Valoración del riesgo de dolor de hombro en trabajadores de limpieza viaria y recogida de residuos. Proyecto PRE-REFILAB
DOI:
https://doi.org/10.17561/jump.n3.3Palabras clave:
incapacidad temporal laboral, omalgia, prevención de lesiones en el trabajo, factores de riesgo relacionados con el trabajo, barrenderos urbanos, reentrenamientoResumen
Según el informe de la Agencia Europea para la Seguridad y Salud en el Trabajo, el dolor de hombro (DH) es uno de los problemas de salud laboral más comunes de Europa. Esta dolencia es especialmente frecuente en los trabajadores de limpieza viaria y recogida de residuos. El proyecto Prevención y Readaptación Física Laboral (PRE-REFILAB) es una intervención novedosa de prevención y readaptación física en el ámbito laboral. El objetivo del presente estudio fue determinar el riesgo del DH de los trabajadores de limpieza viaria y recogida de residuos de una empresa de servicios urbanos del municipio de Murcia. Un total de 18 trabajadores con edades comprendidas entre 38 y 62 años (52,5±7,1 años) participaron en este estudio. Los trabajadores se caracterizaban por presentar alguna incapacidad temporal laboral por DH en los últimos 12 meses. La composición corporal, la disposición sagital del raquis, el rango de movimiento (ROM) y la fuerza isométrica del hombro fueron evaluadas en este estudio. De acuerdo con los valores de referencia pronóstico establecidos para la población general sana, un análisis descriptivo individual de las diferentes variables evaluadas fue realizado para identificar a los participantes con alto riesgo de DH. El análisis estadístico de dos muestras pareadas mostró asimetría en el ROM de rotación interna de hombro (p = 0,032). Los trabajadores de la empresa de servicios urbanos (≥39% del total) muestran peores valores en la mayoría de los factores de riesgo de dolor de hombro evaluados (composición corporal, curvatura dorsal, ROM de hombro-flexión, aducción y rotación interna- y fuerza de rotación interna) que los valores de referencia de la población general.
Descargas
Citas
American College of Sports Medicine. (2013). ACSM’s healthrelated physical fitness assessment manual. Lippincott Williams & Wilkins.
American College of Sports Medicine. (2019). Manual ACSM para la valoración y prescripción del ejercicio. Paidotribo.
Andersen, J. H., Kaergaard, A., Frost, P., Thomsen, J. F., Bonde, J. P., Fallentin, N., Borg, V., & Mikkelsen, S. (2002). Physical, psychosocial, and individual risk factors for neck/shoulder pain with pressure tenderness in the muscles among workers performing monotonous, repetitive work. Spine, 27(6), 660–667.
Bodin, J., Ha, C., Sérazin, C., Descatha, A., Leclerc, A., Goldberg, M., & Roquelaure, Y. (2012). Effects of Individual and Work-related Factors on Incidence of Shoulder Pain in a Large Working Population. Journal of Occupational Health, 54(4), 278–288. https://doi.org/10.1539/joh.11-0262-OA
Burkhart, S. S., Morgan, C. D., & Kibler, W. B. (2000). Shoulder injuries in overhead athletes: The ‘dead arm’ revisited. Clinics in Sports Medicine, 19(1), 125–158. https://doi.org/10.1016/S0278-5919(05)70300-8
Cadogan, A., Laslett, M., Hing, W., McNair, P., & Williams, M. (2011). Reliability of a new hand-held dynamometer in measuring shoulder range of motion and strength. Manual Therapy, 16(1), 97–101. https://doi.org/10.1016/j.math.2010.05.005
Cejudo, A., Sánchez-Castillo, S., Sainz de Baranda, P., Gámez, J., & Santonja-Medina, F. (2019). Low Range of Shoulders Horizontal Abduction Predisposes for Shoulder Pain in Competitive Young Swimmers. Frontiers in Psychology, 10, 478. https://doi.org/10.3389/fpsyg.2019.00478
Coburn, J. W., & Malek, M. H. (2017). Manual NSCA: fundamentos del entrenamiento personal. Paidotribo.
