Work-related musculoskeletal disorders in physical therapists: Prevalence, severity, risks, and responses
Work-related musculoskeletal disorders in physical therapists: Prevalence, severity, risks, and responses
复制标题
DOI：
10.1093/ptj/80.4.336
复制
发表时间：
2000-04-01
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。物理治疗师面临与工作相关的肌肉骨骼疾病 (WMSD) 的风险。人们对治疗师如何应对伤害或他们采取哪些行动来预防伤害知之甚少。本研究的目的是调查物理治疗师 WMSD 的患病率和严重程度、影响因素以及他们对伤害的反应。科目。作为一项更大规模研究的一部分，对国家登记册上四分之一的治疗师（n=824）进行了系统抽样调查。方法。向每位受试者邮寄了一份 8 页的调查问卷。问题调查了肌肉骨骼症状、专业领域、任务和与工作相关的风险因素、伤害预防策略以及对伤害的反应。结果。 WMSD 的终生患病率为 91%，每 6 名物理治疗师中就有 1 人因 WMSD 而进入或离开该行业。年轻的治疗师报告说，WMSD 在大多数身体部位的患病率较高。动员和操作技术的使用与拇指症状患病率的增加有关。与工作量有关的危险因素与颈部和上肢症状的较高发生率有关，姿势危险因素与脊柱症状的较高发生率有关。结论与讨论。用于减少工业中工伤的策略也可能适用于物理治疗师。与动员技术相关的拇指症状风险增加表明需要进一步研究来建立实践建议。转入或离开该行业的治疗师面临的问题尚不清楚，需要进一步研究以更好地了解他们的需求和经历。
Background and Purpose. Physical therapists are at risk for work-related musculoskeletal disorders (WMSDs). Little is known of how therapists respond to injury or of what actions they take to prevent injury. The purpose of this study was to investigate the prevalence and severity of WMSDs in physical therapists, contributing risk factors, and their responses to injury. Subjects. As part of a larger study, a systematic sample of 1 in 4 therapists on a state register (n=824) was surveyed. Methods. An 8-page questionnaire was mailed to each subject. Questions investigated musculoskeletal symptoms, specialty areas, tasks and job-related risk factors, injury prevention strategies, and responses to injury. Results. Lifetime prevalence of WMSDs was 91%, and 1 in 6 physical therapists moved within or left the profession as a result of WMSDs. Younger therapists reported a higher prevalence of WMSDs in most body areas. Use of mobilization and manipulation techniques was related to increased prevalence of thumb symptoms. Risk factors pertaining to workload were related to a higher prevalence of neck and upper-limb symptoms, and postural risk factors were related to a higher prevalence of spinal symptoms. Conclusion and Discussion. Strategies used to reduce work-related injury in industry may also apply to physical therapists. Increased risk of thumb symptoms associated with mobilization techniques suggests that further research is needed to establish recommendations for practice. The issues for therapists who move within or leave the profession are unknown, and further research is needed to better understand their needs and experiences.