按摩从业者工作相关肌肉骨骼疾病的患病率及危险因素
Prevalence and risk factors of work-related musculoskeletal disorders in massage practitioners.
作者信息
Jang Yuh, Chi Chia-Fen, Tsauo Jau-Yih, Wang Jung-Der
机构信息
School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan.
出版信息
J Occup Rehabil. 2006 Sep;16(3):425-38. doi: 10.1007/s10926-006-9028-1.
INTRODUCTION
Massage practitioners are at high risk for work-related musculoskeletal disorders (WMSDs). We investigated the prevalence and risk factors.
METHODS
We randomly selected 161 visually impaired practitioners. Demographics, musculoskeletal symptoms, and working postures were analyzed with multivariate logistic regression.
RESULTS
Results indicated that about 71.4% had at least one WMSD in 12 months. Prevalence rates were finger or thumb, 50.3%; shoulder, 31.7%; wrist, 28.6%; neck, 25.5%; arm or elbow, 23.6%; forearm, 20.5%; and back, 19.3%. Working duration >20 years had an adjusted odds ratio (OR) for finger or thumb 4.0-4.5 with 95% confidence interval (CI) 1.5-13.8, client contact >4 h/day (adjusted OR for finger = 3.2, 95% CI=1.3-8.1), and < or =7-kg pulp-pinch strength (adjusted OR for upper extremity = 2.9-3.2, 95% CI=1.2-8.3). Adjusted ORs for lower-back symptoms were 3.1 (95% CI=1.3-7.8) and 3.6 (95% CI=1.4-9.6), respectively, for lack of neutral neck posture and for inappropriate working-table height.
CONCLUSION
WMSDs were prevalent among massage practitioners.
引言
按摩从业者患与工作相关的肌肉骨骼疾病（WMSDs）的风险很高。我们调查了其患病率及风险因素。
方法
我们随机选取了161名视力受损的从业者。对人口统计学、肌肉骨骼症状和工作姿势进行多因素逻辑回归分析。
结果
结果表明，约71.4%的人在12个月内至少患有一种WMSD。患病率分别为：手指或拇指，50.3%；肩部，31.7%；手腕，28.6%；颈部，25.5%；手臂或肘部，23.6%；前臂，20.5%；背部，19.3%。工作时长>20年，手指或拇指的调整优势比（OR）为4.0 - 4.5，95%置信区间（CI）为1.5 - 13.8；每天与客户接触>4小时（手指的调整OR = 3.2，95%CI = 1.3 - 8.1）；以及捏力<或=7千克（上肢的调整OR = 2.9 - 3.2，95%CI = 1.2 - 8.3）。对于下背部症状，缺乏中立颈部姿势和工作台高度不合适的调整OR分别为3.1（95%CI = 1.3 - 7.8）和3.6（95%CI = 1.4 - 9.6）。
结论
WMSDs在按摩从业者中很普遍。
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