Holder N L, Clark H A, DiBlasio J M, Hughes C L, Scherpf J W, Harding L, Shepard K F
Penn Therapy and Fitness at Westampton, NJ 08060, USA.
Phys Ther. 1999 Jul;79(7):642-52. doi: 10.1093/ptj/79.7.642.
Physical therapists (PTs) and physical therapist assistants (PTAs) are susceptible to occupational musculoskeletal injuries. The purpose of this study was to examine the reported causes and prevalence of occupational musculoskeletal injuries to PTs and PTAs during a 2-year period.
A questionnaire was mailed to 500 PTs and 500 PTAs randomly selected from the American Physical Therapy Association 1996 active membership list. Six hundred sixty-seven questionnaires were returned, giving a response rate of 67%.
Based on a literature review and a pilot study, an occupational injury questionnaire was constructed and mailed. Self-reports of injuries were obtained.
Thirty-two percent of the PTs and 35% of the PTAs reported sustaining a musculoskeletal injury. The highest prevalence of injury was to the low back (62% of injured PTs and 56% of injured PTAs). The PTs reported the upper back and the wrist and hand as having the second highest prevalence (23%). The PTAs reported the upper back as having the second highest prevalence (28%). The PTs and PTAs reported making changes in their work habits of improved body mechanics, increased use of other personnel, and frequent change of work position. The majority of PTs and PTAs reported they did not limit patient contact time or area of practice after sustaining an injury.
Although PTs and PTAs are recognized to be knowledgeable in prevention and treatment of musculoskeletal injuries, they are susceptible to sustaining occupational musculoskeletal injuries because of performing labor-intensive tasks.
物理治疗师(PT)和物理治疗师助理(PTA)易患职业性肌肉骨骼损伤。本研究的目的是调查在两年期间PT和PTA职业性肌肉骨骼损伤的报告原因及患病率。
向从美国物理治疗协会1996年活跃会员名单中随机抽取的500名PT和500名PTA邮寄问卷。共收回667份问卷,回复率为67%。
基于文献综述和一项预试验,编制并邮寄了一份职业伤害问卷。获取了关于损伤的自我报告。
32%的PT和35%的PTA报告曾遭受肌肉骨骼损伤。损伤患病率最高的部位是下背部(受伤PT中的62%和受伤PTA中的56%)。PT报告上背部以及手腕和手部的患病率次之(23%)。PTA报告上背部的患病率次之(28%)。PT和PTA报告改变了工作习惯,如改善身体力学、增加对其他人员的使用以及频繁更换工作姿势。大多数PT和PTA报告称受伤后并未限制与患者接触的时间或执业范围。
尽管PT和PTA在肌肉骨骼损伤的预防和治疗方面知识丰富,但由于从事劳动强度大的任务,他们仍易患职业性肌肉骨骼损伤。