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基于潜类分析的久坐工作者肌肉骨骼疾病模式与座椅工效学设计。

Latent class-derived patterns of musculoskeletal disorders in sedentary workers and chair ergonomic design.

机构信息

Department of Occupational Health Engineering, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.

Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Int J Occup Saf Ergon. 2022 Sep;28(3):1636-1641. doi: 10.1080/10803548.2021.1916239. Epub 2021 May 15.

Abstract

This study aimed to define specific patterns of multisite musculoskeletal disorders (MSDs) in office employees and to examine how derived patterns relate to ergonomic chair design. This cross-sectional study of 254 office employees extracted major patterns of MSDs using latent class analysis and investigated the association with ergonomic chair design. Four major patterns of MSDs were extracted using latent class analysis: class 1 (12.1%), individuals with high probabilities of MSDs in the neck, shoulders, back and wrists; class 2 (35.6%), individuals with near-zero probabilities of MSDs across all sites; class 3 (14.1%), those with high probabilities of complaints in the back, hips and knees; class 4 (38.2%), those with high probabilities of MSDs across all sites. Considering class 2 as the reference, there was an inverse significant association between seat comfort and membership in class 3 (odds ratio [] 0.94, 95% confidence interval [CI] [0.89, 0.99]) and class 4 0.94, 95% CI [0.91, 0.98], and a significant inverse relationship between body support and membership in class 4 0.95, 95% CI [0.92, 0.99]. MSDs can be summarized with latent class-derived patterns among office workers. Ergonomic chair design was significantly associated with type of MSD patterns.

摘要

本研究旨在确定办公室员工多部位肌肉骨骼疾病(MSD)的特定模式,并研究衍生模式与符合人体工程学的椅子设计之间的关系。这项对 254 名办公室员工的横断面研究使用潜在类别分析提取了 MSD 的主要模式,并调查了其与符合人体工程学的椅子设计之间的关联。使用潜在类别分析提取了四种主要的 MSD 模式:模式 1(12.1%),患有颈部、肩部、背部和手腕 MSD 高概率的个体;模式 2(35.6%),各部位 MSD 发生概率均接近零的个体;模式 3(14.1%),背部、臀部和膝盖 MSD 发生概率高的个体;模式 4(38.2%),各部位 MSD 发生概率均高的个体。将模式 2作为参考,座位舒适度与模式 3(优势比 [OR] 0.94,95%置信区间 [CI] [0.89, 0.99])和模式 4(OR 0.94,95%CI [0.91, 0.98])的成员之间存在显著的反向关联,身体支撑与模式 4(OR 0.95,95%CI [0.92, 0.99])的成员之间存在显著的反向关联。办公室工作人员可以用潜在类别衍生的模式来总结 MSD。符合人体工程学的椅子设计与 MSD 模式类型显著相关。

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