Association of Psychosocial Factors With Shoulder Tendinitis: A Cross-Sectional Study in Patients of a Tunisian Hospital
Main Article Content
Keywords
Keywords: Tendinitis; Rotator Cuff; Risk Factors; Psychosocial-Organization
Abstract
Background: To assess the association between rotator cuff tendinitis (RCT) occurrence and socio-professional constraints among a sample of professionally active patients. Methods: This study was based on a questionnaire that collected information on sociodemographic, occupational characteristics, and medical information about shoulder injuries. The assessment of psychosocial constraints at work was performed using the Karasek Job Content Questionnaire. Results: A total of 100 patients participated in this study. The population was predominantly female (89%), with a mean age of 45±9.5 years. Sixty-five percent of the patients worked in the manufacturing sector, and working as a machine operator was the most common occupation (48%). The average job seniority was 22±9 years. Regarding organization, the most common constraints were the need to respect production standards and deadlines (93%), to work quickly in 96% of cases, and Repeatability (92%). Eighty-eight percent of the patients reported high psychological demands, and 96% had low social support at work. Most of the patients (83%) were under occupational stress or had been subjected to a job-strain situation. Discussion: In this study, high psychological demand, low decision latitude, and low social support were predominantly reported in the population with percentages of 88%, 93%, and 96%, respectively.
References
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27. Aoyama H, Ohara H, Oze Y, Itani T. Recent trends in research on occupational cervicobrachial disorder ». J Hum Er-gol. (Tokyo). 1979;8(1):39-45.
28. Ghram, R., Fournier, C, Khalfallah, T, & Six F. Analyse des facteurs socioculturels et survenue des troubles muscu-losquelettiques: le cas des couturières en Tunisie. Perspectives interdisciplinarians sur le travail et la santé. 2010:12-2.
29. Brisson C, Vinet A, Vézina M. Disability among female garment workers: A comparison with a national sample, Scand. J Work Environ Health. 1989;15(5):323-8.
30. Tisserand M and Schouller JF. Conséquences posturales de la conception des machines. Le poste de machine à coudre à bras déporté. JSTOR. 1985;8(3): 239-254.
31. Chouanière D, Niedhammer I. Revue de la littérature sur les contraintes psychosociales au travail évaluées en épi-démiologie comme facteurs de risque des TMS : intérêt et limites. Hyper Article en Ligne - Sciences de l'Homme et de la Société. 2011.
32. Arnaudo B, Léonard M, Sandret N, Cavet M, Cutrot T, Rivalin R. Les risques professionnels en 2010 : de fortes diffé-rences d'exposition selon les secteurs. Dares Anal. 2013; 10:1-12.
33. Algava et al. Conditions de travail Reprise de l’intensification du travail chez les salariés. Publication de la direction de l'animation de la recherche, des études et des statistiques. Dares. 2014;49.
34. Gollac M, Volkoff S. Les conditions de travail. Open Edition Journals. 2002;44(1):122.
35. Bodin J, Garlantezec R, Costet N, et al. Forms of work organization and associations with shoulder disorders: Results from a French working population. Applied Ergonomics. 2017;59(A):1-10.
36. Leka S, Jain A. Health impact of psychosocial Hazards at work: an overview. World Health Organization. 2010.
37. Johansson JA. Psychosocial work factors, physical work load and associated musculoskeletal symptoms among home care workers. Scand J Psychol. 1995;36:113-129.
38. Bongers PM, De Winter CR, Kompier MA, Hildebrandt VH. Psychosocial factors at work and musculoskeletal disease. Scand J Work Environ Health. 1993;19(5):297-312.
39. Pope DP, Croft PR, Pritchard CM, Silman AJ, Macfarlane GJ. Occupational factors related to shoulder pain and disa-bility. Occup Environ Med. 1997;54(5):316-21.
40. Pougnet R, Le Menn A, Pougnet L, et al. Prévalence des troubles musculosquelettiques des membres supérieurs dans un service de stérilisation d’un CHRU. Arch Mal Prof Environ. 2014;75(2):143-9.
41. Fennani K. Influence des facteurs socioprofessionnels dans l’atteinte multi site des affections musculosquelettiques des membres supérieurs d’origine professionnelle : étude réalisée auprès de 254 patients. Th D Med, Monastir. 2017.
42. Niedhammer I, Lesuffleur T, Memmi S, Chastang JF. Les conditions de travail dans l’explication des inégalités so-ciales dans l’absentéisme pour raison de santé : résultats de l’enquête nationale SUMER 2010. Arch Mal Prof Envi-ron. 2016;77(6):1013.
43. Dunn WR, Kuhn JE, Sanders R, et al. Symptoms of pain do not correlate with rotator cuff tear severity: a cross-sectional study of 393 patients with a symptomatic atraumatic full-thickness rotator cuff tear. J Bone Joint Surg Am.2014; 96(10):793-800.
