Work-related musculoskeletal disorders and the culture of physical therapy
Work-related musculoskeletal disorders and the culture of physical therapy
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DOI：
10.1093/ptj/82.5.459
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发表时间：
2002-05-01
期刊：
影响因子：
3.2
通讯作者：
Best, MO
中科院分区：
文献类型：
--
作者：
Cromie, JE;Robertson, VJ;Best, MO
背景和目的。知识、技能、人际关系以及关心和努力工作的态度都被物理治疗师所重视。本文探讨了物理治疗师在经历与工作相关的肌肉骨骼疾病 (WMSD) 时如何根据其中一些价值观看待自己。文章还探讨了这些价值观可能相互竞争的方式，并提出了这可能如何导致 WMSD 的发生以及治疗师在 WMSD 后的行为。主题和方法。十八名在 WMSD 后转行的治疗师参加了访谈，旨在深入了解曾患有 WMSD 的治疗师的态度和信念。结果。参与者没有预见到 WMSD，他们通常相信他们的物理治疗知识和技能可以防止 WMSD 的发生。他们认为自己知识渊博且富有爱心，并表示这些特征受到该行业的高度重视。他们需要证明这些属性，有时会导致一些行为，这些行为会导致 WMSD 的发展，并在发病后使情况变得更糟。讨论和结论。物理治疗师的文化价值观可能使他们很难以最小化 WMSD 风险的方式开展工作。 Stud-V 发现了治疗师需要（1）证明他们努力工作和照顾患者的能力与（2）通过保持不受伤害来表现出知识渊博和技术熟练之间的潜在冲突。
Background and Purpose. Knowledge, skills, relationships, and attitudes of caring and working hard are all thought to be valued by physical therapists. This article explores how physical therapists see themselves, in light of some of these values, when they experience work-related musculoskeletal disorders (WMSDs). The article also explores the ways in which these values may compete with each other, and it suggests how this may contribute to the onset of WMSDs and to therapists' behavior following a WMSD. Subjects and Methods. Eighteen therapists who had made a career change after a WMSD participated in interviews that were designed to gain insight into the attitudes and beliefs of therapists who had had a WMSD. Results. Participants did not anticipate WMSDs, and they typically believed their physical therapy knowledge and skills would have prevented WMSDs from occurring. They saw themselves as knowledgeable and caring and indicated that these characteristics were highly valued by the profession. Their need to demonstrate these attributes sometimes resulted in behaviors that contributed to the development of their WMSDs and made them worse after their onset. Discussion and Conclusion. The cultural values of physical therapists may make it difficult for them to do their jobs in a way that minimizes the risk of WMSDs. The stud-v identified a potential conflict between the therapists' need to (1) demonstrate their ability to work hard and care for their patients and (2) appear knowledgeable and skilled by remaining injury free.