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治疗神经科患者的物理治疗师肌肉骨骼不适风险评估:一项初步研究。

Assessment of risk of musculoskeletal discomforts in physiotherapists treating neurological patients: A pilot study.

作者信息

Purohit Manthan H, Sheth Megha S

机构信息

Department of Neuro-Paediatric, SBB College of Physiotherapy, Ahmedabad, Gujarat, India.

出版信息

Indian J Occup Environ Med. 2023 Jan-Mar;27(1):55-58. doi: 10.4103/ijoem.ijoem_164_22. Epub 2023 Mar 31.

Abstract

BACKGROUND

Musculoskeletal disorders (MSDs) are conditions that are caused and/or aggravated by work. The most important reason behind work-related musculoskeletal disorder is abnormal and/or stressful position of joints while working. Physiotherapists are very much prone to develop work-related musculoskeletal disorders, especially while treating neurologically challenged patients. Postural assessment is a key to identify a person at risk of developing work-related musculoskeletal disorders. Proper assessment of some of the areas like neck, spine, upper and lower extremities is the key to get risk factor analysis. REBA (Rapid Entire Body Assessment) is a tool which can be used on field to quantify areas of the body which are more likely to develop work-related musculoskeletal disorders.

AIMS

To find out risk of MSDs among physiotherapists treating neurologically challenged patients.

STUDY SETTING AND DESIGN

At neuro-paediatric department of SBB College of Physiotherapy, an observational pilot study was conducted.

MATERIALS AND METHODS

Photographs of the participants were captured with their consent through smart phone camera during treatment of different patients both adult and paediatric. Selected postures were analysed and quantified based on the REBA sheet.

STATISTICAL ANALYSIS

Descriptive analysis was done based on areas at higher risk for MSDs according to REBA sheet.

RESULTS

More than 50% of participants were at moderate to high risk of developing MSDs.

CONCLUSION

Physiotherapists working with neurological patients were found to be at high to medium risk of work-related musculoskeletal disorders. There is a need to assess MSD risk in detail in all physiotherapists.

摘要

背景

肌肉骨骼疾病(MSDs)是由工作引起和/或加重的病症。与工作相关的肌肉骨骼疾病背后最重要的原因是工作时关节的异常和/或压力性姿势。物理治疗师极易患上与工作相关的肌肉骨骼疾病,尤其是在治疗神经功能受损患者时。姿势评估是识别有患与工作相关肌肉骨骼疾病风险的人的关键。对颈部、脊柱、上肢和下肢等一些部位进行适当评估是进行风险因素分析的关键。快速全身评估(REBA)是一种可在现场使用的工具,用于量化身体中更有可能患上与工作相关肌肉骨骼疾病的部位。

目的

了解治疗神经功能受损患者的物理治疗师中肌肉骨骼疾病的风险。

研究背景与设计

在SBB物理治疗学院的神经儿科部门进行了一项观察性试点研究。

材料与方法

在征得参与者同意后,通过智能手机摄像头在治疗成人和儿童不同患者期间拍摄他们的照片。根据REBA表格对选定的姿势进行分析和量化。

统计分析

根据REBA表格中肌肉骨骼疾病高风险区域进行描述性分析。

结果

超过50%的参与者有中度至高度患肌肉骨骼疾病的风险。

结论

发现治疗神经科患者的物理治疗师有高至中度与工作相关的肌肉骨骼疾病风险。有必要对所有物理治疗师进行详细的肌肉骨骼疾病风险评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c509/10257236/7cb2ad58db07/IJOEM-27-55-g001.jpg

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