导论章:与工作有关的肌肉骨骼疾病

Orhan Korhan, Asad Ahmed Memon
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引用次数: 12

摘要

根据美国国家职业安全与健康研究所[1],肌肉骨骼疾病(MSD)是一种影响人体肌肉骨骼系统的损伤,尤其是骨骼、椎间盘、肌腱、关节、韧带、软骨、神经和血管。这种伤害可能是由于在执行某些工作活动时对人体的重复运动、力和振动造成的。以前的伤害、身体状况、遗传、怀孕、生活方式和不良饮食是导致肌肉骨骼症状的因素。在工作场所,当人体的身体能力与任务的身体要求之间存在差异时,可以观察到与工作有关的肌肉骨骼症状。肌肉骨骼疾病可能与工作活动和工作条件有关,它们可能是导致MSDs的重要因素。然而,这些并不一定是唯一的原因或重要的风险因素。世界卫生组织认为,当工作活动和工作条件在很大程度上导致与工作有关的疾病的发展时,导致颈部、肩部、肘部、前臂、手腕和手部疼痛和功能损伤的疾病是与工作有关的(图1)。与工作有关的肌肉骨骼疾病(WRMSDs)被描述为影响支撑血管、周围神经、关节、韧带、肌腱和肌肉。这种情况可能导致上肢和颈部的功能障碍和疼痛[2]。在工作场所,肌肉骨骼疾病的原因多种多样,但人们知之甚少。Aptel等人[3]指出,重复性运动、剧烈运动、极端关节姿势和/或社会心理因素等生物力学因素在与工作相关的肌肉骨骼疾病中发挥了关键作用。文献[4]提出,某些心理因素与肌肉骨骼不适有关,并可能最终提供一种干预方法来减少msd。本章旨在分析WRMSDs的人体工程学、职业健康与安全管理、经济影响、流行、干预和预防。
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Introductory Chapter: Work-Related Musculoskeletal Disorders
According to the National Institute for Occupational Safety and Health [1], musculoskeletal disorder (MSD) is a damage that affects the musculoskeletal system of the human body, especially at bones, spinal discs, tendons, joints, ligaments, cartilage, nerves, and blood vessels. Such injuries may result due to repetitive motions, forces, and vibrations on human bodies during executing certain job activities. Previous injuries, physical condition, heredity, pregnancy, lifestyle, and poor diet are the factors that contribute to the musculoskeletal symptoms. Work-related musculoskeletal symptoms can be observed at workplaces when there is a discrepancy between the physical capacity of the human body and the physical requirements of the task. Musculoskeletal disorders can be related to the work activities and conditions, and they could significantly contribute to the development of MSDs. However, these are not necessarily the only causes or significant risk factors. The World Health Organization recognizes conditions that result in pain and functional impairment that affect the neck, shoulders, elbows, forearms, wrists, and hands as work related when the work activities and work conditions significantly contribute to the development of work-related disorders (Figure 1). Work-related musculoskeletal disorders (WRMSDs) are described as wide range of degenerative and inflammatory conditions that affect the supporting blood vessels, peripheral nerves, joints, ligaments, tendons, and muscles. Such conditions could result in functional impairment and pain which are widely experienced at the upper extremities and the neck [2]. At the workplace, the causes of musculoskeletal disorders are diverse but poorly understood. Aptel et al. [3] stated that biomechanical factors such as repetitive motion, strenuous efforts, extreme joint postures, and/or psychosocial factors establish the key role in work-related musculoskeletal disorders. In [4], it is provided that certain psychological factors are associated with musculoskeletal discomfort and may eventually provide one way to intervene to reduce MSDs. This chapter aims to analyze the ergonomics, administration of occupational health and safety, economic impact, prevalence, intervention, and prevention of WRMSDs.
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