• 제목/요약/키워드: musculoskeletal disorders(MSDs)

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119 구급대원의 업무관련성 근골격계 손상 위험성 평가 - 환자 들기 작업을 중심으로 - (Evaluation of 119 emergency medical technicians' work related musculoskeletal disorders risk with regard to patient lifting procedures)

  • 손정원
    • 한국응급구조학회지
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    • 제23권1호
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    • pp.101-112
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    • 2019
  • Purpose: The purpose of the study was to contribute to the prevention of musculoskeletal disorders (MSDs) in 119 emergency medical technicians (EMTs) by evaluating ergonomic risk factors of patient lifting work-postures. Methods: Four procedures were evaluated: using long back-board (LBB) on the sitting and standing main stretcher, using variable stretcher on the sitting and standing main stretcher. Wok-postures were assessed during training. Results: In using LBB on the sitting main stretcher, the OWAS-score was Mode:3 (Mean:2.30, Maximum:3), the REBA-score was Mode:9 (Mean:7.61, Maximum:11), requiring improvement soon. In using LBB on the standing main stretcher, the OWAS-score was Mode:3 (Mean:2.33, Maximum:3), requiring as soon as possible corrective action, the REBA-score was Mode:6 (Mean:5.44, Maximum:11), requiring improvement. In using variable stretcher on the sitting main stretcher, the OWAS-score was Mode:1 (Mean:1.85, Maximum:3), not requiring corrective action, the REBA-score was Mode:6 (Mean:6.78, Maximum:11), requiring improvement. In using variable stretcher on the standing main stretcher, the OWAS-score was Mode:3 (Mean:2.84, Maximum:3), requiring as soon as possible corrective action, the REBA-score was Mode:11 (Mean:9.38, Maximum:11), requiring immediate improvement. Conclusion: All four-procedures showed improvement in work-posture. Thereby, required attention and management in training, occupational health professionals should participate in change of lifting-method, and programs aimed at preventing MSDs should be developed and implemented in fire-academy and fire-station.

Musculoskeletal diseases of heavy industrial workers

  • Baek, Hyunjin;Song, Sunhae;Lee, Donggeon;Pyo, Seunghyeon;Shin, Doochul;Lee, Gyuchang
    • Physical Therapy Rehabilitation Science
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    • 제6권2호
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    • pp.71-76
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    • 2017
  • Objective: The purpose of this study was to investigate the musculoskeletal diseases (MSDs) that occur in heavy industrial workers according to the occupational category, prevalence, environment, and number of physical therapy visits. Design: Retrospective cohort study. Methods: For this study, data was collected of workers who were engaged in heavy industry in Korea and who visited the company physicians and received physical therapy in 2016. Data was collected from 855 subjects and was analyzed. With the data collected, analysis of the type and prevalence of MSDs and the number of physical therapy visits that have occurred according to the occupational category and environment was performed. Results: The most common MSDs were lumbar sprains and spasms (31.1%), and shoulder sprain and spasm (19.4%). In addition, the most common type of MSDs according to the occupational category and environment (occupational type) were lumbar sprain and spasms in 11 occupations, including white collar workers, and in milling, inspection, crane operation, and finishing jobs, shoulder muscle sprain and strain were the most common disorders. Also, the prevalence of MSDs according to occupational category and environment (occupational type) was the highest in workers involved with welding, which was 29.7%. Conclusions: Through this study, the type and prevalence of MSDs according to the occupational category and environment of heavy industrial workers have been confirmed. Further studies are necessary to study the future types of the work patterns of industrial workers and to develop a system for preventing and managing MSDs that may occur.

119 구급대원의 근골격계 질환 위험성 평가 - 소방기술경연대회 구급종목을 대상으로 - (Evaluation of musculoskeletal disorders risk of 119 emergency medical technicians during emergency medical services procedures in firefighter combat challenge)

  • 손정원;박재범
    • 한국응급구조학회지
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    • 제21권3호
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    • pp.59-71
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    • 2017
  • Purpose: The purpose of the study was to evaluate the ergonomic risk factors of 119 emergency medical technicians (EMT) with musculoskeletal disorders, performing emergency medical services (EMS) procedures in a firefighter combat challenge. Methods: The evaluated EMT procedures were cardiopulmonary resuscitation (CPR) & intubation, trauma patient assessment, and intravenous (IV) injection. Measurement of working posture was done during training. Results: In CPR & intubation, OWAS-score was 2 (mean 1.9, maximum 4), requiring correction action, while REBA-score was 11 (mean 7.28, maximum 11), requiring immediate improvement. In trauma patient assessment & IV injection, OWAS-score was 4 (mean 2.9, maximum 4), requiring immediate correction action, while the REBA score was 7 (mean 7.5, maximum 11), requiring improvement. Conclusion: Both OWAS score and REBA-score showed improvement of posture and high-risk of musculoskeletal disorders. Occupational health management in EMS procedures during combat challenge and effective injury prevention program in fire stations are warranted.

