Evidence map›Paper›PMID 34148475›Full record

ArticleHuman factors2023

Work-Related Risk Factors for Rotator Cuff Syndrome in a Prospective Study of Manufacturing and Healthcare Workers.

Alysha R Meyers, Steven J Wurzelbacher, Edward F Krieg, Jessica G Ramsey, Kenneth Crombie, Annette L Christianson, Lian Luo, Susan Burt

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Human factors, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07645963 (Effects of Myofascial Trigger Point Release Versus Neil Asher Technique on Pain, Range of Motion, and Disability in Patients With Rotator Cuff Syndrome), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.9field-weighted citation impact, top 15% of its field
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.

NCT07645963 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Effects of Myofascial Trigger Point Release Versus Neil Asher Technique on Pain, Range of Motion, and Disability in Patients With Rotator Cuff Syndrome

TypeinterventionalSponsorRiphah International UniversityRan2026 to 2026Enrolled36ConditionsRotator Cuff SyndromeArmsMyofascial Trigger Point Release (MFTR)+ conservative physiotherapy Group, Neil Asher Technique (NAT) + conservative physiotherapy Group
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 19 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Rotator cuff tears.Nature reviews. Disease primers · 2024
    Review
  5. Article
  6. Article
  7. Review
  8. Occupational demands associated with rotator cuff disease surgery in the UK Biobank.Scandinavian journal of work, environment & health · 2023
    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

8 authors at 2 institutions in 1 country.

Alysha R MeyersNational Institute for Occupational Safety and Health, Cincinnati, Ohio, USA.ORCID 0000-0002-6402-0145
Steven J WurzelbacherNational Institute for Occupational Safety and Health, Cincinnati, Ohio, USA.
Edward F KriegNational Institute for Occupational Safety and Health, Cincinnati, Ohio, USA.
Jessica G RamseyNational Institute for Occupational Safety and Health, Cincinnati, Ohio, USA.
Kenneth CrombieFederal Department of Agriculture, Rockville, Maryland, USA.
Annette L ChristiansonUniversity of Cincinnati, Ohio, USA.
Lian LuoATTAIN, LLC, Cincinnati, Ohio, USA.
Susan Burtformerly National Institute for Occupational Safety and Health, Cincinnati, Ohio, USA.
National Institute for Occupational Safety and Health · USUniversity of Cincinnati · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

objectiveThis prospective study assessed the risk of developing rotator cuff syndrome (RCS) with separate or specific combinations of biomechanical exposures measures, controlling for individual confounders.

backgroundCompared with other musculoskeletal disorders, rates of work-related shoulder musculoskeletal disorders have been declining more slowly.

methodWe conducted up to 2 years of individual, annual assessments of covariates, exposures, and health outcomes for 393 U.S. manufacturing and healthcare workers without RCS at baseline. Task-level biomechanical exposures assessed exposure to forceful exertions (level, exertion rates, duty cycles), vibration, and upper arm postures (flexion, abduction). Hazard ratios (HRs) were calculated with Cox proportional hazard models.

resultsWe observed 39 incident RCS cases in 694 person-years (incidence rate = 5.62 per 100 person-years). Adjusting for confounders, we found increased risk of incident RCS associated with forceful hand exertions per minute for three upper arm posture tertiles: flexion ≥45° (≥28.2% time, HR = 1.11, CI [1.01, 1.22]), abduction ≥30° (11.9-21.2%-time, HR = 1.18, CI [1.04, 1.34]), and abduction >60° (≥4.8% time, HR = 1.16, CI [1.04, 1.29]). We failed to observe statistically significant effects for other interactions or any separate measures of biomechanical exposure.

conclusionThis study highlights the importance of assessing combinations of exposure to forceful repetition and upper arm elevation when developing interventions for preventing RCS. APPLICATION: Based on these results, interventions that reduce exposure to forceful repetition (i.e., lower force levels and/or slower exertion rates) may reduce the risk of RCS, especially when upper arm elevation cannot be avoided.

Indexed as

Musculoskeletal DiseasesOccupational DiseasesHealth PersonnelHumansProspective StudiesRisk FactorsRotator Cuffergonomicsincidencemusculoskeletal diseasesoccupational diseasesposturerepetitionrotator cuff syndromerotator cuff tendinopathyshoulder painwork-related factors

Identifiers

PMID34148475
PMCPMC8685298
OpenAlexW3175573687

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.