Changes needed to reduce risk of musculoskeletal disorders

IF 2.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH American journal of industrial medicine Pub Date : 2024-05-16 DOI:10.1002/ajim.23613
Wendy A. Macdonald PhD, Jodi Oakman PhD
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Abstract

Musculoskeletal disorders (MSDs) are the main contributor to disability levels, which are rising as populations age. Workplace hazard exposures are a major source of this problem, and current workplace risk management practices require substantial changes to tackle it more effectively. Most importantly, the current focus of risk management on “manual handling” tasks must broaden to encompass the whole job. This is necessary because a wide range of psychosocial hazards, most of which operate across the whole job rather than particular tasks, are significant contributors to risk. To ensure that risk-control actions are effective, a recurring risk management cycle that includes worker participation and addresses risk from both biomechanical and psychosocial hazards will be essential. Legislation that mandates workplace management of psychosocial hazards would be helpful. Amendment by regulatory bodies of MSD-related guidance and codes of practice so that they reflect current research evidence would also be helpful in communicating the need for change to workplace stakeholders.

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需要做出改变,以降低肌肉骨骼疾病的风险。
肌肉骨骼疾病(MSDs)是导致残疾的主要因素,而随着人口老龄化,残疾率也在不断上升。工作场所的危险暴露是这一问题的主要根源,要更有效地解决这一问题,需要对当前的工作场所风险管理实践进行重大变革。最重要的是,目前风险管理的重点是 "手工操作 "任务,必须扩大到整个工作。这一点很有必要,因为各种社会心理危害都是造成风险的重要因素,其中大部分危害贯穿于整个工作而非特定任务。为了确保风险控制行动的有效性,必须建立一个包括工人参与在内的经常性风险管理周期,以应对来自生物力学和社会心理危害的风险。立法强制要求工作场所对社会心理危害进行管理会有所帮助。监管机构对与 MSD 相关的指南和操作规范进行修订,使其反映当前的研究证据,也将有助于向工作场所的利益相关者传达变革的必要性。
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来源期刊
American journal of industrial medicine
American journal of industrial medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.90
自引率
5.70%
发文量
108
审稿时长
4-8 weeks
期刊介绍: American Journal of Industrial Medicine considers for publication reports of original research, review articles, instructive case reports, and analyses of policy in the fields of occupational and environmental health and safety. The Journal also accepts commentaries, book reviews and letters of comment and criticism. The goals of the journal are to advance and disseminate knowledge, promote research and foster the prevention of disease and injury. Specific topics of interest include: occupational disease; environmental disease; pesticides; cancer; occupational epidemiology; environmental epidemiology; disease surveillance systems; ergonomics; dust diseases; lead poisoning; neurotoxicology; endocrine disruptors.
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