Johns R E, Bloswick D S, Elegante J M, Colledge A L
Hercules Aerospace Company, Bacchus Works, Magna, Utah 84404-0098.
J Occup Med. 1994 May;36(5):537-47.
Chronic, recurrent low back pain, although one of the most commonly encountered medical conditions in the workplace, is one of the most difficult to manage. With the passage of the Americans with Disabilities Act, the proper management of the worker with recurrent low back pain poses an even greater challenge. We propose an interdisciplinary methodology to evaluate the worker at high medical risk of recurrent low back pain and determine the potential ergonomic risks of essential function tasks in material-handling work. The proposal considers the ethical and legal liabilities of risk assessment and fitness for duty evaluation that physicians, ergonomists, attorneys, and ultimately business managers and supervisors experience in balancing the societal interests represented by the Americans with Disabilities Act.
慢性复发性腰痛虽然是工作场所中最常见的病症之一，但也是最难处理的病症之一。随着《美国残疾人法案》的通过，对患有复发性腰痛的工人进行妥善管理带来了更大的挑战。我们提出一种跨学科方法，以评估具有复发性腰痛高医疗风险的工人，并确定物料搬运工作中基本功能任务的潜在人体工程学风险。该提议考虑了医生、人体工程学家、律师以及最终的企业经理和主管在平衡《美国残疾人法案》所代表的社会利益时所面临的风险评估和工作适应性评估的伦理和法律责任。
