Università di Trieste.
Unità Clinico Operativa di Medicina del Lavoro, Università degli Studi di Trieste, Trieste, Italy.
Med Lav. 2022 Apr 26;113(2):e2022012. doi: 10.23749/mdl.v113i2.12498.
Musculoskeletal disorders represent one of the most common complains among video display terminal (VDT) users and are responsible for an important burden of disease in white collars.
From May 2017 to March 2018, 69 VDT users working at Trieste hospitals were recruited for a training session aimed to reduce musculoskeletal disorders in white collars workers. Thirty-three were assigned to the intervention group, whereas 36 comprised the control group. The intervention group received three personalized 1-hour-one-to-one sessions with a physiotherapist and a thorough evaluation of their workstation. Data were collected at baseline (T0), at 2 months (T1) and at 6 months (T2) using a standardized questionnaire and analyzed with the software STATA.
Overall pain significantly decreased in cases at T1 and T2 (p < 0.05). Headache significantly decreased in cases at T1 (p < 0.05). Body awareness significantly increased in cases both at T1 and T2 (p < 0.05). Headache was positively correlated with an increased perception of pain (Coef 6.85, CI95% 3.2-10.5; p < 0.001), while the intervention determined a significant reduction of overall pain during the follow up (OR 0.97, IC 0.95-0.99, p = 0.013). Cases showed a significant increase of the cranial-vertebral angle at the 6 months follow up (p < 0.05).
A tailored physiotherapeutic intervention has showed a statistically significant decrease in osteoarticular pain and an increased body awareness in VDT users undergoing a personalized training session.v.
肌肉骨骼疾病是视屏显示终端(VDT)使用者最常见的投诉之一,也是白领人群疾病的主要负担之一。
2017 年 5 月至 2018 年 3 月,我们招募了在的里雅斯特医院工作的 69 名 VDT 用户参加了一个旨在减少白领肌肉骨骼疾病的培训课程。其中 33 人被分配到干预组,36 人组成对照组。干预组接受了三次个性化的 1 小时 1 对 1 理疗师治疗,并对其工作站进行了全面评估。使用标准化问卷在基线(T0)、2 个月(T1)和 6 个月(T2)收集数据,并使用 STATA 软件进行分析。
总体疼痛在 T1 和 T2 时明显减轻(p<0.05)。头痛在 T1 时明显减轻(p<0.05)。身体意识在 T1 和 T2 时均显著增加(p<0.05)。头痛与疼痛感知增加呈正相关(系数 6.85,CI95% 3.2-10.5;p<0.001),而干预措施在随访期间显著降低了整体疼痛(OR 0.97,IC 0.95-0.99,p=0.013)。病例在 6 个月随访时颅椎角显著增加(p<0.05)。
量身定制的理疗干预措施在接受个性化培训课程的 VDT 用户中显示出关节疼痛明显减轻和身体意识增加的统计学意义。