Working time and upper limb musculoskeletal symptoms: a longitudinal study among assembly line workers

Ind Health. 2021 Feb 26;59(1):43-53. doi: 10.2486/indhealth.2020-0155. Epub 2020 Nov 27.

Abstract

This study followed assembly line workers during 7 months, comprising a 4-wk season holidays. The main purposes were to determine the potential effect of working time on the presence and intensity of upper limb musculoskeletal symptoms, as to verify the effect of 4 wk of job interruption in the upper limb musculoskeletal symptoms presence and intensity. Data was collected during 6 moments. Generalized estimating equations analyses were used. For the effect estimates, odds ratio with corresponding 95% confidence intervals were reported for each outcome/model. The upper limb musculoskeletal symptoms showed a significant increase (p=0.001), especially after the 4 wk off. In all data collection points there was a significant positive association between the upper limb musculoskeletal symptoms and general health status (p<0.001). Considering symptoms' intensity, significant relations were found (p<0.001). Work time had a negative effect on the work-related upper limb musculoskeletal symptoms over 7 months (OR 0.909, 95% CI 0.861-0.960, p=0.001). For the intensity of upper limb symptoms, the effect of time was also statistical significant (OR 0.115, 95% CI 1.031-1.220, p=0.008). A 4-wk job interruption did not show an immediately positive effect on upper limb musculoskeletal symptoms presence.

Keywords: Automotive assembly; High-demanding jobs; Musculoskeletal symptoms; Occupational health; Work-related upper limb musculoskeletal disorders (WRULMSD).

MeSH terms

  • Adult
  • Automobiles
  • Female
  • Health Status
  • Humans
  • Longitudinal Studies
  • Male
  • Manufacturing Industry
  • Middle Aged
  • Musculoskeletal Diseases / epidemiology
  • Musculoskeletal Diseases / etiology*
  • Musculoskeletal Pain / epidemiology
  • Musculoskeletal Pain / etiology
  • Occupational Diseases / epidemiology
  • Occupational Diseases / etiology*
  • Portugal
  • Surveys and Questionnaires
  • Time Factors
  • Upper Extremity*