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美国南部伐木机操作员中肌肉骨骼疾病以及颈部和背部疼痛的发病率

Incidence of MSDs and neck and back pain among logging machine operators in the southern U.S.

作者信息

Lynch S M, Smidt M F, Merrill P D, Sesek R F

出版信息

J Agric Saf Health. 2014 Jul;20(3):211-8. doi: 10.13031/jash.20.10544.

DOI:10.13031/jash.20.10544
PMID:25174152
Abstract

There are limited data about the incidence and prevalence of musculoskeletal disorders (MSDs) among loggers in the southern U.S. despite the risk factors associated with these occupations. Risk factors are both personal (age, body mass index, etc.) and job-related (awkward postures, repetitive hand and foot movements, vibration, etc.). A survey was conducted to estimate the incidence of self-reported pain and diagnosed MSDs and to study the relationship with known risk factors. Respondents were loggers attending training and continuing education classes. Respondents were asked to identify personal attributes, machine use, awkward postures, repetitive movements, and recent incidence of pain and medical diagnoses. All were male with an average age of 44 (range of 19-67) and an average body mass index of 31.3. Most were machine operators (97%) who have worked in the logging industry for an average of 22.9 years. Most machines identified were manufactured within the past ten years (average machine age 6.7 years). For machine operators, 10.5% (16) reported an MSD diagnosis, 74.3% (113) reported at least mild back pain, and 71.7% (109) reported at least mild neck pain over the past year. Further analysis attempted to identify an association between personal attributes, machine use, posture, and pain. Risk factors related to machine use may be biased since most survey respondents had considerable choice or control in working conditions, as they were firm owners and/or supervisors.

摘要

尽管美国南部伐木工的职业存在与肌肉骨骼疾病(MSD)相关的风险因素,但关于这些疾病的发病率和患病率的数据有限。风险因素既有个人因素(年龄、体重指数等),也有与工作相关的因素(不良姿势、手部和足部的重复动作、振动等)。开展了一项调查,以估计自我报告的疼痛和确诊的MSD的发病率,并研究其与已知风险因素的关系。受访者为参加培训和继续教育课程的伐木工。要求受访者确定个人特征、机器使用情况、不良姿势、重复动作以及近期的疼痛发病率和医疗诊断情况。所有受访者均为男性,平均年龄44岁(19 - 67岁),平均体重指数为31.3。大多数人是机器操作员(97%),他们在伐木业的工作平均时长为22.9年。所确定的大多数机器是在过去十年内制造的(机器平均使用年限为6.7年)。对于机器操作员而言,在过去一年中,10.5%(16人)报告被诊断患有MSD,74.3%(113人)报告至少有轻度背痛,71.7%(109人)报告至少有轻度颈部疼痛。进一步分析试图确定个人特征、机器使用、姿势和疼痛之间的关联。由于大多数调查受访者在工作条件方面有相当大的选择或控制权,因为他们是企业主和/或主管,所以与机器使用相关的风险因素可能存在偏差。

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