Keown Gerard A, Tuchin Peter A
Department of Chiropractic, Faculty of Science, Macquarie University, North Ryde, New South Wales, Australia.
Department of Chiropractic, Faculty of Science, Macquarie University, North Ryde, New South Wales, Australia.
J Manipulative Physiol Ther. 2018 Jul-Aug;41(6):508-529. doi: 10.1016/j.jmpt.2018.01.005. Epub 2018 Jul 17.
The purpose of this systematic review was to examine literature on workplace factors associated with neck pain or symptoms in computer users performing clerical functions.
A systematic search of the Cochrane, Medline, CINAHL, and EMBASE databases was conducted for observational and experimental studies published since 2000. This review applied the case definition of The Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders.
Seven hundred twenty-nine studies were identified. Seven hundred and two studies were excluded. Twenty-seven studies fulfilled inclusion criteria and were assessed for risk of bias. Cross-sectional studies were commonly at risk from nonresponse bias and lack of adequate case definitions. Experimental studies were mostly at risk of bias due to confounding and participant recruitment methods.
Neck pain was not significantly associated with high job demands, low skill discretion, low decision authority, or low peer support. However, when these variables were combined with increased duration of computing tasks, or ergonomic demands, they reached significance. Supervisor support was found to be the only significant buffer capable of preventing these variables reaching significance in female office workers.
本系统评价的目的是研究与从事文职工作的计算机用户颈部疼痛或症状相关的工作场所因素的文献。
对Cochrane、Medline、CINAHL和EMBASE数据库进行系统检索，查找2000年以来发表的观察性和实验性研究。本评价采用了2000 - 2010年骨与关节十年颈部疼痛及其相关疾病特别工作组的病例定义。
共识别出729项研究。排除702项研究。27项研究符合纳入标准并被评估偏倚风险。横断面研究通常存在无应答偏倚和缺乏适当病例定义的风险。实验性研究大多因混杂因素和参与者招募方法而存在偏倚风险。
颈部疼痛与高工作要求、低技能自主性、低决策权或低同伴支持无显著关联。然而，当这些变量与计算任务持续时间增加或人体工程学要求相结合时，它们具有显著性。发现主管支持是唯一能够防止这些变量在女性办公室工作人员中具有显著性的重要缓冲因素。
