Prevalence and impact of musculoskeletal disorders of the upper limb in the general population.

OBJECTIVE: To determine the prevalence, interrelation, and impact of musculoskeletal disorders of the upper limb in the general population. METHODS: A total of 9,696 randomly selected adults of working age were surveyed in a 2-stage cross-sectional study involving a screening questionnaire and a st...

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Main Authors: Walker-Bone, K, Palmer, K, Reading, I, Coggon, D, Cooper, C
Format: Journal article
Language:English
Published: 2004
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author Walker-Bone, K
Palmer, K
Reading, I
Coggon, D
Cooper, C
author_facet Walker-Bone, K
Palmer, K
Reading, I
Coggon, D
Cooper, C
author_sort Walker-Bone, K
collection OXFORD
description OBJECTIVE: To determine the prevalence, interrelation, and impact of musculoskeletal disorders of the upper limb in the general population. METHODS: A total of 9,696 randomly selected adults of working age were surveyed in a 2-stage cross-sectional study involving a screening questionnaire and a standardized physical examination in symptomatic subjects. Age- and sex-specific prevalence rates were estimated for several musculoskeletal disorders and for nonspecific pain in the upper limbs. The overlap and impact on daily activities and healthcare utilization were explored. RESULTS: Among 6,038 first-stage responders, 3,152 reported upper limb symptoms and 1,960 were subsequently examined. Of subjects with pain, 44.8% had 1 or more specific soft-tissue disorders. Site-specific prevalence rates were as follows: shoulder tendinitis 4.5% among men and 6.1% among women; adhesive capsulitis 8.2% among men and 10.1% among women; lateral epicondylitis 1.3% among men and 1.1% among women; de Quervain's disease 0.5% among men and 1.3% among women; other tenosynovitis of the hand or wrist, 1.1% among men and 2.2% among women. Specific disorders tended to cluster (P < 0.001) in individuals, with particular overlap at the shoulder. Compared with subjects with nonspecific pain, those with specific disorders more often reported inability to perform everyday tasks (P < 0.05), consultation with a doctor (P < 0.05), and use of prescribed medication (P < 0.05). CONCLUSION: Upper limb pain is common in the general population and is often associated with physical signs suggestive of specific upper-limb disorders. These disorders have a substantial impact on physical function and use of health care.
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spelling oxford-uuid:70864c9e-52c2-44ec-a6f0-debbba8aa6c32022-03-26T19:37:43ZPrevalence and impact of musculoskeletal disorders of the upper limb in the general population.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:70864c9e-52c2-44ec-a6f0-debbba8aa6c3EnglishSymplectic Elements at Oxford2004Walker-Bone, KPalmer, KReading, ICoggon, DCooper, C OBJECTIVE: To determine the prevalence, interrelation, and impact of musculoskeletal disorders of the upper limb in the general population. METHODS: A total of 9,696 randomly selected adults of working age were surveyed in a 2-stage cross-sectional study involving a screening questionnaire and a standardized physical examination in symptomatic subjects. Age- and sex-specific prevalence rates were estimated for several musculoskeletal disorders and for nonspecific pain in the upper limbs. The overlap and impact on daily activities and healthcare utilization were explored. RESULTS: Among 6,038 first-stage responders, 3,152 reported upper limb symptoms and 1,960 were subsequently examined. Of subjects with pain, 44.8% had 1 or more specific soft-tissue disorders. Site-specific prevalence rates were as follows: shoulder tendinitis 4.5% among men and 6.1% among women; adhesive capsulitis 8.2% among men and 10.1% among women; lateral epicondylitis 1.3% among men and 1.1% among women; de Quervain's disease 0.5% among men and 1.3% among women; other tenosynovitis of the hand or wrist, 1.1% among men and 2.2% among women. Specific disorders tended to cluster (P < 0.001) in individuals, with particular overlap at the shoulder. Compared with subjects with nonspecific pain, those with specific disorders more often reported inability to perform everyday tasks (P < 0.05), consultation with a doctor (P < 0.05), and use of prescribed medication (P < 0.05). CONCLUSION: Upper limb pain is common in the general population and is often associated with physical signs suggestive of specific upper-limb disorders. These disorders have a substantial impact on physical function and use of health care.
spellingShingle Walker-Bone, K
Palmer, K
Reading, I
Coggon, D
Cooper, C
Prevalence and impact of musculoskeletal disorders of the upper limb in the general population.
title Prevalence and impact of musculoskeletal disorders of the upper limb in the general population.
title_full Prevalence and impact of musculoskeletal disorders of the upper limb in the general population.
title_fullStr Prevalence and impact of musculoskeletal disorders of the upper limb in the general population.
title_full_unstemmed Prevalence and impact of musculoskeletal disorders of the upper limb in the general population.
title_short Prevalence and impact of musculoskeletal disorders of the upper limb in the general population.
title_sort prevalence and impact of musculoskeletal disorders of the upper limb in the general population
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