• 제목/요약/키워드: Cumulative trauma disorders(CTDs)

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의료보험 심사 업무의 작업자세(Work Postures) 특성과 누적외상성질환(CTDs) 발생에 관한 연구 (Relationships between Work Postures and Upper Extremity Cumulative Trauma Disorders in Medical Insurance Bill Reviewers)

  • 이윤근;임상혁
    • 한국산업보건학회지
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    • 제8권1호
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    • pp.36-49
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    • 1998
  • The purpose of this study is to investigate the relationship between the work postures and upper extremity cumulative trauma disorders(CTDs) in female medical insurance bill reviewers(n=448). This study included diagnosis for CTDs, anthropometry and job analysis (workstations and posture). The characteristics of subject were 33.6 years of average age and 8.7 years of average work duration. The results were as fallows. Ergonomic conditions of workstation were unsuitable compared with anthropometry result. The height of work surface(79.5 cm) and chair(43.0 cm)were high. work space was small, and legs space under the table was limited. Work postures were awkward compared with recommended neutral postures. Neck flexion($21.0-36.0^{\circ}$), elbow elevation, shoulder abduction ($46.0-47.0^{\circ}$). wrist radial and ulnar deviation, forearm supination and pronation, and wrist repeated motion(12.7-21.5 freq./min) were analyzed as hazardous risk factors by job analysis. The prevalence of CTDs was 32.8 % by medical diagnosis. The prevalence rate of CTDs in hazardous work posture group was significantly greater than safe work posture group both neck-shoulder (relative prevalence = 5.2, p<0.001) and wrist-hand (relative prevalence = 2.5, p<0.05).

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VDT 작업현장에서의 누적외상질환에 관한 연구 (An ergonomic survey on cumulative trauma disorders at the VDT-based phone directory service workstations)

  • 이남식;한정수;안재용
    • 대한인간공학회:학술대회논문집
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    • 대한인간공학회 1996년도 추계학술대회논문집
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    • pp.3-6
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    • 1996
  • Cumulative trauma disorders (CTDs) are becoming a major health hazard among phone directory service operators. In order to clarify the causes and to reduce the occurrence of CTDs, a site survey was done. The survey includes observation of the task and the working environment. Also, operators were closely examined and diagnosed to understand the exact causes of CTDs. Different types of CTDs were identified and the most cases were developed in a two or three-years after using new VDT-based workstations. The various design features of workstation aggravated the developemtn of CTDs together with the intense workload. The ergonomic resolutions were suggested based upon these observations.

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제조업에서 발생하는 누적외상성질환 관련 문제점 분석 및 위험요인 점검표의 개발 (Analysis of the Problems related to the Cumulative Trauma Disorders at Manufacturing Workplace and Development of a Risk Factor Checklist)

  • 박희석;이윤근;임상혁
    • 대한산업공학회지
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    • 제24권4호
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    • pp.503-517
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    • 1998
  • Cumulative trauma disorders(CTDs) of the upper extremities among the workers at manufacturing workplace have become a serious problem in Korea. However, most of the studies on the CTDs carried out in this country have focused on the Video Display Terminal(VDT) operators. In fact, high rates of the CTDs have been reported for telecommunication employees, and the CTDs associated with VDT use in telecommunication industries pose great health and social problems in Korea today. On the other hand, there are few studies on the CTDs among the manufacturing workers, and the severity of the problem was much under-reported. This study reports and discusses the results of the literature review on the cross-sectional studies of the CTDs, along with the analysis of the problems associated with identification, medical examinations, and ergonomic evaluation of the disorders. Also a checklist was developed for the use of quick screening tool for risk factor analysis. Consistency of the checklist was validated with the field studies of several manufacturing workplace. Current issues and suggestions for future ergonomic studies are also addressed.

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퍼지선형회귀를 이용한 상지부위의 CTDs 위험요인 평가 (An evaluation of CTDs risk factors of upper extremity using fuzzy linear regression)

  • 이동춘;부진후
    • 산업경영시스템학회지
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    • 제23권55호
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    • pp.33-42
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    • 2000
  • It is difficult to estimate the effective factors upon Cumulative Trauma Disorders in real workplace because those are developed by combination of various risk factors for time. The purpose of this paper was to evaluate relative level of CTDs risk factors such as task-related factors, anthropometric factors, joint deviation factors and personal factors using fuzzy linear regression models. And the models are built corresponding to each category with the survey data from telephone operators. The coefficient of fuzzy models are described as the relative level of variable to present risk factors upon CTDs.

