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Rasmussen-Barr E, Nordin M, Skillgate E. Are respiratory disorders risk factors for troublesome neck/shoulder pain? A study of a general population cohort in Sweden. Eur Spine J 2023; 32:659-666. [PMID: 36585528 DOI: 10.1007/s00586-022-07509-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/08/2022] [Revised: 11/08/2022] [Accepted: 12/15/2022] [Indexed: 12/31/2022]
Abstract
PURPOSE The etiology of neck/shoulder pain is complex. Our purpose was to investigate if respiratory disorders are risk factors for troublesome neck/shoulder pain in people with no or occasional neck/shoulder pain. METHODS This prospective cohort study was based on the Stockholm Public Health Cohorts (SPHC) 2006/2010 and the SPHC 2010/2014. We included adults who at baseline reported no or occasional neck/shoulder pain in the last six months, from the two subsamples (SPHC 06/10 n = 15 155: and SPHC 2010/14 n = 25 273). Exposures were self-reported asthma at baseline in SPHC 06/10 and Chronic Obstructive Pulmonary Disease (COPD) at baseline in SPHC 10/14. The outcome was having experienced at least one period of troublesome neck/shoulder pain which restricted work capacity or hindered daily activities to some or to a high degree during the past six months, asked for four years later. Binomial regression analyses were used to calculate risk ratios (RR) with 95% confidence intervals (95% CI). RESULTS Adjusted results indicate that those reporting to suffer from asthma at baseline had a higher risk of troublesome neck/shoulder pain at follow-up four years later (RR 1.48, 95% CI 1.10-2.01) as did those reporting to suffer from COPD (RR 2.12 95%CI 1.54-2.93). CONCLUSION Our findings indicate that those with no or occasional neck/shoulder pain and reporting to suffer from asthma or COPD increase the risk for troublesome neck/shoulder pain over time. This highlights the importance of taking a multi-morbidity perspective into consideration in health care. Future longitudinal studies are needed to confirm our findings.
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Affiliation(s)
- E Rasmussen-Barr
- Institute of Environmental Medicine, Karolinska Institutet, 171 77, Stockholm, Sweden.
- Department of Neurobiology, Care Sciences, and Society, Division of Physiotherapy, Karolinska Institutet, 144 83, Huddinge, Sweden.
| | - M Nordin
- Departments of Orthopedic Surgery and Environmental Medicine, Occupational and Industrial Orthopedic Center (OIOC), New York University, 63 Downing Street, New York, NY, 10014, USA
| | - E Skillgate
- Institute of Environmental Medicine, Karolinska Institutet, 171 77, Stockholm, Sweden
- Department of Health Promotion Science, Musculoskeletal and Sports Injury Epidemiology Center, Sophiahemmet, University, Box 5605, 114 85, Stockholm, Sweden
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Johansson F, Côté P, Onell C, Källberg H, Sundberg T, Edlund K, Skillgate E. Strengths of Associations Between Potential Risk Factors and Depressive Symptoms Across Levels of Sleep Quality in University Students: A Cross-sectional Study. Sleep Med 2022. [DOI: 10.1016/j.sleep.2022.05.496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Smedbråten K, Grotle M, Jahre H, Richardsen KR, Småstuen MC, Skillgate E, Øiestad BE. Lifestyle behaviour in adolescence and musculoskeletal pain 11 years later: The Trøndelag Health Study. Eur J Pain 2022; 26:1910-1922. [PMID: 35851511 PMCID: PMC9545098 DOI: 10.1002/ejp.2012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2022] [Revised: 06/29/2022] [Accepted: 07/09/2022] [Indexed: 11/19/2022]
Abstract
Background There is limited knowledge on the association between lifestyle behaviour in adolescence and musculoskeletal pain in young adulthood. This study aimed to investigate whether an accumulation of adverse lifestyle behaviours in adolescents with and without musculoskeletal pain at baseline, was associated with persistent musculoskeletal pain (pain duration ≥3 consecutive months the last year) 11 years later. Methods Longitudinal data from the Trøndelag Health Study in Norway including 1824 adolescents (13–19 years old) was analysed. The outcome was persistent musculoskeletal pain (≥3 months). The number of adverse lifestyle behaviours (low physical activity level, sleep problems, insufficient fruit/vegetables consumption, smoking, frequent alcohol intoxication [drunkenness] and/or illicit drug use) were summed up to comprise an ordinal variable