Tucker Bennett, Netto Kevin, Hampson Gregory, Oppermann Brett, Aisbett Brad
School of Exercise and Nutrition Sciences, Deakin University, 221 Burwood Highway, Burwood, VIC 3125, Australia.
Mil Med. 2012 Apr;177(4):444-50. doi: 10.7205/milmed-d-11-00256.
Fighter pilots frequently report neck pain and injury, and although risk factors have been suggested, the relationships between risk factors and neck pain have not been quantified. The aim of this study was to identify personal and work behaviors that are significantly associated with neck pain in fighter pilots.
Eighty-two Royal Australian Air Force fighter pilots were surveyed about their flying experience, neck pain prevalence, and prevention. Multinomial logistic regressions were used to fit models between pilots' neck pain during and after flight and a range of personal and work characteristics.
In-flight neck pain was very weakly, yet positively associated with flight hours. Duration of postflight pain was positively associated with the weekly desktop work hours and the sum of preventative actions taken in flight. The duration pilots were considered temporarily medically unfit for flying was positively associated with pilots' age and their weekly desktop work hours.
The risk factors identified by the current study should guide neck pain prevention for fighter pilots. In particular, reducing desktop working hours as well as incorporating specific neck-strengthening exercises and in-flight bracing actions should be considered by agencies to help alleviating neck pain in their pilots.
战斗机飞行员经常报告颈部疼痛和损伤，尽管已经提出了一些风险因素，但风险因素与颈部疼痛之间的关系尚未量化。本研究的目的是确定与战斗机飞行员颈部疼痛显著相关的个人和工作行为。
对82名澳大利亚皇家空军战斗机飞行员进行了调查，了解他们的飞行经验、颈部疼痛患病率和预防措施。使用多项逻辑回归来拟合飞行员飞行期间和飞行后颈部疼痛与一系列个人和工作特征之间的模型。
飞行中的颈部疼痛与飞行小时数之间存在非常微弱但呈正相关。飞行后疼痛的持续时间与每周桌面工作小时数以及飞行中采取的预防措施总和呈正相关。飞行员被认为暂时不符合飞行医学条件的持续时间与飞行员的年龄及其每周桌面工作小时数呈正相关。
本研究确定的风险因素应指导战斗机飞行员的颈部疼痛预防。特别是，各机构应考虑减少桌面工作小时数，并纳入特定的颈部强化练习和飞行中的支撑动作，以帮助减轻飞行员的颈部疼痛。
