建议在手臂疼痛时保持活跃,可以减少残疾
K Walker-Bone1,2, G J Macfarlane3,4, K Burton5
1Monash Centre for Occupational and Environmental Health, University of Monash, Melbourne, Victoria, Australia.
Occupational medicine (Oxford, England)
|June 1, 2023
概括
建议保持活跃是有效的减少手臂疼痛残疾在雇佣的成年人. 这种方法可能比建议休息更有益,特别是对于手工劳动者或那些有工作相关症状信念的人来说.
科学领域:
- 职业健康 职业健康 职业健康 职业健康
- 肌肉骨系统疾病 肌肉骨系统疾病
- 临床试验中的临床试验.
背景情况:
- 手臂疼痛是劳动年龄的成年人中普遍存在的问题,导致严重的劳动残疾.
- 以前的研究 (ARM试验) 表明,保持活跃可以在六个月后减少残疾.
研究的目的:
- 为了验证ARM试验的发现,特别是在受薪雇员人口中.
- 调查不同咨询策略对劳动残疾的影响.
主要方法:
- 对雇佣参与者进行了ARM试验数据的二次分析.
- 患有远臂疼痛的参与者被随机分配到接受休息,保持活跃或接受早期物理治疗的建议.
- 测量的主要结果是26周没有残疾.
主要成果:
- 在就业的参与者中,有43%的受访者建议保持活跃,没有残疾,而有37%的受访者建议休息.
- 等待物理治疗导致40%的个人没有残疾,而早期物理治疗组的这一比例为35%.
- 建议休息与体力劳动者恢复较差有关,而那些相信工作引起了他们的痛苦的人.
结论:
- 咨询活动似乎是有益的,并可能优于建议休息,以减少雇佣人员的劳动残疾.
- 解决关于症状因果关系的无助信念的干预措施可以进一步增强恢复并减少残疾.
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