Journal of the Korean Medical Association (대한의사협회지)

Korean Medical Association (대한의사협회)
권호 표지
DOI QR코드

DOI QR Code

Job stress and musculoskeletal diseases

직무 스트레스와 근골격계 질환

  • Kang, Dong Mug (Department of Occupational & Environmental Medicine, Pusan National University Yangsan Hospital) ;
  • Kim, Young Ki (Department of Occupational & Environmental Medicine, Pusan National University Yangsan Hospital) ;
  • Kim, Jong Eun (Department of Occupational & Environmental Medicine, Pusan National University Yangsan Hospital)
  • 강동묵 (양산부산대학교병원 산업의학클리닉) ;
  • 김영기 (양산부산대학교병원 산업의학클리닉) ;
  • 김종은 (양산부산대학교병원 산업의학클리닉)
  • Published : 2011.08.10
⟨ Previous Next ⟩

Abstract

Majority of musculo-skeletal diseases are degenerative and work related. Work-related musculoskeletal diseases (WRMSD) are one of the main causes of work-related illnesses in Korea. Risk factors of WRMSD are multifactorial and included in individual, ergonomic and psychological factors. The role of job stress as one of the psychological factors in the development of WRMSD is still poorly understood and there is still no consensus on the epidemiological data. However, it seems likely that the body responds to stress factors through four systems (central nervous, autonomic nervous, endocrine and immune) which are constantly interacting as a complex network. Models on occupational stress and WRMSD offer unique perspectives on the role of occupational stressors on WRMSD. So health care providers should recognize stress-WRMSD interactions through careful, directed inquiry. Because a few studies have shown that stress-related interventions have been associated with decreases in musculo-skeletal symptoms.

