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[与工作相关的肌肉骨骼疾病]

[Work-related musculoskeletal disorders].

作者信息

Roquelaure Yves, Bodin Julie, Descatha Alexis, Petit Audrey

机构信息

Centre de consultation de pathologie professionnelle, CHU d'Angers, Angers, France.

Inserm, U1085, Irset, équipe ESTER, université d'Angers, faculté de santé, Angers, France.

出版信息

Rev Prat. 2018 Jan;68(1):84-90.

Abstract

Work-related musculoskeletal disorders. Upper-limb musculoskeletal disorders are painful conditions related to the overuse of periarticular soft tissues. The main musculoskeletal disorders are rotator cuff tendinopathy, epicondylalgia, carpal tunnel syndrome and non-specific pain. Musculoskeletal disorders affect millions of European workers and represent the first problem of health at work in the European Union. They testify to the intensification of working conditions affecting a growing number of workers in the industry and services sectors. Their impact in terms of pain and disruption of career, but also economic costs, make them a priority of health at work. They are multifactorial disorders associated with individual and occupational (biomechanical, psychosocial and factors related to work organization) risk factors. Prevention requires a global and integrated approach focusing on the reduction of the exposure to working constraints, early diagnosis and management and, if necessary, an intervention of stay at work.

摘要

与工作相关的肌肉骨骼疾病。上肢肌肉骨骼疾病是与关节周围软组织过度使用相关的疼痛病症。主要的肌肉骨骼疾病有肩袖肌腱病、网球肘、腕管综合征和非特异性疼痛。肌肉骨骼疾病影响着数百万欧洲工人,是欧盟工作场所健康的首要问题。它们证明了工作条件的强化,影响着工业和服务业中越来越多的工人。它们在疼痛、职业中断以及经济成本方面的影响,使其成为工作场所健康的优先事项。它们是与个人和职业(生物力学、心理社会以及与工作组织相关的因素)风险因素相关的多因素疾病。预防需要一种全面综合的方法,重点是减少对工作限制因素的暴露、早期诊断和管理,必要时还需进行工作保留干预。

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