Cetin Hatice, Bilgin Sevil, Köse Nezire
J Back Musculoskelet Rehabil. 2018;31(3):475-480. doi: 10.3233/BMR-170814.
To compare how disability, fear of movement, psychosocial status and quality of life are affected in terms of low back-neck health status in three occupational groups using different work postures.
Three hundred thirty-nine individuals participated in this study from the following three different occupational groups: group A, where the individuals worked in a prolonged sitting position (secretaries), group B, where the individuals performed dynamic activities in a standing position (cleaning workers) and group C, where the individuals worked in a prolonged standing position (private security officers). The participants were evaluated by Million Visual Analog Scale, Neck Disability Index, Oswestry Disability Index, Nottingham Health Profile, Hospital Anxiety and Depression Scale and Tampa Kinesiophobia Scale.
It was found that disability, emotional status and the quality of life were minimally affected, but kinesiophobia was increased in all of the occupational groups. In the group C, low back pain disability, quality of life and fear of movement were more affected than the other groups (p< 0.05).
For the occupational groups with long working years, the presence of kinesiophobia should be considered and cognitive-behavioural treatment methods should be recommended. In cleaning workers, low back pain is an important risk factor. Therefore, its awareness should be increased, and preventive programmes should be offered.
比较使用不同工作姿势的三个职业群体在腰颈健康状况方面，残疾、运动恐惧、心理社会状态和生活质量是如何受到影响的。
339名个体参与了本研究，他们来自以下三个不同职业群体：A组，个体长时间坐着工作（秘书）；B组，个体站立进行动态活动（清洁工人）；C组，个体长时间站立工作（私人保安人员）。参与者通过百万视觉模拟量表、颈部残疾指数、奥斯威斯利残疾指数、诺丁汉健康量表、医院焦虑抑郁量表和坦帕运动恐惧量表进行评估。
发现残疾、情绪状态和生活质量受到的影响最小，但所有职业群体的运动恐惧都有所增加。在C组中，腰痛残疾、生活质量和运动恐惧比其他组受到的影响更大（p<0.05）。
对于工作年限长的职业群体，应考虑运动恐惧的存在，并推荐认知行为治疗方法。在清洁工人中，腰痛是一个重要的风险因素。因此，应提高对其的认识，并提供预防方案。
