与肩膀疼痛和上肢残疾相关的职业任务:约翰斯顿县骨关节炎项目中的横截面研究
Elizabeth L Yanik1, Carolina Alvarez2, Rebecca J Cleveland2
1Department of Orthopaedic Surgery, Washington University School of Medicine, 660 S. Euclid Ave, St. Louis, MO, 63110, USA. yanike@wustl.edu.
BMC musculoskeletal disorders
|May 10, 2024
概括
身体要求高的工作增加了肩膀疼痛和上肢残疾的风险. 减少劳累的工作任务可能有助于预防这些常见的工作相关伤害.
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
- 流行病学 流行病学
背景情况:
- 肩部疼痛是导致残疾的主要原因,尤其影响高要求上肢的职业人士.
- 在体力苛刻的工作中工作的工人面临着肩部受伤和随后的疼痛的高风险.
研究的目的:
- 调查职业与肩膀疼痛和上肢残疾的患病率之间的关系.
- 分析特定的工作任务和行业如何与肩部症状和功能限制有关.
主要方法:
- 从约翰斯顿县骨关节炎项目参与者那里收集了关于最长时间工作的行业和任务的数据.
- 后续评估包括自我报告的肩膀症状和修改的手臂,肩膀和手 (DASH) 问卷的残疾.
- 后勤回归模型分析了与肩膀症状和残疾的关联,并根据人口统计和后续变量进行调整.
主要成果:
- 与管理/专业职位相比,体力苛刻的职业,特别是在服务行业,显示肩部症状的几率更高,上肢残疾更严重.
- 工作涉及经常举起超过10磅的重量. 与增加肩部症状有关.
- 沉重的站立工作与肩膀症状的更高概率有关,特别是在男性和白人工人中.
结论:
- 具有显著体力要求的职业与肩部疼痛和残疾的发生率更高有关.
- 有针对性的干预措施来减少特定的体力工作要求可能会降低与肩膀相关的残疾负担.
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