Gallagher Sean, Schall Mark C
a Industrial and Systems Engineering , Auburn University , Auburn , AL , USA.
Ergonomics. 2017 Feb;60(2):255-269. doi: 10.1080/00140139.2016.1208848. Epub 2016 Jul 19.
Mounting evidence suggests that musculoskeletal disorders (MSDs) may be the result of a fatigue failure process in musculoskeletal tissues. Evaluations of MSD risk in epidemiological studies and current MSD risk assessment tools, however, have not yet incorporated important principles of fatigue failure analysis in their appraisals of MSD risk. This article examines the evidence suggesting that fatigue failure may play an important role in the aetiology of MSDs, assesses important implications with respect to MSD risk assessment and discusses research needs that may be required to advance the scientific community's ability to more effectively prevent the development of MSDs. Practitioner Summary: Evidence suggests that musculoskeletal disorders (MSDs) may result from a fatigue failure process. This article proposes a unifying framework that aims to explain why exposure to physical risk factors contributes to the development of work-related MSDs. Implications of that framework are discussed.
越来越多的证据表明，肌肉骨骼疾病（MSD）可能是肌肉骨骼组织疲劳失效过程的结果。然而，流行病学研究中对MSD风险的评估以及当前的MSD风险评估工具，在评估MSD风险时尚未纳入疲劳失效分析的重要原则。本文探讨了表明疲劳失效可能在MSD病因中起重要作用的证据，评估了对MSD风险评估的重要影响，并讨论了为提高科学界更有效预防MSD发生的能力可能需要的研究需求。从业者总结：有证据表明肌肉骨骼疾病（MSD）可能由疲劳失效过程导致。本文提出了一个统一框架，旨在解释为何接触物理风险因素会导致与工作相关的MSD的发生。文中讨论了该框架的影响。
