International Institute of Biomechanics and Occupational Ergonomics, Toulon, France.
Université de Toulon, CS60584-83041 - TOULON CEDEX 9, Toulon, France.
BMC Musculoskelet Disord. 2023 Apr 4;24(1):265. doi: 10.1186/s12891-023-06345-6.
Musculoskeletal disorders (MSD) are one of the most important problems among physiotherapists worldwide. However, there is no meta-analysis of the MSD prevalence in all body areas among physiotherapists.
The purpose was to investigate and estimate the worldwide prevalence of MSD among physiotherapists using a systematic review-, meta-analysis and meta-regression.
The systematic review, meta-analysis and meta-regression were performed in 2022 using the PRISMA guidelines.
The search was performed on PubMed/Medline, ScienceDirect, Google Scholar, Medeley and Science.gov databases.
The quality appraisal of the included articles was assessed using the critical appraisal tool for cross-sectional studies AXIS.
A total of 722 articles were found. After screening and comparison with the inclusion criteria, 26 studies were retained. Based on the random-effects model, the worldwide MSD prevalence in neck, upper back, mid back, lower back, shoulders, elbows, wrists/hands, thumb, hips/thighs, knees/legs, and ankles/feet was 26.4% (CI 95%: 21.0-31.9%), 17.7% (CI 95%: 13.2-22.2%), 14.9% (CI 95%: 7.7-22.1%), 40.1% (CI 95%: 32.2-48.0%), 20.8% (CI 95%: 16.5-25.1), 7.0% (CI 95%: 5.2-8.9), 18.1% (CI 95%: 14.7-21.5%), 35.4% (CI 95%: 23.0-47.8), 7.0% (CI 95%: 5.2-8.8), 13.0% (CI 95%: 10.3-15.8), and 5% (CI 95%: 4.0-6.9) respectively. The neck and shoulder prevalence of four continents were close to the world prevalence. No effect of continent was found on MSD prevalence. The heterogeneity of the results obtained in the meta-analysis and meta-regression was discussed.
Based on the random effects model, the results of the worldwide meta-analysis showed that lower back pain, thumb, neck and shoulder were the area most at risk for MSD and were therefore those to be monitored as a priority. Recommendations were proposed for future reviews and meta-analyses.
肌肉骨骼疾病（MSD）是全球物理治疗师面临的最重要问题之一。然而，目前尚无针对物理治疗师全身各部位 MSD 患病率的荟萃分析。
本研究旨在通过系统评价、荟萃分析和荟萃回归，调查和估计全球物理治疗师的 MSD 患病率。
2022 年，我们按照 PRISMA 指南进行了系统评价、荟萃分析和荟萃回归。
我们在 PubMed/Medline、ScienceDirect、Google Scholar、Medealy 和 Science.gov 数据库中进行了检索。
我们使用 AXIS 交叉研究批判性评估工具评估了纳入文章的质量评估。
共发现 722 篇文章。经过筛选并与纳入标准进行比较后，保留了 26 项研究。基于随机效应模型，颈部、上背部、中背部、下背部、肩部、肘部、手腕/手部、拇指、臀部/大腿、膝盖/腿部和踝关节/脚部的全球 MSD 患病率分别为 26.4%（95%CI：21.0-31.9%）、17.7%（95%CI：13.2-22.2%）、14.9%（95%CI：7.7-22.1%）、40.1%（95%CI：32.2-48.0%）、20.8%（95%CI：16.5-25.1%）、7.0%（95%CI：5.2-8.9%）、18.1%（95%CI：14.7-21.5%）、35.4%（95%CI：23.0-47.8%）、7.0%（95%CI：5.2-8.8%）、13.0%（95%CI：10.3-15.8%）和 5%（95%CI：4.0-6.9%）。四个大陆的颈部和肩部 MSD 患病率接近全球患病率。未发现大陆对 MSD 患病率有影响。对荟萃分析和荟萃回归获得的结果的异质性进行了讨论。
基于随机效应模型，全球荟萃分析结果表明，下腰痛、拇指、颈部和肩部是 MSD 最易发生的部位，因此应作为优先监测部位。为未来的综述和荟萃分析提出了建议。
