Canetti, Elisa

Knapik, Joseph

Orr, Rob Marc

Pope, Rodney R

Schram, Ben

English

Aim: To identify and synthesise key findings from previous literature reviews that have examined risk factors for development of lower limb OA in physically-demanding occupations.Design: A narrative umbrella reviewMethod: A systematic search was conducted to identify literature reviews examining associations between lower limb OA and occupational tasks. Methodological quality was rated with A MeaSurement Tool to Assess Systematic Reviews (AMSTAR) 2 before key data were extracted and synthesised.Results: Sixteen reviews were found (knee = seven, hip = four, hip and knee = three, various joints = two) and based on AMSTAR 2, one review was of high methodological quality, one of critically low methodological quality and the others of moderate methodological quality. The selected reviews found moderate to good evidence that heavy occupational lifting (range 10-50kg) was associated with an increased risk of OA at the knee and the hip. Other occupational tasks that may increase the risk of lower limb OA included kneeling, squatting and climbing with previous injuries to joints and overweight and obesity also predictive of lower limb OA.Conclusion: These tasks and joint injuries are common in military personnel; therefore, it is not, surprising that they experience greater rates of OA than the general population. Efforts to reduce exposure to these tasks, reducing joint injuries, ensuring optimal bodyweight and full rehabilitation of injuries may reduce risks of lower limb OA. Further research is needed to test these interventions.Key Practice Points:• This study highlights the potential of the development of lower limb OA in physically demanding jobs

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Bond UniversityResearch RepositoryRisk factors for development of lower limb osteoarthritis in physically-demanding occupationslike the military: A narrative umbrella reviewSchram, Ben; Orr, Rob Marc; Pope, Rodney R; Knapik, Joseph; Canetti, ElisaPublished: 19/10/2019Document Version:Peer reviewed versionLink to publication in Bond University research repository.Recommended citation(APA):Schram, B., Orr, R. M., Pope, R. R., Knapik, J., & Canetti, E. (2019). Risk factors for development of lower limbosteoarthritis in physically-demanding occupations like the military: A narrative umbrella review. 256. Abstractfrom TRANSFORM 2019 Physiotherapy Conference, Adelaide, Australia.General rightsCopyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright ownersand it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.For more information, or if you believe that this document breaches copyright, please contact the Bond University research repositorycoordinator.Download date: 03 Dec 2019  RISK FACTORS FOR DEVELOPMENT OF LOWER LIMB OSTEOARTHRITIS IN PHYSICALLY-DEMANDING OCCUPATIONS LIKE THE MILITARY: A NARRATIVE UMBRELLA REVIEW  Authors: Ben Schram1,2, Robin Orr1,2, Rodney Pope2,3, Joe Knapik, & Elisa Canetti1,2 1Faculty of Health Sciences and Medicine, Bond Institute of Health and Sport, Bond University, Gold Coast QLD 4229, Australia 2Tactical Research Unit, Bond University, Gold Coast QLD 4229, Australia 3 School of Community Health, Charles Sturt University. Albury, NSW, Australia.   Aim: To identify and synthesise key findings from previous literature reviews that have examined risk factors for development of lower limb OA in physically-demanding occupations.    Design: A narrative umbrella review  Method: A systematic search was conducted to identify literature reviews examining associations between lower limb OA and occupational tasks. Methodological quality was rated with A MeaSurement Tool to Assess Systematic Reviews (AMSTAR) 2 before key data were extracted and synthesised.    Results: Sixteen reviews were found (knee = seven, hip = four, hip and knee = three, various joints = two) and based on AMSTAR 2, one review was of high methodological quality, one of critically low methodological quality and the others of moderate methodological quality. The selected reviews found moderate to good evidence that heavy occupational lifting (range 10-50kg) was associated with an increased risk of OA at the knee and the hip. Other occupational tasks that may increase the risk of lower limb OA included kneeling, squatting and climbing with previous injuries to joints and overweight and obesity also predictive of lower limb OA.  Conclusion: These tasks and joint injuries are common in military personnel; therefore, it is not, surprising that they experience greater rates of OA than the general population. Efforts to reduce exposure to these tasks, reducing joint injuries, ensuring optimal bodyweight and full rehabilitation of injuries may reduce risks of lower limb OA. Further research is needed to test these interventions.  Key Practice Points: • This study highlights the potential of the development of lower limb OA in physically demanding jobs.   Proposed impact, if any, on the health outcomes of Aboriginal and Torres Strait Islander people: Aboriginal and Torres Strait Islander people who work in occupations which require heavy lifting, kneeling, squatting or climbing may be at an increased risk of lower limb OA.  

Risk factors for development of lower limb osteoarthritis in physically-demanding occupations like the military: A narrative umbrella review

OBJECTIVES: Osteoarthritis (OA) is a common disorder which affects the joints. As relationships between occupational factors and lower limb OA have been widely studied in systematic reviews, the aim of this umbrella review was to synthesize their key findings in the risk factors for development of lower limb OA.METHODS: A systematic search was conducted using the databases PUBMED, Cumulative Index of Nursing and Allied Health Literature, and Elton B Stevens Company to identify reviews examining associations between lower limb OA and occupational tasks. These reviews were rated for their methodological quality before key data were extracted and synthesized.RESULTS: Sixteen reviews were found, seven pertained to the knee, four to the hip, two to a variety of joints, and three to both the hip and knee. One was deemed to be of high methodological quality, one of critically low methodological quality, and the others of moderate methodological quality. The reviews found moderate to good evidence for heavy occupational lifting to be associated with an increased risk of OA at the knee and the hip. Kneeling, squatting, and climbing, previous injuries to joints, being overweight and obese were also predictive of lower limb OA.CONCLUSION: Occupations which involve heavy physical workloads increase the risk of developing lower limb OA. Heavy lifting, squatting, knee bending, kneeling, and climbing may all increase the risk of developing OA in both the knees and hips. Efforts to reduce exposure to these tasks, reducing joint injuries, optimizing bodyweight may reduce the risks of lower limb OA for occupations which are physically demanding.</p

Orr, Robin

Pope, Rodney

Risk factors for development of lower limb osteoarthritis in physically demanding occupations: A narrative umbrella review

https://pure.bond.edu.au/ws/files/33837971/OA_APA_Abstract.pdf

Risk factors for development of lower limb osteoarthritis in physically-demanding occupations like the military: A narrative umbrella review

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