Available data show that work stress and work-related musculoskeletal disorders (WMSDs) are the leading occupational health burdens in Member States of the European Union. Cross-sectional data do no provide a clear indication of the impact of work stress upon WMSDs. Studies have used different indicators for stress and this makes comparison between them more difficult. Similar workplace risk factors, including physical and psychosocial, seem to be associated with work stress and WMSDs. Stress has been implicated in the pathology of WMSDs but many hypotheses require further investigation. There is some epidemiological evidence to support work stress reactions as a predictor of WMSDs and a weighted reciprocal relationship may also exist between these two health problems. However, more longitudinal studies are required to clarify this issue.
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