Cefalea primaria e lavoro

Nozioni di fisiopatologia, fattori occupazionali di rischio, sorveglianza sanitaria e criteri per la formulazione del giudizio di idoneità

Translated title of the contribution: Primary headache and work: Concept of pathophysiology, occupational risk factors, health surveillance and criteria for the formulation of suitability judgment

Giuseppe Taino, Ennio Pucci, Paola Imbriani, Alberto Delogu, Marco Brevi, Sara Bruscella, Marcello Imbriani

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

The disease is characterized by high occurrence in the working-age population and by significant impact in countries with high economic and social development. These two epidemiological aspects carry significant economic costs that can be estimated calculating loss of working days due to illness and appreciable loss of labour productivity. In an occupational setting several circumstances are known to cause the onset of attacks in workers who already suffer from primary headache. In this sense, the following factors have an important role: interruption of the circadian sleep-wake rhythm, sleep deprivation, physical/mental distress, not ergonomic postures (mainly those involving the cervical-brachial district), prolonged use of display screen, acoustic discomfort. Among chemicals, in the current conditions of exposure, the olfactory characteristics seem of primary importance rather than the more "conventional" mechanism of toxicity. The main aim of this study is to provide useful information to occupational physicians on the management of workers suffering from primary headache, with regard either to the formulation of the judgement of suitability, or to their auxiliary role in the planning and organization of work. A second aim involves the identification of specific preventive measures in order to reduce the probability of occurrence of a headache attack. This also minimizes the risk of accidents and injuries and ensures workers' efficiency. After these considerations, we suggest guidelines for a flow chart (aimed to understand worker's suitability for his/her specific task). This guarantees not only safety and health of workers who suffer from the illness, but also safeguards any third worker from a possible consequence due to less working capacity and reduction of attention of employees working with a headache attack. In conclusion we also identify three critical factors: the diagnosis of the form of primary headache, the characteristics of the work and the effects due to pharmacological therapy. The study and characterization of these elements are a crucial step for a proper formulation of the judgement of suitability to work. We report a decision process for judgement formulation at the end of this article. It is organized with a hierarchical model, the first steps are the clinical examination and history, the last step, if necessary or advisable, is the neurological visit and a periodic verification of the adherence to treatment prescribed and the follow-up.

Original languageItalian
Pages (from-to)78-94
Number of pages17
JournalGiornale Italiano di Medicina del Lavoro ed Ergonomia
Volume36
Issue number2
Publication statusPublished - 2014

Fingerprint

Headache
Health
Efficiency
Sleep Deprivation
Economic Development
Human Engineering
Posture
Acoustics
Accidents
Sleep
Arm
History
Economics
Pharmacology
Guidelines
Physicians
Safety
Costs and Cost Analysis
Wounds and Injuries
Therapeutics

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Cefalea primaria e lavoro : Nozioni di fisiopatologia, fattori occupazionali di rischio, sorveglianza sanitaria e criteri per la formulazione del giudizio di idoneità. / Taino, Giuseppe; Pucci, Ennio; Imbriani, Paola; Delogu, Alberto; Brevi, Marco; Bruscella, Sara; Imbriani, Marcello.

In: Giornale Italiano di Medicina del Lavoro ed Ergonomia, Vol. 36, No. 2, 2014, p. 78-94.

Research output: Contribution to journalArticle

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