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범용 위험도 평가서를 이용한 조선업체 작업에서의 누적외상성질환에 대한 인간공학적 분석 (An Application of a Baseline Checklist for Risk Assessment of Cumulative Trauma Disorders in Shipyard Workers)

  • 박동현;한상환
    • 한국산업보건학회지
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    • 제8권1호
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    • pp.24-35
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    • 1998
  • Cumulative trauma disorders(CTDs) have been a growing problems for US and European industries with higher incidence rate every year. The increase and their associated costs has led companies to form committes and implement programs to address this problem. In our country, we have just started to recognize and to work on the problems in industry. This study conducted an ergonomic analysis for typical jobs of ship building industry which was not usually surveyed for CTD problem. A baseline CTD checklist which was supposed to do a risk assessment was developed and applied in this study. Initially, we considered five major parts in the checklist which consisted of personal, frequency, posture, force, and miscellaneous information. Most jobs in ship building industry were much different from typical assembly work and VDT work that have been major part of the previous CTD studies. Specifically, job characteristics in terms of frequency and posture were quite different. There were relatively long cycle time, awkward postures for whole body (not just for upper extremities). Also, CTD risk scores based on checklist were a lot higher than the scores for VDT jobs which was a case of preceding application of the checklist. Specifically, grinding jobs turned out to be the most risky one in terms of CTDs. In conclusion, usual CTD prevention guidelines are not likely to he effective in this type of industry. An individual job based interventions are strongly suggested to have a good control of CTD problems in ship building industry.

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누적외상성질환 위험 요인의 정량적 평가 및 관리를 위한 점검표 개발 -자동차 조립 작업을 중심으로- (The Development of a Checklist for Quantitative Assessment of Risk Factors and Management of Cumulative Trauma Disorders : Application to Automobile Assembly Lines)

  • 이윤근;김현욱;임상혁;박희석
    • 한국산업보건학회지
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    • 제11권1호
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    • pp.56-69
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    • 2001
  • Objectives : This study was designed to develop and standardize a checklist for ergonomic risk factors, and to provide ergonomic guidelines for managing cumulative trauma disorders (CTDs) in automobile assembly lines. Methods : The Checklist for Ergonomic Risk Factors (CERF-1) was developed based on the results of previous studies, and then modified after performing pilot study. Information on the symptoms possibly related with CTDs was obtained using a self-reported Questionnaire from 465 automobile assembly workers. Their job conditions were examined to assess risk factors through both direct observation and video analysis. Results : Rate of detecting risky job through CERF-1 was 85.6%, and was similar to that (88.8%) by Occupational Safety and Health Adminstration(OSHA) checklist but higher than that (63.7%) by American National Standards Institute(ANSI) Z-365. Relationship of the exposure scores derived from CERF-1 with levels of symptom was greater (r=0.49) than OSHA (r=0.28) and ANSI Z-365 (r=0.22). Considering the relationship, jobs scoring higher than 16 could be classified as the Risk Job. and lower than 16 as the Low Risk Job. Sensitivity and specificity of the Risk Job were 92.5 % and 31.5 %, respectively. Odds ratio (OR) after age adjustment was 5.69 (95 % confidence interval 3.15-10.29) for the Risk Job, and these ORs were significantly different from those of the Low Risk Job. The exposure scores were Quite valid, in that the scores at the main survey were significantly correlated with those at the follow-up survey, as suggested by test-retest(r=0.88) and inter-rater reliability(r=0.80). Conclusions : The CERF-1, developed in this study, will be an efficient tool for evaluation of risk jobs for CTDs in automobile assembly lines, and can be used easily by health care providers.

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과학기술 시민참여의 새로운 유형: 수행되지 않은 과학 하기 -한국의 두 가지 사례 - 아토피와 근골격계 질환- (A New Form of Public Participation in Science and Technology : Two Cases of Doing 'Undone Science' in Korea)

