Department of Physical Therapy, University of Kentucky Center of Excellence in Rural Health, Hazard, KY, USA.
J Man Manip Ther. 2021 Apr;29(2):92-98. doi: 10.1080/10669817.2020.1793470. Epub 2020 Jul 22.
: Use of manual therapy (MT) is a risk factor for the development of work-related musculoskeletal disorders (WRMDs) in physical therapists (PTs) although the current evidence is limited on this topic.: The purpose of this study was to understand the type, association, and prevalence of WRMDs among practitioners of MT, explore relationships between MT and WRMD, and determine impacts of WRMDs on PTs.: Cross-sectional survey design.: A web-based survey was distributed through the Academy of Orthopaedic Physical Therapy of the American Physical Therapy Association. The survey gathered information on the respondents' professional profiles, any WRMDs sustained, and how those injuries affected their professional and personal lives.: Overall, 38.5% of PT respondents using MT reported having sustained an MT attributable WRMD. Female respondents reported a greater rate of MT attributable injuries. Although exposure risk is cumulative, novice practitioners are also injured.: Generalizability of these results may be limited because of the sample size and specific population responding.: Over one-third of PT survey respondents reported WRMDs attributable to MT. The results indicated WRMDs may begin early in one's career and tend to accumulate over years of practice. MT educational programming at all levels warrants emphasis on practitioner safety.
物理治疗师（PT）使用手法治疗（MT）是发生与工作相关的肌肉骨骼疾病（WRMD）的一个风险因素，尽管目前关于这一主题的证据有限。本研究的目的是了解 MT 从业者中 WRMD 的类型、关联和流行程度，探讨 MT 与 WRMD 之间的关系，并确定 WRMD 对 PT 的影响。横断面调查设计。通过美国物理治疗协会矫形物理治疗学院的网络调查进行了一项调查。该调查收集了有关受访者专业概况、任何遭受的 WRMD 以及这些伤害如何影响他们的专业和个人生活的信息。总体而言，38.5%使用 MT 的 PT 受访者报告说他们遭受了归因于 MT 的 WRMD。女性受访者报告的 MT 归因伤害率更高。尽管暴露风险是累积的，但新手从业者也会受伤。由于样本量和特定的应答人群，这些结果的普遍性可能有限。超过三分之一的 PT 调查受访者报告了归因于 MT 的 WRMD。结果表明，WRMD 可能在职业生涯早期开始，并随着多年的实践而逐渐积累。所有层面的 MT 教育项目都需要强调从业者的安全。
