Features of the course of occupational upper limb myofibrosis in patients with generalized polyosteoarthritis
- Авторлар: Ulanovskaya E.V.1, Kovshov A.A.1,2, Shilov V.V.1,2, Nikanov A.N.1, Kuprina N.I.1
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Мекемелер:
- North-West Public Health Research Center
- North-Western State Medical University named after I.I. Mechnikov
- Шығарылым: Том 102, № 9 (2023)
- Беттер: 941-946
- Бөлім: OCCUPATIONAL HEALTH
- ##submission.datePublished##: 28.10.2023
- URL: https://archivog.com/0016-9900/article/view/638336
- DOI: https://doi.org/10.47470/0016-9900-2023-102-9-941-946
- EDN: https://elibrary.ru/yzeude
- ID: 638336
Дәйексөз келтіру
Толық мәтін
Аннотация
Introduction. Occupational diseases of the upper extremities from physical (functional) overstrain occupy a leading place in the structure of occupational morbidity, with myofibrosis being the most common disease.
The aim of the study was to assess the course of myofibrosis against the background of generalized polyosteoarthritis using the ultrasound method.
Materials and methods. One hundred seventeen mining industry workers were examined. The main group consisted of 20 patients with an established diagnosis of 1st stage of myofibrosis and generalized osteoarthritis, the control group consisted of 97 patients with an established diagnosis of 1st stage of myofibrosis. Standard clinical and laboratory methods of examination, ultrasound examination of the muscles of the forearms and shoulders were performed.
Results. The median values of epimysium and muscle bundles thickness in both the main and control groups correspond to stage 1 of myofibrosis, while the median thickness of perimysium in the reference group corresponds to stage 1, and in main group it corresponds to stage 2. In addition, the 75th percentile of epimysium thickness, as well as the 25th percentile of muscle bundle thickness in the main group, also meet the criteria for stage 2 of myofibrosis.
Limitations. The study has gender restrictions (men were investigated), as well as restrictions on professions (mining workers).
Conclusions. According to the results of ultrasound examination, in the main group patients there are signs corresponding to the transition of myofibrosis to the second stage, which is characterized by a statistically significant increase in perimysium thickness, as well as a pronounced tendency of epimysium thickness increase and reduce of muscle bundle thickness. This is important when the disease is associated with occupation, allowing patients with a combination of myofibrosis and generalized osteoarthritis to establish a more severe stage of myofibrosis course, indicating a more pronounced degree of occupational work ability loss.
Compliance with ethical standards. The Local ethics committee of North-West Public Health Research Center approved this study (minutes of the meeting No. 2022/50.2 from 28.12.2022). All research participants gave voluntary informed consent to participate in this study.
Contribution:
Ulanovskaya E.V. — concept and design of the study, data collection and processing, text writing;
Shilov V.V. — concept and design of the study, editing;
Kovshov A.A. — data statistical processing, editing;
Nikаnov A.N. — editing;
Kuprina N.I. — data collection.
All co-authors — approval of the final version of the article, responsibility for the integrity of all parts of the article.
Conflict of interest. The authors declare no conflict of interest.
Acknowledgement. The study had no sponsorship.
Received: May 24, 2023 / Accepted: September 26, 2023 / Published: October 30, 2023
Негізгі сөздер
Авторлар туралы
Ekaterina Ulanovskaya
North-West Public Health Research Center
Хат алмасуға жауапты Автор.
Email: rentgen_s-znc@mail.ru
ORCID iD: 0000-0001-9583-0522
MD, PhD, head of the radiology department of North-West Public Health Research Center, Saint-Petersburg, 191036, Russian Federation.
e-mail: rentgen_s-znc@mail.ru
РесейAleksandr Kovshov
North-West Public Health Research Center; North-Western State Medical University named after I.I. Mechnikov
Email: noemail@neicon.ru
ORCID iD: 0000-0001-9453-8431
Ресей
Victor Shilov
North-West Public Health Research Center; North-Western State Medical University named after I.I. Mechnikov
Email: noemail@neicon.ru
ORCID iD: 0000-0003-3256-2609
Ресей
Aleksandr Nikanov
North-West Public Health Research Center
Email: noemail@neicon.ru
ORCID iD: 0000-0003-3335-4721
Ресей
Nadezhda Kuprina
North-West Public Health Research Center
Email: noemail@neicon.ru
ORCID iD: 0000-0002-1468-3186
Ресей
Әдебиет тізімі
- State Report «On the state of sanitary and epidemiological welfare of the population in the Russian Federation in 2021». Moscow; 2022. (in Russian)
- Lutmann A., Jäger M., Griefahn B. Preventing Musculoskeletal Disorders in the Workplace. Protecting Workers’ Health Series: No. 5. Geneva; 2003. Available at: https://iris.who.int/bitstream/handle/10665/42651/924159053X.pdf
- Takala J., Iavicoli S., Kang S.K., Gagliardi D., Nogueira C., Kocks D., et al. Work-related injuries and diseases, and COVID-19. Int. J. Labour Res. 2021; 10(1–2): 23.
- Surbek K. Uber die Verfettung der Skelettmuskulatur. In: Frankfurter Zeitschrift fur Pathologie. Frankfurt; 2006: 447–84.
