D'Souza Jennifer C, Franzblau Alfred, Werner Robert A
Department of Environmental Health Sciences, The University of Michigan School of Public Health, 109 South Observatory, Ann Arbor, Michigan 48109-2029, USA.
J Occup Rehabil. 2005 Jun;15(2):129-65. doi: 10.1007/s10926-005-1215-y.
The epidemiologic literature on lower extremity musculoskeletal disorders (MSDs), vascular disorders, and occupational mechanical factors is relatively sparse, compared to the low back and upper extremities. The present literature review aims to summarize and evaluate the current literature on lower extremity vascular disorders, MSDs, and symptoms, and to update previous literature reviews. A search was conducted in PubMed. Articles were included if they had a lower extremity musculoskeletal outcome, and a workplace factor(s). They were evaluated based upon their generalizability, exposure, and outcome assessments, study design, and controlling of confounders. Most of the literature has focused on osteoarthritis of the hip and knee, whereas not much research has been done examining the feet/ankles and lower legs. Overall, better exposure assessment is needed to examine the causal pathway between occupational factors and MSDs.
与腰背部和上肢相比，关于下肢肌肉骨骼疾病（MSD）、血管疾病和职业机械因素的流行病学文献相对较少。本次文献综述旨在总结和评估当前关于下肢血管疾病、MSD和症状的文献，并更新以往的文献综述。在PubMed上进行了检索。如果文章有下肢肌肉骨骼结局和工作场所因素，则纳入其中。根据其普遍性、暴露情况和结局评估、研究设计以及混杂因素的控制对文章进行评估。大多数文献集中在髋部和膝部的骨关节炎，而对足部/踝部和小腿的研究较少。总体而言，需要更好的暴露评估来研究职业因素与MSD之间的因果途径。