근골격계 질환 유해요인 감소를 위한 플라스틱 제품 제조업체의 작업환경 개선 사례연구 (Case Study of Working Environment Improvement at Plastic Product Companies for Reducing the Musculoskeletal Disorders Risk Factors)

  • 강영식;조문선;양성환
    • 대한안전경영과학회지
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    • 제11권2호
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    • pp.51-57
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    • 2009
  • The goal of this study is to propose the effective method of investigating the injurious factors and make improvement plans that prevents the workers against musculoskeletal disorders at plastic product companies and the same business field with similar working conditions and process. A questionnaire are adopted to analyze the symptoms of workers' musculoskeletal disorders, and ergonomic assessment methods such as RULA, OWAS are performed to find out harmful factors of workplace and working posture. Based on the result of the evaluation, to enhance the working environment, improvement of worktable, working space, tools, and outfit was suggested, and induction of mechanical system was also suggested. It can be concluded that the method and process described in this paper could be helpful for diagnosing the musculoskeletal disorders risk factors and making improvement plans to the plastic product companies and the same business field with similar working conditions and process.

디젤엔진용 연료분사장치 제조업체의 근골격계 질환 유해요인 조사 사례연구 (Case Study of Diagnosis on Musculoskeletal Disorders Risk Factors at an Diesel Engine Fuel Injection System Manufacturing Company)

  • 양성환;조문선;강영식
    • 대한안전경영과학회지
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    • 제11권2호
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    • pp.59-67
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    • 2009
  • The goal of this study is to propose the effective method of investigating the injurious factors and making improved plans that prevents the workers against musculoskeletal disorders at an diesel engine manufacturing company and the same business field with similar working conditions and process. A questionnaire were adopted to analyze the symptoms of workers' musculoskeletal disorders, and an ergonomic assessment method such as RULA, OWAS were performed to find out harmful factors of workplace and working posture. Based on the result of the evaluation, to enhance the working environment, improvement of worktable, working space, tools, and outfit was suggested, and induction of mechanical system was also suggested. It can be concluded that the method and process described in this paper could be helpful for diagnosing the musculoskeletal disorders and making improvement plans to the diesel engine fuel injection system manufacturing company and the same business field with similar working conditions and process.

Use of Ergonomic Measures Related to Musculoskeletal Complaints among Construction Workers: A 2-year Follow-up Study

  • Boschman, Julitta S.;Frings-Dresen, Monique H.W.;van der Molen, Henk F.
    • Safety and Health at Work
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    • 제6권2호
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    • pp.90-96
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    • 2015
  • Background: The physical work demands of construction work can be reduced using ergonomic measures. The aim of this study was to evaluate the use of ergonomic measures related to musculoskeletal disorders (MSDs) among construction workers. Methods: A questionnaire was sent at baseline and 2 years later to 1,130 construction workers. We established (1) the proportion of workers reporting an increase in their use of ergonomic measures, (2) the proportion of workers reporting a decrease in MSDs, (3) the relative risk for an increase in the use of ergonomic measures and a decrease in MSDs, and (4) workers' knowledge and opinions about the use of ergonomic measures. Results: At follow-up, response rate was 63% (713/1,130). The proportion of workers using ergonomic measures for vertical transport increased (34%, 144/419, p < 0.01); for measures regarding horizontal transport and the positioning of materials, no change was reported. The proportion of workers reporting shoulder complaints decreased (28%, 176/638, p = 0.02). A relationship between the use of ergonomic measures and MSDs was not found; 83% (581/704) of the workers indicated having sufficient knowledge about ergonomic measures. Lightening the physical load was reported to be the main reason for using them. Conclusion: Only the use of ergonomic measures for vertical transport increased over a 2-year period. No relationship between the use of ergonomic measures and MSDs was found. Strategies aimed at improving the availability of ergonomic equipment complemented with individualized advice and training in using them might be the required next steps to increase the use of ergonomic measures.

금융직 여성 근로자의 직무스트레스 실태와 근골격계질환 자작증상과의 관련성 연구 (A study on the relationship between job stress and subjective symptoms associated with musculoskeletal disorders of the financial working woman's)

  • 조기홍;최순영;박동현
    • 대한안전경영과학회지
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    • 제9권4호
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    • pp.17-28
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    • 2007
  • This study tried to identify the job stress characteristics of female bank workers and the relationship between their stress and symptoms associated with musculoskeletal disorders(MSDs). The total number of 587 female bank tellers have been participated in this study. Specifically, questionnaire surveys regarding job stress and MSDs symptoms were conducted. On the basis of the results from the survey using Korean version of job stress questionnaire with 24 questions, stress scores associated with job requirement and job flexibility were relatively high. The job stress levels regarding job demand, organizational system, occupational climate at the work place were relatively high for the full time workers while the job stress levels regarding insufficient job control, job stability, interpersonal conflict, lack of reward were relatively high for the part time worker. The workers with longer total work years had relatively high job stress associated with interpersonal conflict, and organizational system while the workers with longer work years at the current job had relatively high job stress associated with occupational climate. Also, the workers with longer working hours a day had relatively high job stress associated with job demand, interpersonal conflict, organizational system, and occupational climate. According to the relationship identified in this study, symptoms at the neck, shoulder, hand, low back. leg were associated with the stress levels in terms of job flexibility, interpersonal conflict, job requirement, job stability. In conclusion, female bank workers are exposed to job stress due to their specific job characteristics and there has been certain relationships between their job stress and MSDs symptoms.

