Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden.
Ergonomics. 2009 Oct;52(10):1240-7. doi: 10.1080/00140130902939889.
The purpose of this study was to investigate the existence of neck pain and arm pain among professional forest machine drivers and to find out if pain were related to their whole-body vibration (WBV) exposure. A self-administered questionnaire was sent to 529 forest machine drivers in northern Sweden and the response was 63%. Two pain groups were formed; 1) neck pain; 2) neck pain combined with arm pain. From WBV exposure data (recent measurements made according to ISO 2631-1, available information from reports) and from the self-administered questionnaire, 14 various WBV exposure/dose measures were calculated for each driver. The prevalence of neck pain reported both for the previous 12 months and for the previous 7 d was 34% and more than half of them reported neck pain combined with pain in one or both arms. Analysis showed no significant association between neck pain and high WBV exposure; however, cases with neck pain more often experienced shocks and jolts in the vehicle as uncomfortable. There was no significant association between the 14 WBV measures and type of neck pain (neck pain vs. neck pain combined with arm pain). It seems as if characteristics of WBV exposure can explain neither existence nor the type of neck pain amongst professional drivers of forest machines. The logging industry is important for several industrialised countries. Drivers of forest machines frequently report neuromusculoskeletal pain from the neck. The type of neck pain is important for the decision of treatment modality and may be associated with exposure characteristics at work.
本研究旨在调查职业林业机器驾驶员中颈部疼痛和手臂疼痛的存在情况，并确定疼痛是否与全身振动（WBV）暴露有关。我们向瑞典北部的 529 名林业机器驾驶员发送了一份自我管理的问卷，回应率为 63%。我们将驾驶员分为两组：1）颈部疼痛组；2）颈部疼痛合并手臂疼痛组。根据 WBV 暴露数据（根据 ISO 2631-1 进行的最近测量，报告中提供的信息）和自我管理问卷，我们为每位驾驶员计算了 14 种不同的 WBV 暴露/剂量测量值。报告过去 12 个月和过去 7 天颈部疼痛的患病率分别为 34%，其中超过一半的人报告颈部疼痛合并一个或两个手臂疼痛。分析表明，颈部疼痛与高 WBV 暴露之间没有显著关联；然而，患有颈部疼痛的病例更经常感到车辆中的震动和颠簸不适。14 种 WBV 测量值与颈部疼痛类型（颈部疼痛与颈部疼痛合并手臂疼痛）之间没有显著关联。似乎 WBV 暴露的特征既不能解释颈部疼痛的存在，也不能解释其类型。林业在几个工业化国家都很重要。林业机器的驾驶员经常报告颈部的神经肌肉骨骼疼痛。颈部疼痛的类型对于治疗方式的决策很重要，并且可能与工作中的暴露特征有关。
