职业前体力能力测试作为维多利亚州急救人员肌肉骨骼损伤的预测指标。

Pre-Employment physical capacity testing as a predictor of musculoskeletal injury in Victorian paramedics.

机构信息

College of Health and Biomedicine, Allied Health Program, Paramedicine, Victoria University, Melbourne, VIC, Australia.

Australian Catholic University, School of Nursing, Midwifery and Paramedicine, Brisbane, QLD, Australia.

出版信息

Work. 2021;70(1):263-270. doi: 10.3233/WOR-213570.

DOI:10.3233/WOR-213570

PMID:34511529

Abstract

BACKGROUND

Paramedic work has periods of intermittent high physical demand, a risk of workplace injury, may be confounded by inherent fitness of the paramedic.

OBJECTIVE

This study aimed to identify the nature of workplace musculoskeletal injury, and determine if there was a relationship between pre-employment physical capacity testing (PEPCT) scores and risk of workplace musculoskeletal injury within the paramedic industry.

METHODS

A retrospective case review using PEPCT scores and workplace injury (WI) manual handling data collected from 2008 to 2015 by an Australian pre-hospital emergency care provider (Ambulance Victoria), enabled comparison and analysis of two distinct data sets.

RESULTS

A total of 538 paramedics were included for analysis with 34 paramedics reporting a workplace musculoskeletal injury from manual handling. The mean time to injury from commencement of employment was 395.4 days (SD 516.2). Female paramedics represented 53.0%and male paramedics represented 47%of the sample. Mean total PEPCT score for the entire sample was 19.1 (SD 2.9) with a range from 16.2-22, while for those reporting injuries it was 18.3 (SD 2.6) with a range from 15.7-20.9.

CONCLUSIONS

Musculoskeletal injury amongst Victorian paramedics is more prevalent where the paramedic is female, and/or within three years of commencement of employment. The PEPCT score did not differentiate those at risk of subsequent injury.

摘要

背景

急救人员的工作有间歇性高体力需求的阶段，存在工作场所受伤的风险，可能与急救人员的固有健康状况有关。

目的

本研究旨在确定工作场所肌肉骨骼损伤的性质，并确定入职前体能测试（PEPCT）评分与急救行业肌肉骨骼损伤风险之间是否存在关系。

方法

使用 2008 年至 2015 年期间澳大利亚院前急救护理提供者（维多利亚救护车）收集的 PEPCT 评分和工作场所伤害（WI）手动处理数据，进行回顾性病例研究，对两个不同数据集进行比较和分析。

结果

共有 538 名急救人员被纳入分析，其中 34 名急救人员报告了因手动处理而导致的工作场所肌肉骨骼损伤。从开始就业到受伤的平均时间为 395.4 天（SD 516.2）。女性急救人员占样本的 53.0%，男性急救人员占 47%。整个样本的平均总 PEPCT 评分为 19.1（SD 2.9），范围为 16.2-22，而报告受伤的人员的评分为 18.3（SD 2.6），范围为 15.7-20.9。