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暴露于航行速度船舶工作的水手的手动操作障碍程度对其的影响。

Effect of the level of manual performance disability caused by exposure to vibration among sailors working on sailing speed vessels.

机构信息

Marine Medicine Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.

Department of Ergonomics, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.

出版信息

BMC Musculoskelet Disord. 2022 May 30;23(1):515. doi: 10.1186/s12891-022-05448-w.

Abstract

BACKGROUND

hand-arm vibration is one of the typical annoying physical factors. Hand-arm vibration syndrome (HAVS) is a disorder caused by vibrating working tools which vibrate hands beyond the threshold. Long-term HAVS may result in damage to blood vessels, chronic numbness in the fingers, bone injury, and muscular weakness. People are exposed to high-rate noise vibration in a variety of situations, including vessel employment and operating in tiny boats. Moreover, the extant study was conducted to examine manual function disability levels caused by Sailing Speed Vessels (SSV) vibration.

METHODS

The extant study was quasi-experimental research in which, 52 male sailors in SSVs were chosen as the experimental group, and 27 office personnel were selected as the control group. The demographic factors questionnaire, DASH questionnaire, grip and pinch strength tests, the neurosensory exam, and the skill-dexterity test were all employed in this study. SPSS23 software was used to analyze the data.

RESULTS

The findings suggested that the experimental group experienced greater vibration disorder symptoms than the control group. Because the experimental group had a higher score, the individuals experienced poorer circumstances in terms of arm, shoulder, and hand impairment as compared to the control group. The mean grip strength of hands and fingers in two hands of the experimental group was lower than the control group (P < 0.05). There was a statistically significant relationship among grip strengths of both experimental and control groups (P < 0.05). There was a reduction in skill and dexterity of both dominant and non-dominant hands of members in the experimental group. According to the statistical tests, there was no significant association between dominant (P = 0.001) skills and non-dominant (P = 0.010) hands in experimental and control groups. There was not also any significant relationship between skill and dexterity of both hands (P = 0.001) and the dominant hand tweezer test (P = 0.001) in two experimental and control groups. There was a statistically significant association between experimental and control groups in terms of assembly skill and dexterity (P = 0.482).

CONCLUSION

Individuals who are at risk of vibration experience less physical and sensory function. DASH score, grip strength, skill, and dexterity could predict the reduction in physical function disability.

摘要

背景

手部手臂振动是一种典型的令人不适的物理因素。手部手臂振动综合征(HAVS)是一种由振动工作工具引起的疾病,这些工具会使手部振动超过阈值。长期的 HAVS 可能会导致血管损伤、手指慢性麻木、骨骼损伤和肌肉无力。人们在各种情况下都会接触到高率噪声振动,包括船舶就业和在小艇上作业。此外,本研究旨在检查帆船(SSV)振动引起的手动功能障碍水平。

方法

本研究为准实验研究,选择 52 名男性帆船水手为实验组,27 名办公室人员为对照组。采用人口统计学因素问卷、DASH 问卷、握力和捏力测试、神经感觉检查和技能灵巧度测试。使用 SPSS23 软件分析数据。

结果

研究结果表明,实验组的振动障碍症状比对照组更严重。由于实验组的得分较高,与对照组相比,实验组的手臂、肩膀和手部损伤情况更差。实验组双手的平均握力和手指握力均低于对照组(P<0.05)。实验组和对照组的握力之间存在显著的统计学关系(P<0.05)。实验组成员的双手的技能和灵巧度都有所下降。根据统计测试,实验组和对照组的优势手(P=0.001)和非优势手(P=0.010)的技能之间没有显著关联。实验组和对照组的双手技能和灵巧度(P=0.001)和优势手镊子测试(P=0.001)之间也没有显著关系。实验组和对照组在装配技能和灵巧度方面存在显著关联(P=0.482)。

结论

处于振动风险中的个体的身体和感觉功能较差。DASH 评分、握力、技能和灵巧度可以预测身体功能障碍的减少。

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