Fan Z Joyce, Silverstein Barbara A, Bao Stephen, Bonauto Dave K, Howard Ninica L, Spielholz Peregrin O, Smith Caroline K, Polissar Nayak L, Viikari-Juntura Eira
Safety & Health Assessment and Research for Prevention (SHARP), Washington State Department of Labor & Industries, Olympia, Washington, USA.
Am J Ind Med. 2009 Jun;52(6):479-90. doi: 10.1002/ajim.20700.
Lateral epicondylitis is a common work-related musculoskeletal disorder. The objective of this study was to identify risk factors associated with lateral epicondylitis among active workers.
Seven-hundred thirty-three workers in 12 Washington worksites participated in structured interviews, physical examinations, and individual exposure assessments of biomechanical and psychosocial factors. Multivariable logistic modeling was used.
Thirty-eight subjects (5.2%) had lateral epicondylitis. Age (36-50 years-old), being female, and low social support at work were significant risk factors. Frequency of forceful exertion (> or =5 vs. < 1 times/min (OR 5.17, 95%CI 1.78-15.02), and > or =1 to <5 vs. <1 (OR 4.47, 95%CI 1.57-13.71)) and forearm supination at > or =45 degrees for > or =5% of the time with high lifting force (OR = 2.98, 95% CI 1.18-7.55) were significant physical load factors.
Frequency of forceful exertion or a combination of forearm supination and forceful lifting were significant physical factors and should be considered for prevention strategies.
外侧上髁炎是一种常见的与工作相关的肌肉骨骼疾病。本研究的目的是确定在职员工中外侧上髁炎的相关危险因素。
华盛顿12个工作场所的733名员工参与了结构化访谈、体格检查以及生物力学和社会心理因素的个体暴露评估。采用多变量逻辑模型。
38名受试者（5.2%）患有外侧上髁炎。年龄（36 - 50岁）、女性以及工作中社会支持低是显著的危险因素。强力用力频率（≥5次/分钟与<1次/分钟相比（比值比5.17，95%置信区间1.78 - 15.02），以及≥1次/分钟至<5次/分钟与<1次/分钟相比（比值比4.47，95%置信区间1.57 - 13.71））和在前臂旋后≥45度且提升力较高的情况下≥5%的时间（比值比 = 2.98，95%置信区间1.18 - 7.55）是显著的身体负荷因素。
强力用力频率或前臂旋后与强力提升的组合是显著的身体因素，在预防策略中应予以考虑。
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