背景:肌肉骨骼疾病(MSD)涉及肌肉,神经,肌腱,接头,软骨,和脊柱椎间盘。这些条件可以由工作环境和执行的工作类型触发,因素,在某些情况下,也会加剧现有的疾病。本系统综述旨在概述不同工作相关活动对肌肉骨骼系统的影响。方法:使用以下国际书目网络数据库对出版物进行全球搜索:PubMed和WebofScience。搜索策略结合了肌肉骨骼疾病和工人的术语。此外,我们进行了一项荟萃分析,以估计医疗行业内MSD的患病率.结果:共鉴定出10,805篇非重复文章,最后,本文综述了32项研究。一旦文献检索完成,职业数字被归类为医疗保健,农业,工业,和计算机行业。在医疗保健领域,腰椎退行性疾病的患病率估计为21%(2547名医生和牙医中有497名)(95%CI,17-26%),而对于手部骨关节炎,37%(1013名牙医中有382名)(95%CI,23-51%)。结论:肌肉骨骼疾病显著损害工人的生活质量,尤其是在医疗保健领域。这些条件也与雇主的高成本有关,比如旷工,失去生产力,以及医疗保健成本的增加,残疾,和工人的补偿。
Background: Musculoskeletal disorders (MSDs) involve muscles, nerves, tendons, joints, cartilage, and spinal discs. These conditions can be triggered by both the work environment and the type of work performed, factors that, in some cases, can also exacerbate pre-existing conditions. This systematic review aims to provide an overview of the impact that different work-related activities have on the musculoskeletal system. Methods: A global search of publications was conducted using the following international bibliographic web databases: PubMed and Web of Science. The search strategies combined terms for musculoskeletal disorders and workers. In addition, a meta-analysis was conducted to estimate the prevalence of MSDs within the healthcare sector. Results: A total of 10,805 non-duplicated articles were identified, and finally, 32 studies were reviewed in this article. Once the literature search was completed, occupational figures were categorized into healthcare,
farming, industrial, and computer sectors. In the healthcare sector, the prevalence estimate for degenerative diseases of the lumbar spine was 21% (497 out of 2547 physicians and dentists) (95% CI, 17-26%), while for osteoarthritis of the hand, it was 37% (382 out of 1013 dentists) (95% CI, 23-51%). Conclusions: Musculoskeletal disorders significantly impair workers\' quality of life, especially in healthcare sector. These conditions are also associated with high costs for employers, such as absenteeism, lost productivity, and increased costs for healthcare, disability, and workers\' compensation.