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首页> 外文期刊>Journal of Sound and Vibration >Back disorder intervention strategies for mass transit operators exposed to whole-body vibration - Comparison of two transit system approaches and practices
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Back disorder intervention strategies for mass transit operators exposed to whole-body vibration - Comparison of two transit system approaches and practices

机译：暴露于全身振动的公交运营商的背部不适干预策略-两种公交系统方法和实践的比较

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Occupational long-term whole-body vibration (WBV) has been recognized as a major risk factor for low back disorders, one of the most important reasons for medical impairment and early permanent disability among mass transit operators. Although no firm health and safety vibration exposure threshold limits have been established, the available data suggests that rail vehicle operators would probably fall under the proposed WBV "action levels" of the EU directive provisions for protection from physical hazards. This provision calls for technical, administrative and medical controls. This paper examines and compares the current conditions, provisions and plans of two major mass transit systems, the New Yorker MTA and the Munich MVV. The available data, information and publications (English/German) on working conditions, vibration exposure, epidemiology and intervention strategies (primary and secondary prevention) for rail bound mass transit workers were reviewed. Results strongly suggest that the MTA transit system has currently and in the near future no effective and meaningful controls in place to significantly reduce the WBV exposure of subway operators. It appears that the MW system has more and better control measures in place to reduce harmful effects of WBV. Results of a scientific evaluation of a participatory, collaborative project in the MW system suggest that the MW may have developed a successful method of a "condition prevention" (Verhaltnispravention)-and "behavioral prevention" (Verhaltenspravention) intervention strategy, which appears beneficial for WBV exposed workers with existing low back pain. Long-term outcomes and benefits need to be assessed further. (C) 1998 Academic Press. [References: 14]
机译：长期职业性全身振动（WBV）被认为是腰背疾患的主要危险因素，这是大规模运输运营商医疗受损和早期永久性残疾的最重要原因之一。尽管尚未建立牢固的健康和安全振动暴露阈值限制，但现有数据表明，轨道车辆运营人可能会落入欧盟指令规定中针对身体伤害的拟议WBV“行动水平”。该规定要求进行技术，行政和医疗控制。本文研究并比较了两种主要的大众运输系统（纽约客MTA和慕尼黑MVV）的现状，规定和计划。审查了有关铁路运输工人的工作条件，振动暴露，流行病学和干预策略（一级和二级预防）的可用数据，信息和出版物（英语/德语）。结果强烈表明，MTA运输系统目前和不久的将来都没有有效且有意义的控制措施来显着减少地铁运营商的WBV暴露。看来，MW系统具有更多更好的控制措施，以减少WBV的有害影响。对MW系统中参与性合作项目进行科学评估的结果表明，MW可能已经开发出一种成功的“条件预防”（Verhaltnispravention）和“行为预防”（Verhaltenspravention）干预策略的方法，这似乎有益于WBV暴露的工人患有腰痛。长期结果和利益需要进一步评估。 （C）1998年学术出版社。 [参考：14]

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