Westgaard R H, Jansen T
Division of Organisation and Work Science, Norwegian Institute of Technology, Trondheim.
Br J Ind Med. 1992 Mar;49(3):154-62. doi: 10.1136/oem.49.3.154.
Individual and work related risk factors in the development of occupational musculoskeletal complaints were studied in a group of 210 female production workers, mainly sewing machine operators. Another group of 35 female employees performing secretarial or laboratory duties were also included. The production workers had significantly higher symptom scores with respect to self reported musculoskeletal complaints than the group with more varied work tasks for the head, neck, shoulders, and arms, but not for the low back, hips, and the lower extremities. No significant differences were found in symptom level between geographically separate groups of production workers with similar work tasks. The main individual risk factor identified in this study was the experience of previous, similar symptoms in the same body region, but this factor only accounted for 2-3% of total variance in symptom score for the neck and shoulders. Other individual factors of importance for symptoms in the neck and shoulders were "signs of psychological problems" and "tendency of muscle tension," but these only account for about 1% of total variance in symptom score. Symptoms in the head and low back showed complex relations with individual parameters.
在一组210名女性生产工人(主要是缝纫机操作员)中,研究了职业性肌肉骨骼疾病发生过程中的个体和工作相关风险因素。另外还纳入了一组35名从事秘书或实验室工作的女性员工。就自我报告的肌肉骨骼疾病而言,生产工人在头部、颈部、肩部和手臂方面的症状评分显著高于工作任务更多样化的组,但在腰部、臀部和下肢方面并非如此。在工作任务相似的不同地理区域的生产工人群体之间,症状水平未发现显著差异。本研究确定的主要个体风险因素是同一身体部位既往有类似症状的经历,但该因素仅占颈部和肩部症状评分总方差的2 - 3%。对颈部和肩部症状重要的其他个体因素是“心理问题迹象”和“肌肉紧张倾向”,但这些仅占症状评分总方差的约1%。头部和腰部的症状与个体参数呈现复杂关系。