Bovenzi Massimo
a Department of Medical Sciences , Clinical Unit of Occupational Medicine, University of Trieste , Trieste , Italy.
Ergonomics. 2015;58(7):1103-16. doi: 10.1080/00140139.2014.935487. Epub 2014 Jul 7.
In a three-year follow-up study, the occurrence of neck and shoulder pain (NSP) in terms of frequency, duration and intensity was investigated in a population of 537 male professional drivers. Over the follow-up period, the cumulative incidences for neck and shoulder pain were 31.9% and 21.4%, respectively. After adjustment for potential confounders, a measure of cumulative whole-body vibration exposure was significantly associated with all NSP outcomes. Lifting loads and work with hands above shoulder level were significantly related to shoulder outcomes, while driving with trunk bent or twisted was associated with neck pain. Limited job decision, low social support and job dissatisfaction were significant predictors of neck outcomes. Psychological distress was associated with all NSP outcomes. The findings of this cohort study suggest that NSP outcomes are of multifactorial origin in driving occupations.
This prospective cohort study highlighted the multifactorial nature of neck and shoulder pain (NSP) outcomes in a population of professional drivers. Cumulative whole-body vibration exposure, physical load factors and adverse psychosocial environment at the workplace, as well as individual-related psychological distress, were significant predictors of the occurrence of NSP in the professional drivers.
在一项为期三年的随访研究中，对537名男性职业司机群体中颈部和肩部疼痛（NSP）的发生频率、持续时间和强度进行了调查。在随访期间，颈部和肩部疼痛的累积发病率分别为31.9%和21.4%。在对潜在混杂因素进行调整后，累积全身振动暴露量与所有颈部和肩部疼痛结局显著相关。搬运重物以及将手举过肩部水平的工作与肩部疼痛结局显著相关，而躯干弯曲或扭转驾驶则与颈部疼痛有关。工作决策受限、社会支持低和工作不满意是颈部疼痛结局的显著预测因素。心理困扰与所有颈部和肩部疼痛结局相关。这项队列研究的结果表明，在驾驶职业中，颈部和肩部疼痛结局具有多因素起源。
这项前瞻性队列研究突出了职业司机群体中颈部和肩部疼痛（NSP）结局的多因素性质。累积全身振动暴露、身体负荷因素和工作场所不良的心理社会环境，以及个体相关的心理困扰，是职业司机发生颈部和肩部疼痛的显著预测因素。
