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

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 uniqu...

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Main Authors: Temitope Osifeso, Joy C. MacDermid, Dorala Berinyuy, Pulak Parikh, Kenneth Faber
Format: Article
Language:English
Published: Springer 2025-06-01
Series:Discover Public Health
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Online Access:https://doi.org/10.1186/s12982-025-00739-8
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author Temitope Osifeso
Joy C. MacDermid
Dorala Berinyuy
Pulak Parikh
Kenneth Faber
author_facet Temitope Osifeso
Joy C. MacDermid
Dorala Berinyuy
Pulak Parikh
Kenneth Faber
author_sort Temitope Osifeso
collection DOAJ
description 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.
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spelling doaj-art-a819bd664aff4ff4bcc82f7d00960bbf2025-08-20T03:22:48ZengSpringerDiscover Public Health3005-07742025-06-0122112010.1186/s12982-025-00739-8Perspectives of North American firefighters on navigating interventions and healthcare choices for work-related shoulder disordersTemitope Osifeso0Joy C. MacDermid1Dorala Berinyuy2Pulak Parikh3Kenneth Faber4Department of Health and Rehabilitation Sciences, Western UniversityDepartment of Health and Rehabilitation Sciences, Western UniversityDepartment of Health and Rehabilitation Sciences, Western UniversityDepartment of Health and Rehabilitation Sciences, Western UniversityClinical Research Lab, Roth McFarlane Hand and Upper Limb Centre, St. Joseph’s Healthcare LondonAbstract 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.https://doi.org/10.1186/s12982-025-00739-8FirefightersShoulder injuriesOccupational healthPhysiotherapy interventionsMusculoskeletal injuriesInterpretive description
spellingShingle Temitope Osifeso
Joy C. MacDermid
Dorala Berinyuy
Pulak Parikh
Kenneth Faber
Perspectives of North American firefighters on navigating interventions and healthcare choices for work-related shoulder disorders
Discover Public Health
Firefighters
Shoulder injuries
Occupational health
Physiotherapy interventions
Musculoskeletal injuries
Interpretive description
title Perspectives of North American firefighters on navigating interventions and healthcare choices for work-related shoulder disorders
title_full Perspectives of North American firefighters on navigating interventions and healthcare choices for work-related shoulder disorders
title_fullStr Perspectives of North American firefighters on navigating interventions and healthcare choices for work-related shoulder disorders
title_full_unstemmed Perspectives of North American firefighters on navigating interventions and healthcare choices for work-related shoulder disorders
title_short Perspectives of North American firefighters on navigating interventions and healthcare choices for work-related shoulder disorders
title_sort perspectives of north american firefighters on navigating interventions and healthcare choices for work related shoulder disorders
topic Firefighters
Shoulder injuries
Occupational health
Physiotherapy interventions
Musculoskeletal injuries
Interpretive description
url https://doi.org/10.1186/s12982-025-00739-8
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