Epidemiologic evidence on manual materials handling as a risk factor for back disorders: a systematic review
Epidemiologic evidence on manual materials handling as a risk factor for back disorders: a systematic review
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DOI：
10.1016/s0169-8141(99)00006-2
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发表时间：
1999-08-23
影响因子：
3.1
通讯作者：
Viikari-Juntura, ERA
中科院分区：
文献类型：
--
作者：
Kuiper, JI;Burdorf, A;Viikari-Juntura, ERA
在这篇综述中，对手工材料处理在背部疾病发生中的作用的流行病学证据进行了系统评价。选择了25篇提供了手动材料处理和背部疾病之间相关性的定量数据的出版物。根据关联强度、结果一致性和剂量-反应关系评价研究结果。评估每项研究的方法学质量，以考虑研究结果的相对价值。虽然有相当数量的流行病学研究调查的风险解除，只有一个中等的洞察力之间的剂量反应关系暴露于解除和发生背部疾病被发现。证据进行和推/拉背部疾病的危险因素是非常有限的。只有很少的定量研究进行，这些研究的结果是不一致的。关于接触混合人工材料处理的风险的证据数量仅为中等。得出的结论是，根据本研究中应用的标准，手工材料处理作为背部疾病的危险因素的流行病学证据是存在的，但主要是基于横断面研究与固有的方法学缺陷。需要进行更多的纵向研究，特别注意精确的暴露测量，有效的评估背部疾病，剂量反应关系。
In this review, epidemiologic evidence on the role of manual materials handling in the occurrence of back disorders was systematically evaluated. Twenty-five publications that provided quantitative data on associations between manual materials handling and back disorders were selected. Study findings were evaluated on the basis of strength of association, consistency in findings and dose-response relations. The methodological quality of each study was assessed to consider the relative value of the findings. Although a considerable number of epidemiologic studies investigated the risk of lifting, only a moderate insight in the dose-response relation between exposure to lifting and occurrence of back disorders was found. Evidence on carrying and on pushing/pulling as risk factor for back disorders was very limited. Only very few quantitative studies were performed and the results of these studies were inconsistent. The amount of evidence on the risk of exposure to combined manual materials handling was only moderate. It was concluded that, based on the criteria applied in this study, epidemiologic evidence for manual materials handling as risk factor of back disorders is present, but largely based on cross-sectional studies with inherent methodological weaknesses. More longitudinal studies need to be performed in which special attention is given to accurate exposure measurements, valid assessment of back disorders, and dose-response relations.