• Title/Summary/Keyword: musculoskeletal system disorders

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A Study on the Status and Cases of Occupational Accidents of Child-care Teachers (보육교사의 산업재해 현황 및 사례에 관한 연구)

  • Lim, Jin Seok;Jeong, Seong Choon;Kwon, Yogjun;Kim, Keun Jin;Do, Nam Hee;Lee, Jaehee;Choi, Yoon Kyung
    • Korean Journal of Childcare and Education
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    • v.16 no.4
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    • pp.73-92
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    • 2020
  • Objective: The purpose of this study is to examine occupational safety accidents of child care teacher and to suggest preventive measure in occupational safety health and safety for child-care teacher. Methods: We investigated laws, policy, and previous studies related occupational safety and health for child care teacher. Especially, we reviewed the legal definition of child-care teacher to identify whether Occupational Safety and Health acts cover child-care teacher. Also cross tabulation and a qualitative analysis were conducted for occupational accidents in child care centers from 2013-2018. Results: Safety and health related policies to protect child care centers have been carried out by child care Center Safety and Insurance Association and the Child Care Support Center, but it has mainly been functioned to protect children excluding child care teacher. The most occupational accidents occur in worker aged 40s. The most type of occupational accident were falling down on the floor and surface. Also we could find that there is a high risk of falls, and musculoskeletal disorders through qualitative analysis on occupational accidents cases of child-care teacher. Conclusion/Implications: We suggest to improve the system for protecting child care workers including strengthening occupational safety and health education for child care workers, expanding coverage of national project to prevent occupational accidents.

Kinematic Analysis of Thoraco-Lumbar Spine in Bad Postures During Daily Life (일상 생활 중의 나쁜 자세에 따른 흉·요추 관절의 기구학 해석)

  • Han, Ah-Reum;Jeong, Ji-In;Feng, Jun;Kim, Yoon-Hyuk
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.36 no.11
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    • pp.1105-1110
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    • 2012
  • The spine is one of the most important skeletal joints, and it strongly affects the health of the musculoskeletal system. A normal spine has an S-shape, and it is very important to maintain this shape. Recently, spinal diseases such as low back pain have increased rapidly, especially among the elderly. Some of these diseases are caused by congenital spinal disorders and sporting and accident injuries as well as by bad postures. Improper spinal postures could generate excessive disc pressure, which is related to degeneration and pain. Therefore, in this study, we investigated the three-dimensional kinematic parameters of the thoraco-lumbar joint in several bad postures using a motion capture analysis technique. Different bad postures created a significant amount of flexion/extension, side bending, and axial rotation angle compared with neutral postures. Further study is necessary to investigate the disc pressure and ligament force due to the increase in joint rotation from the bad postures.

Comparison of the Static Balance Ability according to the Subjective Visual Vertical in Healthy Adults

  • Kwon, Jung Won;Yeo, Sang Seok
    • The Journal of Korean Physical Therapy
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    • v.32 no.3
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    • pp.152-156
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    • 2020
  • Purpose: The subjective visual vertical (SVV) test is used to evaluate the otolith function in the inner ear. This study compared the different balance ability according to the results of the SVV in healthy adults. Methods: This study recruited 30 normal healthy subjects who did not have neurological and musculoskeletal disorders. The subjects were divided into experimental and control groups based on the results of SVV: experimental group, >2°; control group, <2°. The static balance ability was evaluated using the Fourier Index, which could evaluate the balance capacity objectively and quantitatively. Results: The mean angle of the SVV in the experimental and control groups was 4.44° and 0.59°, respectively. In the result of the Fourier series, the F1 frequency band in the experimental group showed a significantly higher value under one condition compared to the control group (p<0.05). In the F2-4 and F5-6 frequency bands, the experimental group showed a significant increase in the Fourier series value under the four conditions compared to the control group (p<0.05). In the F7-8 frequency band, significantly higher values of the Fourier series were observed in the experimental group under the three different conditions (p<0.05). Conclusion: These results showed increased trunk sway while maintaining static balance in the experimental group who showed a larger SVV angle compared to the control group. The SVV can be applied to evaluate the vestibular system and balance ability in normal adults.

