Shoulder pain and heavy manual labor

Abstract

The problem of the increasingly common shoulder pain syndromes in industry was investigated by biomechanic and epidemiologic methods. Rotator cuff tendinitis constitutes a major problem in people with arduous occupations, i.e., shipyard welders (prevalence ratio, 18.3%), and steel plateworkers (16.2%). Static work seems to induce symptoms at an earlier age. The clinical diagnosis was supraspinatus tendinitis. The biomechanic studies confirmed the view that the shoulder muscles are heavily loaded when the arm is elevated. Excessive hand tool mass increases the strain markedly in some muscles, particularly the supraspinatus and the infraspinatus. The hypovascularity of the supraspinatus tendon is then likely to be accentuated by high intramuscular pressure that reduces the blood flow through the muscle. The strain on the supraspinatus muscle in overhead work is an important factor contributing to prolonged shoulder disability. An analysis of the distribution of loads imposed on the shoulder in practical working situations can be based on observations of working postures and external forces.