Psychosocial Factors Related to Lateral and Medial Epicondylitis: Results From Pooled Study Analyses.

J Occup Environ Med

Rocky Mountain Center for Occupational and Environmental Health (RMCOEH), University of Utah, Salt Lake City (Drs Thiese, Hegmann); Center for Ergonomics, University of Wisconsin-Milwaukee (Drs Kapellusch, Tang, Garg); Department of Mechanical Engineering, University of Utah, Salt Lake City (Dr Merryweather); and Safety and Health Assessment and Research for Prevention (SHARP) Program, Washington State Department of Labor and Industries, Olympia (Drs Bao, Silverstein).

Published: June 2016

Objective: The goal is to assess the relationships between psychosocial factors and both medial and lateral epicondylitis after adjustment for personal and job physical exposures.

Methods: One thousand eight hundred twenty-four participants were included in pooled analyses. Ten psychosocial factors were assessed.

Results: One hundred twenty-one (6.6%) and 34 (1.9%) participants have lateral and medial epicondylitis, respectively. Nine psychosocial factors assessed had significant trends or associations with lateral epicondylitis, the largest of which was between physical exhaustion after work and lateral epicondylitis with and odds ratio of 7.04 (95% confidence interval = 2.02 to 24.51). Eight psychosocial factors had significant trends or relationships with medial epicondylitis, with the largest being between mental exhaustion after work with an odds ratio of 6.51 (95% confidence interval = 1.57 to 27.04).

Conclusions: The breadth and strength of these associations after adjustment for confounding factors demonstrate meaningful relationships that need to be further investigated in prospective analyses.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4900945PMC
http://dx.doi.org/10.1097/JOM.0000000000000701DOI Listing

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