Keywords

References

  1. Cohen AL, Gjessing CC, Fine LJ, Bernard BP, McGlothlin JD. Elements of ergonomics programs: a primer based on workplace evaluations of musculoskeletal disorders. Cincinnati: National Institute for Occupational Safety and Health; 1997.
  2. Ministry of Employment and Labor. The statistics of industrial accidents, 2009. Gwacheon: Ministry of Employment and Labor; 2009.
  3. Lee H, Wilbur J, Kim MJ, Miller AM. Psychosocial risk factors for work-related musculoskeletal disorders of the lower-back among long-haul international female flight attendants. J Adv Nurs 2008;61:492-502. https://doi.org/10.1111/j.1365-2648.2007.04511.x
  4. Engholm G, Holmström E. Dose-response associations between musculoskeletal disorders and physical and psychosocial factors among construction workers. Scand J Work Environ Health 2005;31 Suppl 2:57-67.
  5. Leroux I, Brisson C, Montreuil S. Job strain and neck-shoulder symptoms: a prevalence study of women and men white-collar workers. Occup Med (Lond) 2006;56:102-109.
  6. Lin YH, Chen CY, Lu SY. Physical discomfort and psychosocial job stress among male and female operators at telecommunication call centers in Taiwan. Appl Ergon 2009;40:561-568. https://doi.org/10.1016/j.apergo.2008.02.024
  7. Amick BC 3rd, Swanson NG, Chang H. Office technology and musculoskeletal disorders: building an ecological model. Occup Med 1999;14:97-112, iv.
  8. Siegrist J. Adverse health effects of high-effort/low-reward conditions. J Occup Health Psychol 1996;1:27-41.
  9. Karasek RA Jr. Job demands, job decision latitude, and mental strain: implications for job redesign. Adm Sci Q 1979;24: 285-308. https://doi.org/10.2307/2392498
  10. Gillen M, Yen IH, Trupin L, Swig L, Rugulies R, Mullen K, Font A, Burian D, Ryan G, Janowitz I, Quinlan PA, Frank J, Blanc P. The association of socioeconomic status and psychosocial and physical workplace factors with musculoskeletal injury in hospital workers. Am J Ind Med 2007;50:245-260. https://doi.org/10.1002/ajim.20429
  11. Kerr MS, Frank JW, Shannon HS, Norman RW, Wells RP, Neumann WP, Bombardier C; Ontario Universities Back Pain Study Group. Biomechanical and psychosocial risk factors for low back pain at work. Am J Public Health 2001;91:1069-1075. https://doi.org/10.2105/AJPH.91.7.1069
  12. Gheldof EL, Vinck J, Vlaeyen JW, Hidding A, Crombez G. Development of and recovery from short- and long-term low back pain in occupational settings: a prospective cohort study. Eur J Pain 2007;11:841-854. https://doi.org/10.1016/j.ejpain.2006.12.012
  13. Hannan LM, Monteilh CP, Gerr F, Kleinbaum DG, Marcus M. Job strain and risk of musculoskeletal symptoms among a prospective cohort of occupational computer users. Scand J Work Environ Health 2005;31:375-386. https://doi.org/10.5271/sjweh.921
  14. Chang SJ. Standardization of job stress measurement scale for Korean employees: the 2nd year project. Incheon: Occupational Safety and Health Research Institute; 2004.
  15. Jo MH, Kim KS, Lee SW, Kim TG, Ryu HW, Lee MY, Won YL. The relationship between job stress and musculoskeletal symptoms in migrant workers. Korean J Occup Environ Med 2009;21:378-387.
  16. Yoon J, Yi K, Kim S, Oh J, Lee J. The relationship between occupational stress and musculoskeletal symptoms in call center employees. Korean J Occup Environ Med 2007;19: 293-303.
  17. Bongers PM, de Winter CR, Kompier MA, Hildebrandt VH. Psychosocial factors at work and musculoskeletal disease. Scand J Work Environ Health 1993;19:297-312. https://doi.org/10.5271/sjweh.1470
  18. Bildt C, Alfredsson L, Michélsen H, Punnett L, Vingård E, Torgén M, Uhman A, Kilbom A. Occupational and nonoccupational risk indicators for incident and chronic low back pain in a sample of the Swedish general population during a 4-year period: an influence of depression? Int J Behav Med 2000;7: 372-392. https://doi.org/10.1207/S15327558IJBM0704_07
  19. Lapointe J, Dionne CE, Brisson C, Montreuil S. Interaction between postural risk factors and job strain on self-reported musculoskeletal symptoms among users of video display units: a three-year prospective study. Scand J Work Environ Health 2009;35:134-144. https://doi.org/10.5271/sjweh.1312
  20. Cole DC, Ibrahim S, Shannon HS. Predictors of work-related repetitive strain injuries in a population cohort. Am J Public Health 2005;95:1233-1237. https://doi.org/10.2105/AJPH.2004.048777
  21. Da Costa BR, Vieira ER. Risk factors for work-related musculoskeletal disorders: a systematic review of recent longitudinal studies. Am J Ind Med 2010;53:285-323.
  22. Adler R, Fleten DL, Cohen N. Psycho-neuroimmunology. 2nd ed. San Diego: Academic Press; 1996. 115 p.
  23. Kerman IA. Organization of brain somatomotor-sympathetic circuits. Exp Brain Res 2008;187:1-16. https://doi.org/10.1007/s00221-008-1337-5
  24. Jones BE. Modulation of cortical activation and behavioral arousal by cholinergic and orexinergic systems. Ann N Y Acad Sci 2008;1129:26-34. https://doi.org/10.1196/annals.1417.026
