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电脑使用者手臂、颈部和肩部不适及肩胛骨静态位置异常的评估

Assessment of arm, neck and shoulder complaints and scapular static malposition among computer users.

作者信息

Turci Aline Mendonça, Gorla Camila, Bersanetti Michelli Belotti

机构信息

Department of Biological and Health Sciences, Universidade de Araraquara - Araraquara (SP), Brazil. Department of Biological and Health Sciences Universidade de Araraquara Brazil.

出版信息

Rev Bras Med Trab. 2019 Dec 1;17(4):465-472. doi: 10.5327/Z1679443520190329. eCollection 2019.

Abstract

BACKGROUND

Musculoskeletal complaints of the arm, neck and/or shoulder not attributed to acute trauma or any systemic disorder (CANS) are characterized by symptoms such as pain, numbness and paresthesia which may reach severe and disabling levels and thus significantly interfere with the performance of work and daily living activities. Computer use at work considerably increased in recent years, being attended with a substantial elevation of the prevalence of CANS among individuals who use computers at work.

OBJECTIVE

To investigate biomechanical and psychosocial risk factors, scapular static imbalance and functional impact on work and daily living activities of upper limb complaints among workers who use computers.

METHODS

We analyzed ergonomic and psychosocial risk factors by means of MUEQ-Br, scapular static malposition with the SICK-scapula protocol, and functional impairment in work and daily living activities with DASH. The sample comprised 109 employees of a private institution who use computers at work.

RESULTS

The average scores on body posture and control over tasks were significantly higher among the symptomatic participants. Scapular malposition did not differ between the symptomatic and asymptomatic participants, but functional impairment did.

CONCLUSION

Awkward posture at work and poor control over tasks seem to contribute to the occurrence of CANS among office workers who use computers. Scapular malposition is not systematically present among individuals with CANS, but the opposite is true. Individuals with CANS exhibited functional impairments.

摘要

背景

手臂、颈部和/或肩部的肌肉骨骼不适,若并非由急性创伤或任何全身性疾病引起(慢性非特异性上肢疼痛综合征,CANS),其特征表现为疼痛、麻木和感觉异常等症状,这些症状可能达到严重且致残的程度,从而显著干扰工作和日常生活活动的进行。近年来,工作中使用电脑的情况大幅增加,与此同时,在工作中使用电脑的人群中,CANS的患病率也大幅上升。

目的

调查使用电脑的工作人群中,上肢不适的生物力学和心理社会风险因素、肩胛骨静态失衡情况以及对工作和日常生活活动的功能影响。

方法

我们通过巴西肌肉骨骼不适问卷(MUEQ-Br)分析人体工程学和心理社会风险因素,采用病态肩胛骨协议评估肩胛骨静态位置异常情况,并使用上肢功能障碍量表(DASH)评估工作和日常生活活动中的功能损害情况。样本包括一家私立机构的109名在工作中使用电脑的数据。

结果

有症状的参与者在身体姿势和任务控制方面的平均得分显著更高。有症状和无症状参与者之间的肩胛骨位置异常情况没有差异,但功能损害情况存在差异。

结论

工作时的不良姿势和对任务的控制不佳似乎是导致使用电脑的上班族发生CANS的原因。CANS患者中并非系统性地存在肩胛骨位置异常情况,但情况相反。CANS患者存在功能损害。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/824c/7363260/b19a20d5ef19/rbmt-17-04-465-gf1.jpg

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