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Physical, psychosocial, and individual risk factors for neck/shoulder pain with pressure tenderness in the muscles among workers performing monotonous, repetitive work.从事单调重复工作的工人中,颈部/肩部疼痛伴肌肉压痛的身体、心理社会和个体风险因素。
Spine (Phila Pa 1976). 2002 Mar 15;27(6):660-7. doi: 10.1097/00007632-200203150-00017.
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A prospective study of work related factors and physical exercise as predictors of shoulder pain.一项关于工作相关因素和体育锻炼作为肩部疼痛预测指标的前瞻性研究。
Occup Environ Med. 2001 Aug;58(8):528-34. doi: 10.1136/oem.58.8.528.
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Features of somatization predict the onset of chronic widespread pain: results of a large population-based study.躯体化特征可预测慢性广泛性疼痛的发作:一项基于大规模人群研究的结果。
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Are neck flexion, neck rotation, and sitting at work risk factors for neck pain? Results of a prospective cohort study.颈部前屈、颈部旋转以及工作时坐着是颈部疼痛的危险因素吗?一项前瞻性队列研究的结果。
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Role of mechanical and psychosocial factors in the onset of forearm pain: prospective population based study.机械因素和心理社会因素在前臂疼痛发病中的作用:基于人群的前瞻性研究。
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Musculoskeletal disorders of the neck and shoulders in female sewing machine operators: prevalence, incidence, and prognosis.女性缝纫机操作工颈部和肩部的肌肉骨骼疾病:患病率、发病率和预后
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Identification of neck-shoulder disorders in a 1 year follow-up study. Validation Of a questionnaire-based method.一项为期1年的随访研究中颈肩疾病的识别。基于问卷方法的验证。
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在一项针对工业和服务公司员工的前瞻性研究中,颈部/肩部疼痛发作的风险因素。

Risk factors in the onset of neck/shoulder pain in a prospective study of workers in industrial and service companies.

作者信息

Andersen J H, Kaergaard A, Mikkelsen S, Jensen U F, Frost P, Bonde J P, Fallentin N, Thomsen J F

机构信息

Department of Occupational Medicine, Herning Hospital, Gl. Landevej 61, DK-7400 Herning, Denmark.

出版信息

Occup Environ Med. 2003 Sep;60(9):649-54. doi: 10.1136/oem.60.9.649.

DOI:10.1136/oem.60.9.649
PMID:12937185
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1740607/
Abstract

AIMS

To quantify the relative contribution of work related physical factors, psychosocial workplace factors, and individual factors and aspects of somatisation to the onset of neck/shoulder pain.

METHODS

Four year prospective cohort study of workers from industrial and service companies in Denmark. Participants were 3123 workers, previously enrolled in a cross sectional study, where objective measurement of physical workplace factors was used. Eligible participants were followed on three subsequent occasions with approximately one year intervals. Outcomes of interest were: new onset of neck/shoulder pain (symptom cases); and neck/shoulder pain with pressure tenderness in the muscles of the neck/shoulder region (clinical cases).

RESULTS

During follow up, 636 (14.1%) participants reported neck/shoulder pain of new onset; among these, 82 (1.7%) also had clinical signs of substantial muscle tenderness. High shoulder repetition was related to being a future symptom case, and a future clinical case. Repetition was strongly intercorrelated with other physical measures. High job demands were associated with future status as a symptom case, and as a clinical case. A high level of distress predicted subsequent neck/shoulder pain, and neck/shoulder pain with pressure tenderness.

CONCLUSIONS

High levels of distress, and physical and psychosocial workplace factors are predictors of onset of pain in the neck and/or shoulders, particularly pain with pressure tenderness in the muscles.

摘要

目的

量化与工作相关的身体因素、工作场所心理社会因素、个体因素以及躯体化方面对颈部/肩部疼痛发作的相对贡献。

方法

对丹麦工业和服务公司的工人进行为期四年的前瞻性队列研究。参与者为3123名工人,他们之前参加过一项横断面研究,该研究使用了对工作场所身体因素的客观测量。符合条件的参与者在随后的三个时间点进行随访,间隔约一年。感兴趣的结果包括:颈部/肩部疼痛新发(症状病例);以及颈部/肩部区域肌肉有压痛的颈部/肩部疼痛(临床病例)。

结果

在随访期间,636名(14.1%)参与者报告了新发颈部/肩部疼痛;其中,82名(1.7%)还出现了明显肌肉压痛的临床体征。肩部高重复次数与未来成为症状病例以及未来成为临床病例相关。重复次数与其他身体测量指标高度相关。高工作要求与未来成为症状病例以及临床病例的状态相关。高水平的痛苦预示着随后的颈部/肩部疼痛以及伴有压痛的颈部/肩部疼痛。

结论

高水平的痛苦以及工作场所的身体和心理社会因素是颈部和/或肩部疼痛发作的预测因素,尤其是肌肉有压痛的疼痛。