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职业相关肌肉骨骼疾病在脆弱人群中的表现:最常受影响的身体部位有哪些?

Work-related musculoskeletal disorders in vulnerable populations: what are the most common body parts affected?

机构信息

Postgraduate Program in Teaching in Science and Health, Universidade Federal do Tocantins (UFT), Palmas, TO, Brazil.

Postgraduate Program in Physical Therapy (PPGFT), Department of Physical Therapy (DFisio), Federal University of São Carlos (UFSCar), Washington Luis Road, Km 235, São Carlos, SP, 13565-905, Brazil.

出版信息

BMC Public Health. 2023 Aug 25;23(1):1635. doi: 10.1186/s12889-023-16570-2.

Abstract

BACKGROUND

Studies investigating vulnerable populations have shown that work-related musculoskeletal disorders have a negative impact on quality of life. However, no study has examined the body regions commonly affected by work-related musculoskeletal disorders in vulnerable populations.

OBJECTIVE

To describe the body regions commonly affected by work-related musculoskeletal disorders in vulnerable populations.

METHODS

Cross-sectional study. We used the ABEP questionnaire, the World Health Organization Quality of Life, the Nordic Musculoskeletal Disorders Questionnaire, the Perceived Stress Scale, and a self-report questionnaire to determine morning-evening in human circadian rhythms (chronotype assessment). To reduce the possibility of information bias, we provided prior training in the use of the instruments and created an electronic database that was filled out in duplicate (in cases of disagreement, a third researcher was consulted). We tested the normality of the data using the Shapiro-Wilk test.

RESULTS

The sample consisted of 132 participants, but there was a sample loss of 41.6% (final sample n = 77). We observed the predominance of those who worked from 6 to 8 h/day, rest of 1 h during the working day, from 1 to 10 years of service and only 1 employment relationship. Regarding the quality of life, we observed a worse result in the domain related to the environment, as well as a stress level of 15.43 (± 7.52) with a maximum of 30. Finally, we observed the presence of pain self-reported by the artisanal fishermen in several regions of the body, lumbar being the most mentioned.

CONCLUSION

The neck, shoulders, arms, elbows, forearms, wrists, back, lumbar spine, and lower limbs are the most common parts of the body affected by work-related musculoskeletal disorders in artisanal fishermen.

摘要

背景

研究弱势群体发现,与工作相关的肌肉骨骼疾病对生活质量有负面影响。然而,尚无研究调查过弱势群体中与工作相关的肌肉骨骼疾病常影响的身体部位。

目的

描述弱势群体中与工作相关的肌肉骨骼疾病常影响的身体部位。

方法

横断面研究。我们使用 ABEP 问卷、世界卫生组织生活质量量表、北欧肌肉骨骼疾病问卷、感知压力量表以及一份自我报告问卷来确定人体昼夜节律的早晚(生物钟评估)。为了降低信息偏倚的可能性,我们提供了使用这些工具的预先培训,并创建了一个电子数据库,该数据库进行了两次录入(如有分歧,将咨询第三位研究人员)。我们使用 Shapiro-Wilk 检验来检验数据的正态性。

结果

样本包括 132 名参与者,但有 41.6%的样本流失(最终样本 n=77)。我们观察到,每天工作 6 至 8 小时、工作期间休息 1 小时、服务年限 1 至 10 年且仅有 1 份雇佣关系的人占多数。关于生活质量,我们发现与环境相关的领域的结果更差,压力水平为 15.43(±7.52),最大值为 30。最后,我们观察到手工渔民自述身体多个部位存在疼痛,最常提到的是腰部。

结论

在手工渔民中,与工作相关的肌肉骨骼疾病最常影响身体的颈部、肩部、手臂、肘部、前臂、手腕、背部、腰部和下肢。

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