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从事常规农村家庭活动的女性的肌肉骨骼症状(MSS)及其与人体工程学物理风险因素的关联:来自孟加拉国一个乡村的情况

Musculoskeletal symptoms (MSS) and their associations with ergonomic physical risk factors of the women engaging in regular rural household activities: A picture from a rural village in Bangladesh.

作者信息

Habib Md Monjuru, Rahman Saleh Ur

机构信息

Department of Occupational Therapy, Bangladesh Health Professions Institute, Center for the Rehabilitation of the Paralysed, Savar, Dhaka, Bangladesh.

Department of Occupational Therapy, Center for the Rehabilitation of the Paralysed, Savar, Dhaka, Bangladesh.

出版信息

Work. 2015;50(3):347-56. doi: 10.3233/WOR-151990.

Abstract

BACKGROUND

Musculoskeletal complaints among housewives are very common around the world. In Bangladesh, although the majority of women are involved in various household activities, no studies were found related to musculoskeletal health and ergonomic risk factors for this work.

OBJECTIVE

This study explored the prevalence of commonly affected body parts where the women experienced Musculoskeletal Symptoms (MSS), the disruption of normal activities due to the MSS, and the association of MSS with ergonomic physical risk factors among women engaging in regular household activities in a rural village of Bangladesh.

PARTICIPANTS

Participants were women aged 20-45 in a small village in Bangladesh who were involved in regular household activities for at least 5 hours a day for the past year.

METHOD

A total of 73 women were found eligible though door-to-door home visits to determine the prevalence of MSS. Women who had already been diagnosed with any arthritic conditions like rheumatoid and osteoarthritis were excluded for the study. The Standardized Nordic Questionnaire (SNQ) was used to determine the prevalence of MSS. Forty-six women out of 73 who reported MSS in the past 12 months were voluntarily assessed using the Musculoskeletal Disorder (MSD) risk assessment to determine the association between physical risk factors and MSS.

RESULTS

68.49% (n=50) women reported having MSS during the last 12 months and 50.68% (n=37) of the respondents were prevented from normal daily activities due to MSS. Most commonly affected regions were upper and lower back, wrist, knees and elbows. Awkward posture, such as bending, lifting and working in squatting position, movements of repetition were associated with MSS in different body parts.

CONCLUSION

The prevalence of MSS and the resultant disruption of regular activities among rural women indicate that ergonomic attention is needed to improve their well-being.

摘要

背景

家庭主妇的肌肉骨骼问题在全球都非常普遍。在孟加拉国,尽管大多数女性都参与各种家务活动,但尚未发现与这项工作的肌肉骨骼健康和人体工程学风险因素相关的研究。

目的

本研究探讨了在孟加拉国一个乡村从事日常家务活动的女性中,出现肌肉骨骼症状(MSS)的常见受累身体部位的患病率、MSS导致的正常活动中断情况,以及MSS与人体工程学物理风险因素之间的关联。

参与者

参与者是孟加拉国一个小村庄中年龄在20至45岁之间的女性,她们在过去一年中每天至少从事5小时的日常家务活动。

方法

通过挨家挨户上门走访,共发现73名符合条件的女性,以确定MSS的患病率。已被诊断患有类风湿性关节炎和骨关节炎等任何关节炎疾病的女性被排除在研究之外。使用标准化北欧问卷(SNQ)来确定MSS的患病率。在73名过去12个月报告有MSS的女性中,有46名自愿接受肌肉骨骼疾病(MSD)风险评估,以确定物理风险因素与MSS之间的关联。

结果

68.49%(n = 50)的女性报告在过去12个月中有MSS,50.68%(n = 37)的受访者因MSS而无法进行正常的日常活动。最常受累的部位是上背部和下背部、手腕、膝盖和肘部。弯腰、提举和蹲姿工作等 awkward姿势、重复动作与不同身体部位的MSS相关。

结论

农村女性中MSS的患病率以及由此导致的日常活动中断表明,需要从人体工程学角度关注以改善她们的健康状况。

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