Krapac L, Krmpotić A, Pavićević L, Domljan Z
Institute for Medical Research and Occupational Health, University of Zagreb, Croatia.
Arh Hig Rada Toksikol. 1992 Sep;43(3):255-62.
The subjects in the study were 114 persons receiving a disability pension or referred for disability assessment. They were placed in two groups of 57 persons each, one with marked cervicobrachial syndrome and the other without. The latter group was chosen by the method of equivalent pairs with regard to sex and age. All subjects underwent a clinical examination and a standardized questionnaire was completed. The questionnaire pertained to the state of health, focussing on the amount and type of physical burdening at the workplace and on activities outside the workplace. Sixty-five percent of the subjects were aged from 51 to 60 years. A statistically significant difference was established between earlier occupation and cervicobrachial syndrome. Cervicobrachial syndrome was found in 31.6% of unskilled workers and 12.3% of the controls (P < 0.05). A forced body posture during work was recorded in 74% of the subjects with the syndrome and in 50% of the control subjects (P < 0.05). Repetitive movements at work were reported by a large number of subjects with cervicobrachial syndrome (71.9:49.1%; P < 0.05) who also claimed to strain the arms (84.2:61.4%; P < 0.05) and burden the cervical spine (68.5:40.4%; P < 0.05) during household activities to a significantly greater extent than the controls. A possible preventive approach to the occurrence and progression of cervicobrachial syndrome is discussed.
该研究的对象是114名领取残疾抚恤金者或被转介进行残疾评估的人。他们被分成两组，每组57人，一组有明显的颈臂综合征，另一组没有。后一组是通过性别和年龄的配对法选取的。所有受试者都接受了临床检查，并完成了一份标准化问卷。该问卷涉及健康状况，重点关注工作场所的身体负担量和类型以及工作场所以外的活动。65%的受试者年龄在51至60岁之间。早期职业与颈臂综合征之间存在统计学上的显著差异。在非技术工人中，31.6%患有颈臂综合征，而对照组为12.3%（P<0.05）。74%患有该综合征的受试者和50%的对照受试者在工作时记录到有强迫体位（P<0.05）。大量患有颈臂综合征的受试者报告了工作中的重复性动作（71.9:49.1%；P<0.05），他们还声称在家庭活动中手臂用力（84.2:61.4%；P<0.05）和颈椎负担（68.5:40.4%；P<0.05）的程度明显高于对照组。本文讨论了预防颈臂综合征发生和进展的可能方法。
