阻力训练能否预防或改善外科医生因工作引起的肌肉骨骼疾病?

IF 1.1 4区 医学 Q3 SURGERY
A Vijay, P A Brennan, M Fagbohun, R S Oeppen, D Parry
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引用次数: 0

摘要

研究表明,与工作相关的肌肉骨骼疾病(WMSDs)会对外科医生产生负面影响。这些疾病也可能影响到一些专职医疗保健专业人员,如介入放射医师。WMSDs 带来的问题包括疼痛、技术和认知能力下降以及缺勤。这些问题可能会导致职业倦怠,而外科医生由于轮班模式和长时间工作等其他工作习惯,本来就很容易产生职业倦怠。WMSD 可能会对工作表现产生负面影响,并导致手术效果和患者护理效果下降。外科医生在手术时的固定姿势和损伤性姿势可能导致颈部和背部的 WMSD。一些外科医生因颈部和背部肌肉萎缩性脱位而减少了手术次数和工作日。手术室人体工程学设计(如手术台位置、手术凳和显示器)、术中休息和伸展运动可能会改善某些人的 WMSDs。力量/阻力训练(RT)可用于预防或减轻 WMSD。阻力训练还可以增强全身健康和注意力,消除术中疲劳。每周两次、每次 20 分钟的中等强度 RT 低参与度训练可改善 WMSDs 引起的颈部和背部疼痛。此外,RT 还能降低全因死亡率达 15%,增加骨密度,改善本体感觉,减少因疼痛而产生的运动恐惧。除了改善人体工程学和伸展运动外,我们还建议将 RT 作为一项改善总体健康和 WMSDs 的活动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Could resistance training prevent or improve work-related musculoskeletal disorders among surgeons?

Studies have demonstrated the negative impact that work-related musculoskeletal disorders (WMSDs) have on surgeons. These are also likely to affect some allied healthcare professionals such as interventional radiologists. Problems from WMSDs include pain, diminished technical and cognitive performance, and work absence. These could contribute to burnout, to which surgeons are already vulnerable owing to other working practices such as shift patterns and long hours. WMSDs could negatively affect working performance, and lead to poorer surgical outcomes and patient care. Surgeons are at risk of WMSDs of the neck and back that result from fixed and damaging postures while operating. Some have reduced their operation numbers and working days as result of WMSDs. Theatre ergonomics (e.g. table positioning, operating stools and monitors), intraoperative breaks and stretching may improve WMSDs for some. Strength/resistance training (RT) may be used to prevent or mitigate WMSDs. RT can also enhance general health and concentration, and combat intraoperative fatigue. Low engagement times of moderate-intensity RT of 20 minutes, twice a week, improve neck and back pain from WMSDs. Moreover, RT has been shown to reduce all-cause mortality by up to 15%, increase bone density, improve proprioception and reduce the fear of movement due to pain. Alongside ergonomic improvement and stretching, we recommend RT as an activity to improve general health and WMSDs.

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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
316
期刊介绍: The Annals of The Royal College of Surgeons of England is the official scholarly research journal of the Royal College of Surgeons and is published eight times a year in January, February, March, April, May, July, September and November. The main aim of the journal is to publish high-quality, peer-reviewed papers that relate to all branches of surgery. The Annals also includes letters and comments, a regular technical section, controversial topics, CORESS feedback and book reviews. The editorial board is composed of experts from all the surgical specialties.
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