Hong Quan Nha, Li Jingjing, Kersalé Marietta, Dieterlen Eloi, Mares Adrian, Ahmadian Sangkar Zeinab, Paquet Virginie, Lederer Valérie, Laberge Marie, Coutu Marie-France
School of Rehabilitation, Université de Montréal, C.P. 6128, Succursale Centre-Ville, Montreal, QC, H3C 3J7, Canada.
Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain (CRIR) - Institut universitaire sur la réadaptation en déficience physique de Montréal (IURDPM), Montreal, Canada.
J Occup Rehabil. 2025 Mar;35(1):17-29. doi: 10.1007/s10926-024-10184-0. Epub 2024 Mar 28.
This project aimed to examine the existing evidence on work disability or musculoskeletal disorders (MSDs) among teleworkers.
A scoping review was conducted in eight bibliographic databases (MEDLINE, CINAHL, Embase, PsycINFO, ABI/Inform Global, EBM Reviews, Web of Science, Dissertations & Theses Global) from inception to June 2022.
Out of 9192 records identified, a total of 79 selected articles representing 77 studies were retained. Most studies were published after 2019, aligning with the COVID-19 pandemic's telework surge. Among the included papers, 51 addressed MSDs among teleworkers, 17 were on work disability, and 11 addressed both concepts. The studies were predominantly cross-sectional. Some trends are emerging, although study results are contradictory. Several papers reported increased musculoskeletal discomfort among teleworkers. Factors associated with MSDs among teleworkers include poor workstation setup, extended workdays, sedentary lifestyle, excessive devices use, and psychological factors. Regarding work disability, studies found that telework is associated with reduced absenteeism but increased presenteeism, with employees more likely to work while unwell from home than when on-site. Mixed results were found regarding teleworkers' work ability and functioning.
This paper provides an overview of the literature on work disability and MSDs among teleworkers. It identifies literature gaps, underlining the need for ergonomic improvements, long-term impact studies, a better conceptualization of presenteeism in the context of telework, and tailored interventions to enhance the telework experience.
本项目旨在研究远程工作者中与工作残疾或肌肉骨骼疾病(MSD)相关的现有证据。
对8个文献数据库(MEDLINE、CINAHL、Embase、PsycINFO、ABI/Inform Global、EBM Reviews、Web of Science、Dissertations & Theses Global)从建库至2022年6月进行了范围综述。
在识别出的9192条记录中,共保留了79篇选定文章,代表77项研究。大多数研究发表于2019年之后,这与新冠疫情期间远程工作的激增相吻合。在所纳入的论文中,51篇涉及远程工作者中的肌肉骨骼疾病,17篇涉及工作残疾,11篇涉及这两个概念。这些研究主要为横断面研究。尽管研究结果相互矛盾,但一些趋势正在显现。几篇论文报告称远程工作者的肌肉骨骼不适有所增加。与远程工作者的肌肉骨骼疾病相关的因素包括不良的工作站设置、延长的工作日、久坐的生活方式、过度使用设备以及心理因素。关于工作残疾,研究发现远程工作与旷工减少但出勤主义增加有关,员工在家身体不适时比在现场时更有可能继续工作。关于远程工作者的工作能力和功能,研究结果不一。
本文概述了有关远程工作者工作残疾和肌肉骨骼疾病的文献。它指出了文献空白,强调了进行人体工程学改进、长期影响研究、在远程工作背景下更好地界定出勤主义概念以及制定针对性干预措施以改善远程工作体验的必要性。