Evidence map›Paper›PMID 28486932›Full record

ArticleBMC musculoskeletal disorders2017

Risk assessment of manual handling operations at work with the key indicator method (KIM-MHO) - determination of criterion validity regarding the prevalence of musculoskeletal symptoms and clinical conditions within a cross-sectional study.

Andre Klussmann, Falk Liebers, Hansjürgen Gebhardt, Monika A Rieger, Ute Latza, Ulf Steinberg

Abstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Andre KlussmannInstitute of Occupational Health, Safety and Ergonomics (ASER), Corneliusstrasse 31, D-42329, Wuppertal, Germany. klussmann@institut-aser.de.ORCID 0000-0002-9588-5272
Falk LiebersFederal Institute for Occupational Safety and Health (BAuA), Nöldnerstrasse 40-42, D-10317, Berlin, Germany.
Hansjürgen GebhardtInstitute of Occupational Health, Safety and Ergonomics (ASER), Corneliusstrasse 31, D-42329, Wuppertal, Germany.
Monika A RiegerInstitute of Occupational and Social Medicine and Health Services Research, University Hospital of Tübingen, Wilhelmstrasse 27, D-72074, Tübingen, Germany.
Ute LatzaFederal Institute for Occupational Safety and Health (BAuA), Nöldnerstrasse 40-42, D-10317, Berlin, Germany.
Ulf SteinbergFederal Institute for Occupational Safety and Health (BAuA), Nöldnerstrasse 40-42, D-10317, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundManual handling operations (MHO) are known to be risk factors for work-related upper limb disorders (WRULDs), e.g. symptoms and conditions such as carpal tunnel syndrome. To estimate the risk of WRULDs, a Key Indicator Method (KIM) for the risk assessment of MHO was developed. The method was validated in regard to different criteria, including face validity, criterion validity, reliability and further aspects concerning utility. This paper describes the KIM-MHO and criterion validity of this method with reference to prevalence of musculoskeletal disorders (MSDs).

methodsA cross-sectional sample of 643 employees exposed to MHO was compared to a reference group of 804 unexposed subjects predominantly working at visual display terminals. The Nordic Questionnaire and a standardized clinical examination were used to obtain the 7-day and 12-months prevalence of symptoms and clinical conditions of the musculoskeletal system. Job specific exposure levels to MHO were assessed by ergonomists using the KIM-MHO. The resulting risk scores were categorized into risk categories 1 - low risk (reference group), 2 - increased risk, 3 - highly increased risk, and 4 - high risk. Log-linear Poisson regression models were applied to obtain adjusted prevalence ratios (PR) with 95%-confidence intervals.

resultsThe 7-day prevalence of symptoms for subjects in risk category 3 compared to risk category 1 was significant for the regions shoulder [women (w): PR 1.8 (1.2-2.7), men (m): PR 2.3 (1.2-4.4)], elbow [w: PR 3.3 (1.5-7.2), m: PR 2.4 (0.8-7.3)], and hand/wrist [w: PR 3.0 (1.7-5.3), m: PR 5.5 (2.7-11.3)]. The 7-day prevalence of symptoms for risk category 4 was also significant for the regions shoulder [w: PR 1.9 (1.3-2.8), m: PR 1.9 (1.3-2.7)], elbow [w: PR 4.5 (2.3-8.7), m: PR 3.3 (2.1-5.4)], and hand/wrist [w: PR 4.2 (2.6-6.9), m: PR 5.5 (3.5-8.5)]. The 12-months prevalence in these joint regions show comparable increases in the risk categories 3 and 4.

conclusionsThe KIM-MHO is valid in regard to criterion validity. The hypothesis could be confirmed, that high risk scores were associated with an increased prevalence of symptoms and clinical conditions especially in the shoulder, elbow and hand/wrist regions among employees exposed to MHO.

Indexed as

WorkloadAdultCarpal Tunnel SyndromeCross-Sectional StudiesFemaleHumansMaleMiddle AgedMusculoskeletal DiseasesOccupational DiseasesPrevalenceReproducibility of ResultsRisk AssessmentSurveys and QuestionnairesUpper ExtremityCriterion validityCross-sectional studyManual handling operationsMusculoskeletal symptomsRisk assessmentWRULDs

Identifiers

PMID28486932
PMCPMC5424427

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.