Scopa Pasquale, Pasqua di Bisceglie Anita, De Lotto Federica, Alfano Angelica, Faiferri Stefano, Regazzo Antonio
Medico del lavoro, Patronato INCA CGIL Veneto.
Medico legale, Patronato INCA CGIL Veneto.
G Ital Med Lav Ergon. 2020 Jun;42(2):82-86.
Objectives. Musculoskeletal disorders (MSD) represent one of the most relevant occupational problems. School teachers and particularly nursery school teachers (NST) are reported to have a high prevalence of MSD. We aimed to estimate frequency of MSD in a sample of NST and to bring out cases of work-related musculoskeletal disorders (WRMSD) among these workers. Design. Cross-sectional prevalence study. Setting and participants. NST applying to the trade union patronage between December 2015 and December 2017 for problems of absence from work for health reasons have been proposed the compilation of the Italian version of the Nordic Questionnaire for musculoskeletal disorders. NST who reported MSD underwent medical examination performed by an occupational physician. In accordance with current legislation, certification of occupational disease was completed when a plausible occupational origin of the pathology could be identified. Main outcome measures. MSD and WRMSD prevalence. Results. Questionnaires were completed by 82 NST: 75 (91.5% of the sample) reported at least one MSD. 71 NST underwent medical examination. In 32 subjects (39% of the sample) a diagnosis of musculoskeletal pathology was formulated. Based on work history, 20 cases of probable occupational pathology were reported. Occupational etiology was ascertained for 12 subjects (14.6%): 11 cases of lumbar discopathy / lumbar disc herniation and 1 case of both lumbar disc herniation and tendinopathy of shoulder rotator cuff. Conclusion. Prevalence of musculoskeletal disorders was high and the most frequently affected body sites were similar to those reported in the literature, confirming NST as a group at risk for developing both MSD and WRMSD. Results indicate the importance of taking primary and secondary prevention actions to protect the health of NST.
目标。肌肉骨骼疾病（MSD）是最相关的职业问题之一。据报道，学校教师尤其是幼儿园教师（NST）中MSD的患病率很高。我们旨在估计NST样本中MSD的发生率，并找出这些工人中与工作相关的肌肉骨骼疾病（WRMSD）病例。设计。横断面患病率研究。设置和参与者。2015年12月至2017年12月期间因健康原因申请工会赞助的NST被提议填写意大利版的北欧肌肉骨骼疾病问卷。报告有MSD的NST接受了职业医生的医学检查。根据现行法律，当能够确定该病理有合理的职业起源时，完成职业病认证。主要结局指标。MSD和WRMSD患病率。结果。82名NST完成了问卷：75名（占样本的91.5%）报告至少有一种MSD。71名NST接受了医学检查。在32名受试者（占样本的39%）中确诊为肌肉骨骼疾病。根据工作史，报告了20例可能的职业病理病例。确定了12名受试者（14.6%）的职业病因：11例腰椎间盘病/腰椎间盘突出症，1例腰椎间盘突出症合并肩袖肌腱病。结论。肌肉骨骼疾病的患病率很高，最常受影响的身体部位与文献报道的相似，证实NST是一个有发生MSD和WRMSD风险的群体。结果表明采取一级和二级预防措施以保护NST健康的重要性。
