Systematic Reviews as Evidence-Base for Dutch Guidelines to Assess Musculoskeletal Disorders as Occupational Disease: Examples of Shoulder, Knee and Low Back Disorders

  • Henk F. van der MolenEmail author
  • Monique H. W. Frings-Dresen
  • P. Paul F. M. Kuijer
Conference paper
Part of the Advances in Intelligent Systems and Computing book series (AISC, volume 820)


In The Netherlands, occupational physicians are obligated to report occupational diseases (ODs) to the Netherlands Center for Occupational Diseases (NCOD). Evidence-based occupational disease guidelines have been developed for musculoskeletal disorders. At the moment, the NCOD has 23 guidelines for work-related musculoskeletal disorders. The aim of this session is to explain the development of these criteria for the work-related assessment of subacromial pain syndrome, knee osteoarthritis and non-specific low back pain in the Netherlands. To enhance the application of these guidelines for ergonomic professionals, the exposure-criteria for the same job demands are categorized for instance in exerted hand force, movement, posture and vibration. When a job demand exceeds the exposure criteria, evidence is available that a worker has an increased risk of developing an occupational disease. For example, hand-arm elevation (≥60° 1 h/day), hand force (≥10% maximum voluntary force exertion) and hand-arm vibration (>2.5 m/s2 8 h/day) are examples of exposure criteria for the work-relatedness of subacromial pain syndrome. International comparison of OD exposure criteria and knowledge about corresponding effective preventive measures could be enhanced by scientific collaboration in defining evidence-based work-related diagnostic criteria and guidelines. The knowledge could be anchored in instruments and tools for ergonomic professionals.


Musculoskeletal disorders Work-relatedness Exposure criteria Systematic reviews Guidelines 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Henk F. van der Molen
    • 1
    Email author
  • Monique H. W. Frings-Dresen
    • 1
  • P. Paul F. M. Kuijer
    • 1
  1. 1.Department: Coronel Institute of Occupational Health, Amsterdam Public Health Research InstituteAcademic Medical Center, University of AmsterdamAmsterdamThe Netherlands

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