Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine Carl Gustav Carus, TU Dresden, Fetscherstr 74, 01307 Dresden, Germany.
Competence Center for Epidemiology and Health Services Research for Healthcare Professionals (CVcare), Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Centre Hamburg-Eppendorf, 20246 Hamburg, Germany.
Int J Environ Res Public Health. 2020 Jul 8;17(14):4916. doi: 10.3390/ijerph17144916.
Occupational therapists (OTs) are exposed to physical factors at work, which can lead to an increased risk of musculoskeletal disorders. Most studies examining musculoskeletal complaints in OT report that the neck, shoulders, and lower back are most often afflicted. The aim of the present study was to examine the impact of work as an OT (focusing on specific work tasks) on specific musculoskeletal complaints compared to the general working population. A cross-sectional study involving a self-administered standardized questionnaire was conducted from January until October 2015 in Germany. In OT and the comparison group, the highest 12-month prevalence of musculoskeletal disorders were observed for the lower back, the neck, and the shoulders. In contrast, elevated prevalence ratios (PR) were found for OT in the thumbs (PR = 2.7; 95% CI = 1.9-3.8), the wrists (PR = 1.4; 95% CI = 1.1-1.8), and the elbows (PR = 1.5; 95% CI = 1.0-2.2). OTs were particularly exposed to high exertion hand activity and several stressful postures at work. In conclusion, OTs seem to be at risk of developing work-related musculoskeletal complaints in the thumbs, wrists, and elbows. Preventive measures should help to reduce the exposures caused by highly repetitive and forceful hand activities.
作业治疗师（OT）在工作中会接触到物理因素，这可能会增加患肌肉骨骼疾病的风险。大多数研究检查 OT 中的肌肉骨骼投诉报告说，颈部，肩部和下背部最常受到影响。本研究的目的是检查与一般工作人群相比，作为 OT （专注于特定工作任务）的工作对特定肌肉骨骼投诉的影响。 2015 年 1 月至 10 月在德国进行了一项涉及自我管理的标准化问卷的横断面研究。在 OT 和对照组中，下背部，颈部和肩部的肌肉骨骼疾病 12 个月的最高患病率。相比之下，OT 在拇指（PR = 2.7; 95％CI = 1.9-3.8），手腕（PR = 1.4; 95％CI = 1.1-1.8）和肘部（PR = 1.5; 95％CI = 1.0-2.2）中发现了较高的患病率比（PR）。 OT 特别容易受到高用力手活动和工作中几种紧张姿势的影响。总之，OT 似乎有患手部，手腕和肘部与工作相关的肌肉骨骼疾病的风险。预防措施应有助于减少由高度重复和有力的手部活动引起的暴露。
