School of Public Health & Social Work, Faculty of Health, Queensland University of Technology, Australia.
Int J Occup Saf Ergon. 2022 Jun;28(2):1112-1129. doi: 10.1080/10803548.2020.1867337. Epub 2021 Jan 20.
Literature confirms that many physiotherapists suffer from work-related musculoskeletal disorders (WMSDs), but studies mention different, complementary and contradictory findings regarding risk factors. This scoping review aimed at revealing the most frequently examined and contributory WMSD factors mentioned in recent studies about physiotherapists. Based on specific inclusion/exclusion and appraisal criteria, 11 studies published between 2012 and 2018 were included in the analysis. The factors recorded per publication were grouped into 18 categories, the frequency of their appearance across the sources was counted and the median ranks of their relative reported contribution were calculated. Excessive workload was found to be the most contributory factor, followed by the application of manual orthopaedic techniques. However, demanding and repetitive manual tasks were the most common factors investigated in the publications reviewed. A medium-strength correlation was found between the frequency of examination and reported contribution of factors but with a noticeable range of the confidence interval possibly due to the diversity of the approaches in the studies reviewed. The findings indicate a relative discordance between the level of contribution of each factor to the development of WMSDs and the types of factors most frequently addressed by studies.
文献证实,许多物理治疗师患有与工作相关的肌肉骨骼疾病(WMSD),但研究提到了不同的、补充性的和相互矛盾的风险因素发现。本范围综述旨在揭示最近关于物理治疗师的研究中提到的最常检查和促成 WMSD 因素。根据特定的纳入/排除和评估标准,纳入了 2012 年至 2018 年期间发表的 11 项研究。根据出版物记录的因素被分为 18 类,计算了它们在来源中的出现频率,并计算了其相对报告的贡献的中位数排名。过度的工作量被认为是最具促成因素的因素,其次是手动矫形技术的应用。然而,在审查的出版物中,最常见的因素是要求高和重复的手动任务。在检查频率和报告的因素贡献之间发现了中等强度的相关性,但由于审查研究中的方法多样性,置信区间的范围可能很大。研究结果表明,每个因素对 WMSD 发展的贡献程度与研究中最常涉及的因素类型之间存在相对不一致。