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[康复治疗师中与工作相关的肌肉骨骼疾病患病率的荟萃分析]

[A meta-analysis of the prevalence of work-related musculoskeletal disorders among rehabilitation therapists].

作者信息

Pan J, Wang M C, Zhao S Y, Liu Q, Zhai H Y

机构信息

Department of Rehabilitation Medicine, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang 441000, China.

出版信息

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2024 Oct 20;42(10):746-752. doi: 10.3760/cma.j.cn121094-20231024-00093.

Abstract

To investigate the prevalence of work-related musculoskeletal disorders (WMSDs) in rehabilitation therapists. In September 2023, the computer searched Chinese and English databases such as CNKI database, Wanfang Data Knowledge Service Platform, VIP Chinese Science and Technology Journal Database, Chinese Biomedical Literature Database, PubMed, Cochrane Library, Web of Science, Embase database, etc. The retrieval time was from the establishment of the database to September 2023. Musculoskeletal disorders, rehabilitation therapists were selected as search terms, and the author, publication time, prevalence rate, and study type were analyzed. The Agency for Healthcare Research and Quality (AHRQ) tool and The Newcastle-Ottawa Scale (NOS) were used to evaluate the quality of the literature. Stata 15.0 software was used for meta-analysis. A total of 28 literatures were included, including 8039 rehabilitation therapists. Meta-analysis showed that the overall prevalence rate of WMSDs among rehabilitation therapists was 72% (95%: 64%-80%). The top 3 annual prevalence rates were lower back (51%, 95%: 38%-64%), neck (42%, 95%: 30%-54%) and shoulder (32%, 95%: 23%-41%). The top 3 weekly prevalence rates were lower back (47%, 95%: 28%-65%), neck (35%, 95%: 14%-55%) and back (30%, 95% : 17%-44%) . The higher prevalence of WMSDs in rehabilitation therapists, especially in the lower back, neck, shoulder and back, may be related to the prolonged stouching posture and the continuous or repeated exertion of the upper limbs.

摘要

调查康复治疗师中与工作相关的肌肉骨骼疾病(WMSDs)的患病率。2023年9月,通过计算机检索中国知网数据库、万方数据知识服务平台、维普中文科技期刊数据库、中国生物医学文献数据库、PubMed、Cochrane图书馆、Web of Science、Embase数据库等中英文数据库。检索时间为各数据库建库至2023年9月。以肌肉骨骼疾病、康复治疗师为检索词,并对作者、发表时间、患病率及研究类型进行分析。采用美国医疗保健研究与质量局(AHRQ)工具和纽卡斯尔-渥太华量表(NOS)对文献质量进行评价。使用Stata 15.0软件进行荟萃分析。共纳入28篇文献,涉及8039名康复治疗师。荟萃分析显示,康复治疗师中WMSDs的总体患病率为72%(95%:64%-80%)。年患病率排名前3位的部位是下背部(51%,95%:38%-64%)、颈部(42%,95%:30%-54%)和肩部(32%,95%:23%-41%)。周患病率排名前3位的部位是下背部(47%,95%:28%-65%)、颈部(35%,95%:14%-55%)和背部(30%,95%:17%-44%)。康复治疗师中WMSDs的患病率较高,尤其是在下背部、颈部、肩部和背部,可能与长时间的接触姿势以及上肢的持续或反复用力有关。

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