Background: Online teaching and learning extend the duration of using gadgets such as mobile phones and tablets. A prolonged usage of these gadgets in a static position can lead to musculoskeletal disorders (MSD). Therefore, this study aims to identify the risk factors related to musculoskeletal symptoms while using gadgets during work from home due to the COVID-19 pandemic. Method: A cross-sectional survey with online-based questionnaires was collected from the University of Indonesia, consisting of lecturers, students, and managerial staff. The minimum number of respondents was 1,080 and was defined by stratified random sampling. Furthermore, the dependent variable was musculoskeletal symptoms, while the independent were age, gender, job position, duration, activity when using gadgets, and how to hold them. Result: Most of the respondents had mobile phones but only 16% had tablets. Furthermore, about 56.7% have used a mobile phone for more than 10 years, while about 89.7% have used a tablet for less than 10 years. A multivariate analysis found factors that were significantly associated with MSD symptoms while using a mobile phone, such as age, gender, web browsing activity, work, or college activities. These activities include doing assignments and holding the phone with two hands with two thumbs actively operating. The factors that were significantly associated with MSD symptoms when using tablets were gender, academic position, social media activity, and placing the tablet on a table with two actively working index fingers. Conclusion: Therefore, from the results of this study it is necessary to have WFH and e-learning policies to reduce MSD symptoms and enhance productivity at work.
Background: Musculoskeletal disorders (MSDs) are a common problem among carpet weavers. This study was undertaken to introduce affecting personal and occupational factors in developing the number of MSDs among carpet weavers. Methods: A cross-sectional study was performed among 862 weavers in seven towns with regard to workhouse location in urban or rural regions. Data were collected by using questionnaires that contain personal, workplace, and information tools and the modified Nordic MSDs questionnaire. Statistical analysis was performed by applying Poisson and negative binomial mixed models using a full Bayesian hierarchical approach. The deviance information criterion was used for comparison between models and model selection. Results: The majority of weavers (72%) were female and carpet weaving was the main job of 85.2% of workers. The negative binomial mixed model with lowest deviance information criterion was selected as the best model. The criteria showed the convergence of chains. Based on 95% Bayesian credible interval, the main job and weaving type variables statistically affected the number of MSDs, but variables age, sex, weaving comb, work experience, and carpet weaving looms were not significant. Conclusion: According to the results of this study, it can be concluded that occupational factors are associated with the number of MSDs developing among carpet weavers. Thus, using standard tools and decreasing hours of work per day can reduce frequency of MSDs among carpet weavers.
To prevent musculoskeletal disorders(MSD) for dental hygiene students, who will potentially be at high risk of developing MSD while performing oral prophylaxis practice, an MSD prevention education program was designed and was offered to a group of dental hygiene students to find whether the program is effective. Before the program started and three months after the program ended, changes in the students' posture were filmed to observe them. The final subjects for analysis included 30 students in the experimental group and 41 students in the control group. To verify differences between the experimental and the control groups, repeated measures ANOVA was carried out before and after the program. After the education program, the experimental group's RULA scores for neck, left upper arm, right forearm, and wrist, RULA A score on both left and right side, RULA B score on left side, and total RULA score were significantly lowered during the operation on the upper jaw, compared with that of the control group. And, during the operation on the lower jaw, the experimental group's RULA A score, RULA B score, and total RULA score were very significantly lowered. The results of this study suggest the MSD prevention education program is effective in preventing the disorder. Thus, the program can be utilized as an education program for preventing MSDs during dental hygiene students' oral prophylaxis practice and clinical practice.