Posture Analysis of Workers in an Excavator Factory Using 3D Human Simulation (3D 작업자 시뮬레이션을 이용한 굴삭기 생산공정 작업자 자세분석)

  • Moon, Dug-Hee;Baek, Seung-Geun;Zhang, Bing-Lin;Lee, Jun-Seok
    • Journal of the Korea Society for Simulation
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    • v.15 no.3
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    • pp.93-101
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    • 2006
  • Recently, work-related musculoskeletal disorders (WMSDs) become a hot issue in the industrial fields. To prevent the potential risk of workers, various approaches have been adopted. One of the approaches is to improve the design of product, that of jig (or fixture) and that of workstation in the early stage of the development. 3D simulation technology is known as the powerful method for detecting such problems before constructing the workstation, because it is possible to evaluate the posture of worker using 3D models in a cyber space. It enables to find the unexpected problems and save the time and cost for redesign and rework. This paper introduces a 3D simulation case study of workers in an excavator factory. 3D models of products, jigs were developed with CATIA. The assembly processes were animated in IGRIP and DPM. Finally the various postures of worker were simulated using Human. As a result, some postures were analysed as the risky jobs and the result of simulation was used to improve the system.

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Changes in Electromyogram Signals from the Tibialis Anterior Muscle Resulting from Maximal Voluntary Contraction Exercise (최대수의적 수축훈련에 의한 앞 정강근의 근전도 신호의 변화)

  • Song, Su-Young;Hwang, Ki-Kyeong;Kim, Moon-Jeong;Lee, Jeong-Woo
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.9 no.2
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    • pp.1-6
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    • 2011
  • Purpose : This study aims to examine changes in electromyogram (EMG) signals detected from the tibialis anterior muscle during repetitive contraction exercises in normal female adults. Methods : The subjects of this study were 10 normal adult females without any musculoskeletal or nervous system disorders. A total of 30 contractions were made repetitively with maximal voluntary contraction exercise for six seconds and a resting time for three seconds. Changes in muscle contractions were measured using dynamometer and EMG signals such as root mean square (RMS), integrated EMG (IEMG), and median frequency (MDF). Results : The result of measurement showed no significant differences in IEMG and RMS in accordance with the increase in the number of contractions. MVIC and MDF showed significant differences in accordance with the increase in the number of contractions (p<0.05). Conclusion : This study demonstrated that repetitive tibialis anterior muscle contraction resulted in a significantly different MVIC and MDF but no significant differences in IEMG and RMS. Therefore, compared to other lower leg muscles, the tibialis anterior muscle is a low-frequency muscle and therefore electrophysiological characteristics of the muscle should be considered in different exercise methods.

Cold Exposure and Health Effects Among Frozen Food Processing Workers in Eastern Thailand

  • Thetkathuek, Anamai;Yingratanasuk, Tanongsak;Jaidee, Wanlop;Ekburanawat, Wiwat
    • Safety and Health at Work
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    • v.6 no.1
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    • pp.56-61
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    • 2015
  • Frozen food processing workers work under a cold environment which can cause several adverse health effects.This study explored factors affecting workers' health in the frozen food industry in Thailand. Participants comprised 497 workers exposed to a cold working environment and 255 office workers who served as the controls. Data were collected by a survey on the work environment, and the interview of workers for abnormal symptoms. The exposed group had the following characteristics: 52.7% male, overall average age of 27 (SD 6.6) years old, attained elementary education (Grade 4 and Grade 6) (54.1%), married (48.9%), smokers (21.3%), alcohol consumption (31.0%), duration of work was between 1 and 5 years (65.2%), working 6 days a week (82.7%), 1-5 hours of overtime per week (33.8%), office workers (33.9%); work category: sizing (6.9%), peeling (28.3%) dissecting (22.2%), and in the warehouse (8.6%). The temperature in the work environment ranged from $17.2^{\circ}C$ to $19.2^{\circ}C$ in most sections, $-18.0^{\circ}C$ in the warehouse, and $25^{\circ}C$ in the office areas. Warehouse workers had more abnormal symptoms than controls including repeated pain in the musculoskeletal system (OR 11.9; 95% CI 6.12-23.45), disturbance throughout the body (OR 4.60; 95% CI 2.00-10.56), respiratory symptoms (OR 9.73; 95% CI 3.53-26.80), episodic finger symptoms (OR 13.51; 95% CI 5.17-35.33). The study results suggest that workers' health should be monitored especially with regard to back and muscle pain, respiratory symptoms, episodic finger symptoms, and cardiovascular symptoms. Health promotion campaigns such as antismoking and reduction of alcohol consumption should be established because smoking and alcohol consumption are contributing factors to the pathogenesis of Raynaud's phenomenon and peripheral vascular disorders such as hypertension and heart disease.

