RESEARCH PAPER
Association between pain intensity, neck disability index, and working conditions among women employed in horticulture
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1
Department of Sports Medicine, Faculty of Health Sciences, Medical University, Lublin, Poland
2
Department of Clinical Physiotherapy, Faculty of Health Sciences, Medical University, Lublin, Poland
3
Rehabilitation Clinic with Neurological Rehabilitation Department, Institute of Rural Health, Lublin, Poland
Corresponding author
Agata Czępińska
Department of Sports Medicine, Faculty of Health Sciences, Medical University of Lublin,
20-093 Lublin, Poland, Chodźki 15, 20-093, Lublin, Poland
Ann Agric Environ Med. 2023;30(3):531-535
KEYWORDS
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ABSTRACT
Introduction and objective:
One of the most frequent musculoskeletal disorders is neck pain (NP). NP can be associated with occupational activities and is more common among females than males. Horticulture is a branch of agriculture in which work is intensively manual, and characterized by repetitive tasks. The aim of the cross-sectional study was to analyze the association between pain intensity, neck disability index (NDI), and working conditions in terms of selected factors related to work in horticulture.
Material and methods:
44 women employed in horticulture met eligibility criteria (experienced necked pain). Five factors related to working conditions were investigated: work experience, upper extremity position, head position, prophylaxis, and stress frequency. NDI and visual analog scale (VAS) were used to investigate pain intensity and disability.
Results:
It was found that the position of the upper limb at work and the frequency of stress were significantly associated with the VAS score (p=0.046 and p=0.02, respectively). With regard to NDI total score, a statistically significant association was found between work experience and stress frequency (p=0.02 and p=0.01, respectively). Analysis of the relationship between VAS and NDI total score showed a statistically significant weak positive correlation (R=0.39; p=0.01).
Conclusions:
NP and NDI are related to the activities that women working in horticulture have to perform. Stress seems to be an important factor in cervical problems among female workers leading to an increase in NP and disability
REFERENCES (26)
1.
Norasi H, Tetteh E, Sarker P, Mirka GA, Hallbeck MS. Exploring the relationship between neck flexion and neck problems in occupational populations: a systematic review of the literature. Ergonomics. 2022 April;654:587–603. PMID: 34477048.
https://doi.org/10.1080/001401....
2.
Kassolik K, Rajkowska-Labon E, Tomasik T, et al. Recommendations of the Polish Society of Physiotherapy, Polish Society of Family Medicine and the College of Family Physicians in Poland in the scope of physiotherapy in the painful shoulder syndrome in primary healthcare. Fam Med Prim Care Rev. 2018 September 1;20:277–90.
https://doi.org/10.5114/fmpcr.....
3.
Figas G, Pietrzak B. 2. Epidemiologia zespołów bólowych kręgosłupa szyjnego oraz koszty zabezpieczenia społecznego osób z niepełnosprawnością w wyniku dysfunkcji i zespołów bólowych kręgosłupa szyjnego (ZBKC). Innov Model Diagn Ther Prev Manag Pers Funct Disord Cerv CeRvico-Thorac Spine. 2021.
4.
Malińska M, Bugajska J, Bartuzi P. Occupational and non-occupational risk factors for neck and lower back pain among computer workers: a cross-sectional study. Int J Occup Saf Ergon. 2021 October 2;274:1108–15. PMID: 33704014.
https://doi.org/10.1080/108035....
5.
Vos T, Abajobir AA, Abate KH, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet. 2017 September 16;39010100:1211–59.
https://doi.org/10.1016/S0140-....
6.
Ainpradub K, Sitthipornvorakul E, Janwantanakul P, van der Beek AJ. Effect of education on non-specific neck and low back pain: A meta-analysis of randomized controlled trials. Man Ther. 2016 April;22:31–41. PMID: 26585295.
https://doi.org/10.1016/j.math....
8.
Hoy D, March L, Brooks P, et al. The global burden of low back pain: estimates from the Global Burden of Disease 2010 study. Ann Rheum Dis. 2014 June 1;736:968–74. PMID: 24665116.
https://doi.org/10.1136/annrhe....
9.
Oliv S, Noor A, Gustafsson E, Hagberg M. A Lower Level of Physically Demanding Work Is Associated with Excellent Work Ability in Men and Women with Neck Pain in Different Age Groups. Saf Health Work. 2017 December 1;84:356–63.
https://doi.org/10.1016/j.shaw....
10.
Bayattork M, Skovlund SV, Sundstrup E, Andersen LL. Work limitations due to neck-shoulder pain and physical work demands in older workers: cross-sectional study. Int Arch Occup Environ Health. 2021 April 1;943:433–40.
https://doi.org/10.1007/s00420....
