勞工因工作所引起的肌肉骨骼傷害(WMSD)是工業化先進國家一個很嚴重的職業安全衛生問題，肌肉骨骼傷害不僅會危害勞工的健康造成損傷及失能，亦會導致企業的工時損失、醫療賠償及生產力下降，增加社會成本。為了要消除或降低肌肉骨骼傷害，先進工業國家都成立肌肉骨骼傷害的防制體系，推動各式各樣防制工作。
本研究目的在於探討先進國家，如美國、加拿大、芬蘭、德國肌肉骨骼傷害防制體系與推動工作，並提供我國的防制體系與推動工作之借鏡。大體上，各國的防制體系由三個主要機構構成：執法機構制定法令及強制執行；研究機構提供防制方針與技術支援；推動機構由民間社團、協會、保險公司以及醫院、診所負責推廣與輔導。推動工作包含：實施勞動檢查強制執行法令、建立標準與頒布指引、開立課程教育宣導人因工程改善方法、提供諮詢輔導企業執行。
結論，參照各先進國家肌肉骨骼傷害防制體系與實際作法，我國事實上也具有政府執法機構、研究組織、與民間協會、醫療體系的影子，並有類似的諮詢機構，只是未趨完備。

Work-related musculoskeletal disorder (WMSD) is a very serious occupational safety and health problem in industrialized countries, it affects not only the health of workers resulting in injury and disability, but also causes the cost in work absenteeism, medical expense, productivity loss to industry, and increases social cost. In order to prevent WMSD, scholars generally agreed that the five risk factors of WMSD –awkward posture, over-exertion, high repetition, vibration, and oppression of organization should be eliminated or reduced with ergonomics method, and through promotion of the organizations to implement in corporation and workplace.
This thesis introduced the MSDS prevention systems of the U.S., Canada, Finland, Germany and Taiwan, and provided information to help strengthening the prevention system of Taiwan. In terms of strategy, all the prevention systems of these countries are basically formed by three organizations, such as government for law making and enforcement, research institutions provide prevention directives and technical support, and promotion organization for promotion and assistance by the civil society, institutions, insurance companies, hospitals, and clinics. The specific practices include: implementation of the labor inspectorate to enforce decrees, establishing standards and promulgating guidelines, creating training courses to promotion ergonomic improvements, providing counseling to help business execution.
The result suggests Taiwan that the primary should set up Advisory Committee, and make MSDS Prevention Act, and strengthen cooperation with national insurance agencies, civil associations, groups to implement in the enterprises and workplaces.

參考文獻
1.Bureau of Labor Statistics, U.S. Department of Labor, November 12, 2009
2.Ministry of Labour : Prevent Workplace Pains & Strains! It's time to take action!
3.Managing musculoskeletal disorders – Finland 2004, European Working Conditions Observatory
4.HSE Health & Safety Statistics 2008--09 P.7
5.Ergonomics and Sonographer Well-being in Practice
6.DGUV德國職災保險聯合會2011保險統計資料
7.潘儀聰、杜信宏, 職場肌肉骨骼傷害防制技術教材發展應用研究, 2012, 勞工安全衛生研究所IOSH100-H321
8.游志雲,工作肌肉骨骼傷害的機轉與危害因子,2011,工業安全衛生No.266
9.陳秋蓉、張振平、許繼峰,各國職業安全衛生政策及研究趨勢探討,2009,勞工安全研究報告IOSH98-H301
10.陳協慶、陳志勇、劉永平、李正隆,我國高上肢肌肉骨骼危害行業調查,2002,勞工安全衛生研究所IOSH93-H103
11.林彥輝,半導體肌肉骨骼傷害探討,1997,勞工安全衛生研究所
12.葉文裕、游志雲,勞動環境人因工程提升計畫,2011,勞工安全衛生研究所
13.陳慧娟,工業化國家肌肉骨骼傷害防制策略分析,2011
14.陳秋蓉、許繼峰、陳旺儀、何雨芳,德、英、美、日、韓勞動政策研究趨勢探討,2011,勞工安全衛生研究報告IOSH100-H301
15.OSHA, Occupational Safety and Health Administration ,Retrieved from http://www.osha.gov/
16.華盛頓州計劃,Retrieved from http://www.osha.gov/dcsp/osp/stateprogs/washington.html
17.林家德,應用人因工程技術於工作場所改善,2009
18.蔡朋枝,我國中長程職業安全衛生研究策略規劃,2011,勞工安全衛生研究所IOSH100-E101
19.蔡維誼,美國職業衛生管理制度研究,2001,行政院勞工委員會