2. Bodin J, Catherine Ha, Petit Le Manac'h A, et al. Risk factors for incidence of rotator cuff syndrome in a large working population. Scand J Work Environ Health. 2012; 38(5):436-46.
3. Miranda H, Viikari-Juntura E, Heistaro S, Heliövaara M, Riihimäki H. A population study on differences in the de-terminants of a specific shoulder disorders versus nonspecific shoulder pain without clinical findings. Am J Epi-demiol. 2005;161(9): 847-855.
4. Sandrine C. L’ergonomie du genre: quelles influences sur l’intervention et la formation? Perspectives interdisci-plinaires sur le travail et la santé. Open Edition Journals. 2016;18-2.
5. Huisstede BMA, Miedema HS, Verhagen AP, Koes BW, Verhaar JAN. Multidisciplinary consensus on the terminology and classification of arm, neck and/or shoulder complaints. Occup Environ Med. 2007;64(5):313-319.
6. Curti S, Mattioli S, Violante FS. Shoulder Tendinopathies and Occupational Biomechanical Overload: A Critical Ap-praisal of Available Evidence. Med Lav. 2023;114(4).
7. European Communities. (2004). Work and health in the EU: A statistical portrait. Luxemburg: Office for Official Publications of the European Communities.
8. Van Rijn RM, Huisstede BM, Koes BW, et al. Associations between work-related factors and specific disorders of the shoulder–a systematic review of the literature. Scand J Work Environ Health. 2010;36:189-201.
9. Bongers PM, Ijmker S, van den Heuvel S, Blatter BM. Epidemiology of work-related neck and upper limb problems: psychosocial and personal risk factors (part I) and effective interventions from a bio behavioral perspective (part II). J Occup Rehabil. 2006;16(3):279-302.
10. Karasek RA, Job Demands, Job Decision Latitude, and Mental Strain: Implications for Job Redesign, Adm Sci Q 1979;24(2):285-308.
11. Karasek R, Brisson C, Kawakami N, Houtman I, Bongers P, Amick B. The Job Content Questionnaire (JCQ): an in-strument for internationally comparative assessments of psychosocial job characteristics. J Occup Health Psychol. 1998;3(4);322-55.
12. Niedhammer I, Chastang JF, Gendrey L, David S, Degioanni S. Propriétés psychométriques de la version française des échelles de la demande psychologique, de la latitude décisionnelle et du soutien social du « job content ques-tionnaire » de Karasek : résultats de l'enquête nationale SUMER. Sante publique. 2006;18(3):413-27.
13. Assadi S. N. Ergonomics and Prevention of Occupational Musculoskeletal Disorders. East African Scholars J Med Sci. 2023;6(5):153-156.
14. Kaux JF, Forthomme B, le Goff C, Crielaard JM, Croisier JL. Current opinions on tendinopathy. J Sport Sci Med .2011;10(2):238–53.
15. Silverstein B, Welp E, Nelson N, Kalat J. Claims incidence of work-related disorders of the upper extremities: Wash-ington State, 1987 through 1995. Am J Public Health .1998;88(12):1827-33.
16. Hawker GA, Badley EM, Jaglal S, et al. « Troubles musculosquelettiques ». POWER. 2018; Volume 2 Chapitre 8.
17. Leong HT, Fu SC, He X, Oh HJ ,Yamamoto N ,Hang S. Risk factors for rotator cuff tendinopathy: a systematic review and meta-analysis. J Rehabil Med. 2019;51(9):627-637.
18. Roquelaure Y, Bodin J, Ha C, et al. Personal, biomechanical, and psychosocial risk factors for rotator cuff syndrome in a working population. Scand J Work Environ Health. 2011;37(6):502-11.
19. Kannus P, Josza L. Histopathological changes preceding spontaneous rupture of a tendon. A controlled study of 891 patients. J Bone Joint Surg Am. 1991;73(10): 1507-25.
20. Teunis T, Lubberts B, Brian T, David R. A systematic review and pooled analysis of the prevalence of rotator cuff disease with increasing age. J Shoulder Elbow Surg. 2014;23(12):1913-1921.
21. Omrane A, Kacem I, Heni M, et al. Prevalence and determinants of musculoskeletal disorders of the upper limbs among Tunisian artisans. East Mediterr Health J. 2018;23(11):774-780.
22. Ahmadi O, Gholamnia R, Shamsedin A, et al. Prevalence of musculoskeletal disorders among farmers in eastern Azerbaijan, Iran. Indian J Sci Technol. 2015; 8(28):1-6.
23. Rechardt M, Shiri R, Karppinen J, Jula A, Heliövaara M, Viikari-Juntura E. Lifestyle and metabolic factors in relation to shoulder pain and rotator cuff tendinitis: A population-based study. BMC Musculoskeletal Disorders. 2010;11(1):165.
24. National Research Council and Institute of Medicine (US) Panel on Musculoskeletal Disorders and the Workplace. (2001). Musculoskeletal disorders and the workplace: low back and upper extremities. Washington (DC): National Academies Press (US);2001.
