Work-associated impairments of the cervical spine and upper extremities

Prikazan je povijesni pregled praćenja oštećenja kralješnice i gornjih ekstremiteta vezanih uz rad. Ispitujući faktore rizika u nastanku cerviko-brahijalnog sindroma (CBS) u uzorku od 120 invalida rada zapaženo je da prisilan, prignut položaj tijela pri radu, osobito u žena značajno pridonosi većoj učestalosti bolesti (70,0% prema 38% u žena poredbene skupine bez cervikobrahijalnog sindroma; P < 0,01 ). Dizanje tereta također je češće uočeno u Žena s CBS-om (12% prema 6% u poredbenoj skupini; P<0,05). Ponavljanje istih pokreta pri radu navodilo je 52,9% muškaraca i 80% žena s CBS-om a samo 41,4% muškaraca i 50% žena bez CBS-a (P<0,01). Težina najtežih tereta koje su ispitanici dizali tijekom rada bila je značajno veća od opterećenja teretom ispitanika poredbene skupine. U žena smatra se da čak postoji kauzalna povezanost između prekomjernih opterećenja i nastanka CBS-a. Pri ranom otkrivanju bolesnika s CBS-om ističe se važnost registriranja umora, a osobito boli u vratnoj kralješnici te smanjenja snage stiska šake kao i izdržljivosti manualnog rada. Ranim prepoznavanjem bolesti, poboljšanjem uvjeta rada ali i rekreativnim aktivnostima mogu se prevenirati bolesti koje su sve češće u modernim tehnologijama i/ili usporiti njihovo pogoršanje.A chronological review of damage to the spine and upper extremities associated with work was carried out in a sample of 120 retired disabled workers. Examination of risk factors for cervicobrachial syndrome (CBS) showed that the forced, bent position of the body at work contributed significantly to the frequency of the disease, particularly in women (70.0% against 38 % in controls P < 0.01 ). The lifting of heavy loads was also frequently observed in women with CBS (12% compared to 6% in the control group (P<0.05). Repeated movements during work were claimed by 52.9% of the males and 80% of the females with CBS and by only 41.4% of the males and 50% of the females without it (P < 0.01). The heaviest load lifted by subjects with CBS at work exceeded significantly that of control subjects. It is considered that there is a causal link between excessive burden and the occurrence of CBS in women. For early diagnosis of CBS, tiredness, pain in the cervical spine, reduced strength in the hands and poor ability to endure manual work are signs to be looked for. Early recognition of disease, improved working conditions and recreation can help prevent the disease or slow down its progress