do Nascimento Araújo, L. V. P., Barbosa, A. L. L., Camila, K., Almeida, S., Vieira, T. G., Perazzo, M. T., Marques, E., Medeiros, J. M., de Lucena, E. V., Gouveia Filho, P. S., Pinheiro, L., Batista, L. A., de Farias, F. E., de Figueiredo, T. N., & Nunes, M. (2016). Prevalence Of Musculoskeletal Symptoms In Urban Cleaning Agents Lazer e Turismo: levantamento das motivações turísticas na terceira idade View project Sistemas de Informação em Saúde do Trabalhador: em Estudo na Paraíba View project. International Archives of Medicine, 9(248), 1–9. https://doi.org/10.3823/2119
Drza-Grabiec, J., Snela, S., Rykaa, J., Podgórska, J., & Rachwal, M. (2015). Effects of the sitting position on the body posture of children aged 11 to 13 years. Work, 51(4), 855–862. https://doi.org/10.3233/WOR-141901
Ellenbecker, T. S., & Cools, A. (2010). Rehabilitation of shoulder impingement syndrome and rotator cuff injuries: An evidencebased review. British Journal of Sports Medicine, 44(5), 319–327. https://doi.org/10.1136/bjsm.2009.058875
Eltayeb, S., Staal, J. B., Hassan, A., & De Bie, R. A. (2009). Work related risk factors for neck, shoulder and arms complaints: A cohort study among Dutch computer office workers. Journal of Occupational Rehabilitation, 19(4), 315–322. https://doi.org/10.1007/s10926-009-9196-x
Frau-Escales, P., Langa-Revert, Y., Querol-Fuentes, F., Mora-Amérigo, E., & Such-Sanz, A. (2013). Trastornos músculoesqueléticos del hombro en atención primaria: Estudio de prevalencia en un centro de la Agencia Valenciana de Salud. Fisioterapia, 35(1), 10–17. https://doi.org/https://doi.org/10.1016/j.ft.2012.05.001
Gerhardt, J., Cocchiarella, L., & Lea, R. (2002). The practical guide to range of motion assessment. American Medical Association.
Granito, R., Aveiro, M., Renno, A., Oishi, J., & Driusso, P. (2012). Comparison of thoracic kyphosis degree, trunk muscle strength and joint position sense among healthy and osteoporotic elderly women: a cross-sectional. Archives of Gerontology and Geriatrics, 54(2), e199-202. https://doi.org/https://doi.org/10.1016/j.archger.2011.05.012
Hill, L., Collins, M., & Posthumus, M. (2015). Risk factors for shoulder pain and injury in swimmers: A critical systematic review. Physician and Sportsmedicine, 43(4), 412–420. https://doi.org/10.1080/00913847.2015.1077097
Hjelm, N., Werner, S., & Renstrom, P. (2012). Injury risk factors in junior tennis players: a prospective 2-year study. Scandinavian Journal of Medicine & Science in Sports, 22(1), 40–48. https://doi.org/https://doi.org/10.1111/j.1600-0838.2010.01129.x
Hoozemans, M. J. M., Van der Beek, A. J., Frings-Dresen, M. H. W., Van der Woude, L. H. V., & Van Dijk, F. J. H. (2002). Pushing and pulling in association with low back and shoulder complaints. Occupational and Environmental Medicine, 59(10), 696–702. https://doi.org/10.1136/oem.59.10.696
Janda, V. (2013). Muscle Function Testing. Elsevier.
Kolber, M., Hanney, W., Cheatham, S. W., Salamh, P. A., Masaracchio, M., & Liu, X. (2017). Shoulder Joint and Muscle Characteristics Among Weight-Training Participants With and Without Impingement Syndrome. Journal of Strength and Conditioning Research, 31(4), 1024–1032.
Kuijpers, T., Van Tulder, M. W., Van Der Heijden, G. J. M. G., Bouter, L. M., & Van Der Windt, D. A. W. M. (2006). Costs of shoulder pain in primary care consulters: A prospective cohort study in The Netherlands. BMC Musculoskeletal Disorders, 7(1), 1–8. https://doi.org/10.1186/1471-2474-7-83
Larsson, B., Søgaard, K., & Rosendal, L. (2007). Work related neckshoulder pain: a review on magnitude, risk factors, biochemical characteristics, clinical picture and preventive interventions. Best Practice and Research: Clinical Rheumatology, 21(3), 447–463. https://doi.org/10.1016/j.berh.2007.02.015
Leclerc, A., Chastang, J., Niedhammer, I., Landre, M., & Roquelaure, Y. (2004). Incidence of shoulder pain in repetitive work. Occupational and Environmental Medicine, 61(1), 39–44.
Lin, J., Lim, H. K., & Yang, J.-L. (2006). Effect of shoulder tightness on glenohumeral translation, scapular kinematics, and scapulohumeral rhythm in subjects with stiff shoulders. Journal of Orthopaedic Research, 24(5), 1044–1051. https://doi.org/10.1002/jor.20126
Luime, J. J., Koes, B. W., Hendriksen, I. J. M., Burdorf, A., Verhagen, A. P., Miedema, H. S., & Verhaar, J. A. N. (2004). Prevalence and incidence of shoulder pain in the general population; a systematic review. Scandinavian Journal of Rheumatology, 33(2), 73–81. https://doi.org/10.1080/03009740310004667
McCann, P. D., & Bigliani, L. U. (1994). Shoulder Pain in Tennis Players. Sports Medicine, 17(1), 53–64. https://doi.
org/10.2165/00007256-199417010-00005
McKay, M., Baldwin, J., Ferreira, P., Simic, M., & Vanicek, N. (2017). Normative reference values for strength and flexibility of 1,000 children and adults. Neurology, 88, 36–43.
