本研究的目的在於利用品質機能展開法(Quality Function Deployment)，發展一個簡易的量表，名為SFS-30肩頸疼痛量表 (The Shoulder Fatigue Scale - 30 items)，可以解決量表在加權上的問題，評估受測者在肩頸疼痛方面的程度。QFD方法為赤尾洋二 (Yoji Akao) 和水野滋 (Shigeru Mizuno) 教授所提出，原用於品質工程領域之中。
研究結果顯示，肩頸疼痛問題經質性分析結果，可歸類為職業、累積、心理、飲食、疾病認知、睡眠等六大因素。以QFD所發展的SFS-30量表，可以正確分析出受測者在六大危險因素中的分佈比例，計算出肩頸疼痛的危險曲線及危險指數。
在一份有101位受測者的問卷中顯示，受測者曾經有肩頸問題而就醫者，經使用SFS-30量表測試後，78.57% 分佈於危險區線之上，顯示運用QFD方法，能快速的發展出簡易有效的量表，可以用來檢測肩頸疼痛嚴重程度。QFD方法可以提高評估結果的準確性與可靠性，這主要是因為QFD方法中有效的優先順序分析和權重分配。這個研究成功地開發出可靠的肩頸疼痛風險評估量表。
另外，本研究使用SFS-30量表，開發一個遠距醫療初步診斷的資訊服務系統，提供肩頸痠痛慢性病病患進行肩頸痠痛自我診斷與檢測使用。在檢測後由電腦自動產生圖表並列印結果，形成一份檢測報告，針對引起不適的因素提出建議的相關圖片與文字，達到診斷、自我健康管理及提醒就診等功能。

The purpose of this study was to develop a diagnostic outcome instrument that has high reliability and low cost. The scale, called the Shoulder Fatigue Scale-30 Items (SFS-30) risk assessment, was used to determine the severity of patient neck and shoulder discomfort. The quality function deployment (QFD) technique was used in designing and developing a simple medical diagnostic scale with high degree of accuracy. QFD technique was originally founded by Yoji Akao and Shigeru Mizuno, formerly used in Quality Control field.
Research data can be used to divide the common causes of neck and shoulder discomfort into 6 core categories: occupation, cumulative, psychological, diseases, diet, and sleep quality. The SFS-30 was validated by using a group of individuals who had been previously diagnosed with different levels of neck and shoulder symptoms. The SFS-30 assessment determined that 78.57% of the 101 participants experienced a neck and shoulder discomfort level above the SFS-30 risk curve and required immediate medical attention.
The QFD technique can improve the accuracy and reliability of an assessment outcome instrument. This is mainly because the QFD technique is effective in prioritizing and assigning weight to the items in the scale. This research successfully developed a reliable risk assessment scale to diagnose neck and shoulder.
In addition, this study used the SFS-30 scale to develop an information service system for preliminary diagnosis in remote health care. Specifically, this system enables patients with chronic neck and shoulder soreness to conduct self-diagnosis and self-examine. Following self-examination, the computer automatically generates diagrams and prints out a report containing the examination results as well as recommended images and text related to causes of the discomfort. Thus, the system possesses functions such as diagnosis, self-management, and treatment reminders.

Akao, Y. Quality function deployment: integrating customer requirements into product design. OR: Productivity Press, Portland, 1990.

Bahill, A. T., and Chapman, W. L. “A tutorial on quality function deployment.” Engineering Management Journal, Vol.5, Issue 3, pp.24-35, 1993.

Bert, H. J., Hugh, A. G., Brad, M. H. and Thomas, S. A., “Effectiveness of a selected bedding system on quality of sleep, low back pain, shoulder pain, and spine stiffness.” Journal of Manipulative and Physiological Therapeutics. Vol.25, Issue 2, pp.88-92, 2002.

Carayon, P., Smith, M. J. & Haims, M. C., “Work organization, job stress, and work-related musculoskeletal disorders.” Hum Factors, Vol.41, Issue 4, pp.644-663, 1999.

Chang, G. X., The working pressure and neck and shoulder problems in Taiwan microelectronics industry. National Chung Kung University press, 2011. (In Chinese, semantic translation)

Cohen, L. Quality Function Deployment: How to Make QFD Work for You. Addison-Wesley, Reading, MA, 1995.

Day, R.G. Quality Function Deployment: Linking a Company with Its Customers. ASQC Quality Press, Milwaukee, WI, 1993.

Dickinson, C.E., Campion K., Foster A.F., Newman S.J., O'Rourke A.M.T. and Thomas P.G., “Questionnaire development: an examination of the Nordic Musculoskeletal questionnaire.” Applied Ergonomics. Vol.23, Issue 3, pp.197-201, 1992.

Gerr, F., Letz, R. and Landrigan, P. J., “Upper-extremity musculoskeletal disorders of occupation origin.” Annual Review of Public Health. Vol.12, pp.543-566, 1991.

Glaser, R. Psychology and Instructional Technology. In R. Glaser (ed.), Training Research and Edmcation. Pittsbrugh: University of Pittsburgh Press. 1962.

