{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T20:08:02Z","timestamp":1770754082277,"version":"3.50.0"},"reference-count":42,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,3,7]],"date-time":"2020-03-07T00:00:00Z","timestamp":1583539200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J Industrial Med"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Our objective was to examine occupational risk factors for musculoskeletal disorders of the neck, back, and knee among railroad maintenance\u2010of\u2010way (MOW) workers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Four thousand eight\u2010hundred sixteen active, retired, and disabled members of the Brotherhood of Maintenance of Way Employes Division (BMWED) completed a survey. We computed adjusted prevalence ratios (aPRs) using Poisson regression for neck, back, and knee musculoskeletal symptoms by work exposures, adjusted for age, region, race\/ethnicity, smoking, and potential second job and spare time vehicle vibration exposure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among active male BMWED members, we found associations between use of high\u2010vibration vehicles and neck pain (aPR\u2009=\u20091.47, 95% confidence interval (CI): 1.07\u20102.03) and knee pain (aPR\u2009=\u20091.38, 95% CI: 1.04\u20101.82) for more than 1.9 years (vs 0) of full\u2010time equivalent use; but not back pain. Back pain radiating below the knee (sciatica indicator) was associated with high\u2010vibration vehicle use greater than 0.4 and less than 1.9 years (aPR\u2009=\u20091.58, 95% CI: 1.15\u20102.18). We also found significant associations between often or always lifting, pushing, pulling, or bending on the job (vs seldom or never) and neck pain (aPR\u2009=\u20092.43, 95% CI: 1.20\u20104.90), back pain (aPR\u2009=\u20091.94, 95% CI: 1.24\u20103.03), the sciatica indicator (aPR\u2009=\u20095.18, 95% CI: 1.28\u201020.95), and knee pain (aPR\u2009=\u20092.84, 95% CI: 1.47\u20105.51), along with positive gradients in the outcome by exposure time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Biomechanical work exposures, including force and nonneutral postures, were associated with neck, lower back, and knee pain. Whole\u2010body vibration, as measured by the duration of use of high\u2010vibration vehicles, was associated with neck pain, knee pain, and sciatica. Prevention programs should address occupational risk factors for musculoskeletal disorders among MOW workers.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ajim.23099","type":"journal-article","created":{"date-parts":[[2020,3,7]],"date-time":"2020-03-07T09:42:46Z","timestamp":1583574166000},"page":"402-416","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Occupational risk factors for musculoskeletal disorders among railroad maintenance\u2010of\u2010way workers"],"prefix":"10.1002","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4066-566X","authenticated-orcid":false,"given":"Paul","family":"Landsbergis","sequence":"first","affiliation":[{"name":"State University of New York (SUNY)\u2010Downstate Health Sciences University Brooklyn New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7066-5241","authenticated-orcid":false,"given":"Eckardt","family":"Johanning","sequence":"additional","affiliation":[{"name":"Johanning MD, PC Albany New York"},{"name":"Department of Medicine, Center for Family and Community Medicine Columbia University New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8426-9677","authenticated-orcid":false,"given":"Marco","family":"Stillo","sequence":"additional","affiliation":[{"name":"State University of New York (SUNY)\u2010Downstate Health Sciences University Brooklyn New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rahul","family":"Jain","sequence":"additional","affiliation":[{"name":"State University of New York (SUNY)\u2010Downstate Health Sciences University Brooklyn New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Davis","sequence":"additional","affiliation":[{"name":"State University of New York (SUNY)\u2010Downstate Health Sciences University Brooklyn New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,3,7]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"The Railroad What It Is, What It Does","author":"Armstrong JH","year":"1998"},{"key":"e_1_2_11_3_1","volume-title":"Railway Maintenance","author":"Solomon B","year":"2001"},{"key":"e_1_2_11_4_1","unstructured":"LawsheCH.1977.Job analysis summary\u2014physical demands and environmental conditions for the job of section labor\/trackman.West Lafayette IN."},{"key":"e_1_2_11_5_1","unstructured":"Biomechanics Corporation of America. 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