Univ Angers, CHU Angers, Univ Rennes, Inserm, EHESP, Irset (Institut de Recherche en Santé, Environnement et Travail)-UMR_S 1085, IRSET-ESTER, SFR ICAT, F-49000, Angers, France.
Univ Angers, CHU Angers, Univ Rennes, Inserm, EHESP, Irset (Institut de Recherche en Santé, Environ-nement et Travail)-UMR_S 1085, IRSET-ESTER, SFR ICAT, F-49000, Angers, France.
Med Lav. 2024 Jun 21;115(3):e2024019. doi: 10.23749/mdl.v115i3.16072.
Work-related musculoskeletal disorders (WRMSD) pose a significant occupational health challenge in Europe. The digitization of the economy substantially reshaped the nature and organization of work. The proliferation of hybrid working, characterized by a combination of office-based and remote work, has been accelerated by the COVID-19 pandemic. This review covers hybrid forms of work, their impact on WRMSDs, and the potential implications for WRMSD compensation. Approximately 30-40% of the European workforce could potentially transition to hybrid forms of work. Hybrid work arrangements can result in prolonged static postures of the trunk, neck, and upper limbs without adequate breaks, thereby increasing the risk of neck and lower back pain. As teleworking and hybrid working become more prevalent, an increase in non-specific WRMSDs is anticipated among the working population. In many countries, claims for WRMSDs necessitate a formal diagnosis by a healthcare professional. However, cases of non-specific WRMSDs, such as cervicalgia or chronic shoulder pain, - commonly observed in sedentary workers engaged in predominantly low-intensity, prolonged static work amid visually and cognitively demanding tasks - often do not meet the criteria for compensation as occupational diseases. The compensation system and/or the criteria for compensation must be adapted to accommodate the rise of telework, necessitating evolving criteria for compensation that address both medical and risk exposure considerations.
工作相关肌肉骨骼疾病(WRMSD)在欧洲是一个重大的职业健康挑战。经济数字化极大地改变了工作的性质和组织方式。受 COVID-19 大流行影响,混合办公(即办公室工作与远程工作相结合的办公形式)迅速普及。本文综述了混合办公形式、其对 WRMSD 的影响,以及对 WRMSD 赔偿的潜在影响。大约 30-40%的欧洲劳动力可能会转向混合办公形式。混合办公安排可能导致躯干、颈部和上肢长时间保持静态姿势,且得不到充分休息,从而增加颈部和下背部疼痛的风险。随着远程办公和混合办公的普及,预计工作人群中会出现更多非特异性 WRMSD。在许多国家,WRMSD 的索赔需要医疗保健专业人员的正式诊断。然而,常见于久坐工作者的非特异性 WRMSD 病例,如颈痛或慢性肩部疼痛,这些病例通常不符合职业病补偿的标准,因为这些工作者主要从事低强度、长时间的静态工作,且视觉和认知任务要求较高。补偿系统和/或补偿标准必须适应远程办公的兴起,需要制定新的补偿标准,既要考虑医疗因素,也要考虑风险暴露因素。