Prevalence of Upper Extremity Musculoskeletal Diseases and Disability among Fruit Tree Farmers in Korea: Cross-Sectional Study
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Purpose: The aim of this study was to examine the prevalence of upper extremity musculoskeletal (MSK) diseases and to identifyfactors influencing disability among fruit tree farmers in Korea. Materials and Methods: Of the 1150 subjects of the Namgaram study, 460 fruit tree farmers completed a questionnaire and underwentclinical evaluations, including physical assessments, laboratory tests, simple radiographic examinations, and magneticresonance imaging studies of the upper extremities. Disability was assessed using the Disabilities of the Arm, Shoulder, and Handoutcome measure. Data were analyzed with descriptive statistics and regression analyses using SPSS Win 24.0. Results: The prevalences of upper extremity MSK diseases were 60.4% for rotator cuff tear, 20.9% for golf elbow, 40.9% for tenniselbow, and 58.0% for hand osteoarthritis. Disability in fruit farmers was associated with female sex (B=-4.47, p<0.001), smoking(B=-4.00, p=0.026), depression (B=2.83, p<0.001), working hours (B=0.96, p=0.001), injuries of the arms (B=10.78, p<0.001) andshoulders (B=6.75, p<0.001), and numbers of upper extremity MSK diseases (B=2.02, p=0.001), with 26.5% of the variance explained(R2=0.265, Durbin-Watson test=1.81, p<0.001). Conclusion: Fruit tree farmers remain at risk for MSK diseases of the upper extremities. Disability tended to worsen with moreMSK diseases. It is necessary to not only educate farmers about prevention strategies, but also to develop an effective managementsystem for agricultural work-related MSK diseases and a surveillance system at the government level for the health problemsof farmers.
Abstract
Purpose: The aim of this study was to examine the prevalence of upper extremity musculoskeletal (MSK) diseases and to identifyfactors influencing disability among fruit tree farmers in Korea. Materials and Methods: Of the 1150 subjects of the Namgaram study, 460 fruit tree farmers completed a questionnaire and underwentclinical evaluations, including physical assessments, laboratory tests, simple radiographic examinations, and magneticresonance imaging studies of the upper extremities. Disability was assessed using the Disabilities of the Arm, Shoulder, and Handoutcome measure. Data were analyzed with descriptive statistics and regression analyses using SPSS Win 24.0. Results: The prevalences of upper extremity MSK diseases were 60.4% for rotator cuff tear, 20.9% for golf elbow, 40.9% for tenniselbow, and 58.0% for hand osteoarthritis. Disability in fruit farmers was associated with female sex (B=-4.47, p<0.001), smoking(B=-4.00, p=0.026), depression (B=2.83, p<0.001), working hours (B=0.96, p=0.001), injuries of the arms (B=10.78, p<0.001) andshoulders (B=6.75, p<0.001), and numbers of upper extremity MSK diseases (B=2.02, p=0.001), with 26.5% of the variance explained(R2=0.265, Durbin-Watson test=1.81, p<0.001). Conclusion: Fruit tree farmers remain at risk for MSK diseases of the upper extremities. Disability tended to worsen with moreMSK diseases. It is necessary to not only educate farmers about prevention strategies, but also to develop an effective managementsystem for agricultural work-related MSK diseases and a surveillance system at the government level for the health problemsof farmers.
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