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    Please use this identifier to cite or link to this item: http://ir.cnu.edu.tw/handle/310902800/31030

    標題: Physiotherapists working in clinics have increased risk for new-onset spine disorders a 12-year population-based study
    作者: Liao, Jen-Chieh
    Ho, Chung-Han
    Chiu, Haw-Yen
    Wang, Yu-Lin
    Kuo, Li-Chieh
    Liu, Cheng
    Wang, Jhi-Joung
    Lim, Sher-Wei
    Kuo, Jinn-Rung
    貢獻者: Chi Mei Med Ctr, Dept Neurosurg
    Chi Mei Med Ctr, Dept Med Res
    Chia Nan Univ Pharm & Sci, Dept Hosp & Hlth Care Adm
    Chia Nan Univ Pharm & Sci, Dept Pharm
    Chi Mei Med Ctr, Dept Plast Surg
    Chi Mei Med Ctr, Dept Rehabil
    Natl Cheng Kung Univ, Dept Occupat Therapy
    Chi Mei Hosp, Dept Neurosurg
    Min Hwei Coll Hlth Care Management, Dept Nursing
    Natl Sun Yat Sen Univ, Inst Biomed Sci
    Southern Taiwan Univ Sci & Technol, Dept Biotechnol
    關鍵字: occupational therapists
    spine disorder
    working place
    日期: 2016-08
    上傳時間: 2018-01-18 11:40:11 (UTC+8)
    出版者: Lippincott Williams & Wilkins
    摘要: Health care professionals are known to have a high risk for work-related musculoskeletal disorders. However, the information on the risk of new-onset spine-related musculoskeletal disorders (SRMDs) in health care professionals is insufficient. This study aimed to investigate new-onset spine disorder associations among physical, occupational, and pharmacy health care professionals working in different workplaces. Taiwan's National Health Insurance Research Database for registered medical personnel claims from 2000 to 2011 was analyzed. An age-and sex-matched longitudinal cohort study of 7448 subjects (1682 physiotherapists, 1682 occupational therapists [OTs], and 3724 pharmacists) with or without new-onset spine disorders was conducted. The hazard ratios for the development of new-onset spine disorders were estimated among these 3 groups. The overall percentage of new-onset SRMD for physiotherapists is 32.12. The median time from obtaining a registered license to developing SRMD is 1.94 years. The log-rank test showed that physiotherapists have the least possibility of having a SRMD-free rate (P < 0.0001). The Cox model showed that physiotherapists have a higher risk of new-onset SRMD (hazard ratio: 1.65, 95% confidence interval: 1.48-1.84, P < 0.0001) compared with OTs and pharmacists. Physiotherapists working in clinics have a 2.40-fold increased risk of developing SRMD (95% confidence interval: 1.97-2.92, P < 0.0001) relative to OTs and pharmacists. This may be the first study regarding new-onset SRMD in physiotherapists based on a powerful nationwide population-based database. We conclude that working in clinics is a potential risk for new-onset SRMD in physiotherapists. Therefore, we suggest that physiotherapists should pay more attention to this issue to prevent the development of spine disorders.
    關聯: Medicine, v.95 n.32, e4405
    Appears in Collections:[藥學系(所)] 期刊論文

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