Jensen L K, Eenberg W
Clinic of Occupational Medicine, Glostrup Hospital, Denmark.
Scand J Work Environ Health. 1996 Jun;22(3):165-75. doi: 10.5271/sjweh.127.
The objective of the present study was to review the literature on the risk of knee disorders in connection with kneeling or squatting work and heavy physical work. A systematic review of the literature revealed 19 controlled studies on this correlation: 16 on osteoarthrosis, 5 on bursitis, 3 on meniscal lesions, and 0 on chondromalacia. All the studies demonstrated a significantly increased prevalence of knee osteoarthrosis (all degrees) for subjects with kneeling or squatting work. The prevalence ratio in most of these studies was between 1.4 and 4. Four of eight studies demonstrated a significantly increased prevalence of knee osteoarthrosis in subjects with heavy physical work. The prevalence ratio in most of these studies was between 1.4 and 4.1. All the studies on bursitis showed an increased prevalence of bursitis in subjects with kneeling work. Occupational exposure could not be sufficiently documented as the cause of meniscal lesions and chondromalacia.
本研究的目的是回顾与跪姿或蹲姿工作以及重体力劳动相关的膝关节疾病风险的文献。对文献的系统回顾揭示了19项关于这种相关性的对照研究：16项关于骨关节炎，5项关于滑囊炎，3项关于半月板损伤，0项关于软骨软化症。所有研究均表明，从事跪姿或蹲姿工作的受试者膝关节骨关节炎（所有程度）的患病率显著增加。这些研究中的大多数患病率比值在1.4至4之间。八项研究中的四项表明，从事重体力劳动的受试者膝关节骨关节炎的患病率显著增加。这些研究中的大多数患病率比值在1.4至4.1之间。所有关于滑囊炎的研究均表明，从事跪姿工作的受试者滑囊炎患病率增加。职业暴露作为半月板损伤和软骨软化症的病因，尚无充分记录。