  25. Waersted M, Eken T, Westgaard RH. Activity of single motor units in attention-demanding tasks: firing pattern in the human trapezius muscle. Eur J Appl Physiol Occup Physiol 1996;72: 323-329. https://doi.org/10.1007/BF00599692
  26. Kivimäki M, Leino-Arjas P, Luukkonen R, Riihimäki H, Vahtera J, Kirjonen J. Work stress and risk of cardiovascular mortality: prospective cohort study of industrial employees. BMJ 2002;325:857. https://doi.org/10.1136/bmj.325.7369.857
  27. Feuerstein M. Biobehavioral mechanisms of work-related upper extremity disorders: a new agenda for research and practice. Am J Ind Med 2002;41:293-297. https://doi.org/10.1002/ajim.10060
  28. Puduvalli VK, Sella A, Austin SG, Forman AD. Carpal tunnel syndrome associated with interleukin-2 therapy. Cancer 1996; 77:1189-1192. https://doi.org/10.1002/(SICI)1097-0142(19960315)77:6<1189::AID-CNCR27>3.0.CO;2-X
  29. Heys SD, Mills KL, Eremin O. Bilateral carpal tunnel syndrome associated with interleukin 2 therapy. Postgrad Med J 1992; 68:587-588. https://doi.org/10.1136/pgmj.68.801.587
  30. Finestone HM, Alfeeli A, Fisher WA. Stress-induced physiologic changes as a basis for the biopsychosocial model of chronic musculoskeletal pain: a new theory? Clin J Pain 2008; 24:767-775. https://doi.org/10.1097/AJP.0b013e3181790342
  31. Schleifer LM, Ley R, Spalding TW. A hyperventilation theory of job stress and musculoskeletal disorders. Am J Ind Med 2002;41:420-432. https://doi.org/10.1002/ajim.10061
  32. Engel GL. Psychogenic pain and pain-prone patient. Am J Med 1959;26:899-918.
  33. Hodges WB, Workman EA. Pain and stress. In: Hubbard JR, Workman EA, editors. Handbook of stress medicine: an organ system approach. New York: CRC press; 1998. p. 251-272.
  34. Breslau N, Chilcoat HD, Andreski P. Further evidence on the link between migraine and neuroticism. Neurology 1996; 47:663-667. https://doi.org/10.1212/WNL.47.3.663
  35. Kent G. Memory of dental pain. Pain 1985;21:187-194. https://doi.org/10.1016/0304-3959(85)90288-X
  36. Sauter SL, Swanson NG. An ecological model of musculoskeletal disorders in office work. In: Moon SD, Sauter SL, editors. Beyond biomechanics: psychosocial aspects of musculoskeletal disorders in office work. Bristol: Taylor and Francis; 1996. p. 3-21.
  37. Melin B, Lundberg U. A biopsychosocial approach to work stress and musculoskeletal disorders. J Psychophysiol 1997;11:238-247.
  38. Feuerstein M, Huang GD, Pransky G. Work style and workrelated upper extremity disorders. In: Gatchel RJ, Turk DC, editors. Psychosocial factors in pain. New York: Guilford; 1999. p. 175-192.
  39. Carayon P, Smith MJ, Haims MC. Work organization, job stress, and work-related musculoskeletal disorders. Hum Factors 1999;41:644-663. https://doi.org/10.1518/001872099779656743
  40. Larson N, Miezio K, Shear K, Ault BS, Tepper MS, Gottleib M. Pilot study to assess strategies to reduce work-related musculoskeletal disorders associated with computer work. In: Brown O, Hendrick HW, editors. Human factors in organizational design and management. Amsterdam: Elsevier Science; 1996. p. 267-272.
  41. Smith MJ, Carayon P. Work organization, stress, and cumulative trauma disorders. In: Moon SD, Sauter SL, editors. Beyond biomechanics: psychosocial aspects of musculoskeletal disorders in office work. London: Taylor and Francis; 1996. p. 23-42.
  42. Van der Klink JJ, Blonk RW, Schene AH, van Dijk FJ. The benefits of interventions for work-related stress. Am J Public Health 2001;91:270-276. https://doi.org/10.2105/AJPH.91.2.270
  43. Faucett J, Garry M, Nadler D, Ettare D. A test of two training interventions to prevent work-related musculoskeletal disorders of the upper extremity. Appl Ergon 2002;33:337-347. https://doi.org/10.1016/S0003-6870(02)00006-6
  44. Feuerstein M, Nicholas RA, Huang GD, Dimberg L, Ali D, Rogers H. Job stress management and ergonomic intervention for work-related upper extremity symptoms. Appl Ergon 2004;35:565-574. https://doi.org/10.1016/j.apergo.2004.05.003
  45. Sullivan MJ, Feuerstein M, Gatchel R, Linton SJ, Pransky G. Integrating psychosocial and behavioral interventions to achieve optimal rehabilitation outcomes. J Occup Rehabil 2005;15:475-489. https://doi.org/10.1007/s10926-005-8029-9
  46. Hlobil H, Staal JB, Spoelstra M, Ariëns GA, Smid T, van Mechelen W. Effectiveness of a return-to-work intervention for subacute low-back pain. Scand J Work Environ Health 2005;31:249-257. https://doi.org/10.5271/sjweh.880

Cited by

  1. 자가 신장 운동이 요양보호사의 근골격계 증상 및 직무 스트레스에 미치는 효과 vol.8, pp.2, 2013, https://doi.org/10.13066/kspm.2013.8.2.183
  2. Prevalence of Musculoskeletal Disorders Among Korean Police Personnel vol.70, pp.4, 2011, https://doi.org/10.1080/19338244.2013.807762
  3. 신체활동수준과 스트레스수준에 따른 Vitamin-D 결핍률에 관한 직군별 비교분석연구: 2008~2013년 KNHANES 데이터 분석을 중심으로 vol.15, pp.8, 2011, https://doi.org/10.5392/jkca.2015.15.08.505
  4. 유아교사의 근골격계 작업부담과 직무 스트레스 vol.10, pp.2, 2011, https://doi.org/10.12811/kshsm.2016.10.2.205
  5. 치과위생사의 직무스트레스 그리고 작업자세와 상지의 증상여부 및 기능과의 관련성 vol.44, pp.4, 2019, https://doi.org/10.5393/jamch.2019.44.4.209