【論文摘要】The Risk Factors for Rounded Shoulder Posture in Office Workers: A Systematic Review and Meta-Analysis

【論文摘要】上班族圓肩姿勢之危險因子研究：系統性回顧與統合分析

Rijal Rijal ； Andi Masyitha Irwan ； I Putu Gde Surya Adhitya ； 趙祖政(Tsu-Cheng Chao) ； 柴惠敏(Huei-Ming Chai)

《物理治療》 46卷4期 (2021/12) Pp. 294-295

https://doi.org/10.6215/FJPT.202112.O20

摘要

Background and Purpose: Although individual, occupational and psychological factors for the rounded shoulder posture (RSP) have been considered as the common exposures among office workers, it is still debated which is the most exposure in leading the RSP. This study aimed to summarize the previous prospective cohort studies related to the risk factors for RSP and to report the strong correlations of those exposures. Methods: Studies that prospectively collected the risk factors for RSP in office workers with cohort study design and followed-up for a year or more were identified by searching Google Scholar, PubMed, and Scopus. Two reviewers (RR and IP) independently assessed eligibility and extracted data for all included studies and three reviewers (RR, IP and TC) applied the Newcastle-Ottawa Scale to assess the quality of the final articles. The risk ratio (RR) was pooled in a meta-analysis and the heterogeneity was examined by applying a meta regression for all studies. Results: Of 8 included studies, 2 studies were low risk of bias and others were in moderate rank. Four articles reported biological exposures, 3 showed psychological factors, and 5 reported occupational factors. For overall exposures, the highest correlation with the prevalence of RSP was psychological predictors (RR: 1.14; 95% CI: 0.98-1.33), especially for job dissatisfaction (RR: 1.30; 95% CI: 0.96-1.75) and mental health aspects (RR: 1.29; 95% CI: 0.85-1.96). It was followed by occupational factors with RR: 1.13; 95% CI: 1.03-1.25. The duration on using computers or mouse ＞ 4 hours/day was the highest occupational factor (RR: 1.25; 95% CI: 1.08-1.44). Biological exposures also were reported to have a significant correlation with the incidence of RSP (RR: 1.03; 95% CI: 1.01-1.06) and gender was the highest biological predictor. Conclusions: Several significant risk factors for RSP were identifiable among office workers with different RR. Future research needs to focus on whether it is clinically feasible for healthcare professionals to identify office workers at the greatest risk of three different exposures. Clinical Relevance: The present study provides strong evidence for the risk factors for RSP in office workers.