一个前性队列研究关于在军用飞机机组人员的宫胸部疼痛的危险因素
Aerospace medicine and human performance
|June 23, 2023
概括
军用飞行员经历了先前的宫胸部疼痛,减少了部运动能力和下部肌肉耐力,面临着未来疼痛的更高风险. 这项研究确定了关键的风险因素和发病率,以告知航空人员健康的预防策略.
科学领域:
- 职业健康 职业健康 职业健康
- 航空航天医学 航空航天医学
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 军用机组人员通常报告宫胸部疼痛和受伤.
- 这些疼痛发作的特定风险因素和长期发病率尚不清楚.
- 了解这些因素对于制定有效的预防策略至关重要.
研究的目的:
- 为了确定与军用飞行员的宫胸部疼痛相关的风险因素.
- 为了确定一个一年的宫胸部疼痛的累积发病率.
- 为这一群体制定有针对性的疼痛预防计划提供信息.
主要方法:
- 招募了一个由47名瑞典飞行员 (战斗机/直升机飞行员和机组人员) 组成的队列,他们之前没有出现过宫胸部疼痛.
- 参与者填写了肌肉骨检查协议问卷,评估了与工作有关的和个人因素.
- 目标措施包括运动控制,活动部运动范围和部曲肌肉强度/耐力测试.
- 使用后勤回归分析来确定未来疼痛的风险因素.
主要成果:
- 以前的宫胸部疼痛是一个显著的预测因素 (OR:22.39).
- 下部曲运动范围 (OR:0.78) 和减少部 flexor 肌肉耐力 (OR:0.91) 也被确定为危险因素.
- 报告的宫胸部疼痛的1年累计发病率为23.4%.
结论:
- 肌肉骨检查方案有效地识别了飞行员宫胸部疼痛的危险因素.
- 之前的疼痛,部的移动性受限和肌肉耐力下降是预防性干预的关键指标.
- 这些发现支持制定初级和二级预防计划,以减轻军用飞行员的疼痛.
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