Objective

This review evaluates the evidence on the strength of causal relationship between categories of risk factors (RFs) and work-related musculoskeletal disorders (WRMSDs) among professional drivers.

Background

A compilation of evidence on the causal relationship between RFs and WRMSDs among professional drivers is lacking.

Methods

A systematic search of the literature was conducted in major electronic data bases that include Medline (1946 + via OvidSP), Embase (1974 + OvidSP), CINAHL (1982+), AMED, and Web of Science. The methodological quality of the studies was assessed and scored. A descriptive analysis on the categories of RFs associated with WRMSDs was conducted. The Bradford–Hill causation criteria and evidence interpretation tool were used to evaluate the causal relationship between RFs and WRMSDs in professional drivers.

Results

Among the 54 studies reviewed, a strong evidence suggests a causal relationship between RFs such as whole-body vibration, awkward postures, lifting tasks, manual material handling, job stress, job demand, and previous pain episodes with WRMSDs. Moderate evidence was observed on RFs such as uncomfortable seat and low job satisfaction. The evidence on causal relationship between RFs such as years of professional driving, driving duration, and individual characteristics such as age and body mass index was inconclusive.

Conclusion

There is strong to moderate evidence on the causal relationship between the physical and psychosocial RFs and WRMSDs among professional drivers.

Application

Potential application of this review highlights evidence to occupational health practitioners, policy makers, and stakeholders on the strength of causal relationship between RFs and WRMSDs among professional drivers.

中文翻译：

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职业司机的风险因素与工作相关的肌肉骨骼疾病之间的因果关系：系统评价

客观的

本综述评估了职业司机中危险因素类别 (RF) 与工作相关的肌肉骨骼疾病 (WRMSD) 之间因果关系强度的证据。

背景

缺乏关于职业司机 RFs 和 WRMSDs 之间因果关系的证据汇编。

方法

在包括 Medline (1946 + 通过 OvidSP)、Embase (1974 + OvidSP)、CINAHL (1982+)、AMED 和 Web of Science 在内的主要电子数据库中对文献进行了系统搜索。对研究的方法学质量进行了评估和评分。对与 WRMSD 相关的 RF 类别进行了描述性分析。Bradford-Hill 因果关系标准和证据解释工具用于评估职业司机的 RFs 和 WRMSDs 之间的因果关系。

结果

在所审查的 54 项研究中，强有力的证据表明 RF 之间存在因果关系，例如全身振动、尴尬的姿势、举重任务、手动材料处理、工作压力、工作需求和以前的 WRMSD 疼痛发作。在 RF 上观察到适度的证据，例如不舒服的座椅和低工作满意度。关于 RF 之间因果关系的证据，如专业驾驶年限、驾驶持续时间以及年龄和体重指数等个人特征，尚无定论。

结论

有强烈到适度的证据表明职业司机的身体和社会心理 RF 与 WRMSD 之间存在因果关系。

应用

这篇综述的潜在应用向职业健康从业者、政策制定者和利益相关者强调了职业司机中 RFs 和 WRMSDs 之间因果关系强度的证据。