Skip to Main content Skip to Navigation
Theses

Déterminants professionnels des troubles musculo-squelettiques de l'épaule : intérêt de la prise en compte des facteurs organisationnels

Abstract : Musculoskeletal disorders (MSDs) represent one of the most worrying issues in occupational health. They bear witness to the intensification of working conditions which affects an increasing number of workers. The aim of this thesis was to study the complex relationships between occupational factors and shoulder disorders, with attention paid to organizational factors. Three working populations were studied : the Cosali cohort, one automobile company and one pharmaceutical company. The study of the organizational characteristics of work situations by ascendant hierarchical clustering of variables and individuals of the Cosali cohort identified a Taylorist form of work organization. Among these employees, shoulder disorders were more frequent. Structural equation modeling has shown that organizational factors are distal determinants of MSDs by influencing exposure to psychosocial and physical factors, while exposure to physical factors in turn influences shoulder pain. The application of the methodology to the two populations of automotive and pharmaceutical companies confirmed the relevance of the Cosali model. In conclusion, organizational factors are key determinants of the onset of shoulder disorders by cascading the conditions of exposure to the psychosocial and physical factors that workers face. This original epidemiological knowledge improves understanding of the chain of determinants of MSDs and will contribute to the targeting of prevention interventions on modifiable occupational determinants.
Document type :
Theses
Complete list of metadatas

Cited literature [330 references]  Display  Hide  Download

https://tel.archives-ouvertes.fr/tel-02613226
Contributor : Abes Star :  Contact
Submitted on : Tuesday, May 19, 2020 - 11:05:20 PM
Last modification on : Tuesday, October 20, 2020 - 3:17:06 AM

File

these_BODIN.pdf
Version validated by the jury (STAR)

Identifiers

  • HAL Id : tel-02613226, version 1

Citation

Julie Bodin. Déterminants professionnels des troubles musculo-squelettiques de l'épaule : intérêt de la prise en compte des facteurs organisationnels. Médecine humaine et pathologie. Université d'Angers, 2017. Français. ⟨NNT : 2017ANGE0086⟩. ⟨tel-02613226⟩

Share

Metrics

Record views

164

Files downloads

206