  • 한재각;장영배
    • 과학기술학연구
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    • 제9권1호
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    • pp.1-31
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    • 2009
  • 과학기술 분야의 시민참여의 필요성과 정당성은 이미 충분히 인정되고 있다. 이에 따라서 여러 국가에서 이를 제도화하고 있으며 많은 STS학자들은 이를 대상으로 연구를 진행하고 있다. 그러나 최근 들어 비제도화된 시민참여 혹은 사회운동적 성격을 지닌 시민참여에 대한 관심이 부각되고 있다. 이는 그동안 진행된 제도화된 시민참여에 초점을 맞춘 연구들이 포괄하지 못한 것으로서 시민참여의 다양한 양상과 역동성을 보여주고 있다. 이 연구는 비제도화된 시민참여와 이와 유사한 문제의식을 나타내고 있는 '수행되지 않은 과학(Undone Science)' 등에 대한 이론적 논의를 간략하게 정리하고, 이를 통해서 살펴볼 수 있는 한국의 2가지 사례를 구체적으로 분석해볼 것이다. 첫 번째 사례는 '환경보건' 분야로서, 이 분야는 한국에서 2000년대 초에 본격적으로 정책 연구의제로 등장하였고 이어서 법제도화 되었다. 두 번째 사례는 산업보건 분야에서 2000년대 초부터 크게 쟁점화 되었던 '근골격계 직업병' 문제이다. 우리는 이 두 사례를 통해서 시민사회 노동조합이 '환경보건'과 근골격계 직업병' 문제를 제기하면서 어떻게 이 문제들을 정부의 정책 연구 의제로 만들었는가를 살펴보게 될 것이다. 이는 한국에서 비제도화된 시민참여 혹은 '수행되지 않은 과학' 하기가 어떤 식으로 나타나고 있는지를 보여줄 것이다.

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VDT 작업환경에서 작업시간이 근피로에 미치는 영향 (The Effect of Working Hour on Muscle Fatigue in Visual Display Workplace)

  • 한정수
    • 한국안전학회지
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    • 제15권1호
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    • pp.153-160
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    • 2000
  • Occupational cumulative traumas (CTDs) are becoming one of leading ailments in industrialized worl $d^{(1.2)}$. The degree of muscle fatigue is important parameter to understand cause of occupational cumulative trauma disorders. To quantify degree of muscle fatigue, muscle EMG activity was measured during isometric and dynamic contractions(repetitive concentric/eccentric muscle contraction) and its analyzed data, such as RMS, median frequency, and median power were compared when the muscle was fresh and exhausted. When muscle become fatigue, it was observed that median frequency decreased and median power and RMS increased However, based on overall prolonged observation, median frequency increased and median power and RMS decreased. Therefore it was concluded that shifting patterns of RMS, median frequency, and median power values can be used as parameter to evaluate degree of muscle fatigue even in dynamic muscle contraction.

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한국성인의 악력특성분석 (An analysis of grip strength for Korean adults)

  • 장규표;이동춘;이상도
    • 대한인간공학회:학술대회논문집
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    • 대한인간공학회 1996년도 추계학술대회논문집
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    • pp.238-243
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    • 1996
  • Grip strength is a very important basic data for ergonomic design of hand tools, grips, handles and etc.. Excessive grip strength is contineously exerted to handle the machines or tools, it might cause a musculoskeletal disorder such as cumulative trauma disorders. Capal tunnel syndrome is a typical nerve disorder anomg CTDs. In this paper we have measured the grip strength under sitting and standing posture for Korean adults ; 113 male and 105 female aged from 20' to the above 50' . And this paper performed statistical analysis for driving out characteristics between grip strength and anthropometric data. The results are as follows ; (1) The maximum girp strength is exerted under standing posture with the elbow in full extension(180 .deg. ) for both of male and female (2) There is significant difference in posture, sex and right left hand (3) Grip strength decreases with age for male, but it traces an inverted U curve for female (4) Grip strength has a correlation with age, weight, height, BSA, forearm length, hand length, thickness of wrist, circumference of wrist and breadth of wrist for male

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한국성인의 악력특성분석에 관한 연구 (An analysis of grip strength for Korean adults)

  • 이동춘;장규표
    • 대한인간공학회지
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    • 제16권1호
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    • pp.73-83
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    • 1997
  • It is improtant to get accurate information about the grip strength for designing ergonomic grips and handles. It has been known that the excessive and repetitive use of grip force and unnatural posture of the wrist may cause cumulative trauma disorders (CTDs) such as carpal tunnel syndrome, tendrome, tendonitis, DeQuervan's disease, etc. In this paper we have measured the grip strength for sitting and standing posture for Korean adults ; 114 males and 105 females aged from the 20's to above the 50's. And this paper performed statistical analysis for deriving characteristics between grip strength and anthropometric data. The results are as follows ; (1) The maximum grip strength posture is exerted under standing posture with the elbow in full extension (180 .deg. ) for both males and females (2) There is significant difference among posture, sex and right and/or left handedness (3) Grip strength decreases with age for male, but it traces an inverted U curve for female (4) Grip strength has corre- lations with the age, weight, height, BSA, forearm length, hand length, thickness of wrist, circumference of wrist, and breadth of wrist for males.

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