Department of Rehabilitation and Physiotherapy, University of Medical Sciences, 28 Czerwca 1956 Str., No 135/147, 60-545, Poznań, Poland.
Sci Rep. 2024 Aug 31;14(1):20257. doi: 10.1038/s41598-024-70942-1.
Health personnel who played a key role in the fight against the pandemic stayed during it burdened with increased working time using a computer. We analyzed the impact of increased computer working time during the COVID-19 pandemic on the occurrence of the upper part of musculoskeletal diseases among health personnel. The study group consisted of 418 health personnel, divided according to the time they worked at the computer during the pandemic: up to 2 h a day, from 3 to 5 h a day, and more than 6 h a day. The ICF profile analyzed symptoms of dysfunction of structures of the upper part of the musculoskeletal system (head and cervical spine, shoulder girdle, elbow joint, wrist joint). Employees working more than 6 h daily had a higher risk of developing restrictions in tone of isolated muscles and muscle groups p < 0.001), range of motion of the shoulder girdle (p < 0.001), increased tension of paraspinal muscles (p < 0.001), weakened shoulder girdle muscle strength (p < 0.001), elbow joint pain (p = 0.016), wrist joint pain (p < 0.001), coordination disorders (p = 0.004), difficulties in arm and hand use (p < 0.001), lifting and carrying objects (p = 0.008) and paraesthesia (p < 0.001) compared to those working less than 2 h daily. Additionally, working for 3-5 h and above 6 h compared to health personnel working up to 2 h was associated with a greater risk of headaches and cervical spine pain (p < 0.001), shoulder girdle pain (p < 0.001), limited mobility in the wrist joint (p = 0.003), and tremors (p < 0.001), that working below 2 h. Prolonged computer working time among health personnel during the COVID-19 pandemic is significantly associated with an increased risk of dysfunction and pain in structures of the upper part of the musculoskeletal system. Effective preventive measures are necessary to improve the functioning of the musculoskeletal system during extended periods of computer use.
在抗击疫情中发挥关键作用的医务人员在疫情期间一直坚守岗位，工作时间延长，同时还要使用电脑。我们分析了 COVID-19 大流行期间增加的计算机工作时间对医务人员上半身肌肉骨骼疾病发生的影响。研究组由 418 名医务人员组成，根据他们在大流行期间使用计算机的时间进行分组：每天不超过 2 小时、3 至 5 小时和 6 小时以上。国际功能、残疾和健康分类（ICF）分析了上半身肌肉骨骼系统结构（头部和颈椎、肩带、肘关节、腕关节）功能障碍的症状。每天工作超过 6 小时的员工出现孤立肌肉和肌肉群张力受限（p<0.001）、肩带活动范围受限（p<0.001）、脊柱旁肌肉张力增加（p<0.001）、肩部肌肉力量减弱（p<0.001）、肘关节疼痛（p=0.016）、腕关节疼痛（p<0.001）、协调障碍（p=0.004）、手臂和手部使用困难（p<0.001）、提举和搬运物体（p=0.008）和感觉异常（p<0.001）的风险更高。此外，与每天工作不超过 2 小时的医务人员相比，每天工作 3-5 小时和 6 小时以上的人员出现头痛和颈椎痛（p<0.001）、肩带疼痛（p<0.001）、腕关节活动受限（p=0.003）和震颤（p<0.001）的风险更高。与每天工作不超过 2 小时的医务人员相比，每天工作 3-5 小时和 6 小时以上的人员出现头痛和颈椎痛（p<0.001）、肩带疼痛（p<0.001）、腕关节活动受限（p=0.003）和震颤（p<0.001）的风险更高。长时间使用计算机的医护人员在 COVID-19 大流行期间，上半身肌肉骨骼系统结构功能障碍和疼痛的风险显著增加。需要采取有效的预防措施，以改善长时间使用计算机时肌肉骨骼系统的功能。