Objectives: To assess the risk of pushing or pulling the yarn-carrying cart, the survey was performed in some fiber manufacturing factories. Methods: We selected 6 fiber-twisting factories which agreed to in-site survey of their workplace. To measure both initial and sustained forces of the push-pull tasks, Chatillon CSD500 dynamometer(2004, Ametek, USA) was used. The mean of 3 tests for the same cart was adopted as the measured forces. Height and width of cart, weight of spooled yarns, and distance of movement were also measured. Inspection of cart wheel, moving path, and the actual hand position while moving was done. Results: More than one pushing or pulling task exceeded the push-pull force limits of design goal in 5 factories. Though the cart was not loaded the heaviest weight in the factory, the measured push or pull force exceeded the limits several times. A few cart wheels were worn out and tangled with pieces of yarn. It was also observed some holes in the moving path. Conclusions: While the push-pull task is not included in the 11 scopes of over-burdened work notified by Korean government, it should be recognized as risk factor of work-related musculoskeletal disorders. The maintenance work such as regular change and frequent cleaning of cart wheel, the use of fitting wheel, and flattening of bumpy floor through the moving path should be advised importantly in the worksite management of work-related musculoskeletal disorders.
The KOSHA codes H-31 and H-30 provide general guidelines to establish a prevention program for work-related musculoskeletal disorders(WMSD). Understanding of the components and practitioner needs for a WMSD prevention program is necessary for effective revision and implementation of the KOSHA codes. The present study established a comprehensive structure for a WMSD prevention program and surveyed practitioner needs for the KOSHA codes. The comprehensive prevention program structure, consisting of 7 parts(organization, education, risk management, medical management, program evaluation, and record keeping) and 90 items, was constructed by analyzing WMSD prevention guidelines published by various government agencies such as KOSHA, OSHA and NIOSH. Next, 20 practitioners, from four industry sectors(auto manufacturing, auto part manufacturing, shipbuilding, and machinery), working in a safety and health department or labor union, were interviewed to collect opinions for the KOSHA codes in terms of relevance, government support, and additional information needed. Guidelines of the KOSHA codes requiring modifications and government supports were identified, which can be used to revise the KOSHA codes and to establish a government policy to promote the implementation of the KOSHA codes. Lastly, the survey revealed that integrated, customized, quantitative, and case information for WMSD prevention is additionally needed, which can be used as design guidelines for a WMSD prevention program manual for practitioners.
The purpose of this study was to investigate the related factor for the prevalence of musculoskeletal symptoms among 212 sewing worker. The survey was performed with self-administered questionnaire for the risk factors related to musculoskeletal disorders(MSDs) from August 5 to 7 in 2005. The prevalence of musculoskeletal symptoms were 75.8% and the those of the local symptoms were 71.7 % for shoulder, 60.4 % for neck, 35.8 % for arm and 50.9 % for wrist. The risk factors related the self-reported MSDs had not shown in general characteristics. But, there was a significant difference between daily working hour and wrist, working speed and neck, the degree of satisfaction and wrist for work related factor. Also, it was shown the significant difference between chair height and neck, the height of sewing machine and wrist among the space below work station, neck, waist for the prevalence of musculoskeletal symptoms. The significant correlation was shown for daily working hour and wrist, working speed and arm, work load and shoulder and the degree of satisfaction and arm for work related subjective symptom. Considering above results, it is suggested the ergonomic design be provided to working hour, the height of chair and work station as well as daily working hour even there is a significant difference for the prevalence of symptoms in each body part for sewing workers.
Recently, work-related musculoskeletal disorders(WMSDs) have rapidly increased and have been a major issue in the field of industrial safety. Of several physical risk factors for WMSDs, which include postures, vibration, repetitive work, speed or acceleration of movements, etc., awkward postures have been known as one of the major causes of WMSDs. For reducing the potential for injury as a result of postures, cost effective quantification of the magnitude for physical exposure to poor working postures is important and needed. To do this, several postural classification schemes have been developed and used in industrial sites. It is known that perceived discomfort for joint motions and muscle strength for females were much less than those for males. However, the existing postural classification schemes were developed without considering these gender effects. This study aims to develop a new postural classification scheme for female workers, based on the perceived discomfort for joint motions. The result showed that there was significant difference between the schemes for female and male. It was also found that when compared with OWAS, RULA and REBA, postural load was quantified more precisely with the developed scheme. It is recommended that different schemes according to gender of workers involved in work be used in order to accurately evaluate postural load of work postures.
