Onishi Tetsuro, Kurimoto Shigeru, Suzuki Mikako, Imaeda Toshihiko, Hirata Hitoshi
Department of Hand Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan,
Int Arch Occup Environ Health. 2014 Jul;87(5):547-55. doi: 10.1007/s00420-013-0898-1. Epub 2013 Jul 28.
The Hand20 is an outcome assessment tool developed in Japan to measure upper extremity disability. The purpose of this study was to investigate occupational musculoskeletal disorders in the upper extremity of hospital personnel and to obtain normative data for the Hand20 in a nonclinical population.
A cross-sectional questionnaire study was carried out among 2,600 researchers and staff members of the Faculty of Medicine and its affiliated hospital.
There were 1,120 responders who went to their daily work without consulting a doctor about any upper extremity disorders, and 232 of these responders complained of upper extremity pain. The mean Hand20 score was 2.67 [standard deviation (SD) 7.06]. Women tended to have significantly higher total Hand20 scores than men (mean ± SD: men = 2.03 ± 5.15, women = 2.94 ± 7.71, p < 0.01). The Hand20 score tended to increase in participants over 40 years of age (p < 0.001). Significant differences were not found by work intensity (p = 0.712). Binominal logistic analysis revealed that the risk of a high Hand20 score (over the 75 % inter-quartile range, over 13.1) was greater with increasing age [odd ratios (ORs) 1.051, 1.071, respectively] and female sex (ORs 1.786, 1.966, respectively), and that the risk of upper extremity pain was greater with increasing age (OR 1.051), heavy physical work (OR 2.042), and physical work (OR 1.916).
Females in all age groups and both sexes in middle age or older need to be informed about their higher risk of upper extremity disorders and should be educated about how to avoid work-related musculoskeletal disorders and their progression.
Hand20是日本开发的一种用于评估上肢残疾的结果评估工具。本研究旨在调查医院工作人员上肢的职业性肌肉骨骼疾病，并获取非临床人群中Hand20的规范数据。
对医学院及其附属医院的2600名研究人员和工作人员进行了横断面问卷调查。
1120名应答者在未就任何上肢疾病咨询医生的情况下正常上班，其中232人抱怨上肢疼痛。Hand20评分的平均值为2.67[标准差（SD）7.06]。女性的Hand20总分往往显著高于男性（平均值±标准差：男性=2.03±5.15，女性=2.94±7.71，p<0.01）。40岁以上参与者的Hand20评分有升高趋势（p<0.001）。工作强度方面未发现显著差异（p=0.712）。二项逻辑分析显示，Hand20评分较高（超过四分位间距的75%，超过13.1）的风险随着年龄增长[优势比（OR）分别为1.051、1.071]和女性性别（OR分别为1.786、1.966）而增加，上肢疼痛的风险随着年龄增长（OR 1.051）、繁重体力工作（OR 2.042）和体力工作（OR 1.916）而增加。
所有年龄组的女性以及中年及以上的男性都需要了解他们患上肢疾病的较高风险，并且应该接受关于如何避免与工作相关的肌肉骨骼疾病及其进展的教育。
