Musculoskeletal disorders in farmers and farm workers.

Farming is a physically arduous occupation and this places farm workers at potential risk of musculoskeletal disorders such as osteoarthritis (OA) of the hip and knee, low back pain (LBP), neck and upper limb complaints, and hand-arm vibration syndrome (HAVS). This review considers the epidemiological evidence concerning such risks. The strongest evidence relates to OA of the hip, for which the public health impact is likely to be considerable. There is also weaker, but suggestive evidence that farmers more often have knee OA and LBP than workers in occupations with fewer physical demands. Tractor drivers, in particular, seem to have more LBP. Relatively little information exists on the risks of soft tissue rheumatism in the limbs and neck. For some outcomes, the link with occupational risk factors (such as heavy loading of joints and whole-body vibration) is sufficient to suggest the course that future prevention should take, but for several outcomes more research is first needed.

[1]  L. Hellgren.  The prevalence of rheumatoid arthritis in occupational groups. , 1970, Acta rheumatologica Scandinavica.

[2]  K. Roach,et al.  Biomechanical aspects of occupation and osteoarthritis of the hip: a case-control study. , 1994, The Journal of rheumatology.

[3]  B Jacobsson,et al.  Coxarthrosis and farm work: a case-referent study. , 1997, American journal of industrial medicine.

[4]  N. Dalén,et al.  Coxarthrosis and labour , 2004, International Orthopaedics.

[5]  C. Cooper,et al.  Osteoarthritis of the hip and occupational lifting. , 1998, American journal of epidemiology.

[6]  L. Stallones,et al.  Back pain and agricultural work among farmers: an analysis of the Colorado Farm Family Health and Hazard Surveillance Survey. , 1999, American journal of industrial medicine.

[7]  M. Griffin,et al.  THE DEVELOPMENT OF A SELF-ADMINISTERED QUESTIONNAIRE TO ASSESS EXPOSURES TO HAND-TRANSMITTED AND WHOLE-BODY VIBRATION AND THEIR HEALTH EFFECTS , 1998 .

[8]  L. Alfredsson,et al.  Occupation, occupational exposure to chemicals and rheumatological disease. A register based cohort study. , 1994, Scandinavian journal of rheumatology.

[9]  H. Morgenstern,et al.  Impact of occupations and job tasks on the prevalence of carpal tunnel syndrome. , 1992, Scandinavian journal of work, environment & health.

[10]  R. Deyo.  Acute low back pain: a new paradigm for management , 1996, BMJ.

[11]  H Sandmark,et al.  Primary osteoarthrosis of the knee in men and women as a result of lifelong physical load from work. , 2000, Scandinavian journal of work, environment & health.

[12]  P. Puska,et al.  Socioeconomic variation in back and joint pain in Finland , 2004, European Journal of Epidemiology.

[13]  M. Hagberg,et al.  Prevalence rates and odds ratios of shoulder-neck diseases in different occupational groups. , 1987, British journal of industrial medicine.

[14]  M J Griffin,et al.  Prevalence and pattern of occupational exposure to hand transmitted vibration in Great Britain: findings from a national survey , 2000, Occupational and environmental medicine.

[15]  L. Alfredsson,et al.  Etiologic fractions for physical work load, sports and overweight in the occurrence of coxarthrosis. , 1994, Scandinavian journal of work, environment & health.

[16]  V Eva,et al.  Disability Pensions Due to Musculo-Skeletal Disorders among Men in Heavy Occupations A Case-Control Study , 1992, Scandinavian journal of social medicine.

[17]  J J Anderson,et al.  Factors associated with osteoarthritis of the knee in the first national Health and Nutrition Examination Survey (HANES I). Evidence for an association with overweight, race, and physical demands of work. , 1988, American journal of epidemiology.

[18]  M J Griffin,et al.  Risk of hand-arm vibration syndrome according to occupation and sources of exposure to hand-transmitted vibration: A national survey. , 2001, American journal of industrial medicine.

[19]  A. Aromaa,et al.  Incidence and risk factors of herniated lumbar intervertebral disc or sciatica leading to hospitalization. , 1987, Journal of chronic diseases.

[20]  M Bovenzi,et al.  Low-back disorders in agricultural tractor drivers exposed to whole-body vibration and postural stress. , 1994, Applied ergonomics.

[21]  H. Lindberg,et al.  Coxarthrosis in farmers. , 1993, Clinical orthopaedics and related research.

[22]  Michael J. Griffin,et al.  Handbook of Human Vibration , 1990 .

[23]  S. Milham.  Using multiple cause of death coding in occupational mortality studies. , 1988, American journal of industrial medicine.

