伸展运动以减少与工作相关的肌肉骨骼疾病:一项系统综述。
Stretching to reduce work-related musculoskeletal disorders: a systematic review.
作者信息
da Costa Bruno R, Vieira Edgar Ramos
机构信息
Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada.
出版信息
J Rehabil Med. 2008 May;40(5):321-8. doi: 10.2340/16501977-0204.
OBJECTIVE
This article reviewed the literature to clarify the physiological effects and benefits of, and misconceptions about, stretches used to reduce musculoskeletal disorders.
METHODS
Nine databases were reviewed to identify studies exploring the effectiveness of stretching to prevent work-related musculoskeletal disorders. Included studies were reviewed and their methodological quality was assessed using the PEDro scale.
RESULTS
The physiological effects of stretches may contribute to reducing discomfort and pain. However, if other measures are not in place to remediate their causes, stretches may suppress awareness of risks, resulting in more debilitating injuries. If inadequately performed, stretches may also cause or aggravate injuries. Careful analysis and stretching program design are required before implementing stretches. Seven studies evaluating the effectiveness of stretching to prevent musculoskeletal disorders in different occupations were identified and reviewed.
CONCLUSION
The studies provided mixed findings, but demonstrated some beneficial effect of stretching in preventing work-related musculoskeletal disorders. However, due to the relatively low methodological quality of the studies available in the literature, future studies are necessary for a definite response. Future studies should minimize threats to internal and external validity, have control groups, use appropriate follow-up periods, and present a more detailed description of the interventions and worker population.
目的
本文回顾了相关文献,以阐明用于减少肌肉骨骼疾病的伸展运动的生理效应、益处及误解。
方法
检索了九个数据库,以确定探讨伸展运动预防工作相关肌肉骨骼疾病有效性的研究。对纳入的研究进行了综述,并使用PEDro量表评估其方法学质量。
结果
伸展运动的生理效应可能有助于减轻不适和疼痛。然而,如果没有其他措施来纠正其病因,伸展运动可能会抑制对风险的认知,从而导致更严重的损伤。如果执行不当,伸展运动也可能导致或加重损伤。在实施伸展运动之前,需要进行仔细的分析和制定伸展运动计划。确定并综述了七项评估伸展运动预防不同职业肌肉骨骼疾病有效性的研究。
结论
这些研究结果不一,但表明伸展运动在预防工作相关肌肉骨骼疾病方面有一定益处。然而,由于文献中现有研究的方法学质量相对较低,需要进一步开展研究以得出明确结论。未来的研究应尽量减少对内部和外部效度的威胁,设立对照组,采用适当的随访期,并更详细地描述干预措施和工人人群。