THE BURDEN AND DETERMINANTS OF NECK PAIN IN WORKERS Results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders (Reprinted from Spine, vol 33, pg S60-S74, 2008)

被引：160

作者：

Cote, Pierre ^{[1
,2
,3
,4
,5
]}

van der Velde, Gabrielle ^{[1
,2
,5
,6
]}

Cassidy, J. David ^{[1
,2
,3
,4
,7
]}

Carroll, Linda J. ^{[8
,9
]}

Hogg-Johnson, Sheilah ^{[3
,5
]}

Holm, Lena W. ^{[10
]}

Carragee, Eugene J. ^{[11
,12
,13
]}

Haldeman, Scott ^{[14
,15
]}

Nordin, Margareta ^{[16
,17
,18
,19
,20
]}

Hurwitz, Eric L. ^{[21
]}

Guzman, Jaime ^{[22
]}

Peloso, Paul M. ^{[23
]}

机构：

[1] Toronto Western Hosp, Univ Hlth Network Rehabil Solut, CRELDO, Toronto, ON M5T 2S8, Canada

[2] Toronto Western Res Inst, Div Hlth Care & Outcomes Res, Toronto, ON, Canada

[3] Univ Toronto, Dept Publ Hlth Sci, Toronto, ON M5S 1A1, Canada

[4] Univ Toronto, Dept Hlth Policy, Toronto, ON M5S 1A1, Canada

[5] Inst Work & Hlth, Toronto, ON, Canada

[6] Univ Toronto, Dept Hlth Policy Management & Evaluat, Toronto, ON M5S 1A1, Canada

[7] Univ Toronto, Dept Management & Evaluat, Toronto, ON M5S 1A1, Canada

[8] Univ Alberta, Sch Publ Hlth, Dept Publ Hlth Sci, Edmonton, AB T6G 2M7, Canada

[9] Univ Alberta, Sch Publ Hlth, Alberta Ctr Injury Control & Res, Edmonton, AB T6G 2M7, Canada

[10] Karolinska Inst, Inst Environm Med, S-10401 Stockholm, Sweden

[11] Stanford Univ, Dept Orthopaed Surg, Sch Med, Stanford, CA 94305 USA

[12] Stanford Univ, Hosp & Clin, Orthopaed Spine Ctr, Stanford, CA 94305 USA

[13] Stanford Univ, Hosp & Clin, Spinal Surg Serv, Stanford, CA 94305 USA

[14] Univ Calif Irvine, Dept Neurol, Irvine, CA 92717 USA

[15] Univ Calif Los Angeles, Sch Publ Hlth, Dept Epidemiol, Los Angeles, CA 90024 USA

[16] NYU, Sch Med, Dept Orthopaed, New York, NY 10003 USA

[17] NYU, Sch Med, Dept Environm Med, New York, NY 10003 USA

[18] NYU, Sch Med, Program Ergon & Biomech, New York, NY 10003 USA

[19] NYU, Grad Sch Arts & Sci, New York, NY 10003 USA

[20] NYU, Med Ctr, OIOC, New York, NY 10016 USA

[21] Univ Hawaii Manoa, Dept Publ Hlth Sci, John A Burns Sch Med, Honolulu, HI 96822 USA

[22] Univ British Columbia, Dept Med, Vancouver, BC V5Z 1M9, Canada

[23] Merck & Co Inc, Endocrinol Analgesia & Inflammat, Rahway, NJ 07065 USA

来源：

JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS | 2009年 / 32卷 / 02期

基金：

加拿大健康研究院;

关键词：

neck pain; work; disability; sick leave; systematic review; epidemiology; incidence; risk factors; etiology; PSYCHOSOCIAL RISK-FACTORS; WHIPLASH-ASSOCIATED DISORDERS; SEWING-MACHINE OPERATORS; DYNAMIC PHYSICAL WORK; UPPER-LIMB DISORDERS; LOW-BACK-PAIN; MUSCULOSKELETAL DISORDERS; PROGNOSTIC-FACTORS; JOB STRAIN; COMPUTER USERS;

D O I：

10.1016/j.jmpt.2008.11.012

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

100404 [儿少卫生与妇幼保健学];

摘要：

Study Design: Systematic review and best evidence synthesis. Objectives: To describe the prevalence and incidence of neck pain and disability in workers; to identify risk factors for neck pain in workers; to propose an etiological diagram; and to make recommendations for future research. Summary of Background Data: Previous reviews of the etiology of neck pain in workers relied on cross-sectional evidence. Recently published cohorts and randomized trials warrant a re-analysis of this body of research. Methods: We systematically searched Medline for literature published from 1980-2006. Retrieved articles were reviewed for relevance. Relevant articles were critically appraised. Articles judged to have adequate internal validity were included in our best evidence synthesis. Results: One hundred and nine papers on the burden and determinants of neck pain in workers were scientifically admissible. The annual prevalence of neck pain varied from 27.1% in Norway to 47.8% in Quebec, Canada. Each year, between 11% and 14.1% of workers were limited in their activities because of neck pain. Risk factors associated with neck pain in workers include age, previous musculoskeletal pain, high quantitative job demands, low social support at work, job insecurity, low physical capacity, poor computer workstation design and work posture, sedentary work position, repetitive work and precision work. We found preliminary evidence that gender, occupation, headaches, emotional problems, smoking, poor job satisfaction, awkward work postures, poor physical work environment, and workers' ethnicity may be associated with neck pain. There is evidence that interventions aimed at modifying workstations and worker posture are not effective in reducing the incidence of neck pain in workers. Conclusion: Neck disorders are a significant source of pain and activity limitations in workers. Most neck pain results from complex relationships between individual and workplace risk factors. No prevention strategies have been shown to reduce the incidence of neck pain in workers. (J Manipulative Physiol Ther 2009;32:S70-S86)

引用

页码：S70 / S86

页数：17

共 136 条

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Relationships between work-related factors and disorders in the neck-shoulder and low-back region among female and male ambulance personnel [J].