Gun R T
Department of Community Medicine, University of Adelaide, SA.
Med J Aust. 1990 Oct 1;153(7):376-80. doi: 10.5694/j.1326-5377.1990.tb125492.x.
Despite the human and financial cost of repetition strain injury (RSI), comprehensive incidence data have been lacking. A unique opportunity exists to obtain such data in South Australia, where since 1980-81 the Australian Bureau of Statistics has assigned all injuries, not explicitly diagnosed as diseases but stated as having been caused by repetitive movement, to a unique "type of accident" code, and has subclassified them according to bodily location. The statistical profile of diseases and accidents affecting the upper limb resulting from repetitive movement is not simply one of a keyboard operators' epidemic. Rather, it has revealed a problem which is endemic in sections of the blue-collar workforce, in whom both the numbers and the incidence rates are higher than in keyboard operators, and were higher even when the incidence in keyboard operators peaked in 1984-85. These conditions have been especially frequent in particular sections of the female blue-collar workforce, and interventions which have resulted in (or coincided with) benefits to keyboard operators have failed to improve the situation in the former group. It is suggested that the groups most at risk are female workers performing unfulfilling, unskilled tasks, and that interventions to benefit these workers will have to give attention to more fundamental issues than those hitherto addressed.
尽管重复性劳损（RSI）会带来人力和财力成本，但一直缺乏全面的发病率数据。在南澳大利亚州有一个获取此类数据的独特机会，自1980 - 81年以来，澳大利亚统计局将所有未明确诊断为疾病但表明由重复性动作导致的损伤，归入一个独特的“事故类型”代码，并根据身体部位进行了细分。重复性动作导致的影响上肢的疾病和事故的统计概况并非仅仅是键盘操作员的流行病情况。相反，它揭示了一个在部分蓝领劳动力群体中普遍存在的问题，这些群体中的病例数量和发病率高于键盘操作员，甚至在1984 - 85年键盘操作员发病率达到峰值时也是如此。这些情况在女性蓝领劳动力的特定群体中尤为常见，而且那些给键盘操作员带来益处（或与之同时出现）的干预措施未能改善前一组的状况。有人认为，风险最高的群体是从事无成就感、非技术性工作的女性工人，而且使这些工人受益的干预措施必须关注比迄今所涉及的更根本的问题。
