Mohan Vijay, Inbaraj Leeberk Raja, George Carolin Elizabeth, Norman Gift
Department of Family Medicine and Community Health, Bangalore Baptist Hospital, Bangalore, Karnataka, India.
J Family Med Prim Care. 2019 Jan;8(1):171-177. doi: 10.4103/jfmpc.jfmpc_253_18.
Complaints of arm, neck, and shoulders (CANS) is a common problem among patients whose work involves computer use, but often ignored most importantly by the physicians partly due to not being able to appreciate the importance of taking a careful detailed occupational history of exposure to a repetitive activity involving upper arms. Upper extremity musculoskeletal disorders constitute a major portion of occupation-related illness with annual costs related to treatment and absenteeism from work ranging between $45 and 54 billion in the United States.
A cross-sectional study was done to assess the factors contributing to CANS among computer professionals in Bangalore. We screened 206 professionals and 181 were administered Maastricht Upper Extremity Questionnaire (MUEQ). Chi-square and logistic regression were used.
Prevalence of CANS in the study group was 58.6%. Neck complaints topped the list followed by shoulder, wrist, hand, elbow, upper arm, and lower arm complaints in the descending order. Women had overall higher prevalence and significantly higher prevalence of upper limb complaints than men. Inadequate space, maintaining good posture, and repetition of same tasks have emerged as an independent factors associated with CANS.
CANS is highly prevalent among computer professionals working in small and medium-sized companies. Provision of adequate workspace and ergonomic designs of workstations are the modifiable risk factors which can be addressed by the employers to reduce the morbidity associated with CANS. Employees could correct postures and improve work habits.
手臂、颈部和肩部不适(CANS)是从事计算机相关工作的患者中常见的问题,但常常被医生忽视,部分原因是他们未能认识到仔细详细了解涉及上臂重复性活动的职业暴露史的重要性。上肢肌肉骨骼疾病占职业相关疾病的很大一部分,在美国,与治疗和旷工相关的年度费用在450亿至540亿美元之间。
开展了一项横断面研究,以评估班加罗尔计算机专业人员中导致CANS的因素。我们筛查了206名专业人员,对181人进行了马斯特里赫特上肢问卷(MUEQ)调查。采用卡方检验和逻辑回归分析。
研究组中CANS的患病率为58.6%。颈部不适位居榜首,其次是肩部、手腕、手部、肘部、上臂和下臂不适,呈递减顺序。女性的总体患病率更高,上肢不适的患病率显著高于男性。空间不足、保持良好姿势以及重复相同任务已成为与CANS相关的独立因素。
CANS在中小型公司工作的计算机专业人员中高度普遍。提供充足的工作空间和符合人体工程学的工作站设计是可改变的风险因素,雇主可以通过这些措施来降低与CANS相关的发病率。员工可以纠正姿势并改善工作习惯。