Meroni Mirella, Battevi N, Vitelli Nora, Ricci Maria Grazia, Petri Alessandra, Menoni Olga, Colombini Daniela
UOOML-CEMOC Clinica del Lavoro L. Devoto, Fondazione IRCCS Ca' Granda.
Med Lav. 2010 Jul-Aug;101(4):276-85.
The literature dealing with the health effects of VDU work identified right from the beginning a group of MSDs, mainly affecting the cervicobrachial region, so that VDU work could be considered a risk factor due to biomechanical overload of the upper limbs,
The aim of the study was to assess the prevalence of symptoms and diseases of VDU workers.
A cohort of 2022 workers (1125 males and 897 females) working at VDUs for a duration of time equal to or exceeding 20 hours per week, including insurance and bank employees (no desk activity), was submitted to clinical and functional assessment of the cervical spine and upper limbs following a structured protocol (case history, clinical and instrumental examinations), as used by occupational physicians, in order to identify "anamnestic cases" and diagnose upper limb biomechanical overload diseases. Besides medical data, a series of data was also collected in order to obtain details of the work task: time schedule, duration of VDU use, organizational autonomy, data entry method.
The prevalence of subjects with UL-WMSDs was 1.9% for males and 5.8% for females, and basically similar to that found in non-exposed working populations. However, there did seem to be a correlation between cervical disorders and computer use, only for females.
In the sample studied no association was shown between VDU work and onset of upper limb diseases, which was confirmed even considering the different exposure variables. Analysis of"anamnestic cases" made by comparison with non-exposed populations, confirmed the lack of association between upper limb diseases and VDU work.
关于视频显示终端(VDU)工作对健康影响的文献从一开始就确定了一组肌肉骨骼疾病(MSD),主要影响颈臂区域,因此VDU工作可能因上肢生物力学过载而被视为一个风险因素。
本研究的目的是评估VDU工作者症状和疾病的患病率。
对2022名每周使用VDU时长等于或超过20小时的工作者(1125名男性和897名女性)进行队列研究,这些工作者包括保险和银行员工(无伏案工作),按照职业医生使用的结构化方案(病史、临床和仪器检查)对颈椎和上肢进行临床和功能评估,以识别“记忆病例”并诊断上肢生物力学过载疾病。除了医学数据外,还收集了一系列数据以获取工作任务的详细信息:时间表、VDU使用时长、组织自主性、数据录入方法。
上肢肌肉骨骼疾病(UL-WMSDs)男性患病率为1.9%,女性患病率为5.8%,与未接触VDU的工作人群基本相似。然而,仅在女性中,颈椎疾病与计算机使用之间似乎存在关联。
在所研究的样本中,未显示VDU工作与上肢疾病发病之间存在关联,即使考虑不同的暴露变量,这一结论也得到了证实。通过与未接触人群比较对“记忆病例”进行分析,证实了上肢疾病与VDU工作之间不存在关联。