物理治疗师中与工作有关的肌肉骨手和手腕疾病的患病率
Gabriela Škrečková1, Pavol Nechvátal1, Matúš Kozel1
1Department of Physiotherapy, Faculty of Health Care, University of Presov, Presov, Slovak Republic.
Central European journal of public health
|November 7, 2023
概括
物理治疗师经常经历手和手腕的症状和障碍,由于长时间的手动技术. 增加的风险因素包括结合的职业环境,患者负载和多年的实践,突出了预防策略的必要性.
科学领域:
- 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
- 物理疗法物理治疗
背景情况:
- 手和手腕的症状和诊断的疾病在物理治疗师中很普遍.
- 长期的职业需求可能导致手部肌肉骨系统的过度使用损伤.
研究的目的:
- 检查斯洛伐克物理治疗师中手和手腕症状和诊断疾病的患病率.
- 识别风险因素,包括职业环境,患者数量和临床经验.
- 确定这些疾病的首选治疗方法.
主要方法:
- 对107名理疗师 (28名男性,79名女性) 进行了问卷调查.
- 调查问卷收集了人口统计数据,多年的临床实践,以及关于手/手腕症状和受伤的信息.
- 数据分析的重点是患病率,风险因素和治疗偏好.
主要成果:
- 11.2%的人报告没有功能障碍症状; 29.9%的人没有特定疾病.
- 观察到显著的症状 (平均2.4) 和疾病 (平均1.3) 的流行率.
- 综合门诊和医院设置与风险增加有关.
- 手痛 (70%) 和肌肉力量降低 (45.7%) 是最常见的症状;手肌炎 (26.2%) 是最常见的疾病.
- 临床实践的持续时间和每日患者负载与症状和疾病发生有显著的相关性 (分别p < 0.001和p = 0.007).
- 手动固定 (28.6%) 和手动治疗 (24.4%) 是首选的治疗方法; 2.2% 需要手术.
结论:
- 长期的手动治疗技术有助于物理治疗师的手和手腕肌肉骨疾病的发展.
- 职业因素显著影响这些疾病的发生率.
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