Facultad de Ciencias de la Salud, Universidad ReyJuan Carlos, Madrid, Spain.
Med Lav. 2011 Nov-Dec;102(6):502-10.
OBJECTOVE: The objective of the study was two-fold: (1) to ascertain the prevalence of musculoskeletal disorders in podiatrists in Spain, and (2) to identify relationships between intensity and duration of pain and socio-demographic variables.
Epidemiological analysis of Spanish self-employed or salaried podiatrists who had at least 1 year's experience, worked at least 20 hours per week, and had five patients per working day. The survey consisted of (1) identification of musculoskeletal disorders using the Standardized Nordic questionnaire for analysis of musculoskeletal symptoms; (2) assessment of perceived pain using the Borg CR-IO scale; and (3) analysis of specific socio-demographic variables. We used basic descriptive statistics to analyse the socio-demographic characteristics and perceived pain. Chi squared, Student's t-test, and ANOVA were used to determine differences between variables.
The sample consisted of 274 women (65.08%) and 147 men (34.92%), for a total of 421 podiatrists. The females were older and reported a higher pain score compared to the males, however neither values showed statistical significance. When combining genders, pain intensity was significantly related to marital status (p = 0.006, IC 95%). The most frequently reported locations for musculoskeletal symptoms during the previous 7 days were the lower back, upper back and neck (33.02%, 21.85% and 21.62% respectively). They were also the most frequently reported locations for the previous 12 months (21.38%, 13.06% and 13.54% respectively). Female podiatrists and younger podiatrists reported more musculoskeletal complaints in the previous 7 days and younger podiatrists during previous 12 months.
There is a significant prevalence of musculoskeletal complaints in daily podiatry work and the most affected body areas are the lower back, upper back and neck. The most affected demographic classes seem to be the younger age groups, females and married podiatrists.
本研究旨在双重目标：（1）确定西班牙足病医生的肌肉骨骼疾病患病率，（2）确定疼痛强度和持续时间与社会人口统计学变量之间的关系。
对至少有 1 年经验、每周工作至少 20 小时且每天工作有 5 名患者的西班牙自雇或领薪足病医生进行了流行病学分析。该调查包括（1）使用标准化北欧问卷分析肌肉骨骼症状确定肌肉骨骼疾病；（2）使用 Borg CR-IO 量表评估感知疼痛；（3）分析特定的社会人口统计学变量。我们使用基本描述性统计来分析社会人口统计学特征和感知疼痛。卡方检验、学生 t 检验和 ANOVA 用于确定变量之间的差异。
该样本由 274 名女性（65.08%）和 147 名男性（34.92%）组成，共有 421 名足病医生。女性年龄较大，报告的疼痛评分高于男性，但两者均无统计学意义。当合并性别时，疼痛强度与婚姻状况显著相关（p = 0.006，IC 95%）。过去 7 天内报告的肌肉骨骼症状最常见的部位是下背部、上背部和颈部（分别为 33.02%、21.85%和 21.62%）。过去 12 个月内，它们也是最常见的报告部位（分别为 21.38%、13.06%和 13.54%）。女性足病医生和年轻足病医生在过去 7 天内报告的肌肉骨骼投诉更多，而年轻足病医生在过去 12 个月内报告的肌肉骨骼投诉更多。
在日常足病学工作中，肌肉骨骼投诉的发生率很高，受影响最严重的身体部位是下背部、上背部和颈部。受影响最大的人群似乎是年龄较小的人群、女性和已婚足病医生。
