Occupational Medicine Quarterly Journal
فصلنامه علمی تخصصی طب کار
tkj
Medical Sciences
http://tkj.ssu.ac.ir
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2251-7189
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2022
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شیوع کمردرد و فاکتورهای مؤثر بر آن در کارکنان اداری بر مبنای تکنیکهای عینی و ذهنی
Prevalence of low back pain and its predictor factors among office workers based on objective and subjective techniques
ارگونومی
Ergonomics
پژوهشي
Research
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مقدمه:</span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> اختلالات</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">اسکلتی</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">-</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> عضلانی ناشی از کار،</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">شایع­ترین و پرهزینهترین معضل شغلی قابلپیشگیری است </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">که کارکنان بخشهای اداری از ناراحتی مرتبط به آن رنج می­برند.</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> هدف مطالعه حاضر الف) بررسی شیوع کمردرد و ب) ارزیابی پیوسته پوسچر کمر کارکنان اداری با استفاده از تکنیکهای عینی بود.</span></span><b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></b></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">روش بررسی: </span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">در مطالعهی مقطعی حاضر 36 کارمند اداری یکی از دانشگاههای علوم پزشکی شرکت کردند</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">.</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> شیوع کمردرد با استفاده از پرسشنامه نوردیک تعیین شد</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">.</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> زوایای پوسچر کمر با استفاده از </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">دستگاه</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">شیبسنج</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">اندازهگیری شد.</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">.</span></span> <b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></b></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتایج:</span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> بیش از نیمی از افراد موردپژوهش کمردرد را گزارش کردند. بین سن، سابقه کار، ساعت کاری و جنسیت با اختلالات اسکلتی- عضلانی رابطه معناداری وجود داشت (05/0</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">p<</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">). میانگین حداکثر زاویه خمش کمر 72/13</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">±</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">41/35 بود و میانگین حداکثر زاویه انحراف کمر در صفحه فرونتال </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">2/3</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">±</span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">86/9 بود.</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> میانگین زوایای انحراف ناحیه کمر برای تمامی صدک­ها و صفحات موردبررسی بین مردان و زنان تفاوت معنی­دار داشته است؛ بهطوریکه در زنان بیش از مردان بوده است (05/0</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">p<</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">).</span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتیجه­گیری: </span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتایج این مطالعه نشان داد که پوسچرهای نامناسب و استاتیک کمر در بین کارکنان اداری وجود دارد که میتوانند بهعنوان عوامل خطر برای ایجاد کمردرد در نظر گرفته شوند. این یافتهها میتواند به توسعه دستورالعملهایی در مورد اولویتبندی مداخلات ارگونومیک برای کاهش شیوع </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">LBP</span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> در میان کارکنان اداری کمک کند.</span></span></span></span></span></span></span><br>
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><strong><i><span style="border:none windowtext 1.0pt; background:white; padding:0cm"><span style="color:black">Introduction</span></span></i></strong><b><span new="" roman="" style="font-family:" times="">:</span></b> <span new="" roman="" style="font-family:" times=""><span style="color:#0e101a">Work-related musculoskeletal disorders are the most common and costly preventable occupational problem that office workers suffer from the discomfort associated with these disorders. The aims of this study were to a) investigate the prevalence of low back pain (LBP) and b) continuously assess the trunk postures of office workers</span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><span new="" roman="" style="font-family:" times=""><span style="color:#0e101a">.</span></span><strong><i><span style="border:none windowtext 1.0pt; background:white; padding:0cm"><span style="color:black">Materials and Methods</span></span></i></strong><b><span new="" roman="" style="font-family:" times="">:</span></b> <span new="" roman="" style="font-family:" times=""><span style="color:#0e101a">Thirty-six office workers of a medical university participated in this cross-sectional study. Thirty-six office workers of a medical university participated in this cross-sectional study. The prevalence of LBP was determined using the Nordic Musculoskeletal Questionnaire. Work trunk postures were measured using an inclinometer.</span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><i> </i><strong><i><span style="border:none windowtext 1.0pt; background:white; padding:0cm">Results</span></i></strong><b><span new="" roman="" style="font-family:" times="">:</span></b> <span new="" roman="" style="font-family:" times=""><span style="color:#0e101a">More than half of the subjects reported LBP. There was a significant relationship between LBP with age, work experience, working hours, and gender (p <0.05). The mean maximum trunk flexion angle was 35.41±13.72, and the mean maximum angle of lateral bend in the frontal plane was 9.86±3.2. The mean trunk angles for all percentiles and plates studied were significantly different between men and women; It was more in women than men (p <0.05).</span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><strong><i><span style="border:none windowtext 1.0pt; background:white; padding:0cm"><span style="color:black">Conclusion</span></span></i></strong><strong><span style="border:none windowtext 1.0pt; background:white; padding:0cm"><span style="color:black">:</span></span></strong> <span new="" roman="" style="font-family:" times=""><span style="color:#0e101a">The results of this study showed that there are awkward and static postures lumbar among office workers that can be considered risk factors for developing LBP. The findings can help to establish guidelines regarding prioritizing ergonomic interventions to reduce the prevalence of LBP among office workers.</span></span></span></span></span></div>
اختلالات اسکلتی- عضلانی؛ کمردرد؛ کارکنان اداری؛ روشهای عینی و ذهنی
Musculoskeletal Disorders, Back Pain, Office Staff, Subjective and objective methods.
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http://tkj.ssu.ac.ir/browse.php?a_code=A-10-1138-2&slc_lang=fa&sid=1
Sanaz
Mohipour
ساناز
محی پور
sanaz.mohi72@gmail.com