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我们从预防与工作相关的肌肉骨骼疾病和支持工作参与的风险评估和干预措施中学到了什么?

What have we learned about risk assessment and interventions to prevent work-related musculoskeletal disorders and support work participation?

机构信息

Amsterdam UMC, Department of Public and Occupational Health, Amsterdam, The Netherlands.

出版信息

Scand J Work Environ Health. 2024 Jul 1;50(5):317-328. doi: 10.5271/sjweh.4172. Epub 2024 May 29.


DOI:10.5271/sjweh.4172
PMID:38810168
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11214778/
Abstract

OBJECTIVE: The Scandinavian Journal of Work, Environment & Health (SJWEH) was established half a century ago. This paper provides an overview of research on musculoskeletal disorders (MSD) published over these 50 years. Three themes are described: risk assessment, interventions to prevent work-related MSD, and interventions to support work participation. Finally, implications for future research are highlighted. METHODS: A systematic literature search was performed for all papers on MSD published in SJWEH. Each paper was coded on several criteria including research topic, type of MSD, risk factor(s), and number of citations. Findings were tabulated, and discussions within the author team defined the main results and future research directions. RESULTS: The search resulted in 1056 papers, of which 474 were included. The most reported-on MSD was low-back pain (LBP, 18%) and the most reported-on work-related risk factors were physically demanding work (14%) and psychosocial factors (12%). Research has contributed to improving case definitions, refining work-related exposure criteria, and recognizing the varying importance of physical and psychosocial factors across different MSD. Research on the association between work-related risk factors and LBP continues to emerge. Effective interventions for prevention of MSD are characterised by sufficient exposure reduction, while supporting work participation requires integrating health care, with multidisciplinary actions directed at factors involving the worker, employer, and workplace. CONCLUSION: Research has provided valuable insights into risk assessment, interventions for preventing work-related MSD, and supporting work participation. Intervention studies remain warranted and new areas include adopting whole-system approaches to prevent work-related MSD and promoting the concept of musculoskeletal health.

摘要

目的:《斯堪的纳维亚工作、环境与健康杂志》(SJWEH)创立已有半个世纪。本文概述了在这 50 年间发表的有关肌肉骨骼疾病(MSD)的研究。描述了三个主题:风险评估、预防与工作相关的 MSD 的干预措施以及支持工作参与的干预措施。最后,强调了对未来研究的影响。

方法:对 SJWEH 发表的所有 MSD 论文进行了系统的文献检索。对每篇论文进行了编码,包括研究主题、MSD 类型、风险因素和引用次数等标准。将结果列表,并在作者团队内进行讨论,确定主要结果和未来的研究方向。

结果:检索结果有 1056 篇论文,其中 474 篇被纳入。报告最多的 MSD 是下腰痛(LBP,18%),报告最多的与工作相关的风险因素是体力要求高的工作(14%)和心理社会因素(12%)。研究有助于改善病例定义、完善与工作相关的暴露标准,并认识到不同 MSD 中物理和心理社会因素的不同重要性。与工作相关的风险因素与 LBP 之间的关联研究仍在不断涌现。预防 MSD 的有效干预措施的特点是充分减少暴露,而支持工作参与则需要将医疗保健与针对涉及工人、雇主和工作场所的因素的多学科行动相结合。

结论:研究为风险评估、预防与工作相关的 MSD 的干预措施以及支持工作参与提供了有价值的见解。干预研究仍然是必要的,新的领域包括采用全系统方法预防与工作相关的 MSD 以及促进肌肉骨骼健康的概念。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7df2/11214778/ccb85174a80d/SJWEH-50-317-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7df2/11214778/fbbb871ba55e/SJWEH-50-317-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7df2/11214778/1fce52d847e6/SJWEH-50-317-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7df2/11214778/ccb85174a80d/SJWEH-50-317-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7df2/11214778/fbbb871ba55e/SJWEH-50-317-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7df2/11214778/1fce52d847e6/SJWEH-50-317-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7df2/11214778/ccb85174a80d/SJWEH-50-317-g003.jpg

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引用本文的文献

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本文引用的文献

[1]
Occupational psychosocial exposures and chronic low-back pain: a systematic review and meta-analysis.

Scand J Work Environ Health. 2024-7-1

[2]
Tip of the iceberg: unveiling the impact on back disorders from cumulative physical job exposure and evaluating bias from the healthy worker effect using a nationwide longitudinal cohort study.

Eur Spine J. 2024-6

[3]
Effectiveness of a Goldilocks Work intervention in childcare workers - A cluster-randomized controlled trial.

Scand J Work Environ Health. 2024-4-1

[4]
Fifty years of research in the Scandinavian Journal of Work, Environment & Health.

Scand J Work Environ Health. 2024-1-1

[5]
Association of objectively measured lifting load with low-back pain, stress, and fatigue: A prospective cohort study.

Scand J Work Environ Health. 2024-1-1

[6]
The global health and economic impact of low-back pain attributable to occupational ergonomic factors in the working-age population by age, sex, geography in 2019.

Scand J Work Environ Health. 2023-10-1

[7]
Occupational mechanical exposures as risk factor for chronic low-back pain: a systematic review and meta-analysis.

Scand J Work Environ Health. 2023-10-1

[8]
Global, regional, and national burden of low back pain, 1990-2020, its attributable risk factors, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021.

Lancet Rheumatol. 2023-5-22

[9]
Wearable Motion Capture Devices for the Prevention of Work-Related Musculoskeletal Disorders in Ergonomics-An Overview of Current Applications, Challenges, and Future Opportunities.

Sensors (Basel). 2023-4-25

[10]
A Health-Impact Assessment of an Ergonomic Measure to Reduce the Risk of Work-Related Lower Back Pain, Lumbosacral Radicular Syndrome and Knee Osteoarthritis among Floor Layers in The Netherlands.

Int J Environ Res Public Health. 2023-3-6

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