We know it doesn't work: Why do we still use how to lift training for the prevention of musculoskeletal disorders?

IF 2.5 2区 工程技术 Q2 ENGINEERING, INDUSTRIAL International Journal of Industrial Ergonomics Pub Date : 2024-02-05 DOI:10.1016/j.ergon.2023.103542
Jodi Oakman , Katrina A. Lambert , Susan Rogerson , Alison Bell
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Abstract

Musculoskeletal disorders (MSDs) have a complex aetiology. How to lift training (HTLT) does not address this complexity, is an ineffective prevention strategy but remains widely utilised. This study explores the extent to which HTLT is utilised and the beliefs of employers and work health and safety (WHS) providers to this approach as an MSD prevention strategy.

Method

An online questionnaire was distributed to employers and WHS providers to collect quantitative and qualitative information on the extent to which HTLT was being used and the beliefs about its use in MSD prevention.

Results

A total of 1507 responses were analysed (1271 employers, 236 WHS providers). Over 70% of participants had used HTLT in an MSD prevention program in the past 2 years. For employers the belief that HTLT is necessary under WHS legislation (OR 1.755, CI 1.135,2.712) was associated with the use of HTLT. For providers, the belief that HTLT is necessary for MSD prevention programs (OR 1.57 CI 1.10, 2.25) or if the service was requested (OR 3.88 CI 1.78,8.45) were associated with HTLT delivery.

Conclusions

HTLT remains highly prevalent in MSD prevention despite strong evidence that lifting training is ineffective and does not address WHS legislative requirements. Strategies to reduce HTLT use industry and utilise more effective MSD risk management controls will need to bridge the research evidence to practice gap and use implementation science principles to improve the uptake of evidence-based interventions which take a comprehensive systems-based approach to MSD prevention.

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我们知道它不起作用:为什么我们仍在使用 "如何举起 "训练来预防肌肉骨骼疾病?
肌肉骨骼疾病(MSDs)的病因复杂。如何举起培训(HTLT)并不能解决这种复杂性,是一种无效的预防策略,但仍被广泛使用。本研究探讨了如何进行举重训练(HTLT)的使用程度,以及雇主和工作健康与安全(WHS)提供者对这一方法作为 MSD 预防策略的看法。研究方法 向雇主和工作健康与安全提供者发放了一份在线问卷,以收集关于如何进行举重训练(HTLT)的使用程度及其在 MSD 预防中的看法的定量和定性信息。超过 70% 的参与者在过去两年中曾在 MSD 预防计划中使用过 HTLT。对于雇主而言,他们认为高温热吸入疗法在职业健康安全立法中是必要的(OR 1.755,CI 1.135,2.712),这与高温热吸入疗法的使用有关。对于提供者而言,认为 HTLT 是 MSD 预防计划所必需的(OR 1.57,CI 1.10,2.25)或要求提供服务(OR 3.88,CI 1.78,8.45)与 HTLT 的提供有关。减少 HTLT 使用的行业战略以及利用更有效的 MSD 风险管理控制措施,需要弥合研究证据与实践之间的差距,并利用实施科学原则来提高循证干预措施的采用率,从而采取基于系统的综合方法来预防 MSD。
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来源期刊
International Journal of Industrial Ergonomics
International Journal of Industrial Ergonomics 工程技术-工程:工业
CiteScore
6.40
自引率
12.90%
发文量
110
审稿时长
56 days
期刊介绍: The journal publishes original contributions that add to our understanding of the role of humans in today systems and the interactions thereof with various system components. The journal typically covers the following areas: industrial and occupational ergonomics, design of systems, tools and equipment, human performance measurement and modeling, human productivity, humans in technologically complex systems, and safety. The focus of the articles includes basic theoretical advances, applications, case studies, new methodologies and procedures; and empirical studies.
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