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法国物理治疗师与工作相关的非特异性下背痛:流行率及生物力学和心理社会风险因素,与实践模式相关。

Work-Related, Non-Specific Low Back Pain among Physiotherapists in France: Prevalence and Biomechanical and Psychosocial Risk Factors, as a Function of Practice Pattern.

机构信息

Institut de Formation en Masso-Kinésithérapie, CHU Amiens-Picardie, 30 Place Pr. Christian Cabrol, CEDEX 1, 80054 Amiens, France.

Institut d'Ingénierie de la Santé-UFR de Médecine, Université de Picardie Jules Verne, 3 Rue des Louvels, 80036 Amiens, France.

出版信息

Int J Environ Res Public Health. 2023 Feb 28;20(5):4343. doi: 10.3390/ijerph20054343.

Abstract

BACKGROUND

Physiotherapists worldwide experience lower back pain (LBP). Up to 80% of physiotherapists report having experienced an episode of LBP at some point in their career, and LBP is the most common musculoskeletal disorder in this profession. In France, the prevalence of LBP among physiotherapists and associated work-related risk factors have not previously been studied.

OBJECTIVE

To determine whether the risk of work-related non-specific LBP among French physiotherapists depends on practice pattern.

METHOD

A link to an online self-questionnaire was sent to French physiotherapists. The various practice patterns were compared with regard to the prevalence of LBP, the total number of days with LBP during the previous 12 months, and the degree of exposure to biomechanical, psychosocial and organisational risk factors.

RESULTS

Among the 604 physiotherapists included in the study, the prevalence of work-related, non-specific LBP in the previous 12 months was 40.4%. The prevalence was significantly greater among physiotherapists working in geriatrics ( = 0.033) and significantly lower in sports medicine ( = 0.010). Differences in exposure to risk factors were also found.

CONCLUSIONS

The risk of non-specific LBP among French physiotherapists appears to depend on the mode of practice. All the various dimensions of risk must be taken into account. The present study could serve as a basis for more targeted research on the most exposed practices.

摘要

背景

全世界的物理治疗师都经历过下背痛(LBP)。高达 80%的物理治疗师报告在职业生涯的某个阶段经历过一次 LBP 发作,而 LBP 是该专业中最常见的肌肉骨骼疾病。在法国,以前没有研究过物理治疗师中 LBP 的患病率及其相关的与工作相关的危险因素。

目的

确定法国物理治疗师与工作相关的非特异性 LBP 的风险是否取决于实践模式。

方法

向法国物理治疗师发送了一个在线自我问卷的链接。根据 LBP 的患病率、前 12 个月 LBP 的总天数以及暴露于生物力学、心理社会和组织危险因素的程度,比较了各种实践模式。

结果

在纳入研究的 604 名物理治疗师中,前 12 个月与工作相关的非特异性 LBP 的患病率为 40.4%。在老年病学领域工作的物理治疗师的患病率明显更高(=0.033),而在运动医学领域的患病率明显更低(=0.010)。还发现了对危险因素的暴露差异。

结论

法国物理治疗师的非特异性 LBP 风险似乎取决于实践模式。必须考虑所有不同维度的风险。本研究可以为针对风险最高的实践进行更有针对性的研究提供基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/543d/10001885/b2c371d831cf/ijerph-20-04343-g001.jpg

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