대한물리의학회지 (Journal of the Korean Society of Physical Medicine)

  • 제12권2호
  • /
  • Pages.113-120
  • /
  • 2017
  • /
  • 1975-311X(pISSN)
  • /
  • 2287-7215(eISSN)
대한물리의학회 (The Korean Society of Physical Medicine)
권호 표지
DOI QR코드

DOI QR Code

제조업 근로자의 근골격계 질환 예방을 위한 물리치료 기반 맞춤형 운동프로그램이 통증, 재해율, 및 근로손실에 미치는 영향: 단일사례 연구

Effect of Physical Therapy Based Tailored Exercise Program on Pain, Accident incidence Rates, and Lost Days of Work in Manufacturing Worker: Single Subject Design

  • 이관우 (대구한의대학교 의과학대학 물리치료학과) ;
  • 김원호 (울산과학대학교 물리치료과)
  • Lee, Kwon-Woo (Dept. of Physical Therapy, College of Health and Therapy, Daegu Haany University) ;
  • Kim, Won-Ho (Dept. of Physical Therapy, Ulsan College)
  • 투고 : 2017.04.06
  • 심사 : 2017.04.20
  • 발행 : 2017.05.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

PURPOSE: The purpose of this study was to investigate the effect of a physical therapy-based tailored exercise program on pain, accident incidence rates, the number of work days lost, and economical loss cost for workers in an automobile parts manufacturing company. METHODS: A total of 530 workers with musculoskeletal symptoms were given a physical therapy-based tailored exercise program twice a week, for one hour a day. This exercise program consisted of movement pattern correction, muscle stretching and strengthening, and postural correction exercises, according to principles of movement impairment syndromes and medical training therapy. From 2011 to 2016, the lost days of work, accident incidence rates, and loss cost were examined. The pain measured by VAS (visual analogue scale) and the number of workers participating in the exercise program from 2014 to 2016 were also measured. The single subjects A-B design was applied and analyzed. RESULTS: After applying the exercise program, pain decreased and the number of workers participating in the program increased. Accident incidence rates, number of work days lost, and economical loss cost decreased. There was a significant correlation between the number of workers who received exercise therapy by year and accident incidence rates, lost days of work, and economical loss cost (p<.05). CONCLUSION: It is necessary to expand the physical therapy-based tailored exercise program to prevent musculoskeletal disorders because it has a positive effect on both workers and employers.

