A systematic review of musculoskeletal disorders among school teachers.
A systematic review of musculoskeletal disorders among school teachers.
复制标题
DOI：
10.1186/1471-2474-12-260
复制
发表时间：
2011-11-17
影响因子：
2.3
通讯作者：
Smith DR
中科院分区：
文献类型：
--
作者：
Erick PN;Smith DR
肌肉骨骼疾病（MSD）是发达国家和发展中国家最常见和最昂贵的职业健康问题之一。学校教师代表了一个职业群体，其中似乎有一个高流行率的MSD。鉴于MSD的病因被描述为多因素，并且患病率在身体部位和研究地点之间存在差异，本系统综述的目的是调查教学人员中MSD的患病率和风险因素。该研究涉及2011年对MEDLINE和EMBASE数据库的广泛检索。最初选择纳入所有报告教师职业中MSD患病率和/或风险因素的研究。然后检查原始检索中识别的文献的参考文献列表，以查找其他出版物。在最初定位的80篇文章中，最后一组33篇符合纳入标准，并进行了详细检查。这项审查表明，学校教师中自我报告的MSD患病率在39%至95%之间。最常见的身体部位似乎是背部、颈部和上肢。幼儿园教师似乎更有可能报告患有腰痛。性别、年龄、就业时间和姿势尴尬等因素与MSD患病率较高有关。总的来说，这项研究表明，学校教师患MSD的风险很高。需要进一步的研究，最好是纵向的，更彻底地调查教师中的MSD问题，更强调可能更广泛地使用人体工程学原理。这将是在教师中预防默沙东方面迈出的重要一步，特别是如果可以推荐易于实施的控制措施。
Musculoskeletal disorders (MSD) represent one of the most common and most expensive occupational health problems in both developed and developing countries. School teachers represent an occupational group among which there appears to be a high prevalence of MSD. Given that causes of MSD have been described as multi-factorial and prevalence rates vary between body sites and location of study, the objective of this systematic review was to investigate the prevalence and risk factors for MSD among teaching staff. The study involved an extensive search of MEDLINE and EMBASE databases in 2011. All studies which reported on the prevalence and/or risk factors for MSD in the teaching profession were initially selected for inclusion. Reference lists of articles identified in the original search were then examined for additional publications. Of the 80 articles initially located, a final group of 33 met the inclusion criteria and were examined in detail. This review suggests that the prevalence of self-reported MSD among school teachers ranges between 39% and 95%. The most prevalent body sites appear to be the back, neck and upper limbs. Nursery school teachers appear to be more likely to report suffering from low back pain. Factors such as gender, age, length of employment and awkward posture have been associated with higher MSD prevalence rates. Overall, this study suggests that school teachers are at a high risk of MSD. Further research, preferably longitudinal, is required to more thoroughly investigate the issue of MSD among teachers, with a greater emphasis on the possible wider use of ergonomic principles. This would represent a major step forward in the prevention of MSD among teachers, especially if easy to implement control measures could be recommended.