在使用通用姿势概念的物理治疗师手动淋巴排水期间对三个月的工作相关的肌肉骨疾病进行评估
Philippe Gorce1,2,3, Julien Jacquier-Bret1,2,3
1International Institute of Biomechanics and Occupational Ergonomics, Toulon, France.
Journal of occupational health
|August 19, 2023
概括
进行手动淋巴排水 (MLD) 的物理治疗师采用具有肌肉骨疾病 (MSD) 风险低至中等的通用姿势 (GP). 识别这些姿势可以帮助减轻与重复性MLD任务相关的风险.
科学领域:
- 职业健康和安全 职业健康和安全
- 人体工程学就是人体工程学.
- 物理治疗是一种物理治疗.
背景情况:
- 手动淋巴排水 (MLD) 是一种常见的物理治疗技术.
- 在MLD中,重复的任务可能会导致肌肉骨系统疾病 (MSD) 的风险.
- 量化姿势和评估MSD风险对于物理治疗师的福祉至关重要.
研究的目的:
- 量化MLD期间采用的姿势.
- 评估执行MLD的物理治疗师MSD的风险.
- 确定通用姿势 (GP) 以简化重复性MLD活动的描述.
主要方法:
- 在MLD期间,五名理疗师的姿势被记录并使用13个关节角度分析.
- 超过6500种姿势被提取和分析.
- 快速上肢评估 (RULA) 和快速全身评估 (REBA) 用于评估MSD风险.
- 层次分析确定了通用姿势 (GP).
主要成果:
- 确定了七种通用姿势 (GP).
- 人体工程学评估表明MSD风险低至中等 (RULA: 3-6,REBA: 2-7).
- 常见的姿势涉及显著的部和干部曲,有些人也表现出肩膀绑架和曲.
- 最常见的是GP1 (34%),风险得分最低,而GP5,GP6和GP7的风险得分最高.
结论:
- 可以有效地将MLD描述为已识别的通用姿势 (GP) 的组合.
- 该研究证实,MLD使物理治疗师面临MSDs的低至中等风险.
- 了解并可能修改这些GP可以为减少MSD风险的策略提供信息.
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