Prevalence of MSDs and Postural Risk Assessment in Floor Mopping Activity Through Subjective and Objective Measures

  • Naik, Gouri;Khan, Mohammed Rajik
    • Safety and Health at Work
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    • 제11권1호
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    • pp.80-87
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    • 2020
  • Background: Residential and commercial cleaning is a part of our daily routine to maintain sanitation around the environment. Health care of professionals involved in such cleaning activities has become a major concern all over the world. The present study investigates the risk of musculoskeletal disorders in professional cleaners involved in floor mopping tasks. Methods: A cross-sectional study was performed on 132 mopping professionals using a modified Nordic questionnaire. The Pearson correlation test was implemented to study the association of perceived pain with work experience. The muscle strain and postural risk were evaluated by means of three-channel electromyography and real-time motion capture respectively of 15 professionals during floor mopping. Results: Regarding musculoskeletal injuries, risk was reported majorly in the right hand, lower back, left wrist, right shoulder, left biceps, and right wrist of the workers. Work experience had a low negative association with MSDs in the left wrist, right wrist, right elbow, lower back, and right lower arm (p < 0.01). Surface EMG showed occurrence of higher muscle activity in upper trapezius and biceps brachii (BB) muscles of the dominant hand and flexor carpi radialis and BB muscles of the nondominant hand positioned at the upper and lower portion of the mop rod, respectively. Conclusion: Ergonomic mediations should be executed to lessen the observed risk of musculoskeletal injuries in this professional group of workers.

자동차부품 제조업 근로자의 작업능력과 직무스트레스에 대한 연구 (A Study on the Work Ability and the Job Stress of the Workers in Manufacturing Industry of Automobile Parts)

  • 목연수;이동원;장성록
    • 한국안전학회지
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    • 제28권3호
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    • pp.100-106
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    • 2013
  • According to the Statistics Korea, in 2011, people over the age of 65 years old accounted for 11.8% of Korea's population. This number is expected to rise to 15.0% by 2019, making Korea an "aged society". As age increases, physical ability degrades to the point that the workload must be adjusted limitations. However, workloads are given regardless of workers' ages or abilities. In addition, a decline in work efficiency due to aging also increases the risk of work-related injuries. Furthermore, the cases of stress related diseases along with musculoskeletal disorders(MSDs) rise as main factors of industrial disasters and excessive job stress gives negative influence not only on mental health but also on physical health so that job stress becomes a hot issue as a main cause of work ability falloff and turnover. The purpose of this research is to examine how the sociodemographic characteristics, MSDs symptoms and musculoskeletal workload of workers in the manufacturing industry of automobile parts influence work ability and job stress. As a result of the research, job ability showed significant differences statistically according to age, working year, sex, marital status and musculoskeletal workload and job stress showed significant differences statistically according to age, working year, marital status and musculoskeletal workload. In addition, it showed that as the worker's job ability decreases, job stress increases.

Analysis and Improvement Methods of Unsafe Posture Associated with Various Agricultural Works

  • Jung, Hwa-Shik
    • 대한인간공학회지
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    • 제30권4호
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    • pp.473-480
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    • 2011
  • Objective: This paper presents the results of a literature review undertaken to analyze the types and risk factors of unsafe posture in accordance with the crops and the working position and to introduce various ergonomic intervention approaches. Background: There is clear and consistent evidence that agricultural work has been rated as one of the dangerous occupations in the world. A considerable number of adverse health conditions, including musculoskeletal disorders(MSDs) are related to agricultural work. Method: An agricultural work requires squatting, kneeling, and bending(stooping) postures for significant periods of the work day which due to a wide variety of activities such as planting, cultivating and harvesting various agricultural products. Thus, each of these postures is analyzed in detail to recommend the improvement methods. Results: Various unsafe postures in agricultural works are revealed and analyzed. It is proven that ergonomics intervention has the potential benefits to reduce MSDs among agricultural workers. Two types of ergonomic intervention methods were discussed to improve unsafe working postures, engineering controls and administrative controls. Conclusion & Application: As a concluding remark, this article can be used as a reference manual for the agricultural workers and also used to raise the research community's awareness to the risk of unsafe working postures for workers in agriculture.