Evaluation of repetitiveness for upper extremity intensive tasks is essential to determine the level of risk for upper extremity musculoskeletal disorders at the workplace. However, experimental data available to establish the acceptable levels of repetitiveness for various postures and forces is lacking. The present study examined the maximum acceptable frequencies(MAFs; motions/min.) of shoulder, elbow, wrist, and index finger motions at different forces(1kgf and 4kgf for shoulder, elbow, and wrist; 0.25kgf and 1 kgf for index finger) in sitting. Seventeen right-handed males in 20s without having any history musculoskeletal disorders participated in the MAF experiment. The participants determined their MAFs for the upper extremity motions by using the self-adjustment method and their work pulse(increase in heart rate; beats/min.) and rating of perceived exertion(RPE) were measured when working at MAF. The MAFs of elbow, wrist, and index finger motions for each force level were about 2, 3, and 6 times the corresponding MAF(9 at the high force and 24 at the low force) of shoulder motion and the MAFs at the low force increased about 2 times those at the high force. The work pulses of elbow, wrist, and index finger motions for each force level were 70%, 50%, and 30% of the corresponding work pulse(17 at the high force and 12 at the low force) of shoulder motion and the work pulses at the low force were about 70 % of those at the high force. Lastly, the RPEs of the upper extremity regions were about level 3(moderate) or below.
The purpose of this study is to investigate industrial safety and health experts' opinions on the examination system of WMSDs(work related musculoskeletal disorders) risk factors. For doing this, a questionnaire study and two FGIs(focused group interview) were conducted. A questionnaire with open questions about the examination system was developed, and sent to 42 experts consented bye-mail. Of the experts, 24 experts responded, whose data were used in the analysis. The FGIs were performed for the persons in charge of industrial safety and health in industries and ergonomists. The questionnaire study revealed that most experts(91.3%) agreed with legalization of employers' duty for preventing WMSDs, necessity of the 11 tasks designated by Ministry of Labor, the examination system and ergonomics program, and pertinency for the examination system classification of periodic and occasional one. However, more than half experts disagreed with timeliness and appropriateness of the legal system. This was validated by the low approval rates for appropriateness of the 11 tasks, methods of the examination, charge person in the examination and ergonomics program. FGIs showed that it was desirable for the examination system to be legalized, and that the system was generally properly performed. It was suggested that the system be partially revised with reflecting problems disclosed during its enforcement rather than whole revision. It is expected that when revising relevant legal system, the results of this study would be used as valuable data.
The Strain Index(SI) has been commonly used to evaluate the musculoskeletal disorders(MSDs) of upper extremities. Recently, the American Conference of Governmental Industrial Hygienists(ACGIH) adopted the Threshold Limit Value for hand activity level (HAL TLV) focused on the hand, wrist, and forearm. The MSDs risks of 37 repetitive works conducted at an automobile climate control system manufacturing factory were evaluated using both the HAL TLV and the SI, and the results by two methods were compared. Also, measured repetitive frequencies of upper limbs joint were mesured using electromyogram and electrogoniometer. The evaluation results of the HAL were related with the repetitive frequency data of upper limbs joint by electrogoniometer, and the NPF was related with %MVC of ECU. The evaluation result of HAL TLV was highly related with the SI score(r=0.66, p<0.01). Of total 37 tasks, 25 tasks(67.6%) were exceeded the TLV and 34 tasks(91.9%) exceeded the SI limit. Although there was a high relationship between the HAL TLV and SI score, the HAL TLV underestimated the risk in comparison with the SI. The correlation coefficients(r) between the HAL TLV data and the repetitive frequency of upper limbs joint were 0.45~0.55(p<0.01). The MSD symptoms was significantly different between high risk groups and low risk groups evaluated by HAL TLV(p<0.01), but was not different between two groups by SI. In conclusion, the HAL TLV is a proper tool for repetitive works.
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