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Table 3 Risk factors for work-related MSD in hairdressers

From: Musculoskeletal health, work-related risk factors and preventive measures in hairdressing: a scoping review

Identified risk factors

Outcome

Comparison category

Statistical measure

(%a; OR; RR; r; p-value)

Author (year)

(1) Awkward postures and movements of the spine

 - working in static postures

WRMSD

–

91%

Aweto et al. (2015) [41]

 - bending or twisting back

WRMSD

–

28%

 

 - constantly twisting the spine

WRMSD

–

53%

Cruz et al. (2015) [42]

 - bending the spine forward > 50% of the time

back pain

–

sig. Correlation (p < 0.001)

Puckree (2009) [52]

 - awkward back postures (back is bent or twisted)

WRMSD

–

64%

Tsigonia et al. (2009) [38]

 - working postures

WRMSD and diagnosis

–

81 and 5%

Leino et al. (1999) [12]

 - uncomfortable postures (body, neck, shoulders)

WRMSD

yes vs. no

OR 2.8 (95%CI 1.4–5.5)b

Mussi et al. (2008) [48]

 - working with spinal rotation

WRULD

yes vs. no

OR 2.1, p < 0.05 b

DeSmet et al. (2009) [43]

 - awkward back postures

back pain

yes vs. no

RR >10c

Hassan et al. (2015) [14]

 - working in static postures 6–8 h/day

WRMSD

VDU vs. HD work

OR 1.6 (95%CI 1.1–2.2)c

Douwes et al. (2001) [45]

(2) Strenuous hand or arm postures and movements

 - repetition of a task

WRMSD

–

71%

Aweto et al. (2015) [41]

 - repetitive movements

WRMSD and diagnosis

–

66 and 5%

Leino et al. (1999) [12]

 - position of arms at or above shoulder level

back pain

–

sig. Correlation (p < 0.001)

Puckree (2009) [52]

 - working with equipment above shoulder level

WRMSD

–

63%

Cruz et al. (2015) [42]

 - strenuous shoulder movements

shoulder pain / hand/wrist pain

yes vs. no

OR 6.0 (95%CI 1.7–21.5)b /

OR 25.3 (95%CI 2.8–229.1)b

Tsigonia et al. (2009) [38]

 - strenuous shoulder movements

neck pain / shoulder pain

yes vs. no

RR 2.4 (95%CI 1.4–4.1)c /

RR 3.5 (95% CI 2.0–6.0)c

Hassan et al. (2015) [14]

 - working with elevated arms

shoulder pain (score)

% working time > 60°

% working time > 60° > 5 s

RR 1.3 (95%CI 1.1–1.5)b /

RR 2.0 (95%CI 1.5–2.6)b

Hanvold et al. (2015) [36]

 - working with hands above shoulder level 6–8 h/day

WRMSD

VDU vs. HD work

OR 8.4 (95%CI 4.1–15.8)c

Douwes et al. (2001) [45]

 - frequent elbow movements 6–8 h/day

WRMSD

 

OR 2.4 (95%CI 1.7–3.3)c

 

 - extreme wrist extension/flexion 6–8 h/day

WRMSD

 

OR 2.6 (95%CI 1.4–4.8)c

 

 - frequent manual material handling

neck pain / hand/wrist pain

yes vs. no

RR 3.1 (95%CI 1.4–6.8)c /

RR 2.6 (95%CI 1.3–4.9)c

Hassan et al. (2015) [14]

 - frequent manual material handling

neck pain / knee pain

yes vs. no

OR 12.6 (95%CI 2.1–75.5)b /

OR 6.4 (95%CI 1.9–21.4)b

Tsigonia et al. (2009) [38]

(3) Workload and biomechanical strain

 - stress and working overtime

WRMSD

–

83 and 97%

Cruz et al.(2015) [42]

 - no adequate uninterrupted breaks between clients

WRMSD

–

30%

Douwes et al. (2001) [45]

 - no adequate rest breaks

WRMSD

–

72.4%

Aweto et al. (2015) [41]

 - large number of clients per day and working overtime

WRMSD

–

92 and 94%

 

 - working at physical limit

WRMSD

–

34%

 

 - large number of clients per day

WRULD

< 8 vs. 10–15 clients

OR 6.7, p < 0.01b

DeSmet et al. (2009) [43]

 - excessive work

WRULD

low vs. very high

OR 6.1, p < 0.01b

 

 - high perceived exertion

knee pain

yes vs. no

OR 5.3 (95%CI 1.4–21)b

Tsigonia et al. (2009) [38]

