Tsouvaltzidou Thomaella, Alexopoulos Evangelos, Fragkakis Ioannis, Jelastopulu Eleni
Thomaella Tsouvaltzidou, Eleni Jelastopulu, Department of Public Health, Medical School, University of Patras, 26500 Patras, Greece.
World J Orthop. 2017 Jun 18;8(6):478-483. doi: 10.5312/wjo.v8.i6.478.
To investigate the disability due to musculoskeletal disorders of the upper extremities in heavy industry workers.
The population under study consisted of 802 employees, both white- and blue-collar, working in a shipyard industry in Athens, Greece. Data were collected through the distribution of questionnaires and the recording of individual and job-related characteristics during the period 2006-2009. The questionnaires used were the Quick Disabilities of the Arm, Shoulder and Hand (QD) Outcome Measure, the Work Ability Index (WAI) and the Short-Form-36 (SF-36) Health Survey. The QD was divided into three parameters - movement restrictions in everyday activities, work and sports/music activities - and the SF-36 into two items, physical and emotional. Multiple linear regression analysis was performed by means of the SPSS v.22 for Windows Statistical Package.
The answers given by the participants for the QD did not reveal great discomfort regarding the execution of manual tasks, with the majority of the participants scoring under 5%, meaning no disability. After conducting multiple linear regression, age revealed a positive association with the parameter of restrictions in everyday activities (b = 0.64, = 0.000). Basic education showed a statistically significant association regarding restrictions during leisure activities, with b = 2.140 ( = 0.029) for compulsory education graduates. WAI's final score displayed negative charging in the regression analysis of all three parameters, with b = -0.142 ( = 0.0), b = -0.099 ( = 0.055) and b = -0.376 ( = 0.001) respectively, while the physical and emotional components of SF-36 associated with movement restrictions only in daily activities and work. The participants' specialty made no statistically significant associations with any of the three parameters of the QD.
Increased musculoskeletal disorders of the upper extremity are associated with older age, lower basic education and physical and mental/emotional health and reduced working ability.
调查重工业工人上肢肌肉骨骼疾病所致的残疾情况。
研究人群包括802名在希腊雅典一家造船厂工作的员工,涵盖白领和蓝领。在2006年至2009年期间,通过发放问卷以及记录个人和与工作相关的特征来收集数据。所使用的问卷包括手臂、肩部和手部快速残疾评定量表(QD)、工作能力指数(WAI)和简短健康调查问卷36项版本(SF - 36)。QD分为三个参数——日常活动、工作以及运动/音乐活动中的活动受限情况,SF - 36分为身体和情感两个项目。借助SPSS v.22 for Windows统计软件包进行多元线性回归分析。
参与者对QD给出的答案显示,在执行体力任务方面并未表现出极大不适,大多数参与者得分低于5%,即无残疾。进行多元线性回归后,年龄与日常活动受限参数呈正相关(b = 0.64,P = 0.000)。基础教育与休闲活动受限情况显示出具有统计学意义的关联,义务教育毕业生的b值为2.140(P = 0.029)。WAI的最终得分在所有三个参数的回归分析中均显示为负相关,分别为b = -0.142(P = 0.0)、b = -0.099(P = 0.055)和b = -0.376(P = 0.001),而SF - 36的身体和情感部分仅与日常活动和工作中的活动受限相关。参与者的专业与QD的三个参数中的任何一个均未显示出具有统计学意义的关联。
上肢肌肉骨骼疾病增加与年龄较大、基础教育程度较低、身心健康状况以及工作能力下降有关。