Identification of neck-shoulder disorders in a 1 year follow-up study. Validation Of a questionnaire-based method.
A cohort of 243 female sewing machine operators were studied by questionnaire and clinical examinations with the purpose to study the efficiency of a screening questionnaire-based method to identify prevalent and incident cases of neck-shoulder disorders. The cross-sectional correlation between self-reported neck-shoulder complaints scores and clinical signs of a neck-shoulder disorder was high. An assessed cut-of point of complaints could identify 90% of all cases fulfilling the criteria of rotator cuff tendinitis, while the complaint score with regard to clinical signs of myofascial pain syndrome was about 67%. In the follow-up analyses, incident clinical signs of disorders at 1 year follow-up were used as 'golden standard' in the validation of screening criteria, which included a defined increase of symptoms. Apparently increase of symptoms did not seem to be the optimal criteria for identification of incident cases. Alternatively a cut-of point of regional complaints in close relation to clinical examinations is recommended.
Kaergaard
Anette
A
Department of Occupational Health, Herning Hospital, DK-7400 Herning, Denmark Department of Occupational Medicine, Copenhagen County Hospital, DK-2600 Glostrup, Denmark.
Andersen
Johan Hviid
JH
Rasmussen
Kurt
K
Mikkelsen
Sigurd
S
D000328:Adult; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008403:Mass Screening / Q000379:methods; D009140:Musculoskeletal Diseases / Q000175:diagnosis*; D009209:Myofascial Pain Syndromes / Q000175:diagnosis; D009333:Neck; D010808:Physical Examination; D012782:Shoulder; D011795:Surveys and Questionnaires; D052256:Tendinopathy / Q000175:diagnosis