[24]  R. Jensen,et al.  Assessment of workers' compensation claims for back strains/sprains. , 1984, Journal of occupational medicine. : official publication of the Industrial Medical Association.

[25]  D Coggon,et al.  Osteoarthritis of the hip and occupational activity. , 1992, Scandinavian journal of work, environment & health.

[26]  D Coggon,et al.  Osteoarthritis of the hip: an occupational disease in farmers. , 1992, BMJ.

[27]  G. Wingren,et al.  Occupational determinants for rheumatoid arthritis. , 2000, Scandinavian journal of work, environment & health.

[28]  H Sakakibara,et al.  Overhead work and shoulder-neck pain in orchard farmers harvesting pears and apples. , 1995, Ergonomics.

[29]  A. Garg,et al.  Epidemiology of low-back pain in industry. , 1992, Occupational medicine.

[30]  Corbett McDonald,et al.  Epidemiology of Work Related Diseases , 1999 .

[31]  B. Jonsson,et al.  Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. , 1987, Applied ergonomics.

[32]  L Alfredsson,et al.  Occupation and osteoarthrosis of the hip and knee: a register-based cohort study. , 1991, International journal of epidemiology.

[33]  D Coggon,et al.  Occupational activity and osteoarthritis of the knee. , 1994, Annals of the rheumatic diseases.

[34]  A. Thelin,et al.  Hip joint arthrosis: an occupational disorder among farmers. , 1990, American journal of industrial medicine.

[35]  J P Leigh,et al.  Prevalence of back pain among fulltime United States workers. , 1989, British journal of industrial medicine.

[36]  B. Bernard,et al.  Musculoskeletal disorders and workplace factors: a critical review of epidemiologic evidence for work-related musculoskeletal disorders of the neck, upper extremity, and low back , 1997 .

[37]  M Bovenzi,et al.  Occupational musculoskeletal disorders in the neck and upper limbs of forestry workers exposed to hand-arm vibration. , 1991, Ergonomics.

[38]  P M Bongers,et al.  Self-reported back pain in tractor drivers exposed to whole-body vibration , 1990, International archives of occupational and environmental health.

[39]  L. Forcier,et al.  Work related musculoskeletal disorders (WMSDs) : a reference book for prevention , 1995 .

[40]  C. Leboeuf‐Yde,et al.  Whole-body vibration and low back pain: a systematic, critical review of the epidemiological literature 1992–1999 , 2000, International archives of occupational and environmental health.

[41]  D. Felson,et al.  Level of physical activity and the risk of radiographic and symptomatic knee osteoarthritis in the elderly: the Framingham study. , 1999, The American journal of medicine.

[42]  T. Typpö.  Osteoarthritis of the hip. Radiologic findings and etiology. , 1985, Annales chirurgiae et gynaecologiae. Supplementum.

[43]  B. Silverstein,et al.  A Life-long Prospective Study on the Role of Psychosocial Factors in Neck-Shoulder and Low-Back Pain , 1991, Spine.

[44]  K. Palmer,et al.  Musculoskeletal problems in the tomato growing industry: 'tomato trainer's shoulder'? , 1996, Occupational medicine.

[45]  M. Makela,et al.  Prevalence of primary fibromyalgia in the Finnish population. , 1991, BMJ.

[46]  M. Stål,et al.  Milking is a high-risk job for young females. , 1996, Scandinavian journal of rehabilitation medicine.

[47]  D Mohan,et al.  Effect of whole-body vibration on the low back. A study of tractor-driving farmers in north India. , 1999, Spine.

[48]  M. Heliövaara,et al.  Incidence and risk factors of low-back pain in middle-aged farmers. , 1995, Occupational medicine.

[49]  L. Cameron,et al.  Prevalence of chronic diseases and impairments among US farmers, 1986-1990. , 1994, American journal of epidemiology.

[50]  M Szpalski,et al.  Sociocultural factors and back pain. A population-based study in Belgian adults. , 1994, Spine.

[51]  A. Aromaa,et al.  Prevalence, determinants, and consequences of chronic neck pain in Finland. , 1991, American journal of epidemiology.

[52]  T Nakagawa,et al.  Relation between overhead work and complaints of pear and apple orchard workers. , 1987, Ergonomics.

[53]  M. Bovenzi,et al.  An updated review of epidemiologic studies on the relationship between exposure to whole-body vibration and low back pain (1986–1997) , 1999, International archives of occupational and environmental health.

[54]  H. Malchau,et al.  Osteoarthrosis of the hip in women and its relation to physical load at work and in the home , 1997, Annals of the rheumatic diseases.

[55]  P M Bongers,et al.  Long-term sick leave and disability pensioning due to back disorders of tractor drivers exposed to whole-body vibration , 1990, International archives of occupational and environmental health.