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

Ben Schram, Rob Marc Orr, Rodney R Pope, Joseph Knapik, Elisa Canetti

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Abstract

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.
Original languageEnglish
Pages256
Publication statusPublished - 19 Oct 2019
EventTRANSFORM 2019 Physiotherapy Conference - Adelaide Convention Centre, Adelaide, Australia
Duration: 17 Oct 201919 Oct 2019
https://transform.physio/
https://transform.physio/wp-content/uploads/2019/09/Abstract_Book_Adelaide_2019.pdf (Book of Abstracts)
https://transform.physio/#program

Conference

ConferenceTRANSFORM 2019 Physiotherapy Conference
Abbreviated titleAPA
CountryAustralia
CityAdelaide
Period17/10/1919/10/19
Internet address

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