키워드

참고문헌

  1. Asada F, Takano K. Physical therapy for musculoskeletal disorders of workers: Role of physical therapists in occupational health. Nihon Eiseigaku Zasshi. 2016;71(2):111-8 https://doi.org/10.1265/jjh.71.111
  2. Byiers BJ, Reichle J, Symonsa FJ. Single-subject experimental design for evidence-based practice. Am J Speech Lang Pathol. 2012;21(4):397-414. https://doi.org/10.1044/1058-0360(2012/11-0036)
  3. Cassou B, Derriennic F, Monfort C, et al. Chronic neck, shoulder pain and working conditions: Longitudinal results from a large random sample in france. Occup Environ Med. 2002;59(8):537-44. https://doi.org/10.1136/oem.59.8.537
  4. Gram B, Holtermann A, Bultmann U, et al. Does an exercise intervention improving aerobic capacity among construction workers also improve musculoskeletal pain, work ability, productivity, perceived physical exertion, and sick leave?: a randomized controlled trial. J Occup Environ Med. 2012;54(12):1520-6. https://doi.org/10.1097/JOM.0b013e318266484a
  5. Jeong BY. Ergonomics' role for preventing musculoskeletal disorders. J Ergon Soc Kor. 2010;29(4):393-404. https://doi.org/10.5143/JESK.2010.29.4.393
  6. Joos E, Peretz A, Beguin S, et al. Reliability and reproducibility of visual analogue scale and numeric rating scale for therapeutic evaluation of pain in rheumatic patients. J Rheumatol 1991;18:1269-70.
  7. Jung DY, Koh EY, Jang JH. The correlation between musculoskeletal pain and level of work stress of prosthetists and orthotists. J Korean Soc Phys Med. 2012;7(4):515-24. https://doi.org/10.13066/kspm.2012.7.4.515
  8. Kim HJ, Jeong WC. Symptom prevalence and primary intervention of work-related musculoskeletal disorders and their related factors among manufacturing workers. Korean J Occup Environ Med. 2005;17(2):116-28.
  9. Kim JE, Kim YK, Kang DM. Medical managements of musculoskeletal diseases in shipbuilding industry. J Ergon Soc Kor. 2012;31(1):157-63. https://doi.org/10.5143/JESK.2012.31.1.157
  10. Kim SH. An Ergonomic intervention of papermaking process for preventing musculoskeletal disorders. J Ergon Soc Kor. 2008;27(1):9-19. https://doi.org/10.5143/JESK.2008.27.1.009
  11. Kruger K, Petermann C, Pilat C, et al. Preventive strength training improves working ergonomics during welding. Int J Occup Saf Ergon. 2015;21(2):150-7. https://doi.org/10.1080/10803548.2015.1029290
  12. Lee DH, Kang B, Choi S, et al. Change in musculoskeletal pain in patients with work-related musculoskeletal disorder after tailored rehabilitation education: A one-year follow-up survey. Ann Rehabil Med. 2015; 39(5):726-34. https://doi.org/10.5535/arm.2015.39.5.726
  13. Lee SG, Kim JE, Kim YK, et al. Risk factors for absenteeism due to work related musculo-skeletal disorders among korean employees. Korean J Occup Environ Med. 2012;24(3):239-51.
  14. Lee YM, Phee YG. The effects of occupational stress and musculoskeletal symptoms on health-related quality of life in female labor workers. J Korean Soc Occup Environ Hygie. 2016;26(2):210-8. https://doi.org/10.15269/JKSOEH.2016.26.2.210
  15. Ministry of Employment and Labor. Industrial accidents incidence statistics. Seoul. Ministry of Employment and Labor. 2010:7-14.
  16. Monnier A, Larsson H, Djupsjobacka M, et al. Musculoskeletal pain and limitations in work ability in Swedish marines: a cross-sectional survey of prevalence and associated factors. BMJ. 2015;5(10):e007943.
  17. Punnett L, Wegman DH. Work-related musculoskeletal disorders: the epidemiologic evidence and the debate. J Electromyogr Kinesiol. 2004;14(1):13-23. https://doi.org/10.1016/j.jelekin.2003.09.015
  18. Rasotto C, Bergamin M, Simonetti A, et al. Tailored exercise program reduces symptoms of upper limb workrelated musculoskeletal disorders in a group of metalworkers: A randomized controlled trial. Man Ther. 2015;20(1):56-62. https://doi.org/10.1016/j.math.2014.06.007
  19. Sahrmann S. Diagnosis and Treatment of Movement Impairment Syndromes. St. Louis. Mosby. 2001.
  20. Santos HG, Chiavegato LD, Valentim DP, et al. Resistance training program for fatigue management in the workplace: exercise protocol in a cluster randomized controlled trial. BMC Public Health. 2016;16(1):1218. https://doi.org/10.1186/s12889-016-3872-5
  21. Tawney JW, Gast DL. Single Subject Research in Special Education. London. Merrill Pub Co. 1984.
  22. Thue L, Baeck IH, Lee KW. Medical Training Therapy. Seoul. Pan Mun. 2015.
  23. Van Eerd D, Munhall C, Irvin E, et al. Effectiveness of workplace interventions in the prevention of upper extremity musculoskeletal disorders and symptoms: an update of the evidence. Occup Environ Med. 2016;73(1):62-70. https://doi.org/10.1136/oemed-2015-102992
  24. Verhagen AP, Bierma-Zeinstra SM, Burdorf A, et al. Conservative interventions for treating work-related complaints of the arm, neck or shoulder in adults. Cochrane Database Syst Rev. 2013;(12):CD008742.
  25. Wang JS, Kim NJ, Kim YY, et al. Effect of a self-stretching exercise on musculoskeletal symptom and job stress for care helpers. J Korean Soc Phys Med. 2013;8(2):183-92. https://doi.org/10.13066/kspm.2013.8.2.183
  26. Yoo JH, Ro HL, Lee MY. The musculoskeletal pain and inconvenient feeling during hand instruments with mannequin and intra-oral cavity in dental hygiene students. J Korean Soc Phys Med. 2008;3(4):247-54.

피인용 문헌

  1. 허리부위 근골격계 자각증상이 있는 자동차 제조업 근로자를 위한 맞춤형 능동 위주의 운동프로그램이 통증과 오스웨스트리 장애지수에 미치는 영향 vol.14, pp.3, 2019, https://doi.org/10.13066/kspm.2019.14.3.109
  2. 근골격계질환 예방프로그램의 필요성과 자동차 부품 제조업 근로자들의 근력과 자세의 특성 연구 vol.14, pp.4, 2017, https://doi.org/10.13066/kspm.2019.14.4.173