and analysed with 0 or 1 adverse behaviours as the reference. Multiple logistic regression analyses, stratified by individuals with and without baseline musculoskeletal pain, were conducted. The results were expressed as odds ratios (ORs) with 95% confidence intervals (CIs). Results In adolescents with musculoskeletal pain at baseline, reporting ≥ four adverse lifestyle behaviours increased the odds of persistent musculoskeletal pain (OR 2.23, 95% CI 1.36, 3.66) 11 years later. Two and three adverse behaviours were not associated with future persistent musculoskeletal pain. In adolescents without musculoskeletal pain at baseline, an accumulation of adverse lifestyle behaviours was not associated with future persistent musculoskeletal pain. Conclusion An accumulation of adverse lifestyle behaviours in adolescents with musculoskeletal pain at baseline was associated with persistent musculoskeletal pain 11 years later, but not in adolescents without musculoskeletal pain at baseline. Significance An accumulation of four or more adverse lifestyle behaviours in adolescents with musculoskeletal pain was associated with persistent musculoskeletal pain in young adulthood. In future health care of adolescents with musculoskeletal pain, lifestyle behaviours should be assessed, with emphasis on accumulation of multiple adverse lifestyle behaviours. Focusing on an accumulation of multiple adverse lifestyle behaviours, rather than each individual behaviour, might provide a potential area for future research and interventions targeting musculoskeletal pain in youth.
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Affiliation(s)
- K. Smedbråten
- Department of Physiotherapy, Faculty of Health Sciences Oslo Metropolitan University Norway
| | - M. Grotle
- Department of Physiotherapy, Faculty of Health Sciences Oslo Metropolitan University Norway
- Research and Communication Unit for Musculoskeletal Health Oslo University Hospital Norway
| | - H. Jahre
- Department of Physiotherapy, Faculty of Health Sciences Oslo Metropolitan University Norway
| | - K. R. Richardsen
- Department of Physiotherapy, Faculty of Health Sciences Oslo Metropolitan University Norway
| | - M. C. Småstuen
- Department of Physiotherapy, Faculty of Health Sciences Oslo Metropolitan University Norway
| | - E. Skillgate
- Musculoskeletal & Sports Injury Epidemiology Center Sophiahemmet University Sweden
- Institute of Environmental Medicine Karolinska Institutet Sweden
| | - B. E. Øiestad
- Department of Physiotherapy, Faculty of Health Sciences Oslo Metropolitan University Norway
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Schelin M, Westerlind H, Lindqvist J, Englid E, Israelsson L, Skillgate E, Klareskog L, Alfredsson L, Lampa J. Widespread non-joint pain in early rheumatoid arthritis. Scand J Rheumatol 2021; 50:271-279. [PMID: 33629632 DOI: 10.1080/03009742.2020.1846778] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Objective: The aim of the study was to assess the development of widespread non-joint pain (WNP) in a cohort of patients with early rheumatoid arthritis (RA), the associated health-related quality of life (HRQoL), and clinical and demographic risk factors for WNP.Method: Incident cases with RA, from the Swedish population-based study Epidemiological Investigation of Rheumatoid Arthritis (EIRA), with a follow-up of at least 3 years, constituted the study population. WNP was defined as pain outside the joints in all four body quadrants and was assessed at the 3 year follow-up. Patients who reported WNP were compared to patients without WNP regarding HRQoL, measured by the Short Form-36, at 3 years, and clinical and demographic characteristics at the time of RA diagnosis.Results: A total of 749 patients constituted the study sample, of whom 25 were excluded after reporting already having severe pain before RA diagnosis. At the 3 year follow-up, 8% of the patients reported having WNP as well as statistically significant worse HRQoL. At the time of RA diagnosis, the patients with WNP had worse pain and pain-related features, while no difference was seen in the inflammatory parameters.Conclusion: WNP occurs in a substantial subset of patients with RA, also early in the course of the disease, and the HRQoL for these patients is significantly reduced. Patients who develop WNP at 3 years are already distinguishable at the time of diagnosis by displaying more pronounced pain ratings together with an average level of inflammatory disease activity.
