Shoulder pain at the workplace
Shoulder pain at the workplace
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DOI：
10.1016/j.berh.2011.01.008
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发表时间：
2011-02-01
影响因子：
5.2
通讯作者：
Sladek, Ruth
中科院分区：
文献类型：
--
作者：
Shanahan, E. Michael;Sladek, Ruth
肩痛是工作环境中最常见的区域性肌肉骨骼疾病之一。在更广泛的社区中，这也是一个非常常见的问题。在这一领域工作的卫生专业人员面临的一个挑战是，只有一小部分工作中的肩痛可以用容易识别的疾病(如肩袖疾病)来解释，并可以在医学模型中得到充分的管理。工作中肩痛的更大比例不能用这种方式来理解，标准的医疗管理不太可能提供最好的康复机会。此外，目前的研究表明，传统的与工作有关的联系和风险因素只解释了整个问题的一小部分，注重初级预防的人体工程学方法也不太可能充分解决问题。这篇文章考察了工作相关肩痛领域的最新研究。它集中于最近的文献，检查肩痛的分类，以及对这一具有挑战性的区域性肌肉骨骼疼痛问题的评估、管理和预后，并主张采用更全面的方法进行管理。(C)2011爱思唯尔有限公司。保留所有权利。
Shoulder pain is among the most common of regional musculoskeletal complaints in the work environment. It is also a very common problem in the broader community. A challenge to health professionals working in this area is that only a small proportion of shoulder pain at work can be explained by conditions that are readily identifiable (such as rotator cuff disease) and can be adequately managed in a medical model. A greater proportion of shoulder pain at work cannot be understood in this way, and standard medical management is unlikely to offer the best chance of recovery. Furthermore, current research suggests that traditional work-related associations and risk factors only explain a minor part of the total problem and that ergonomic approaches focussing on primary prevention are also unlikely to adequately address the problem. This article examines recent research in the area of work-associated shoulder pain. It focusses on the recent literature examining classification of shoulder pain, and the assessment, management and prognosis of this challenging, regional musculoskeletal pain problem and argues for a more encompassing approach to its management. (C) 2011 Elsevier Ltd. All rights reserved.