Hanninen K. Neck and shoulder symptoms among men in machine operating, dynamic physical work and sedentary work. Scand J Work Environ Health 1988;14:299–305.
Lau EMC, Sham A, Wong KC. The prevalence of and risk factors for neck pain in Hong Kong Chinese. J Public Health Med 1996;18(4):396–9.
Grandjean HE, Maeda K. Constrained postures in accounting machine operators. Appl Ergonomics 1980;11(3):145–9.
Holmström EB, Lindell J, Mortiz U. Low back and neck/shoulder pain in construction workers: occupational workload and psychosocial risk factors. Spine 1992;17(6):672–7.
Ariens GAM, Mechelen WV, Bongers PM, Bouter LM, Wal GVD. Psychosocial risk factors for neck pain: a systematic review. Am J Ind Med 2001;39:180–93.
Leak AM, Cooper J, Dyer S, Williams KA, Turner-Strokes L, Frank AO. The Northwick Park neck pain questionnaire, devised to measure neck pain and disability. Br J Rheumatol 1994;33:469– 74.
Hosmer DW, Lemeshow S. Applied logistic regression. 2nd ed. New York: John Wiley & Sons, 2000.
Mittlböck M, Schemper M. Explained variation for logistic regression. Stat Med 1996;15(19):1987– 97.
Chiu TTW, Ku WY, Lee MH, Sum WK, Wan MP, Wong CY, Yuen CK. A study on the prevalence of and risk factors for neck pain among university academic staff in Hong Kong. J Occup Rehabil 2002;12(2):77– 91.
Lee HY, Yeh WY, Chen CW, Wang JD. Prevalence and psychosocial risk factors of upper extremity musculoskeletal pain in industries of Taiwan: a nationwide study. J Occup Health 2005;47:311–8.
Torgen M, Swerup C. Individual factors and physical work load in relation to sensory thresholds in a middle-aged general population sample. Eur J Appl Physiol 2002;86(5):418–27.
Chiu TW, Lam TH, Hedley AJ. Maximal isometric muscle strength of the cervical spine in healthy volunteers. Clin Rehabil 2002;16:772–9.
Ylinen J, Takala EP, Nykanen M, Maklka E, Pobjolainen T, Karppi SK, Kautiainen H, Airaksinen O. Active neck muscle training in the treatment of chronic neck pain in women A randomized controlled trial. JAMA 2003;289(19):2509–16.
Chiu TW, Lam TH, Hedley AJ. A randomized controlled trial on the efficacy of exercise for patients with chronic neck pain. Spine 2005;30:E1–7.
Purnett L. Work-related musculoskeletal disorders in computer keyboard operation. In: Gordon SL, Blair S, Fine LJ, eds. Repetitive motion disorders of the upper extremity. Rosemont, IL: American Academy of Orthopaedic Surgeons; 1995, pp. 43–8.
Coft PR, Lewis M, Papageorgiou AC, Thomas E, Jayson MIV, Macfarlane GJ, Silman AJ. Risk factors for neck pain: a longitudinal study in the general population. Pain 2001;93:317–25.
Krause N, Ragland DR, Greiner BA, Fisher JM, Holman BL, Selvin S. Physical workload and ergonomic factors associated with prevalence of back and neck pain in urban transits operators. Spine 1997;22(18):2117–27.
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This study is supported by the Occupational Safety & Health Council Hong Kong (CM/4R/2003/05-11).
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Chiu, T.T.W., Lam, P.K.W. The Prevalence of and Risk Factors for Neck Pain and Upper Limb Pain among Secondary School Teachers in Hong Kong. J Occup Rehabil 17, 19–32 (2007). https://doi.org/10.1007/s10926-006-9046-z
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DOI: https://doi.org/10.1007/s10926-006-9046-z