 - high job demands

hand/wrist pain

yes vs. no

OR 7.6 (95%CI 1.8–32.1)b

 

 - putting intense effort on hands

WRMSD

–

63%

Cruz et al.(2015) [42]

 - high mechanical workload

neck and shoulder pain / workload levels

workload score (0–24) /

HD & EL vs. media & design trainees

RR 1.01 (95%CI 1.00–1.02)d, b RR 1.36 (95%CI 1.3–1.5)d, b

Hanvold et al. (2014) [35]

 - high sustained muscle activity

shoulder pain (score)

muscle activity (0–100%)e

median 52% (range 24–91%) r 0.2, p < 0.001

Hanvold et al. (2015) [36]

(4) Prolonged standing or sitting

 - standing during work > 75% of the time

back pain

–

sig. Correlation (p < 0.01)

Puckree (2009) [52]

 - prolonged standing

WRMSD and diagnosis

–

65 and 1%

Leino et al. (1999) [12]

 - prolonged standing

feet/leg pain / knee pain

yes vs. no

RR 5.3 (95%CI 1.8–15.4)c /

RR 21.0 (95%CI 2.8–156.7)c

Hassan et al. (2015) [14]

 - prolonged standing and sitting

hand/wrist pain

yes vs. no

OR 55.7 (95%CI 8.8–354.9)b

Tsigonia et al. (2009) [38]

(5) Other factors

 - > 15 years in the profession

WRMSD

< 5 vs. 15–45 years

OR 3.0 (95%CI 1.2–7.9)b

Mussi et al. (2008) [48]

 - years of work experience

DASH score / NPDI score

–

r 0.7, /r 0.7, p < 0.001

Kaushik & Patra (2014) [37]

 - lack of acknowledgment and uncomfortable postures

WRMSD

1–23 vs. 29–35 score

OR 3.5 (95%CI 1.5–8.3)b

Mussi et al. (2008) [48]

 - mental stress

WRMSD and diagnosis

–

51 and 2%

Leino et al. (1999) [12]

 - burnout

WRULD

low vs. very high

OR 8.6, p < 0.001b

DeSmet et al. (2009) [43]

 - bordering ambient temperature (high)

WRULD

yes vs. no

OR 2.5, p < 0.05b

 

 - female gender

WRULD

female vs. male

OR 3.1, p < 0.05b

 

 - sudden movements

WRMSD

–

12%

Aweto et al. (2015) [41]

 - low co-worker support

back pain/ hand/wrist pain

yes vs. no

OR 7.6 (95%CI 1.8–32.1)b /

OR 5.1 (95%CI 1.2–21.4)b

Tsigonia et al. (2009) [38]

(6) Hairdressing task as risk factor for MSD

 - hair styling

WRULD

REBA index f (% high & very high risk for MSD)

69%

Mahdavi et al. (2013) [46]

 - hair dying

WRULD

 

66%

 

 - hair cutting

WRULD

 

64%

 

 - trimming face

WRULD

 

62%

 

 - doing make up

WRULD

 

53%

 

 - trimming eye brows

WRULD

 

49%

 

 - shampooing hair at least 50%/day

WRMSD

OCRA indexg

index 5.0

Mastrominico et al. (2007) [54]

 - cutting hair at least 50%/day

WRMSD

 

index 8.1

 

 - styling hair at least 50%/day

WRMSD

 

index 9.4

 

 - dying hair at least 50%/day

WRMSD

 

index 9.0

 
  1. Abbreviations: DASH Disability of Arm, Shoulder, Hand Index, EL Electrician, HD hairdressers, NPDI Neck Pain Disability Index, OCRA Occupational Repetitive Action check list, OR odds ratio, REBA Rapid Entire Body Assessment, RR relative risk, VDU Visual Display Unit, WRMSD work-related musculoskeletal disorders/discomfort, WRULD work-related upper limb disorders/discomfort
  2. aSelf-rated risk factors for WRMSD/WRULD
  3. bResults from adjusted analysis
  4. cData were calculated from the authors of the study
  5. dEach increase in mechanical workload was associated with 1% increase in neck and shoulder pain in women (the majority in the group were female hairdresser (n = 163) compared to 5 female electrician trainees)
  6. eRelative time of sustained trapezius muscle activity during the working day: low (0–29%), moderate (30–49%) and high (50–100%)
  7. fREBA index: lower risk for MSD (< 3), moderate risk (4–7), high risk (8–10), very high risk (11–15)
  8. gOCRA index: no risk for MSD (< 4.5), moderate risk (4.6–9), high risk (> 9)