Morse Tim F, Warren Nicholas, Dillon Charles, Diva Ulysses
Ergonomic Technology Center, University of Connecticut Health Center, Farmington, USA.
Conn Med. 2007 May;71(5):261-8.
Risk factors for upper-extremity musculoskeletal disorders (MSD) include biomechanical factors (force, repetition, posture) and psychosocial factors (job stress). A population-based telephone survey of workers in Connecticut characterized these risk factors by industry, occupation, gender, and age.
Risk factors were highly prevalent in the Connecticut workplace, but varied considerably by industry, occupation, gender, and age. Risk factors clustered based on (a) physically active occupations/industries (pushing/pulling, reaching, bent wrists, and tool use), (b) physically passive occupations/industries (static postures, stress, and computer use), and (c) repetitive motion exposures. Physically active patterns had the highest prevalence in construction/agriculture/mining, followed by (in order) wholesale/retail trade, utilities, manufacturing, services, government, and finance/insurance. Physically passive patterns tended to reverse this order, and repetitive motion followed a third pattern. Physically active risk factors were typically higher for males, though this varied by industry and occupation. All risk factors except for stress show a steady decrease with age.
Almost 1,000,000 Connecticut workers are estimated to be exposed to repetitive work, bent wrists, and job stress. Workers in high exposure industries and occupations should be closely evaluated for risks, with outreach to industries for preventive ergonomic interventions as preferred to treatment for conditions that arise.
上肢肌肉骨骼疾病(MSD)的风险因素包括生物力学因素(力量、重复动作、姿势)和社会心理因素(工作压力)。一项针对康涅狄格州工人的基于人群的电话调查,按行业、职业、性别和年龄对这些风险因素进行了特征描述。
风险因素在康涅狄格州的工作场所中非常普遍,但因行业、职业、性别和年龄的不同而有很大差异。风险因素根据以下几类进行聚类:(a)体力活动较多的职业/行业(推/拉、伸展、手腕弯曲和工具使用),(b)体力活动较少的职业/行业(静态姿势、压力和计算机使用),以及(c)重复性动作暴露。体力活动模式在建筑/农业/采矿业中最为普遍,其次依次是批发/零售贸易、公用事业、制造业、服务业、政府部门以及金融/保险业。体力活动较少的模式往往呈现相反的顺序,而重复性动作则呈现第三种模式。男性的体力活动风险因素通常较高,不过这因行业和职业而异。除压力外,所有风险因素都随年龄增长而稳步下降。
据估计,康涅狄格州近100万名工人面临重复性工作、手腕弯曲和工作压力。应密切评估高暴露行业和职业的工人所面临的风险,优先向各行业推广预防性人体工程学干预措施,而非对已出现的病症进行治疗。