Temitope Osifeso, Joy C MacDermid, Dorala Berinyuy, Pulak Parikh, Kenneth Faber
{"title":"Perspectives of North American firefighters on navigating interventions and healthcare choices for work-related shoulder disorders.","authors":"Temitope Osifeso, Joy C MacDermid, Dorala Berinyuy, Pulak Parikh, Kenneth Faber","doi":"10.1186/s12982-025-00739-8","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>Using an interpretive descriptive methodology, we interviewed 14 firefighters (males, <i>n</i> = 9; females, <i>n</i> = 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.</p><p><strong>Result: </strong>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.</p><p><strong>Conclusion: </strong>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.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1186/s12982-025-00739-8.</p>","PeriodicalId":520283,"journal":{"name":"Discover public health","volume":"22 1","pages":"342"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12170748/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Discover public health","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s12982-025-00739-8","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/16 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
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.