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Affiliation(s)
- Mec Schelin
- Institute for Palliative Care, Region Skåne and Lund University, Lund, Sweden.,Department of Clinical Sciences Lund, Lund University, Lund, Sweden
| | - H Westerlind
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.,Division of Clinical Epidemiology, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden
| | - J Lindqvist
- Rheumatology Unit, Department of Medicine, Solna, Center for Molecular Medicine (CMM), Karolinska Institutet, Stockholm, Sweden.,Department of Gastroenterology, Dermatology and Rheumatology, Karolinska University Hospital, Stockholm, Sweden
| | - E Englid
- Rheumatology Unit, Department of Medicine, Solna, Center for Molecular Medicine (CMM), Karolinska Institutet, Stockholm, Sweden
| | - L Israelsson
- Rheumatology Unit, Department of Medicine, Solna, Center for Molecular Medicine (CMM), Karolinska Institutet, Stockholm, Sweden
| | - E Skillgate
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
| | - L Klareskog
- Rheumatology Unit, Department of Medicine, Solna, Center for Molecular Medicine (CMM), Karolinska Institutet, Stockholm, Sweden.,Department of Gastroenterology, Dermatology and Rheumatology, Karolinska University Hospital, Stockholm, Sweden
| | - L Alfredsson
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
| | - J Lampa
- Rheumatology Unit, Department of Medicine, Solna, Center for Molecular Medicine (CMM), Karolinska Institutet, Stockholm, Sweden.,Department of Gastroenterology, Dermatology and Rheumatology, Karolinska University Hospital, Stockholm, Sweden
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Palmlöf L, Skillgate E, Talbäck M, Josephson M, Vingård E, Holm LW. Poor work ability increases sickness absence over 10 years. Occup Med (Lond) 2019; 69:359-365. [DOI: 10.1093/occmed/kqz083] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
AbstractBackgroundLittle is known about the predictive value of single items from the work ability index (WAI) on the risk of sickness absence over several years, and whether such risk varies across age groups.AimsThe aim of the study was to investigate whether poor self-perceived physical and mental work ability among employees in the public sector are associated with long-term sickness absence over a 10-year period.MethodsThe study was based on a prospective cohort of employees within the public sector in Sweden reporting ‘good health for working’. Baseline information was collected with questionnaires from 2000 to 2003. Poor physical and mental work ability in relation to work demands were assessed with two items from the WAI. The outcome was the number of years of long-term sickness absence between 2003 and 2012. Long-term sickness absence was defined as ≥28 days of sickness and this information was retrieved from Swedish National Registers. Crude and adjusted incidence rate ratios were calculated with analyses stratified by age.ResultsCompared with those reporting very good physical work ability, employees reporting any lower grade of physical work ability had a higher risk of long-term sickness absence across all age strata, with higher risk estimates in the highest age groups and 6-fold increased risk in the oldest age group. Similar results were found for mental work ability with an almost 4-fold increased risk in the highest age group.ConclusionsSelf-reported physical and mental poor work ability are associated with long-term sickness absence during the subsequent 10 years. The risk increases with age.
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Affiliation(s)
- L Palmlöf
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
| | - E Skillgate
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
- Naprapathögskolan – Scandinavian College of Naprapathic Manual Medicine, Stockholm, Sweden
| | - M Talbäck
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
| | - M Josephson
- Department of Medical Science, Occupational and Environmental Medicine, Uppsala University, Uppsala, Sweden
| | - E Vingård
- Department of Medical Science, Occupational and Environmental Medicine, Uppsala University, Uppsala, Sweden
| | - L W Holm
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
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Palmlöf L, Holm LW, Alfredsson L, Skillgate E. Expectations of recovery: A prognostic factor in patients with neck pain undergoing manual therapy treatment. Eur J Pain 2016; 20:1384-91. [DOI: 10.1002/ejp.861] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/31/2016] [Indexed: 11/08/2022]
Affiliation(s)
- L. Palmlöf
- Institute of Environmental Medicine; Karolinska Institutet; Stockholm Sweden
| | - L. W. Holm
- Institute of Environmental Medicine; Karolinska Institutet; Stockholm Sweden
| | - L. Alfredsson
- Institute of Environmental Medicine; Karolinska Institutet; Stockholm Sweden
- Centre for Occupational and Environmental Medicine, Stockhom County Council; Stockhom Sweden
| | - E. Skillgate
- Institute of Environmental Medicine; Karolinska Institutet; Stockholm Sweden
