Lo Cascio G, Caminita M L, Marceca P, Lo Cascio N, Picciotto D
Universitá degli Studi di Palermo, Dipartimento di Medicina Clinica e Patologie Emergenti, Sez. di Medicina del Lavoro, Palermo.
G Ital Med Lav Ergon. 2007 Jul-Sep;29(3 Suppl):558-9.
In medical circle, the disclosure of recurrent symptomatologies on the upper limbs begins to assume characteristics common to many working classes, raising not few problematic issues regarding the interactions between them and the working environment. In the AOUP of Palermo, some working categories were identified, whose activity implicates the upper limbs for instrument use, as well as repetitious movements (odontologists, ultrasonographers, endoscope technicians). The analysis covered a group of endoscopy technicians, both of the medical area and of the surgical one, the first being middle aged and with working seniority significantly higher than the latter. To these people, a RULA questionnaire was given, partially modified with the addition of some questions finalized at pointing out environmental situations that determine physical stresses on the upper limbs, correlated to the working method, to the number of made tests, to the place where they were made. From the study made, it was found that there is high risk of biomechanical overcharge on the upper limbs in the activity of endoscopy technicians. Thus the necessity of preventive corrective measures geared at avoiding on the one hand insurance claims, and on the other, the pathologies which can limit the working activity.
在医学界，上肢反复出现症状的情况开始呈现出许多职业群体共有的特征，引发了不少关于他们与工作环境之间相互作用的问题。在巴勒莫的AOUP，确定了一些工作类别，其工作涉及使用上肢操作器械以及重复性动作（牙医、超声检查人员、内窥镜技术人员）。分析涵盖了一组内窥镜技术人员，包括医疗领域和外科领域的，前者为中年，工作资历明显高于后者。对这些人员发放了一份RULA问卷，并进行了部分修改，增加了一些旨在指出与工作方法、所做检查数量、检查地点相关的、会对上肢造成身体压力的环境状况的问题。从研究中发现，内窥镜技术人员的工作活动中存在上肢生物力学负荷过高的高风险。因此，有必要采取预防性纠正措施，一方面避免保险索赔，另一方面避免可能限制工作活动的病症。
