Perspectives of North American firefighters on navigating interventions and healthcare choices for work-related shoulder disorders.

Discover public health Pub Date : 2025-01-01 Epub Date: 2025-06-16 DOI:10.1186/s12982-025-00739-8
Temitope Osifeso, Joy C MacDermid, Dorala Berinyuy, Pulak Parikh, Kenneth Faber
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Abstract

Background: The unpredictable nature of firefighting, characterized by lifting and carrying of heavy equipment, forceful upper body movements in confined spaces, and exposure to extreme conditions, predisposes firefighters (FFs) to a range of work-related shoulder disorders (WSDs). The unique occupational demand of firefighting underscores the need for targeted intervention and occupational health programs tailored to the demands of firefighting.

Objective: To explore the: (1) Management strategies that FFs employ after WSDs (2) Needs and preferences of FFs with WSDs in relation to their occupational health and recovery.

Methods: Using an interpretive descriptive methodology, we interviewed 14 firefighters (males, n = 9; females, n = 5) with an average age of 47 years, who experienced WSDs in their careers. Semi-structured one-on-one virtual interviews were conducted using online video conference software and were transcribed verbatim. Data was analyzed using thematic analysis.

Result: Four themes emerged from firefighters as management strategies following WSDs: (1) Appropriate diagnostic precision and tailored management; (2) The critical role of early medical and physiotherapy intervention; (3) Comprehensive social support systems; (4) Adaptive coping mechanisms. Two themes also emerged as needs and preferences in relation to their occupational health and recovery: (1) Formal and targeted training exercise programs; (2) Mandatory health and wellness monitoring programs.

Conclusion: The unique occupational demands of firefighting necessitate a multifaceted and holistic approach to shoulder injury management and prevention. This approach encourages the development of tailored intervention programs that address the specific challenges and perceived needs of firefighters with WSDs.

Supplementary information: The online version contains supplementary material available at 10.1186/s12982-025-00739-8.

北美消防员对与工作有关的肩部疾病的干预和医疗选择的看法。
背景:消防工作的不可预测性,其特点是举起和搬运重型设备,在密闭空间中剧烈的上肢运动,以及暴露在极端条件下,使消防员(ff)容易患上一系列与工作相关的肩部疾病(WSDs)。消防独特的职业需求强调了针对消防需求的针对性干预和职业健康计划的必要性。目的:探讨(1)残障家庭佣工的管理策略(2)残障家庭佣工职业健康与康复的需求和偏好。方法:采用解释性描述性方法,我们采访了14名消防员(男性,n = 9;女性,n = 5),平均年龄47岁,在职业生涯中经历过wsd。使用在线视频会议软件进行半结构化的一对一虚拟访谈,并逐字记录。数据采用专题分析进行分析。结果:消防员的管理策略出现了四个主题:(1)适当的诊断精度和量身定制的管理;(2)早期医学和物理治疗干预的关键作用;(3)完善的社会支持体系;(4)适应性应对机制。与职业健康和康复有关的需求和偏好还包括两个主题:(1)正式和有针对性的训练方案;(2)强制性健康和健康监测计划。结论:消防人员独特的职业需求要求对肩部损伤的管理和预防采取多方面和整体的方法。这种方法鼓励开发量身定制的干预方案,以解决患有wsd的消防员的具体挑战和感知需求。补充信息:在线版本包含补充资料,下载地址:10.1186/s12982-025-00739-8。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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