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The influence of work-related exposures on the prognosis of neck/shoulder pain

机译:与工作有关的暴露对颈部/肩膀疼痛预后的影响

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摘要

To determine associations between work-related exposures and the prognosis of self-reported neck/shoulder pain. This prospective cohort study was based on 803 working subjects who reported neck/shoulder pain at baseline. The proportion of subjects who 5–6 years later were symptom-free was calculated. Data concerning work-related biomechanical, psychosocial, and organizational exposures were collected at baseline. The Cox regression analyses were used to calculate the relative chances (RC) of being symptom-free at the end of the study for single exposures, and also for up to three simultaneous work-related exposures. Adjustments were made for sex and age. Only 36% of the subjects were symptom-free 5–6 years later. The relative chance for being symptom-free at the end of the study was 1.32 (95% CI = 0.99–1.74) for subjects who were exposed to sitting ≥75% of the working time and 1.53 (95% CI = 1.02–2.29) for subjects who were exposed to job strain, i.e., the combination of high demands and low decision latitude. The relative chance of being symptom-free at the end of the study was 0.61 (95% CI = 0.40–0.94) for subjects with at least two out of three simultaneous biomechanical exposures at work; manual handling, working with the hands above shoulder level, and working with vibrating tools. In a heterogeneous population with moderate nonspecific neck/shoulder pain, sedentary work enhanced the chance of being symptom-free 5–6 years later, whereas simultaneous exposures to at least two of manual handling, working with hands above shoulder level and working with vibrating tools were associated with a lower chance of being symptom-free at the end of the study. This could imply that subjects with neck/shoulder pain should avoid such simultaneous exposures.
机译:确定与工作相关的暴露与自我报告的颈部/肩部疼痛预后之间的关联。这项前瞻性队列研究基于803名基线时出现颈肩疼痛的工作受试者。计算5-6年后无症状的受试者比例。在基线时收集了与工作有关的生物力学,社会心理和组织方面的数据。在研究结束时,使用Cox回归分析来计算单次暴露以及多达三个同时发生的与工作有关的暴露时无症状的相对机会(RC)。进行了性别和年龄的调整。 5-6年后,只有36%的受试者无症状。在研究结束时,无症状坐着≥75%的工作时间的相对机会为1.32(95%CI = 0.99–1.74),而在1.53(95%CI = 1.02–2.29)的情况下,无症状的相对机会为1.53适用于承受工作压力(即高要求和低决策自由度的组合)的对象。在研究结束时,无症状的相对机会为0.61(95%CI = 0.40–0.94),同时工作中有三分之二的生物力学暴露中至少有两次;手动处理,双手高于肩膀高度并使用振动工具。在异质性人群中,患有中等程度的非特定性颈部/肩膀疼痛,久坐工作增加了5-6年后无症状的机会,而同时进行至少两次手动操作,高于肩膀水平的手操作和振动工具的接触在研究结束时与无症状的机会较低相关。这可能意味着患有颈部/肩膀疼痛的受试者应避免同时暴露。

著录项

  • 来源
    《European Spine Journal》 |2007年第12期|2083-2091|共9页
  • 作者单位

    Department of Public Health Sciences Division of Occupational Medicine Karolinska Institutet Norrbacka 171 76 Stockholm Sweden;

    Department of Occupational and Environmental Health Stockholm County Council Norrbacka 171 76 Stockholm Sweden;

    Department of Medical Sciences Occupational and Environmental Medicine Uppsala University Uppsala Sweden;

    Institute of Environmental Medicine Karolinska Institutet Stockholm Sweden;

    Department of Public Health Sciences Division of Occupational Medicine Karolinska Institutet Norrbacka 171 76 Stockholm Sweden;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    Disability; Epidemiology; Occupational health; Prospective studies;

    机译:残疾;流行病学;职业卫生;前瞻性研究;

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