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产业工人的职业风险与肌肉骨骼不适:一项横断面研究。

Occupational risks and musculoskeletal complaints among industrial workers: a cross-sectional study.

作者信息

Dos Santos Iraneide Nascimento, de Oliveira Adriana Sarmento, Viscardi Luciana Gonzalez Auad, Suassuna Jennifer Ariely Sales, Santos Amilton da Cruz, Brasileiro-Santos Maria do Socorro

机构信息

Instituto Federal de Pernambuco, Ipojuca, PE, Brazil.

Undergraduate course in Fisioterapia, Universidade Anhembi Morumbi, São Paulo, SP, Brazil.

出版信息

Rev Bras Med Trab. 2023 Aug 8;21(2):e2022878. doi: 10.47626/1679-4435-2022-878. eCollection 2023 Apr-Jun.

Abstract

INTRODUCTION

Work-related musculoskeletal disorders result from the overuse of the musculoskeletal system and insufficient time for the structures to recover. They are generally characterized by chronic pain, paresthesia, feeling of heaviness and fatigue, especially in the upper extremities, concomitantly or not, with an insidious onset.

OBJECTIVES

To characterize musculoskeletal complaints and occupational risks in workers with work-related musculoskeletal disorders.

METHODS

A cross-sectional observational study of 60 participants in a Workers' Health Reference Center with clinical and imaging diagnosis of work-related musculoskeletal disorders. The instrument used contained 30 questions about individual factors, occupational risks, and musculoskeletal abnormalities. The results were analyzed descriptively, and the chi-square test was used to assess associations with a significance level at p < 0.05. Data analysis was performed using BioEstat 5®.

RESULTS

Most participants were men (66.7%) working in the industrial sector. The most common complaint was pain (100%) in the shoulders (43.8%) and lumbar spine (22%), and the most common abnormalities were tendinopathies and intervertebral disc disorders. The following risk factors were identified: 8-hour workday (80%); repetitive gestures (86.7%); twisting (58.3%); bending (61.7%); standing (66.7%); manual work (96.7%); and 10-30 kg of weight handled (35%).

CONCLUSIONS

A large number of workers exposed to biomechanical and organizational risks report musculoskeletal pain. Employers should check working conditions and adjust them, investing in health promotion and protection actions to effectively reduce the occurrence of these disorders.

摘要

引言

与工作相关的肌肉骨骼疾病是由于肌肉骨骼系统过度使用以及结构恢复时间不足所致。它们通常表现为慢性疼痛、感觉异常、沉重感和疲劳,尤其是在上肢,可能伴有或不伴有隐匿性发作。

目的

描述患有与工作相关的肌肉骨骼疾病的工人的肌肉骨骼症状和职业风险。

方法

对工人健康参考中心的60名参与者进行横断面观察研究,这些参与者经临床和影像学诊断患有与工作相关的肌肉骨骼疾病。所使用的工具包含30个关于个人因素、职业风险和肌肉骨骼异常的问题。对结果进行描述性分析,并使用卡方检验评估关联,显著性水平为p < 0.05。使用BioEstat 5®进行数据分析。

结果

大多数参与者为男性(66.7%),从事工业部门工作。最常见的症状是疼痛(100%),主要出现在肩部(43.8%)和腰椎(22%),最常见的异常是肌腱病和椎间盘疾病。确定了以下风险因素:8小时工作日(80%);重复动作(86.7%);扭转(58.3%);弯曲(61.7%);站立(66.7%);体力劳动(96.7%);搬运10 - 30千克重物(35%)。

结论

大量暴露于生物力学和组织风险的工人报告有肌肉骨骼疼痛。雇主应检查工作条件并进行调整,投资于健康促进和保护行动,以有效减少这些疾病的发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b956/10835384/178a62f34dbb/rbmt-21-02-e2022878-g01.jpg

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