Evidence map›Paper›PMID 40418249›Full record

SynthesisJournal of occupational health2025

Biopsychosocial and physical factors associated with firefighter musculoskeletal disorders: a systematic review.

Jennifer Tinsley Kubala, Rachel Kleis, Johanna Hoch

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of occupational health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

3 authors.

Jennifer Tinsley KubalaOrthopedic Surgery and Sports Medicine, University of Kentucky, 740 S. Limestone, Lexington, KY 40536, United States.
Rachel KleisDepartment of Kinesiology, Master Science Athletic Training Program, McPhee Building 215, University of Wisconsin Eau Claire, Eau Claire, WI 54702-4004, United States.
Johanna HochAthletic Training and Clinical Nutrition, University of Kentucky, 900 South Limestone Street, Wethington Building, Lexington, KY 40536, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesFirefighters are frequently exposed to psychologically and physically stressful experiences. This volatile occupational environment is thought to contribute to the risk of firefighter musculoskeletal disorders (MSDs). However, investigations of firefighter MSDs are limited, and to our knowledge, have not been collectively examined. The purpose of this novel systematic review was to systematically identify, critically appraise, and synthesize evidence regarding the relationship between MSDs and personal, physical, and psychosocial factors among career firefighters to guide future study directions.

methodsFive electronic databases (MEDLINE, CINAHL, SPORTDiscus, APA PsychInfo, PubMed) were searched from inception to December 12, 2024, which yielded 741 results. This review followed PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) 2020 guidelines and used the AXIS (Assess the Quality of Cross-Sectional Studies) tool.

resultsThe final review included 20 cross-sectional studies (AXIS scores 12-18). Of those, 19 examined physical factor(s), and 16 examined psychosocial factor(s). The overall evidence suggests a positive relationship between firefighter MSD reports and body mass index (BMI), occupational stress, and depression. A negative relationship to physical activity engagement was consistently observed.

conclusionsBody mass index , physical activity, and occupational stress were the most consistently examined factors related to firefighter MSDs. Odds of MSD occurrences were positively related to occupational stress and BMI, and negatively related to physical activity engagement; therefore, future investigations can focus primarily on these factors in relation to MSD risk. The establishment of reliable and culturally appropriate MSD report forms among firefighters is warranted as data collected were heterogeneous and not directly comparable. Finally, this report suggests that prospective examinations of both physical and psychosocial factors related to firefighter MSDs are needed.

Indexed as

FirefightersMusculoskeletal DiseasesOccupational DiseasesAdultBody Mass IndexCross-Sectional StudiesDepressionExerciseHumansMaleOccupational StressRisk Factorsbiopsychosocialfirefightermusculoskeletal disordersoccupational healthpublic safety

Identifiers

PMID40418249
PMCPMC12202764

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.