Neck pain combined with arm pain among professional drivers of forest machines and the association with whole-body vibration exposure.
The purpose of this study was to investigate the existence of neck pain and arm pain among professional forest machine drivers and to find out if pain were related to their whole-body vibration (WBV) exposure. A self-administered questionnaire was sent to 529 forest machine drivers in northern Sweden and the response was 63%. Two pain groups were formed; 1) neck pain; 2) neck pain combined with arm pain. From WBV exposure data (recent measurements made according to ISO 2631-1, available information from reports) and from the self-administered questionnaire, 14 various WBV exposure/dose measures were calculated for each driver. The prevalence of neck pain reported both for the previous 12 months and for the previous 7 d was 34% and more than half of them reported neck pain combined with pain in one or both arms. Analysis showed no significant association between neck pain and high WBV exposure; however, cases with neck pain more often experienced shocks and jolts in the vehicle as uncomfortable. There was no significant association between the 14 WBV measures and type of neck pain (neck pain vs. neck pain combined with arm pain). It seems as if characteristics of WBV exposure can explain neither existence nor the type of neck pain amongst professional drivers of forest machines. The logging industry is important for several industrialised countries. Drivers of forest machines frequently report neuromusculoskeletal pain from the neck. The type of neck pain is important for the decision of treatment modality and may be associated with exposure characteristics at work.
Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden. borje.rehn@physiother.umu.se
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B
Rehn
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T
Nilsson
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R
Lundström
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M
Hagberg
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L
Burström
D000328:Adult; D001132:Arm / Q000503:physiopathology*; D001334:Automobile Driving; D015897:Comorbidity; D016468:Forestry; D006801:Humans; D008297:Male; D008875:Middle Aged; D019547:Neck Pain / Q000453:epidemiology / Q000503:physiopathology*; D016273:Occupational Exposure; D010146:Pain / Q000453:epidemiology / Q000503:physiopathology; D011795:Surveys and Questionnaires; D013548:Sweden / Q000453:epidemiology; D014732:Vibration / Q000009:adverse effects*