Work-Related Shoulder Lesions and Labor Lawsuits in Brazil: Cross-Sectional Study on Worker Health Actions Developed by Employers

Introduction: The present study had the objective to present the profile of workers with shoulder disorders related to labor lawsuits in Brazil. The study analyzed the association between the worker’s health and the actions performed by the companies related to injured professional. The research method performed a retrospective, cross-sectional and quantitative database analysis. The documents of labor lawsuits with shoulder injury registered at the Regional Labor Court in the 15th region (Campinas - São Paulo) were submitted to the medical examination and evaluated during the period from 2012 until 2015. The data collected were age, gender, onset of symptoms, length of service, current occupation, type of shoulder injury, referred complaints, type of acromion, associated or related diseases, company actions as CAT (workplace accident communication), compliance of NR7 by the organization (Environmental Risk Prevention Program - PPRA and Medical Coordination Program in Occupational Health - PCMSO). Results: From the 93 workers evaluated, there was a prevalence of men (58.1%), with a mean age of 42.6 y-o, and 54.8% were included in the age group 35-49 years. Regarding the length of work time in the company, 66.7% have worked for more than 5 years. There was an association between gender and current occupational status (p < 0.005), with predominance of women in household occupation (13 vs. 2) and predominance of unemployed men in job search situation (24 vs. 10) and reintegrated to work by judicial decision (8 vs. 2). There was also a correlation between pain and functional limitation (p < 0.01). There was a positive association of PPRA with the complaint of functional limitation and negative association with pain (p < 0.04). There was also a correlation between the sedentary lifestyle and the presence of PCMSO and PPRA (p < 0.04), and the absence of CAT in the companies (p < 0.001). It was concluded that the appearance or aggravation of osseous and articular shoulder pathologies in workers who have undertaken labor law suits seem to be associated with individual habits or inadequate labor practices. These data can help preventing the occurrence of these lesions by implementing local health promotion policies at work.




References:
[1] Zeitzer I. Who Returns to Work and Why? Evidence and Policy Implications from a New Disability and Work Reintegration Study : a Summary. International Social Security Association, Research Programme, 2002. 36 p.
[2] Pastore J. Brasil: campeão de ações trabalhistas. Editorial, FECOMERCIOSP, 19/06/2017. Disponível em: http://www.fecomercio.com.br/noticia/jose-pastore-brasil-campeao-de-acoes-trabalhistas. Acesso em: 01/ set/ 2017.
[3] Brasil. Ministério da Previdência Social. Benefícios previdenciários e acidentários. Atualização em 03 de fevereiro de 2017. Disponível em:http://www.previdencia.gov.br/dados-abertos/estatsticas/tabelas-cid-10/. Acesso em 09/09/2017.
[4] Carneiro S. Saúde do trabalhador público: questão para a gestão de pessoas – a experiência na Prefeitura de São Paulo. São Paulo. Revista do Serviço Público. Jan/Mar, 2006; 57 (1): 23-49.
[5] Babbie ER. The Practice of Social Research. 12th ed. 2009. ISBN 0-495-59841-0.
[6] Triola MF. Introdução à Estatística. 10a ed. 2008. ISBN 85-216-1586-8.
[7] Bayarri MJ, Berger JO. P Values for Composite Null Models. Journal of the American Statistical Association. 2000; 95: 1127-42.
[8] Reis P, Moro A, Eugenio M, Vilagra J. Influence of gender on the prevalence of Rsi/WRULD in meat-packing plants. Work 41. 2012; (Supplement 1):4323–9.
[9] Scopel J, Oliveira PAB, Wehrmeister FC. LER/DORT na terceira década da reestruturação bancária: novos fatores associados? Revista de Saúde Pública. outubro de 2012; 46(5):875–85.
[10] Edling CW, Fjellman-Wiklund A. Musculoskeletal Disorders and Asymmetric Playing Postures of the Upper Extremity and Back in Music Teachers A Pilot Study. Medical Problems of Performing Artists. September 2009; 24:113–8.
[11] Davis K, Dunning K, Jewell G, Lockey J. Cost and disability trends of work-related musculoskeletal disorders in Ohio. Occupational Medicine. 1o de dezembro de 2014; 64(8):608–15.
[12] Inger A, Simonsen JG, Balogh I, Hansson G-A, Dahlqvist C, Granqvist L, et al. Discrepancies in pain presentation caused by adverse psychosocial conditions as compared to pain due to high physical workload? Work 41.2012; (Supplement 1):2472–5.
[13] Roquelaure Y, LeManach AP, Ha C, Poisnel C, Bodin J, Descatha A, et al. Working in temporary employment and exposure to musculoskeletal constraints. Occupational Medicine. 1o de outubro de 2012; 62(7):514–8.
[14] Alavinia SM, Van den Berg TI, Van Duivenbooden C, Elders LA, Burdorf A. Impact of work-related factors, lifestyle, and work ability on sickness absence among Dutch construction workers. Scandinavian Journal of Work, Environment & Health. outubro de 2009; 35(5):325–33.
[15] Bethge M, Radoschewski FM, Gutenbrunner C. The Work Ability Index as a screening tool to identify the need for rehabilitation: Longitudinal findings from the Second German Sociomedical Panel of Employees. Journal of Rehabilitation Medicine. 2012; 44 (11): 980–7.
[16] Forsman M, Bernmark E, Nilsson B, Pousette S, Mathiassen SE. Participative development of packages in the food industry - evaluation of ergonomics and productivity by objective measurements. Work 41. 2012; (Supplement 1):1751.
[17] Povlsen B. Physical Rehabilitation With Ergonomic Intervention of Currently Working Keyboard Operators With Nonspecific/Type II Work-Related Upper Limb Disorder: A Prospective Study. Archives of Physical Medicine and Rehabilitation. janeiro de 2012; 93(1):78–81.
[18] Maciel R H, Albuquerque AMFC, Melzer AC, Leônidas SR. Quem se Beneficia dos Programas de Ginástica Laboral? Cadernos de Psicologia Social do Trabalho, 2005, vol. 8, pp. 71-86.
[19] Ferracini GN, Valente FM. Presença de sintomas musculoesqueléticos e efeitos da ginástica laboral em funcionários do setor administrativo de um hospital público. Rev Dor. São Paulo, 2010 jul-set;11(3):233-236.
[20] Santos Filho SB, Barreto SM. Algumas consideraçõesmetodológicas sobre os estudos epidemiológicos das Lesões por Esforços Repetitivos ( LER). Rio de Janeiro. Cad. Saúde Pública. 1998; 14(3): 555-63.
[21] Silva SSS, Nóbrega MB, Fonseca CC. Hegel: suas contribuições ao conhecimento, sua discussão sobre o estado e a (im) pertinência de suas análises para o estudo do estado contemporâneo. Qualit@s Revista Eletrônica, ISSN 1677-4280, v.1, n.1, p. 1-13, 2011.