Gu, G. M., Muscle pain of dentists. Kaohsiung Medical University press, 2003. (In Chinese, semantic translation)
Gutenbrunner, C., Gundermann, G., Hager, G., Hager, V., and Gehrke, A., “Prospective study of the long-term effectiveness of inpatient rehabilitation of patients with chronic cervicobrachial syndromes and the effect of prescribing special functional pillows.” Rehabilitation. Vol.38, pp.170-176, 1999.

Hashemi, L., Webster, B. S., Clancy, E. A., and Courtney, T. K., “Length of disability and cost of work-related musculoskeletal disorders of the upper extremity.” Journal of Occupational and Environmental Medicine, Vol.40, pp.261-269, 1998.

Haufler, A. J., Feuerstein, M. and Huang, G. D., “Job stress, upper extremity pain and functional limitations in symptomatic computer users.” American Journal of Industrial Medicine, Vol.38, Issue 5, pp.507-515, 2000.

Hauser, J. R., and Clausing, D. P., “The House of Quality. Harvard Business Review (May-June).” Vol.66, Issue 3 pp.63-73, 1988.

Hebert, L. A., “Ergonomics: Alternative considerations.” SSA Journal, pp.32-35, 1992.

Holland, J. L. Making Vocational Choices: A Theory of Careers. Englewood Cliffs. NJ: Prentice-Hall, 1973.

Jenkinson, C., Coulter, A., and Wright, L., “Short Form 36 (SF36) Health Survey Questionnaire: Normative Data for adults of working age.” British Medical Journal. Vol.306, pp.1437-1440, 1993.

Jens, L. B., “Shoulder pain.” Best Practice & Research: Clinical Rheumatology. Vol.17, pp.33-56, 2003.

Jensen, H. I., Ammentorp, J., and Kofoed, P. E., “User satisfaction is influenced by the interval between a health care service and the assessment of the service.” Social Science & Medicine, Vol.70, Issue 12, pp.1882-1887, 2010.

Kilbom, S., Armstrong, T., Buckle, P., Fine, L., Hagberg, M., and Haring-Sweeney, M., “Musculoskeletal disorders: work-related risk factors and prevention.” International Journal of Occupational and Environmental Health, Vol.2, Issue 3 pp.239-246, 1996.

Lavin, R. A., Pappagallo, M., & Kuhlemeier, K. V., “Cervical pain: a comparison of three pillows.” Archives of Physical Medicine and Rehabilitation, Vol.78, pp.193-198, 1997.

Lin, Y. H., and Ye, W. U., “The assessment of labor musculoskeletal injury scales in semiconductor industry”. Industrial Safety and Health Association Quarterly, Vol.29, pp.9-21, 1999. (In Chinese, semantic translation)

Liu, S. F., Lee, Y. L., and Huang, Y. T., “A Brief Fatigue Inventory of Shoulder Health Developed by Quality Function Deployment Technique.” Journal of Shoulder and Elbow Surgery, Vol.18 pp.418-423, 2009.

Mcmaster, W. C., Roberts, A., and Stoddard, T., “A correlation between shoulder laxity and interfering pain in competitive swimmers.” The American Journal of Sports Medicine, Vol.26, pp.83-86, 1998.

Naomi, S., Yair, L., and Patrice, L. W., “The effect of typing frequency and speed on the incidence of upper extremity cumulative trauma disorder.” Work, Vol.6, pp.87-95, 1996.

Revelle, J. B., Moran, J. W., and Cox, C.A. The QFD Handbook. Wiley, New York, 1998.

Robinson, J. P., Shaver, P. R., Wrightsman, L. S., and Andrews, F. M. Measures of personality and social psychological attitudes. San Diego: Academic, 1991.

Spencer, L. M. and Spencer, S. M. Competency at Work. New York: John Wiely & Sons, 1993.

Straker, L., Jones, K. J., and Miller, J., “A comparison of the postures assumed when using laptop computers and desktop computers.” Applied Ergonomics, Vol.28, pp.263-268, 1997.

Sullivan, L. P. Quality Function Deployment. Quality Progress, 1986.

U. S. Department of Labor. Occupational injuries and illnesses in the United States by Industry. Bureau of Labor Statistics, Bulletin 2399. Washington DC: U.S. Department of Labor, 1990.

Wang, J. M. and Chang, C. M., “Questionnaires and analysis”. Physical Test and Evaluation, pp.139-158, National society of physical education of the Republic of China, 1999. (In Chinese, semantic translation)

Yao, K. G., “Critiques on six generic health-related quality of life scales and suggestions on the further studies.” Journal of Psychology Test, Vol.47, pp.111-138, 2000.

Zuberbuhler, B., Galloway, P., Reddy, A., Saldana, M., and Gale, R., “A web-based information system for management and analysis of patient data after refractive eye surgery.” Computer Methods and Programs in Biomedicine, Vol.88, Issue 3, pp.210-216, 2007.