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題名 | Cumulative Trauma Disorders in Betel Pepper Leaf-Cullers Visiting a Rehabilitation Clinic: Experiecne in Taitung=復健門診之荖葉採摘者的重複傷害疾患:臺東經驗 |
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作者 | 王琳毅; 彭亞蘋; 王和誠; 蘇聖翔; 蔡昌學; 梁秋萍; | 書刊名 | 長庚醫學 |
卷期 | 28:4 2005.04[民94.04] |
頁次 | 頁237-246 |
分類號 | 412.531 |
關鍵詞 | 重複傷害疾患; 職業傷害; 超音波; 肩夾擠症候群; 腕隊道症候群; Cumulative trauma disorder; Occupational injury; Ultrasonography; Shoulder impingement; Carpal tunnel syndrome; |
語文 | 英文(English) |
中文摘要 | 背景:荖葉栽培是臺東重要的農業,採摘荖葉需要許多人力,此病例研究在比較荖葉採摘者與非採摘者的重複傷害疾患之比率。 方法:收集臺東某地區醫院復健科門診中有肌肉骨骼疾患的病人。女病人分為採摘者組(荖葉採摘者20人)與非採摘者組(其他職業47人)。三位採摘者受訪問且攝影工作實景,病人經檢查並以X光素片與超音波診斷。 結果:採摘時站立雙肩屈曲過頭且內旋,手叉伸展旋前,手腕與手指屈曲,並在拇指上套用工具(鐵指甲)。採摘者的肩夾擠症候群和腕隧道症候群此率明顯高於非採摘者(分別為0.45 vs 0.15,=0.011; 0.40 vs 0.06,p=0.002)。此外,重複傷害疾患的總和也與工作時間呈線性相關。 結論:荖葉採摘者的肩夾擠症候群和腕隧道症候群之比率高於其他職業。謙些重複傷害疾患可能導因於採摘時長時間固定姿勢與重複動作。 |
英文摘要 | Background: Betel pepper (Piper betle L.) cultivation is an important agricultural industry in Taitung, Taiwan, and culling leaves is very labor-intensive. This case study compares the proportion of cumulative trauma disorders (CTDs) between cullers and those with other occupations. Methods: Patients with musculoskeletal disorders in the rehabilitation clinic of a local hospital in Taitung were enrolled. This all female cohort was divided into a culler group (betel pepper cullers, n=20), and a non-culler group (other occupations, n=47). Three cullers were interviewed, and were also recorded to elucidate the related ergonomics. Patients were diagnosed using plain radiography and ultrasonography. Results: The act of culling involves an overhead internal rotation of both shoulders with extended elbows while standing, followed by the tools, ‘iron nails’ fitted onto both thumbs. The proportions of patients with shoulder impingements syndrome (SIS) and carpal tunnel syndrome (CTS) were significantly higher among cullers than non-cullers (0.45 vs. 0.15, p=0.011 and 0.40 vs. 0.06, p=0.002, respectively). Furthermore, the total frequency of CTDs displayed a positive linear correlation with employment duration (r=0.618, p=0.004). Conclusions: Proportions of occupational SIS and CTS were higher among betel pepper cullers than those with other occupations. These CTDS may have resulted from a prolonged static posture and repetitive motions during culling. |
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