11.
Alvarez-Casado E, Hernandez-Soto A, Tello S, Gual R. Study of biomechanical overload in urban gardeners of Barcelona: application of analytical models for risk exposure evaluation in annual working cycle. Work Read Mass. 2012;41 Suppl 1:3973–80. PMID: 22317330.
https://doi.org/10.3233/WOR-20....
12.
Kaur N, Kaur DH, Bal DSK. Ergonomic analysis of postural and musculoskeletal disorders faced by farm women during flower cultivation. Pharma Innov J. 2022;1110S:450–61.
13.
Heller GZ, Manuguerra M, Chow R. How to analyze the Visual Analogue Scale: Myths, truths and clinical relevance. Scand J Pain. 2016 October 1;131:67–75.
https://doi.org/10.1016/j.sjpa....
14.
Chan Ci En M, Clair DA, Edmondston SJ. Validity of the Neck Disability Index and Neck Pain and Disability Scale for measuring disability associated with chronic, non-traumatic neck pain. Man Ther. 2009 August 1;144:433–8.
https://doi.org/10.1016/j.math....
15.
Jahre H, Grotle M, Smedbråten K, Dunn KM, Øiestad BE. Risk factors for non-specific neck pain in young adults. A systematic review. BMC Musculoskelet Disord. 2020 June 9;211:366.
https://doi.org/10.1186/s12891....
16.
Jun D, Johnston V, McPhail SM, O’Leary S. A Longitudinal Evaluation of Risk Factors and Interactions for the Development of Nonspecific Neck Pain in Office Workers in Two Cultures. Hum Factors. 2021 June 1;634:663–83.
https://doi.org/10.1177/001872....
17.
Kaur N, Kaur DH, Bal DSK. Work-related risk factors faced by female workers engaged in flower cultivation. Pharma Innov J. 2020;97S:202–7.
https://doi.org/10.22271/tpi.2....
18.
López-Aragón L, López-Liria R, Callejón-Ferre Á-J, Pérez-Alonso J. Musculoskeletal disorders of agricultural workers in the greenhouses of Almería (Southeast Spain). Saf Sci. 2018 November 1;109:219–35.
https://doi.org/10.1016/j.ssci....
19.
Sabino L, Melo RB, Carvalho FC. Ergonomic Work Analysis at Plant Nurseries of a Portuguese Municipality. Adv Phys Ergon Ampmathsemicolon Hum Factors. 2018 July 21:273–85.
https://doi.org/10.1007/978-3-....
20.
Martinez-Calderon J, Flores-Cortes M, Morales-Asencio JM, Luque-Suarez A. Which Psychological Factors Are Involved in the Onset and/or Persistence of Musculoskeletal Pain? An Umbrella Review of Systematic Reviews and Meta-Analyses of Prospective Cohort Studies. Clin J Pain. 2020 August;368:626–37. PMID: 32379072.
https://doi.org/10.1097/AJP.00....
21.
Lee H, Hübscher M, Moseley GL, et al. How does pain lead to disability? A systematic review and meta-analysis of mediation studies in people with back and neck pain. Pain. 2015 June;1566:988–97. PMID: 25760473.
https://doi.org/10.1097/j.pain....
22.
Lundqvist P. Occupational Health and Safety of Workers in Agriculture and Horticulture. NEW Solut J Environ Occup Health Policy. 2001 February 1;104:351–65.
https://doi.org/10.2190/CNC5-E....
23.
Shahrokhi HR, Sheikhmozafari MJ, Khatibzadeh F, Ahmadi O. Risk Assessment of Musculoskeletal Disorders among Gardening and Landscape Workers of Yazd Industrial Complex. Int J Musculoskelet Pain Prev. 2021 October 10;64:580–7.
https://doi.org/10.52547/ijmpp....
24.
Daher A, Halperin O. Association between Psychological Stress and Neck Pain among College Students during the Coronavirus Disease of 2019 Pandemic: A Questionnaire-Based Cross-Sectional Study. Healthcare. 2021 November 9;911:1526. PMID: 34828572.
https://doi.org/10.3390/health....
25.
Chen X, O’Leary S, Johnston V. Modifiable individual and work-related factors associated with neck pain in 740 office workers: a cross-sectional study. Braz J Phys Ther. 2018 July 1;224:318–27.
https://doi.org/10.1016/j.bjpt....
26.
Marcatto F, Colautti L, Larese Filon F, et al. Work-related stress risk factors and health outcomes in public sector employees. Saf Sci. 2016 November 1;89:274–8.
https://doi.org/10.1016/j.ssci....