Shelerud Randy A
Spine Center, Department of Physical Medicine and Rehabilitation, Mayo Clinic, 200 First Street, SW, Rochester, MN 55905, USA.
Clin Occup Environ Med. 2006;5(3):501-28, v. doi: 10.1016/j.coem.2006.05.004.
There have been significant advances in our understanding of occupational low back pain over the last decade largely because of a noteworthy improvement in the number and quality of prospective trials. More recent work confirms that genetic factors may drive a large portion of thr risk factors. The importance of physical fitness and spine support muscle fitness is believed to protect against future occurrences. Psychosocial factors can play a role in increasing the risk of future low back pain and acute pain in becoming chronic. Some of the psychological influence may be through a muscular pain component. It is arguable that an emphasis should be placed on resources, education, and support to allow workers to be productive whether suffering from back pain or not.
在过去十年中，我们对职业性腰痛的理解有了显著进展，这主要归功于前瞻性试验在数量和质量上的显著提高。最近的研究证实，遗传因素可能是大部分风险因素的驱动因素。人们认为，身体健康和脊柱支撑肌肉的健康对于预防未来发病具有重要意义。社会心理因素可能会增加未来患腰痛的风险，以及使急性疼痛转变为慢性疼痛。一些心理影响可能是通过肌肉疼痛这一因素起作用的。有观点认为，应该重视提供资源、教育和支持，以使工人们无论是否患有背痛都能保持高效工作。
