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探索职业相关全身振动与头痛和部疼痛之间的联系:肌肉张力升高是中间因素吗?
Marcus Yung1, Stephan Milosavljevic2, Angelica E Lang3
1Canadian Institute for Safety, Wellness, & Performance, Conestoga College Institute of Technology and Advanced Learning, Kitchener, N2G 4M4 Ontario, Canada.
Annals of work exposures and health
|June 10, 2024
概括
全身振动 (WBV) 暴露增加了部疼痛和头痛,但肌肉紧张与这些症状的联系很弱. 进一步的研究应该探索其他因素,导致WBV引起的头部不适.
科学领域:
- 职业健康 职业健康 职业健康
- 生物力学 生物力学
- 人类因素工程 人类因素工程
背景情况:
- 全身振动 (WBV) 与各种不良健康结果有关.
- 流行病学研究表明WBV和头痛之间存在联系,但实验证据,特别是关于肌肉紧张作为中间体的证据,是有限的.
研究的目的:
- 为了研究肌肉紧张和振动强度之间的关系.
- 为了检查感知部疼痛,头痛/头部不适以及振动强度之间的关联.
- 探索模拟WBV期间肌肉紧张和报告的部疼痛/头痛症状之间的联系.
主要方法:
- 基于全地形车辆运行数据的模拟WBV暴露.
- 电肌图 (EMG) 用于测量上梯形肌的肌肉活动.
- 对部疼痛和头痛/头部不适的主观报告.
主要成果:
- 与低和控制相比,在高WBV条件下显著更高的EMG振幅.
- 在低和高WBV条件下,部疼痛和头痛/头部不适显著增加,振动水平之间没有显著差异.
- 简单回归显示肌肉活动与部疼痛或头痛之间存在非常弱的关系 (R2 = 0-0.093).
结论:
- 即使在模拟职业场景的水平上,WBV暴露也可能引起部疼痛和头痛.
- 肌肉紧张似乎是WBV引起的头痛和部疼痛的弱预测因素.
- 未来的研究应该调查WBV相关头痛的多因素原因,包括感官冲突和生物动力学反应.
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