20.AIHA,American Industrial Hygiene Association, Retrieved from http://www.aiha.org/Pages/default.aspx
21.Humanics Ergonomics, Retrieved from http://www.humanics-es.com/
22.Preventing Musculoskeletal Injury E-tool, Retrieved from http://www21.rhdcc.gc.ca/w.2lc.4m.2@-eng.jsp
23.CCOHS, Canadian Centre for Occupational Health and Safety, Retrieved from http://www.ccohs.ca/
24.Ontario Ministry Of Labour, Retrieved from http://www.labour.gov.on.ca/english/
25.WSIB, Workplace Safety and Insurance Board, Retrieved from http://www.wsib.on.ca/en/community/WSIB
26.HSO, About Health and Safety Ontario, Retrieved from http://www.healthandsafetyontario.ca/HSO/About.aspx
27.CRE-MSD, Centre of Research Expertise for the Prevention of Musculoskeletal Disorders, Retrieved from http://cre-msd.uwaterloo.ca/
28.Occupational Health and Safety Council of Ontario (2007), MSD Prevention Guideline for Ontario, Retrieved from http://www.wsib.on.ca/en/community/WSIB/230/ArticleDetail/24338?vgnextoid=8964e35c819d7210VgnVCM100000449c710aRCRD
29.Occupational Health and Safety Council of Ontario (2007), Resource Manual for the MSD Prevention Guideline for Ontario, Retrieved from http://www.wsib.on.ca/en/community/WSIB/230/ArticleDetail/24338?vgnextoid=8964e35c819d7210VgnVCM100000449c710aRCRD
30.Occupational Health and Safety Council of Ontario (2007), MSD Prevention Toolbox Getting Started, Retrieved from http://www.wsib.on.ca/en/community/WSIB/230/ArticleDetail/24338?vgnextoid=8964e35c819d7210VgnVCM100000449c710aRCRD
31.National Occupational Safety and Health Profile of Finland, 2006, Ministry of Social Affairs and Health
32.National Profile of Occupational Health System in Finland, 2012, WHO
33.FIOH, Finnish Institute of Occupational Health, Retrieved from http://www.ttl.fi/en/Pages/default.aspx
34.BMAS, Federal Ministry of Labor and Social Affairs http://www.bmas.de/EN/Home/home.html
35.ACGIH, American Conference of Governmental Industrial Hygienists, Retrieved from http://www.acgih.org/About/
36.ANSI, American National Standard Institute, Retrieved from http://www.ansi.org/
37.NIOSH, The National Institute for Occupational Safety and Health, Retrieved from http://www.cdc.gov/niosh/about.html
38.NSC, National Safety Council, Retrieved from http://www.nsc.org/Pages/Home.aspx
39.OSHA E-tools, Retrieved from http://www.osha.gov/dts/osta/oshasoft/index.html
40.SHARP, Safety and Health Achievement Recognition Program, Retrieved from http://www.osha.gov/dcsp/smallbusiness/sharp.html
41.United States Department of Labor Occupational Safety and Health Administration, Safety and Health Topics, Retrieved from http://www.osha.gov/SLTC/ergonomics/enforcement.html
42.DGUV, German Social Accident Insurance, Retrieved from http://publikationen.dguv.de/dguv/udt_dguv_main.aspx?ID=0
43.BAuA, German Federal Institute for Occupational Safety and Health, Retrieved from http://www.baua.de/en/Homepage.html
44.GDA, Joint German Occupational Safety and Health Strategy, Retrieved from http://www.baua.de/en/Topics-from-A-to-Z/GDA/GDA.html
45.中華民國工業安全衛生協會(ISHA) http://www.isha.org.tw/
46.Dr.Walter Eichendorf,Identification of Priorities for a Prevention Campaign ,2009 Introduction to DGUV Conference on MSD