康复治疗师工作相关肌肉骨骼疾患患病率的Meta分析  

A meta-analysis of the prevalence of work-related musculoskeletal disorders among rehabilitation therapists

作　　者：潘静 王梦成 赵双艳 刘倩[1] 翟宏宇[1] Pan Jing;Wang Mengcheng;Zhao Shuangyan;Liu Qian;Zhai Hongyu(Department of Rehabilitation Medicine,Xiangyang Central Hospital,Affiliated Hospital of Hubei University of Arts and Science,Xiangyang 441000,China)

机构地区：[1]湖北文理学院附属襄阳市中心医院康复医学科,襄阳441000

出　　处：《中华劳动卫生职业病杂志》2024年第10期746-752,共7页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：襄阳市科技研究与开发项目(2022BBS005242)。

摘　　要：目的了解康复治疗师工作相关肌肉骨骼疾患(work-related musculoskeletal disorders,WMSDs)的患病情况。方法于2023年9月,计算机检索中国知网数据库、万方数据知识服务平台、维普中文科技期刊数据库、中国生物医学文献数据库、PubMed、Cochrane Library、Web of Science、Embase database等中英文数据库,检索时间为建库至2023年9月;以肌肉骨骼疾患、康复治疗师、musculoskeletal disorders、rehabilitation therapist等为检索词筛选文献,统计作者、发表时间、患病率、研究类型等资料。采用美国卫生保健质量和研究机构(Agency for Healthcare Research and Quality,AHRQ)工具和《纽卡斯尔-渥太华量表》(The Newcastle-Ottawa Scale,NOS)对文献进行质量评价。使用Stata 15.0软件进行Meta分析。结果共纳入28篇文献,康复治疗师8039人。Meta分析显示,康复治疗师的WMSDs总体患病率为72%(95%CI:64%~80%)。年患病率居于前3位的分别是腰部(51%,95%CI:38%~64%)、颈部(42%,95%CI:30%~54%)、肩部(32%,95%CI:23%~41%);周患病率前3位的分别为腰部(47%,95%CI:28%~65%)、颈部(35%,95%CI:14%~55%)、背部(30%,95%CI:17%~44%)。结论康复治疗师WMSDs的患病率较高,尤其是腰、颈、肩和背部,可能与长时间保持低头弯腰姿势,上肢持续或反复用力有关。ObjectiveTo investigate the prevalence of work-related musculoskeletal disorders(WMSDs)in rehabilitation therapists.MethodsIn September 2023,the computer searched Chinese and English databases such as CNKI database,Wanfang Data Knowledge Service Platform,VIP Chinese Science and Technology Journal Database,Chinese Biomedical Literature Database,PubMed,Cochrane Library,Web of Science,Embase database,etc.The retrieval time was from the establishment of the database to September 2023.Musculoskeletal disorders,rehabilitation therapists were selected as search terms,and the author,publication time,prevalence rate,and study type were analyzed.The Agency for Healthcare Research and Quality(AHRQ)tool and The Newcastle-Ottawa Scale(NOS)were used to evaluate the quality of the literature.Stata 15.0 software was used for meta-analysis.ResultsA total of 28 literatures were included,including 8039 rehabilitation therapists.Meta-analysis showed that the overall prevalence rate of WMSDs among rehabilitation therapists was 72%(95%CI:64%-80%).The top 3 annual prevalence rates were lower back(51%,95%CI:38%-64%),neck(42%,95%CI:30%-54%)and shoulder(32%,95%CI:23%-41%).The top 3 weekly prevalence rates were lower back(47%,95%CI:28%-65%),neck(35%,95%CI:14%-55%)and back(30%,95%CI:17%-44%).ConclusionThe higher prevalence of WMSDs in rehabilitation therapists,especially in the lower back,neck,shoulder and back,may be related to the prolonged stouching posture and the continuous or repeated exertion of the upper limbs.

关 键 词：肌肉骨骼系统 工作相关肌肉骨骼疾患 康复治疗师 物理治疗师 患病率 META分析 

分 类 号：R135[医药卫生—劳动卫生]