Association of musculoskeletal pain in other body parts with new-onset shoulder pain: a longitudinal study among survivors of the Great East Japan Earthquake
Objective Shoulder pain is a common health problem coexisting with other musculoskeletal pain. However, the effects of pre-existing musculoskeletal pain on the development of shoulder pain are not clear. The present study aimed to elucidate the association between coexisting musculoskeletal pain at...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2021-02-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/11/2/e041804.full |
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| author | Takuya Sekiguchi Yoshihiro Hagiwara Yumi Sugawara Yutaka Yabe Eiji Itoi Ichiro Tsuji Masahiro Tsuchiya Shinichirou Yoshida Takahiro Onoki Tadahisa Takahashi Jun Iwatsu |
| author_facet | Takuya Sekiguchi Yoshihiro Hagiwara Yumi Sugawara Yutaka Yabe Eiji Itoi Ichiro Tsuji Masahiro Tsuchiya Shinichirou Yoshida Takahiro Onoki Tadahisa Takahashi Jun Iwatsu |
| author_sort | Takuya Sekiguchi |
| collection | DOAJ |
| description | Objective Shoulder pain is a common health problem coexisting with other musculoskeletal pain. However, the effects of pre-existing musculoskeletal pain on the development of shoulder pain are not clear. The present study aimed to elucidate the association between coexisting musculoskeletal pain at other body sites and new-onset shoulder pain among survivors of the Great East Japan Earthquake (GEJE).Design This is a longitudinal study.Setting The study was conducted at the severely damaged coastal areas in Ishinomaki and Sendai cities.Participants The survivors who did not have shoulder pain at 3 years after the GEJE were followed up 1 year later (n=2131).Interventions Musculoskeletal pain (low back, hand and/or foot, knee, shoulder and neck pain) was assessed using self-reported questionnaires.Main outcome measures The outcome of interest was new-onset shoulder pain, which was defined as shoulder pain absent at 3 years but present at 4 years after the disaster. The main predictive factor for new-onset shoulder pain was musculoskeletal pain in other body parts at 3 years after the GEJE; this was categorised according to the number of pain sites (0, 1, ≥2). Multiple regression analyses were conducted to calculate the odds ratio (OR) and 95% confidence interval (CI) for new-onset shoulder pain due to musculoskeletal pain in other body parts.Results The incidence of new-onset shoulder pain was 6.7% (143/2131). Musculoskeletal pain in other body parts was significantly associated with new-onset shoulder pain. Using the survivors without other musculoskeletal pain as reference, the adjusted OR and 95% CI for new-onset shoulder pain were 1.86 (1.18 to 2.94) for those with one body part and 3.22 (2.08 to 4.98) for those with ≥2 body parts presenting with musculoskeletal pain (p<0.001).Conclusions Pre-existing musculoskeletal pain in other body parts was significantly associated with new-onset shoulder pain among survivors; this provides useful information for clinical and public health policies. |
| format | Article |
| id | doaj-art-33bb1d53c3bb4e87afe95d2079d73b51 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2021-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-33bb1d53c3bb4e87afe95d2079d73b512024-11-18T22:25:10ZengBMJ Publishing GroupBMJ Open2044-60552021-02-0111210.1136/bmjopen-2020-041804Association of musculoskeletal pain in other body parts with new-onset shoulder pain: a longitudinal study among survivors of the Great East Japan EarthquakeTakuya Sekiguchi0Yoshihiro Hagiwara1Yumi Sugawara2Yutaka Yabe3Eiji Itoi4Ichiro Tsuji5Masahiro Tsuchiya6Shinichirou Yoshida7Takahiro Onoki8Tadahisa Takahashi9Jun Iwatsu10Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, JapanDepartment of Emergency Medicine and Critical Care Medicine, Saiseikai Utsunomiya Hospital, Utsunomiya, JapanDivision of Epidemiology, Department of Public Health and Forensic Medicine, Tohoku University Graduate School of Medicine, Sendai, JapanDepartment of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan2 Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, JapanDivision of Epidemiology, Department of Public Health and Forensic Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan4 Department of Nursing, Tohoku Fukushi University, Sendai, Japan1 Department of Orthopaedic Surgery, Tohoku University Graduate School of Medicine, Sendai, JapanDepartment of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, JapanDepartment of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, JapanDepartment of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, JapanObjective Shoulder pain is a common health problem coexisting with other musculoskeletal pain. However, the effects of pre-existing musculoskeletal pain on the development of shoulder pain are not clear. The present study aimed to elucidate the association between coexisting musculoskeletal pain at other body sites and new-onset shoulder pain among survivors of the Great East Japan Earthquake (GEJE).Design This is a longitudinal study.Setting The study was conducted at the severely damaged coastal areas in Ishinomaki and Sendai cities.Participants The survivors who did not have shoulder pain at 3 years after the GEJE were followed up 1 year later (n=2131).Interventions Musculoskeletal pain (low back, hand and/or foot, knee, shoulder and neck pain) was assessed using self-reported questionnaires.Main outcome measures The outcome of interest was new-onset shoulder pain, which was defined as shoulder pain absent at 3 years but present at 4 years after the disaster. The main predictive factor for new-onset shoulder pain was musculoskeletal pain in other body parts at 3 years after the GEJE; this was categorised according to the number of pain sites (0, 1, ≥2). Multiple regression analyses were conducted to calculate the odds ratio (OR) and 95% confidence interval (CI) for new-onset shoulder pain due to musculoskeletal pain in other body parts.Results The incidence of new-onset shoulder pain was 6.7% (143/2131). Musculoskeletal pain in other body parts was significantly associated with new-onset shoulder pain. Using the survivors without other musculoskeletal pain as reference, the adjusted OR and 95% CI for new-onset shoulder pain were 1.86 (1.18 to 2.94) for those with one body part and 3.22 (2.08 to 4.98) for those with ≥2 body parts presenting with musculoskeletal pain (p<0.001).Conclusions Pre-existing musculoskeletal pain in other body parts was significantly associated with new-onset shoulder pain among survivors; this provides useful information for clinical and public health policies.https://bmjopen.bmj.com/content/11/2/e041804.full |
| spellingShingle | Takuya Sekiguchi Yoshihiro Hagiwara Yumi Sugawara Yutaka Yabe Eiji Itoi Ichiro Tsuji Masahiro Tsuchiya Shinichirou Yoshida Takahiro Onoki Tadahisa Takahashi Jun Iwatsu Association of musculoskeletal pain in other body parts with new-onset shoulder pain: a longitudinal study among survivors of the Great East Japan Earthquake BMJ Open |
| title | Association of musculoskeletal pain in other body parts with new-onset shoulder pain: a longitudinal study among survivors of the Great East Japan Earthquake |
| title_full | Association of musculoskeletal pain in other body parts with new-onset shoulder pain: a longitudinal study among survivors of the Great East Japan Earthquake |
| title_fullStr | Association of musculoskeletal pain in other body parts with new-onset shoulder pain: a longitudinal study among survivors of the Great East Japan Earthquake |
| title_full_unstemmed | Association of musculoskeletal pain in other body parts with new-onset shoulder pain: a longitudinal study among survivors of the Great East Japan Earthquake |
| title_short | Association of musculoskeletal pain in other body parts with new-onset shoulder pain: a longitudinal study among survivors of the Great East Japan Earthquake |
| title_sort | association of musculoskeletal pain in other body parts with new onset shoulder pain a longitudinal study among survivors of the great east japan earthquake |
| url | https://bmjopen.bmj.com/content/11/2/e041804.full |
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