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物理治疗师的工作相关肌肉骨骼疾病:一项横断面研究。

Work-Related Musculoskeletal Disorders in Physical Therapists: A Cross-Sectional Study.

作者信息

Peña-Curbelo Victoria, Meneses-Monroy Alfonso, Mayor-Silva L Iván, Martín-Casas Patricia, Álvarez-Melcón Ángela Concepción

机构信息

PhD Programme in Medicine and Biomedical Sciences, Doctoral School, Universitat de Vic-Central University of Catalonia (UVic-UCC), C.Dr Junyent, 1, 08500 Vic, Spain.

Faculty of Nursing, Physiotherapy and Podiatry, Complutense University of Madrid, Plaza de Ramón y Cajal, 3, 28040 Madrid, Spain.

出版信息

J Clin Med. 2024 Dec 5;13(23):7425. doi: 10.3390/jcm13237425.

Abstract

Physical therapists, because of their care work, are susceptible to work-related musculoskeletal disorders due to their caregiving duties. These disorders have a significant economic and social impact. To analyze the prevalence of work-related musculoskeletal disorders among physical therapists and their associated factors. A cross-sectional design study was conducted among physical therapists who were working in the Community of Madrid. An online questionnaire was used and distributed through the professional association. This questionnaire included sociodemographic and occupational variables as well as the Standardized Nordic Questionnaire, specifically designed for the analysis of musculoskeletal symptoms in an ergonomic or occupational health context. Data were analyzed using multivariate logistic regression models. 212 questionnaires were analyzed. 98.1% reported a musculoskeletal problem in the past 12 months. The most affected regions were the neck (85.4%), upper back (59.4%), lower back (73.1%), shoulder (53.8%), and wrist and hand (63.2%). Neck disorders were associated with women (AOR = 2.41; 95%CI = 1.20-4.82); shoulder disorders with women (AOR = 7.79; 95%CI = 1.02-56.64) and older age (AOR = 1.06; 95%CI = 1.01-1.11); lower back disorders with women (AOR = 3.86; 95%CI = 1.11-13.49), a four-year bachelor's degree (AOR = 3.56; 95%CI = 1.09-11.62), treating trauma patients (AOR = 0.13; 95%CI = 0.02-0.62), and using manual therapy (AOR = 0.34; 95%CI = 0.15-0.78). 98.1% of the physical therapists reported musculoskeletal symptoms in the past 12 months. Several variables were associated with musculoskeletal disorders: gender, level of education, age, and type of patient and treatment. Further research is needed to identify preventive measures that can reduce the high prevalence of musculoskeletal problems among physical therapists.

摘要

由于其护理工作,物理治疗师因护理职责而易患与工作相关的肌肉骨骼疾病。这些疾病具有重大的经济和社会影响。为分析物理治疗师中与工作相关的肌肉骨骼疾病的患病率及其相关因素。对在马德里自治区工作的物理治疗师进行了一项横断面设计研究。使用在线问卷并通过专业协会进行分发。该问卷包括社会人口统计学和职业变量以及标准化北欧问卷,该问卷专门设计用于在人体工程学或职业健康背景下分析肌肉骨骼症状。使用多变量逻辑回归模型分析数据。共分析了212份问卷。98.1%的人报告在过去12个月中有肌肉骨骼问题。受影响最严重的部位是颈部(85.4%)、上背部(59.4%)、下背部(73.1%)、肩部(53.8%)以及手腕和手部(63.2%)。颈部疾病与女性相关(比值比=2.41;95%置信区间=1.20-4.82);肩部疾病与女性(比值比=7.79;95%置信区间=1.02-56.64)和年龄较大(比值比=1.06;95%置信区间=1.01-1.11)相关;下背部疾病与女性(比值比=3.86;95%置信区间=1.11-13.49)、四年制本科学位(比值比=3.56;95%置信区间=1.09-11.62)、治疗创伤患者(比值比=0.13;95%置信区间=0.02-0.62)以及使用手法治疗(比值比=0.34;95%置信区间=0.15-0.78)相关。98.1%的物理治疗师报告在过去12个月中有肌肉骨骼症状。几个变量与肌肉骨骼疾病相关:性别、教育程度、年龄以及患者类型和治疗方式。需要进一步研究以确定可降低物理治疗师中肌肉骨骼问题高患病率的预防措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bde0/11642160/edf5609e010a/jcm-13-07425-g001.jpg

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