25. Lindblom KM, Linton SJ, Fedeli C, Bryngelsson IL. Burnout in the working population: relations to psychosocial work factors. Int J Behav Med. 2006;13(1):51-9.
26. Les industries de textile et d'habillement en Tunisie. Agence de promotion de l’industrie et de l’innovation.2014 disponible sur le site: http://www.tunisieindustrie.nat.tn/fr/download/CEPI/mono_ith.pdf
27. Aoyama H, Ohara H, Oze Y, Itani T. Recent trends in research on occupational cervicobrachial disorder ». J Hum Er-gol. (Tokyo). 1979;8(1):39-45.
28. Ghram, R., Fournier, C, Khalfallah, T, & Six F. Analyse des facteurs socioculturels et survenue des troubles muscu-losquelettiques: le cas des couturières en Tunisie. Perspectives interdisciplinarians sur le travail et la santé. 2010:12-2.
29. Brisson C, Vinet A, Vézina M. Disability among female garment workers: A comparison with a national sample, Scand. J Work Environ Health. 1989;15(5):323-8.
30. Tisserand M and Schouller JF. Conséquences posturales de la conception des machines. Le poste de machine à coudre à bras déporté. JSTOR. 1985;8(3): 239-254.
31. Chouanière D, Niedhammer I. Revue de la littérature sur les contraintes psychosociales au travail évaluées en épi-démiologie comme facteurs de risque des TMS : intérêt et limites. Hyper Article en Ligne - Sciences de l'Homme et de la Société. 2011.
32. Arnaudo B, Léonard M, Sandret N, Cavet M, Cutrot T, Rivalin R. Les risques professionnels en 2010 : de fortes diffé-rences d'exposition selon les secteurs. Dares Anal. 2013; 10:1-12.
33. Algava et al. Conditions de travail Reprise de l’intensification du travail chez les salariés. Publication de la direction de l'animation de la recherche, des études et des statistiques. Dares. 2014;49.
34. Gollac M, Volkoff S. Les conditions de travail. Open Edition Journals. 2002;44(1):122.
35. Bodin J, Garlantezec R, Costet N, et al. Forms of work organization and associations with shoulder disorders: Results from a French working population. Applied Ergonomics. 2017;59(A):1-10.
36. Leka S, Jain A. Health impact of psychosocial Hazards at work: an overview. World Health Organization. 2010.
37. Johansson JA. Psychosocial work factors, physical work load and associated musculoskeletal symptoms among home care workers. Scand J Psychol. 1995;36:113-129.
38. Bongers PM, De Winter CR, Kompier MA, Hildebrandt VH. Psychosocial factors at work and musculoskeletal disease. Scand J Work Environ Health. 1993;19(5):297-312.
39. Pope DP, Croft PR, Pritchard CM, Silman AJ, Macfarlane GJ. Occupational factors related to shoulder pain and disa-bility. Occup Environ Med. 1997;54(5):316-21.
40. Pougnet R, Le Menn A, Pougnet L, et al. Prévalence des troubles musculosquelettiques des membres supérieurs dans un service de stérilisation d’un CHRU. Arch Mal Prof Environ. 2014;75(2):143-9.
41. Fennani K. Influence des facteurs socioprofessionnels dans l’atteinte multi site des affections musculosquelettiques des membres supérieurs d’origine professionnelle : étude réalisée auprès de 254 patients. Th D Med, Monastir. 2017.
42. Niedhammer I, Lesuffleur T, Memmi S, Chastang JF. Les conditions de travail dans l’explication des inégalités so-ciales dans l’absentéisme pour raison de santé : résultats de l’enquête nationale SUMER 2010. Arch Mal Prof Envi-ron. 2016;77(6):1013.
43. Dunn WR, Kuhn JE, Sanders R, et al. Symptoms of pain do not correlate with rotator cuff tear severity: a cross-sectional study of 393 patients with a symptomatic atraumatic full-thickness rotator cuff tear. J Bone Joint Surg Am.2014; 96(10):793-800.
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04-08-2025
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Belhadj N, Lahsini M, Mahfoudh A, Khalfallah T. Association of Psychosocial Factors With Shoulder Tendinitis: A Cross-Sectional Study in Patients of a Tunisian Hospital. Med Lav [Internet]. 2025 Aug. 4 [cited 2025 Oct. 24];116(4):15371. Available from: https://mail.mattioli1885journals.com/index.php/lamedicinadellavoro/article/view/15371
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This work is licensed under a CC BY-NC 4.0 Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Belhadj N, Lahsini M, Mahfoudh A, Khalfallah T. Association of Psychosocial Factors With Shoulder Tendinitis: A Cross-Sectional Study in Patients of a Tunisian Hospital. Med Lav [Internet]. 2025 Aug. 4 [cited 2025 Oct. 24];116(4):15371. Available from: https://mail.mattioli1885journals.com/index.php/lamedicinadellavoro/article/view/15371