Ministerio de Trabajo. (2006). Real Decreto 1299/2006. https://www.boe.es/buscar/doc.php?id=BOE-A-2006-22169
Miranda, H., Viikari-Juntura, E., Martikainen, R., Takala, E. P., & Riihimäki, H. (2001). A prospective study of work related factors and physical exercise as predictors of shoulder pain. Occupational and Environmental Medicine, 58(8), 528–534. https://doi.org/10.1136/oem.58.8.528
Moreno-Pérez, V., Elvira, J., Fernandez-Fernandez, J., & Vera-Garcia, F. (2018). A comparative study of passive shoulder rotation range of motion, isometric rotation strength and serve speed between elite tennis players with and without history of shoulder pain. International Journal of Sports Physical Therapy, 13(1), 39–49. https://doi.org/10.26603/ijspt20180039
Morris, C. E., Bonnefin, D., & Darville, C. (2015). The Torsional Upper Crossed Syndrome: A multi-planar update to Janda’s model, with a case series introduction of the mid-pectoral fascial lesion as an associated etiological factor. Journal of Bodywork and Movement Therapies, 19(4), 681–689. https://doi.org/10.1016/j.jbmt.2015.08.008
Myers, J. B., Laudner, K. G., Pasquale, M. R., Bradley, J. P., & Lephart, S. M. (2006). Glenohumeral range of motion deficits and posterior shoulder tightness in throwers with pathologic internal impingement. American Journal of Sports Medicine, 34(3), 385–391. https://doi.org/10.1177/0363546505281804
Myklebust, G., Hasslan, L., Bahr, R., & Steffen, K. (2013). High prevalence of shoulder pain among elite Norwegian female handball players. Scandinavian Journal of Medicine & Science in Sports, 23(3), 288–294. https://doi.org/10.1111/j.1600-0838.2011.01398.x
Nagarajan, M., & Vijayakumar, P. (2013). Functional thoracic hyperkyphosis model for chronic subacromial impingement syndrome: An insight on evidence based ‘Treat the Cause’ concept - A case study and literature review. Journal of Back and Musculoskeletal Rehabilitation, 26(3), 227–242. https://doi.org/10.3233/BMR-130373
Peterson, F., Kendall, E., & Geise, P. (2005). Kendall’s Músculos. Pruebas, Funciones y Dolor Postural. Marbán.
Pope, D. P., Croft, P. R., Pritchard, C. M., Silman, A. J., & Macfarlane, G. J. (1997). Occupational factors related to shoulder pain and disability. Occupational and Environmental Medicine, 54, 316–321. https://doi.org/10.1136/oem.54.5.316
Rechardt, M., Shiri, R., Karppinen, J., Jula, A., Heliövaara, M., & Viikari-Juntura, E. (2010). Lifestyle and metabolic factors in relation to shoulder pain and rotator cuff tendinitis: A populationbased study. BMC Musculoskeletal Disorders, 11(1), 1–11. https://doi.org/10.1186/1471-2474-11-165
Roghani, T., Zavieh, M. K., Manshadi, F. D., King, N., & Katzman, W. (2017). Age-related hyperkyphosis: update of its potential causes and clinical impacts—narrative review. Aging Clinical and Experimental Research, 29(4), 567–577. https://doi.org/10.1007/s40520-016-0617-3
Sainz de Baranda, P., Andújar, P., Collazo-Diéguez, M., Pastor, A., Santonja-Renedo, F., Martínez-Romero, M. T., Aparicio-Sarmiento, A., Cejudo, A., Rodríguez-Ferrán, O., & Santonja-Medina, F. (2020). Sagittal standing spinal alignment and back pain in 8 to 12-year-old children from the Region of Murcia, Spain: The ISQUIOS Program. Journal of Back and Musculoskeletal Rehabilitation, Preprint(Preprint), 1–12. https://doi.org/10.3233/bmr-191727
Salve, P. S., & Chokhandre, P. (2016). Assessing the exposure of street sweeping and potential risk factors for developing musculoskeletal disorders and related disabilities: A crosssectional study. BMJ Open, 6(12), e012354. https://doi.org/10.1136/bmjopen-2016-012354
Santonja-Medina, F., Collazo-Diéguez, M., Martínez-Romero, M., Rodríguez-Ferrán, O., Aparicio-Sarmiento, A., Cejudo, A., Andújar, P., & Sainz De Baranda, P. (2020). Classification System of the Sagittal Integral Morphotype in Children from the ISQUIOS Programme (Spain). International Journal of Environmental Research and Public Health, 17(7), 2467. https://doi.org/10.3390/ijerph17072467