- Bukhtiyarov I.V. Current state and main directions of preservation and strengthening of health of the working population of Russia. Meditsina truda i promyshlennaya ekologiya. 2019; 59(9): 527–32. https://doi.org/10.31089/1026-9428-2019-59-9-527-532 https://elibrary.ru/htkrsy (in Russian)
- Bashketova N.S., Naumova T.N., Volchkova O.V., Gerasimova L.B. Occupational diseases in St. Petersburg. In: Materials of the Scientific and Practical Conference with International Participation «Medical and Environmental Health Problems of Workers in the North-Western Region and Ways to Solve Them» [Materialy nauchno-prakticheskoy konferentsii s mezhdunarodnym uchastiem «Mediko-ekologicheskie problemy zdorov’ya rabotayushchikh Severo-Zapadnogo regiona i puti ikh resheniya»]. St. Petersburg; 2014: 10–4. (in Russian)
- Uryas’ev O.M., Zaigrova N.K. Osteoarthritis: pathogenesis, diagnostics, therapy. Zemskiy vrach. 2016; (1–2): 27–35. https://elibrary.ru/vwgtpb (in Russian)
- Pilipovich A.A. Osteoarthritis: pathogenetic and therapeutic aspects. Russkiy Meditsinskiy Zhurnal. 2016; (7): 464–8. https://elibrary.ru/vwgtpb (in Russian)
- Clinical recommendations: Management of patients with osteoarthritis and comorbidity in general medical practice. Moscow; 2016. (in Russian)
- Avtukhova Z.M. The experience of using ultrasound in the diagnosis of occupational myofibrosis. Ul’trazvukovaya i funktsional’naya diagnostika. 2002; (2): 293–4. (in Russian)
- Plakuev A.N. The significance of ultrasonic examination in diagnosis of professional fibromyositis. Ekologiya cheloveka. 2003; (6): 22–6. https://elibrary.ru/hrtkvp (in Russian)
- Ulanovskaya E.V., Karabanovich E.V., Kuprina N.I. Experience in the use of magnetic resonance imaging in the diagnosis of professional myofibrosis. Meditsina truda i promyshlennaya ekologiya. 2019; 59(9): 782–4. https://doi.org/10.31089/1026-9428-2019-59-9-782-783 https://elibrary.ru/iaifii (in Russian)
- Ulanovskaya E.V., Trofimova T.N., Shilov V.V., Ornitsan E.Yu., Andreenko O.N. The possibilities of ultrasound study in early occupational myofibrosis revealing. Luchevaya diagnostika i terapiya. 2016; (3): 69–72. https://elibrary.ru/wmghex (in Russian)
- Dalakas M.C. Viral related muscle disease. In: Engel A.G., ed. Myology. New York: McGrawHill; 2004.
- House R., Wills M., Liss G., Switzer-McIntyre S., Manno M., Lander L. Upper extremity disability in workers with hand-arm vibration syndrome. Occup. Med. (Lond.). 2009; 59(3): 167–73. https://doi.org/10.1093/occmed/kqp016
- Abareshi F., Yarahmadi R., Solhi M., Farshad A.A. Educational intervention for reducing work-related musculoskeletal disorders and promoting productivity. Int. J. Occup. Saf. Ergon. 2015; 21(4): 480–5. https://doi.org/10.1080/10803548.2015.1087729
- Yasobant S., Rajkumar P. Work-related musculoskeletal disorders among health care professionals: A cross-sectional assessment of risk factors in a tertiary hospital, India. Indian J. Occup. Environ. Med. 2014; 18(2): 75–81. https://doi.org/10.4103/0019-5278.146896
- Cromie J.E., Robertson V.J., Best M.O. Work-related musculoskeletal disorders in physical therapists: prevalence, severity, risks, and responses. Phys. Ther. 2000; 80(4): 336–51. https://doi.org/10.1093/ptj/80.4.336
- Milhem M., Kalichman L., Ezra D., Alperovitch-Najenson D. Work-related musculoskeletal disorders among physical therapists: A comprehensive narrative review. Int. J. Occup. Med. Environ. Health. 2016; 29(5): 735–47. https://doi.org/10.13075/ijomeh.1896.00620
- Shostak N.A., Pravdyuk N.G., Klimenko A.A., Kondrashov A.A., Timofeev V.T. Osteoarthritis and associated pathology-clinical and pathogenetic associations. Russkiy Meditsinskiy Zhurnal. Meditsinskoe obozrenie. 2019; 3(11–2): 44–7. https://elibrary.ru/uedlqn (in Russian)
- Atiquzzaman M., Karim M.E., Kopec J., Wong H., Anis A.H. Role of nonsteroidal antiinflammatory drugs in the association between osteoarthritis and cardiovascular diseases: a longitudinal study. Arthritis Rheumatol. 2019; 71(11): 1835–43. https://doi.org/10.1002/art.41027
- da Costa B.R., Vieira E.R. Risk factors for work-related musculoskeletal disorders: A systematic review of recent longitudinal studies. Am. J. Ind. Med. 2010; 53(3): 285–323. https://doi.org/10.1002/ajim.20750
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