Neck and upper extremity pain in sonographers – a longitudinal study
Neck and upper extremity pain in sonographers – a longitudinal study
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超声医师的颈部和上肢疼痛——一项纵向研究
DOI：
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发表时间：
2020
影响因子：
2.3
通讯作者：
I. Arvidsson
中科院分区：
文献类型：
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作者：
Jenny Gremark Simonsen;A. Axmon;C. Nordander;I. Arvidsson
背景超声医师报告了超过25年的肌肉骨骼疼痛的高发生率。以前对职业危险因素的评估是以横断面调查为基础的。这项纵向研究的目的是确定基线时哪些因素与随访时的颈/肩和肘/手疼痛相关。方法248名女性超声医师在基线和随访时（占原始队列的85%）回答问卷。208人被纳入分析。在基线时评估身体、视觉和心理社会工作相关状况。在基线和随访时评估两个身体区域（颈部/肩部和肘部/手部）的疼痛。结果基线疼痛与随访时两个身体部位疼痛的相关性最强[颈/肩的患病率比（PR）2.04; 95%可信区间（CI）1.50-2.76]和肘/手的患病率比（PR）3.45; CI 2.29-5.22）。随访时的颈/肩疼痛与无法对超声器械进行人体工程学调整（PR 1.25; CI 1.05-1.49）、高机械暴露指数（PR 1.66; CI 1.09-2.52）和基线时的不良视力状况（PR 1.24; CI 1.00-1.54）相关。此外，在基线时没有颈肩疼痛的参与者中，高工作要求（PR 1.78; CI 1.01-3.12）和高机械暴露指数（PR 2.0; CI 0.98-4.14）预测随访时的疼痛。随访时肘部/手部疼痛与基线时的高感觉需求相关（PR 1.63; CI 1.08-2.45），在基线时没有疼痛的参与者中，高感觉需求预测了随访时的肘部/手部疼痛（PR 3.34; CI 1.53-7.31）。结论：基线疼痛是两个身体部位随访时疼痛的最强预测因子。我们还发现了一些与随访时疼痛相关的基线职业因素：无法调整设备，不良视觉条件，高MEI，高工作要求和高感官要求。这些结果表明，有可能通过更好的人体工程学来影响疼痛。
Background Sonographers have reported a high occurrence of musculoskeletal pain for more than 25 years. Assessments of occupational risk factors have previously been based on cross-sectional surveys. The aim of this longitudinal study was to determine which factors at baseline that were associated with neck/shoulder and elbow/hand pain at follow-up. Methods A questionnaire was answered by 248 female sonographers at baseline and follow-up (85% of the original cohort). 208 were included in the analyses. Physical, visual, and psychosocial work-related conditions were assessed at baseline. Pain in two body regions (neck/shoulders and elbows/hands) was assessed at both baseline and follow up. Results Pain at baseline showed the strongest association with pain at follow-up in both body regions [prevalence ratio (PR) 2.04; 95% confidence interval (CI) 1.50–2.76], for neck/shoulders and (PR 3.45; CI 2.29–5.22) for elbows/hands. Neck/shoulder pain at follow-up was associated with inability of ergonomic adjustments at the ultrasound device (PR 1.25; CI 1.05–1.49), a high mechanical exposure index (PR 1.66; CI 1.09–2.52), and adverse visual conditions (PR 1.24; CI 1.00–1.54) at baseline. Moreover, among participants with no neck/shoulder pain at baseline, high job demands (PR 1.78; CI 1.01–3.12), and a high mechanical exposure index (PR 2.0; CI 0.98–4.14) predicted pain at follow-up. Pain in the elbows/hands at follow-up was associated with high sensory demands at baseline (PR 1.63; CI 1.08–2.45), and among participants without pain at baseline high sensory demands predicted elbow/hand pain at follow-up (PR 3.34; CI 1.53–7.31). Conclusion Pain at baseline was the strongest predictor for pain at follow-up in both body regions. We also found several occupational factors at baseline that were associated with pain at follow-up: inability to adjust equipment, adverse visual conditions, a high MEI, high job demands and high sensory demands. These results point at a possibility to influence pain with better ergonomics.