文章摘要
韩亚兵,王焕慧,李新通,张璇,陈雅凡,张龙国,于洋.物理治疗师工作相关肌肉骨骼疾患现状及防治策略研究进展[J].中国康复,2026,41(6):370-374
物理治疗师工作相关肌肉骨骼疾患现状及防治策略研究进展
Research progress on the current status and prevention strategies of work-related musculoskeletal disorders in physical therapists
  
DOI:10.3870/zgkf.2026.06.009
中文关键词: 物理治疗师  工作相关肌肉骨骼疾患  患病率  危险因素  防治策略
英文关键词: physical therapists  work-related musculoskeletal disorders  prevalence  risk factors  prevention and intervention strategies
基金项目:陕西省教育厅一般专项科学研究计划项目(24JK0287);青岛市医疗卫生科研项目(2024-WJKY018)
作者单位
韩亚兵 安康学院医学院,陕西安康725000 
王焕慧 滨州医学院 
李新通 青岛市市立医院康复医学科西安交通大学生命科学与技术学院 
张璇 滨州医学院 
陈雅凡 湖北省中医院康复医学中心/推拿科 
张龙国 西安体育学院 
于洋 青岛市市立医院康复医学科 
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中文摘要:
  工作相关肌肉骨骼疾患(WMSDs)是物理治疗师(PTs)群体中高发的职业健康问题,严重影响其工作效率与生活质量。本文系统综述了国内外PTs中WMSDs的流行病学特征(全球年患病率32%~96%,我国研究显示高达85.1%~92.7%;腰背、颈肩及上肢为主要累及部位)和多维度危险因素(生物力学负荷、工作组织管理、社会心理因素和个体因素)。基于此,本文重点探讨以源头控制为核心的一级预防和以早期健康管理为核心的二级预防,旨在为提升我国PTs职业健康防护水平,制定针对性、分级化的预防措施提供循证依据。
英文摘要:
  Work-related musculoskeletal disorders (WMSDs) represent a highly prevalent occupational health issue among physical therapists (PTs), significantly impairing their work efficiency and quality of life. This article systematically reviews the epidemiological characteristics of WMSDs in PTs globally and within China. Key findings include an annual global prevalence ranging from 32% to 96%, with studies in China reporting even higher rates of 85.1% to 92.7%. The lumbosacral region, neck/shoulders, and upper limbs are identified as the primary sites affected. The review further analyzes the multifactorial interplay of risk factors contributing to WMSDs, encompassing biomechanical loads, organizational and work-related factors, psychosocial stressors, and individual predispositions. Based on this, this paper focuses on the primary prevention with source control as the core and the secondary prevention with early health management as the core, aiming to provide evidence-based basis for improving the occupational health protection level of PTs in China and formulating targeted and graded preventive measures.
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