- Naprapathögskolan - Scandinavian College of Naprapathic Manual Medicine; Stockholm Sweden
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Rasmussen BE, Grooten W, Hallqvist J, Holm L, Skillgate E. Are job strain and sleep disturbances prognostic factors for low-back pain? A cohort study of a general population in Sweden. Physiotherapy 2015. [DOI: 10.1016/j.physio.2015.03.1166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Asker M, Ravnanger J, Bjørnstad T, Skillgate E. Correlation between neck motor control impairment and shoulder pain in elite male handball players. J Sci Med Sport 2014. [DOI: 10.1016/j.jsams.2014.11.318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Rasmussen-Barr E, Grooten WJA, Hallqvist J, Holm LW, Skillgate E. Are job strain and sleep disturbances prognostic factors for neck/shoulder/arm pain? A cohort study of a general population of working age in Sweden. BMJ Open 2014; 4:e005103. [PMID: 25005596 PMCID: PMC4091459 DOI: 10.1136/bmjopen-2014-005103] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
OBJECTIVE To study whether job strain, that is, psychological job demands and decision latitude, and sleep disturbances among persons with occasional neck/shoulder/arm pain (NSAP) are prognostic factors for having experienced at least one episode of troublesome NSAP, and to determine whether sleep disturbances modify the association between job strain and troublesome NSAP. DESIGN Prospective cohort study. SETTING Stockholm, Sweden. PARTICIPANTS A population-based cohort of individuals with occasional NSAP (n=6979) who answered surveys in 2006 and 2010. OUTCOME MEASURES Report of at least one episode of troublesome NSAP in 2010. RESULTS The ORs for troublesome NSAP at follow-up were in individuals exposed to passive jobs 1.2 (95% CI 0.9 to 1.4); to active jobs 1.3 (95% CI 1.1 to 1.5); to high strain 1.5 (95% CI 1.0 to 2.4); to mild sleep disturbances 1.4 (95% CI 1.3 to 1.6) and to severe sleep disturbances 2.2 (95% CI 1.6 to 3.0). High strain and active jobs were associated with having experienced at least one episode of troublesome NSAP during the previous 6 months in persons with sleep disturbances, but not in individuals without sleep disturbances. CONCLUSIONS Our results indicate that high strain, active jobs and sleep disturbances are prognostic factors that should be taken into account when implementing preventive measures to minimise the risk of troublesome NSAP among people of working age. We suggest that sleep disturbances may modify the association between high strain and troublesome NSAP.
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Affiliation(s)
- E Rasmussen-Barr
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
- Division of Physiotherapy, Department of Neurobiology, Caring Sciences, and Society, Karolinska Institutet, Huddinge, Sweden
| | - W J A Grooten
- Division of Physiotherapy, Department of Neurobiology, Caring Sciences, and Society, Karolinska Institutet, Huddinge, Sweden
| | - J Hallqvist
- Department of Public Health Sciences, Karolinska Universitetssjukhuset, Stockholm, Sweden
- Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
| | - L W Holm
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
| | - E Skillgate
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
- Scandinavian College of Naprapathic Manual Medicine, Stockholm, Sweden
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Johansson F, Cools A, Skillgate E. MEASURING ECCENTRIC STRENGTH OF THE SHOULDER EXTERNAL ROTATORS USING A HAND-HELD DYNAMOMETER: RELIABILITY AND VALIDITY. Br J Sports Med 2014. [DOI: 10.1136/bjsports-2014-093494.141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Johansson F, DeBri E, Swärdh L, Cools A, Adolfsson A, Jenner G, Skillgate E. MRI FINDINGS IN THE SHOULDER OF COMPLETELY ASYMPTOMATIC ADOLESCENT ELITE TENNIS PLAYERS. Br J Sports Med 2014. [DOI: 10.1136/bjsports-2014-093494.142] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Lilje S, Skillgate E, Anderberg P, Berglund J. The importance of physical performance in younger elderly for the development of musculoskeletal pain interfering with normal life: A prospective cohort study. Eur Geriatr Med 2013. [DOI: 10.1016/j.eurger.2013.07.303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Wesley A, Bengtsson C, Skillgate E, Saevarsdottir S, Theorell T, Holmqvist M, Klareskog L, Alfredsson L, Wedrén S. AB0080 Association between life events and rheumatoid arthritis, results from the eira case control study. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2013-eular.2403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Skillgate E, Vingård E, Josephson M, Holm LW, Alfredsson L. Is smoking and alcohol consumption associated with long-term sick leave due to unspecific back or neck pain among employees in the public sector? Results of a three-year follow-up cohort study. J Rehabil Med 2009; 41:550-6. [DOI: 10.2340/16501977-0370] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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