Vieira Edgar R, Schneider Paul, Guidera Casey, Gadotti Inae C, Brunt Denis
J Back Musculoskelet Rehabil. 2016 Aug 10;29(3):417-28. doi: 10.3233/BMR-150649.
Physical therapists (PTs) perform demanding tasks that can lead to work-related musculoskeletal disorders (WMSD), but the rates and characteristics of WMSD among PTs are not well known. The objective of this systematic review of the literature was to integrate the information published on the prevalence, types, and risks for WMSD among PTs. Four databases were searched using combinations and synonyms for WMSD, discomfort, symptoms, and PTs. Two reviewers independently searched and screened peer-reviewed articles published in English evaluating WMSD in PTs; agreement between reviewers was evaluated. From 867 unduplicated articles, 32 were eligible and included. Up to 90% of PTs have WMSD during their careers; 50% experience WMSD within 5 years of practice. Low back was the body part most commonly affected. Female PTs and PTs working in hospitals have higher prevalence of WMSD. WMSD are associated with PTs' age, gender, specialty and job tasks. Performing manual therapy, lifting and transferring patients are tasks commonly associated with PTs' developing WMSD. The body parts affected differed by specialty and tasks. The findings presented in this review are useful to inform future research, quality improvement, and educational programs to reduce the rates of WMSD among PTs.
物理治疗师（PTs）从事的工作要求高，可能导致与工作相关的肌肉骨骼疾病（WMSD），但PTs中WMSD的发生率和特征尚不清楚。本系统文献综述的目的是整合已发表的关于PTs中WMSD的患病率、类型和风险的信息。使用WMSD、不适、症状和PTs的组合及同义词搜索了四个数据库。两名评审员独立搜索并筛选了以英文发表的、评估PTs中WMSD的同行评审文章；评估了评审员之间的一致性。从867篇无重复的文章中，有32篇符合条件并被纳入。高达90%的PTs在其职业生涯中患有WMSD；50%的人在执业5年内出现WMSD。下背部是最常受影响的身体部位。女性PTs和在医院工作的PTs中WMSD的患病率较高。WMSD与PTs的年龄、性别、专业和工作任务有关。进行手法治疗、搬运和转移患者是通常与PTs发生WMSD相关的任务。受影响的身体部位因专业和任务而异。本综述中呈现的研究结果有助于为未来的研究、质量改进和教育项目提供信息，以降低PTs中WMSD的发生率。
