Anderson J A
Scand J Work Environ Health. 1984 Dec;10(6 Spec No):435-42. doi: 10.5271/sjweh.2300.
Reliable information about shoulder girdle pain in relation to work practices is difficult to obtain from routinely acquired statistics. On the basis of data obtained from a special study of 2 648 manual workers from jobs without special demands for neck or shoulder activity, an estimate has been made of the size of the problem. The results indicate that 23% of a manual workforce reported having suffered from pain in the neck, shoulder, or upper arm on at least one occasion during their worklife and that 15% had had such pain during the year prior to the study. These pains arose through a number of causes collectively grouped as shoulder girdle pain. The relative importance of trivial injuries, degenerative changes, and structural abnormalities is considered along with the possible work-related role in contributing to the onset of such painful syndromes. In light of these possibilities the contribution which primary preventive measures could make to reducing the problem by altering the posture at work is discussed, and an indication is given of the likely limitation of secondary preventive measures (screening) in this field. On the other hand there is room for increased diagnostic accuracy to ensure better management and rehabilitation for those with prolonged or recurrent painful symptoms.
从常规收集的统计数据中很难获取与工作方式相关的肩带疼痛的可靠信息。基于对2648名从事对颈部或肩部活动无特殊要求工作的体力劳动者进行的一项专项研究所得的数据，对该问题的规模进行了估算。结果表明，23%的体力劳动者报告称在其职业生涯中至少有一次颈部、肩部或上臂疼痛，15%的人在研究前一年出现过此类疼痛。这些疼痛由多种原因引起，统称为肩带疼痛。文中探讨了轻伤、退行性变化和结构异常的相对重要性，以及工作可能在导致此类疼痛综合征发作中所起的作用。鉴于这些可能性，讨论了初级预防措施通过改变工作姿势对减少该问题可能做出的贡献，并指出了二级预防措施（筛查）在该领域可能存在的局限性。另一方面，提高诊断准确性仍有空间，以便为那些有长期或反复疼痛症状的人确保更好的管理和康复。