Sekiguchi, T., Hagiwara, Y., Momma, H., Kanazawa, K., Kuroki, K., Tsuchiya, M., & Itoi, E. (2017). Youth Baseball Players with Elbow and Shoulder Pain Have Both Low Back and Knee Pain: A Cross-sectional Study. Knee Surgery, Sports Traumatology, Arthroscopy, 26(7), 1927–1935. https://doi.org/10.1177/2325967117s00391
Senthil, P., Sudhakar, S., Radhakrishnan, R., & Jeyakumar, S. (2017). Efficacy of corrective exercise strategy in subjects with hyperkyphosis. Journal of Back and Musculoskeletal Rehabilitation, 30(6), 1285–1289. https://doi.org/10.3233/BMR-169668
Shanahan, E. M., & Sladek, R. (2011). Shoulder pain at the workplace. Best Practice and Research: Clinical Rheumatology, 25(1), 59–68. https://doi.org/10.1016/j.berh.2011.01.008
Sim, J., Lacey, R. J., & Lewis, M. (2006). The impact of workplace risk factors on the occurrence of neck and upper limb pain: A general population study. BMC Public Health, 6(1), 1–10. https://doi.org/10.1186/1471-2458-6-234
Singla, D., & Veqar, Z. (2017). Association Between Forward Head, Rounded Shoulders, and Increased Thoracic Kyphosis: A Review of the Literature. Journal of Chiropractic Medicine, 16(3), 220–229. https://doi.org/10.1016/j.jcm.2017.03.004
Skrzypczak, A. (2014). Agencia Europea para la Seguridad y la Salud en el Trabajo. Trastornos Musculoesqueléticos. https://osha.europa.eu/es/themes/musculoskeletal-disorders
Suverza, A., & Haua, K. (2010). El ABC de la evaluación de la nutrición. McGraw Hill Professional.
Tessaro, M., Granzotto, G., Poser, A., Plebani, G., & Rossi, A. (2017). Shoulder pain in competitive teenage swimmers and it’s prevention: a retrospective epidemiological cross sectional study of prevalence. International Journal of Sports Physical Therapy, 12(5), 798–811. https://doi.org/10.26603/ijspt20170798
Ticker, J. B., Beim, G. M., & Warner, J. J. P. (2000). Recognition and treatment of refractory posterior capsular contracture of the shoulder. Arthroscopy, 16(1), 27–34. https://doi.org/10.1016/S0749-8063(00)90124-5
Tyler, T. F., Nahow, R. C., Nicholas, S. J., & McHugh, M. P. (2005). Quantifying shoulder rotation weakness in patients with shoulder impingement. Journal of Shoulder and Elbow Surgery, 14(6), 570–574. https://doi.org/10.1016/j.jse.2005.03.003
Tyler, T. F., Nicholas, S. J., Roy, T., & Gleim, G. W. (2000). Quantification of Posterior Capsule Tightness and Motion Loss in Patients with Shoulder Impingement. The American Journal of Sports Medicine, 28(5), 668–673. https://doi.org/10.1177/03635465000280050801
Van Der Molen, H. F., Foresti, C., Daams, J. G., Frings-Dresen, M. H. W., & Kuijer, P. P. F. M. (2017). Work-related risk factors for specific shoulder disorders: A systematic review and metaanalysis. Occupational and Environmental Medicine, 74(10), 745–755. https://doi.org/10.1136/oemed-2017-104339
van Kampen, V., Hoffmeyer, F., Seifert, C., Brüning, T., & Bünger, J. (2020). Occupational health hazards of street cleaners. A literature review considering prevention practices at the workplace. International Journal of Occupational Medicine and Environmental Health, 33(6), 701–732. https://doi.org/10.13075/ijomeh.1896.01576
van Mechelen, W., Hlobil, H., & Kemper, H. (1992). Incidence, Severity, Aetiology and Prevention of Sports Injuries: A Review of Concepts. Sports Medicine: An International Journal of Applied Medicine and Science in Sport and Exercise, 14(2), 82–99). https://doi.org/10.2165/00007256-199214020-00002
Virta, L., Joranger, P., Brox, J., & Eriksson, R. (2012). Costs of shoulder pain and resource use in primary health care: A costof-illness study in Sweden. BMC Musculoskeletal Disorders, 13(1), 1–11. https://doi.org/10.1186/1471-2474-13-17
Wilk, K. E., MacRina, L. C., Fleisig, G. S., Porterfield, R., Simpson, C. D., Harker, P., Paparesta, N., & Andrews, J. R. (2011). Correlation of glenohumeral internal rotation deficit and total rotational motion to shoulder injuries in professional baseball pitchers. American Journal of Sports Medicine, 39(2), 329–335. https://doi.org/10.1177/0363546510384223
