Stock S R, Cole D C, Tugwell P, Streiner D
Occupational and Environmental Health Unit, Montreal Department of Public Health, Quebec, Canada.
Am J Ind Med. 1996 Jun;29(6):679-88. doi: 10.1002/(SICI)1097-0274(199606)29:6<679::AID-AJIM12>3.0.CO;2-X.
Both epidemiologic studies of the factors that contribute to the development of work-related musculoskeletal disorders of the neck and upper limb and intervention studies that test the effectiveness of workplace ergonomic and organizational changes are needed to provide empiric evidence for preventive strategies. This study reviews the relevance and comprehensiveness of existing functional status instruments for epidemiologic studies of work-related neck and upper limb disorders. Twelve domains were identified as the major areas of life affected by workers' neck and upper extremity disorder(s): work, household and family responsibilities, self-care, transportation/driving, sexual activity, sleep, social activities, recreational activities, mood, self-esteem, financial effects, and iatrogenic effects of assessments and treatment. Fifty-two functional status instruments were identified. Of these, 21 met the specified criteria as potentially relevant and were rated on the 3-point scale for relevance and comprehensiveness for each domain. None of the instruments covered all 12 domains adequately.
为预防策略提供实证依据，既需要开展流行病学研究，探讨导致颈部和上肢工作相关肌肉骨骼疾病的因素，也需要进行干预研究，检验工作场所人机工程学和组织变革的有效性。本研究回顾了现有功能状态测量工具对于工作相关颈部和上肢疾病流行病学研究的相关性和全面性。确定了十二个领域为受工人颈部和上肢疾病影响的主要生活领域：工作、家务和家庭责任、自我护理、交通/驾驶、性活动、睡眠、社交活动、娱乐活动、情绪、自尊、经济影响以及评估和治疗的医源性影响。共识别出52种功能状态测量工具。其中，21种符合指定标准，具有潜在相关性，并针对每个领域的相关性和全面性按三点量表进行评分。没有一种工具能充分涵盖所有12个领域。
