Department of Rheumatology, Royal Cornwall Hospital, Truro, UK.
Best Pract Res Clin Rheumatol. 2012 Apr;26(2):183-224. doi: 10.1016/j.berh.2012.03.005.
Musculoskeletal conditions are common in men and women of all ages across all socio-demographic strata of society. They are the most common cause of severe long-term pain and physical disability and affect hundreds of millions of people around the world. They impact on all aspects of life through pain and by limiting activities of daily living typically by affecting dexterity and mobility. They affect one in four adults across Europe [1]. Musculoskeletal conditions have an enormous economic impact on society through both direct health expenditure related to treating the sequelae of the conditions and indirectly through loss of productivity. The prevalence of many of these conditions increases markedly with age, and many are affected by lifestyle factors, such as obesity and lack of physical activity. The burden of these conditions is therefore predicted to increase, in particular in developing countries. The impact on individuals and society of the major musculoskeletal conditions is reviewed and effective prevention, treatment and rehabilitation considered. The need to recognise musculoskeletal conditions as a global public health priority is discussed.
肌肉骨骼疾病在社会各阶层的所有年龄段的男性和女性中都很常见。它们是导致严重长期疼痛和身体残疾的最常见原因，影响着全球数亿人。它们通过疼痛和限制日常生活活动（通常通过影响灵巧性和移动性）影响生活的方方面面。在欧洲，每四个成年人中就有一个受到影响[1]。肌肉骨骼疾病通过与治疗疾病后遗症相关的直接健康支出以及通过生产力损失的间接方式对社会产生巨大的经济影响。许多这些疾病的患病率随着年龄的增长而显著增加，并且许多疾病受生活方式因素的影响，例如肥胖和缺乏身体活动。因此，预计这些疾病的负担将会增加，特别是在发展中国家。本文回顾了主要肌肉骨骼疾病对个人和社会的影响，并考虑了有效的预防、治疗和康复措施。讨论了将肌肉骨骼疾病视为全球公共卫生重点的必要性。
