Westgaard R H, Jensen C, Hansen K
Division of Organization and Work Science, Norwegian Institute of Technology, Trondheim.
Int Arch Occup Environ Health. 1993;64(6):405-13. doi: 10.1007/BF00517946.
Individual and work-related risk factors in the development of occupational musculoskeletal complaints were investigated in a cross-sectional study of 52 female production workers and 34 female office workers. The work tasks of the production workers were considered to generate shoulder muscle loads of low amplitude and high repetitiveness, and the work tasks of the office workers, muscle loads of low amplitude and low repetitiveness. The symptom scores were similar in the two groups, with the highest score for both groups in the shoulder-neck region. Previous pain symptoms were an important risk factor for musculoskeletal pain in all body regions, whereas psychosocial problems at work were a risk factor for complaints in the shoulder-neck region. For the office workers, 27% of the variance in shoulder-neck symptoms was explained by the variance in the parameters "previous pain symptoms" and "psychosocial problems" in a multilinear regression model. In three groups of workers with different physical loads on the shoulder muscles the symptom scores for workers without previous pain symptoms and psychosocial problems were related to the physical load. For workers with previous pain symptoms and psychosocial problems, the symptom scores were high and similar for all three groups.
在一项针对52名女性生产工人和34名女性办公室职员的横断面研究中,对职业性肌肉骨骼疾病发生过程中的个体和工作相关风险因素进行了调查。生产工人的工作任务被认为会产生低幅度、高重复性的肩部肌肉负荷,而办公室职员的工作任务则会产生低幅度、低重复性的肌肉负荷。两组的症状评分相似,肩颈区域的评分在两组中都是最高的。既往疼痛症状是所有身体部位肌肉骨骼疼痛的重要风险因素,而工作中的社会心理问题是肩颈区域不适的一个风险因素。对于办公室职员,在一个多元线性回归模型中,“既往疼痛症状”和“社会心理问题”参数的方差解释了肩颈症状中27%的方差。在三组肩部肌肉承受不同身体负荷的工人中,没有既往疼痛症状和社会心理问题的工人的症状评分与身体负荷有关。对于有既往疼痛症状和社会心理问题的工人,三组的症状评分都很高且相似。