van der Beek Allard J, Dennerlein Jack T, Huysmans Maaike A, Mathiassen Svend Erik, Burdorf Alex, van Mechelen Willem, van Dieën Jaap H, Frings-Dresen Monique Hw, Holtermann Andreas, Janwantanakul Prawit, van der Molen Henk F, Rempel David, Straker Leon, Walker-Bone Karen, Coenen Pieter
Department of Public and Occupational Health - VU University Medical Center, van der Boechorststraat 7 NL-1081 BT Amsterdam - the Netherlands.
Scand J Work Environ Health. 2017 Nov 1;43(6):526-539. doi: 10.5271/sjweh.3671. Epub 2017 Sep 25.
Objectives Work-related musculoskeletal disorders (MSD) are highly prevalent and put a large burden on (working) society. Primary prevention of work-related MSD focuses often on physical risk factors (such as manual lifting and awkward postures) but has not been too successful in reducing the MSD burden. This may partly be caused by insufficient knowledge of etiological mechanisms and/or a lack of adequately feasible interventions (theory failure and program failure, respectively), possibly due to limited integration of research disciplines. A research framework could link research disciplines thereby strengthening the development and implementation of preventive interventions. Our objective was to define and describe such a framework for multi-disciplinary research on work-related MSD prevention. Methods We described a framework for MSD prevention research, partly based on frameworks from other research fields (ie, sports injury prevention and public health). Results The framework is composed of a repeated sequence of six steps comprising the assessment of (i) incidence and severity of MSD, (ii) risk factors for MSD, and (iii) underlying mechanisms; and the (iv) development, (v) evaluation, and (vi) implementation of preventive intervention(s). Conclusions In the present framework for optimal work-related MSD prevention, research disciplines are linked. This framework can thereby help to improve theories and strengthen the development and implementation of prevention strategies for work-related MSD.
目标 与工作相关的肌肉骨骼疾病（MSD）非常普遍，给（工作）社会带来了沉重负担。与工作相关的MSD的一级预防通常侧重于物理风险因素（如手动搬运和不良姿势），但在减轻MSD负担方面并未取得太大成功。这可能部分是由于对病因机制的了解不足和/或缺乏足够可行的干预措施（分别为理论失败和项目失败），可能是由于研究学科的整合有限。一个研究框架可以将研究学科联系起来，从而加强预防性干预措施的开发和实施。我们的目标是定义和描述这样一个用于与工作相关的MSD预防的多学科研究框架。方法 我们描述了一个MSD预防研究框架，部分基于其他研究领域（即运动损伤预防和公共卫生）的框架。结果 该框架由六个步骤的重复序列组成，包括评估（i）MSD的发病率和严重程度，（ii）MSD的风险因素，以及（iii）潜在机制；以及（iv）预防性干预措施的开发、（v）评估和（vi）实施。结论 在目前用于最佳工作相关MSD预防的框架中，研究学科相互关联。因此，该框架有助于改进理论，并加强与工作相关的MSD预防策略的开发和实施。