An Analysis of Stress on Foot by Lifting Height and Angle (들기 작업에서 높이와 각도 변화가 발 부위에 미치는 스트레스에 관한 연구)

  • Yeo, Min-Woo;Lee, Sang-Do;Lee, Dong-Choon
    • Journal of the Ergonomics Society of Korea
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    • v.25 no.3
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    • pp.17-24
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    • 2006
  • In this paper, we propose a stress analysis on foot by lifting task attitudes. Maximum force and peak pressure were measured on 8 body regions by Pedar system in order to analysis the stress which is affected by task style and angle on foot when Manual Materials Handling task. As for the peak pressure of the whole foot as to the task height during the lifting task, the height from Knuckle to Shoulder was the least in the peak pressure. Also, as for the maximum force and the peak pressure of the whole foot as to the task angle during the lifting task, it could be seen that the more an angle increases, the stress influencing on a foot jumps. As for the maximum force and the peak pressure by foot region as to the task height in case of the lifting task, the height from Knuckle to Shoulder is indicated the smallest value in the maximum force and the peak pressure, thus there is necessary to attain the work design that considered this. Also, as for the maximum force by foot region as to the task angle in case of the lifting task, 0° tasking is indicated to be least, thus there is necessity to be attained the tasking design in a bid to prevent the existence of an angle. The results of this paper are thought to be helpful to the suitable work design, to the prevention of musculoskeletal disorders related to the lower limbs, and to the design of ergonomic safety shoes.

Effect of Artificial Leg Length Discrepancy on 3D Hip Joint Moments during Gait in Healthy Individuals (건강한 성인에서 인위적 다리길이 차이가 보행 중 3차원 엉덩관절 모멘트에 미치는 효과)

  • Jo, Min-Ji;Kim, Dong-Hyun;Han, Dong-Wook;Choi, Eun-Jin;Kim, Ye-Seul;Kim, Yong-Wook
    • PNF and Movement
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    • v.17 no.3
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    • pp.391-399
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    • 2019
  • Purpose: This study investigated the three-dimensional moment values of the hip joint for subjects with artificial leg length alterations and subjects with unaltered leg lengths. Methods: Forty-two healthy adults (8 men, 34 women) participated in this study. The selected subjects were able to walk normally, had less than a 1 cm leg length discrepancy, and were instructed to wear shoes that fit their feet. The study participants performed 8 dynamic gait trails to measure the hip joint moment using a three-dimensional motion analysis system. Kinetic and dynamic three-dimensional gait analysis data were collected from infrared cameras, and a force plate was used to standardize the weight of each subject. Results: There were significant correlations between the differences in the leg length discrepancy during right extension, right flexion, right internal rotation, and left extension in hip joint moments (p<0.05). There were significant correlations between the differences in shoe conditions during left extension, right flexion, right extension, and right internal rotation in the hip moments (p<0.05). Conclusion: This study suggests that a leg length discrepancy can affect hip joint moment, which may further exacerbate musculoskeletal disorders, such as osteoarthritis in lower extremity joints. Therefore, further studies should be conducted to verify the impact of clinical interventions on differences in hip joint moment values to correct leg length discrepancies and prevent osteoarthritis in lower extremity joints.

Prediction of Cobb-angle for Monitoring System in Adolescent Girls with Idiopathic Scoliosis using Multiple Regression Analysis

  • Seo, Eun Ji;Choi, Ahnryul;Oh, Seung Eel;Park, Hyun Joon;Lee, Dong Jun;Mun, Joung H.
    • Journal of Biosystems Engineering
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    • v.38 no.1
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    • pp.64-71
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    • 2013
  • Purpose: The purpose of this study was to select standing posture parameters that have a significant difference according to the severity of spinal deformity, and to develop a novel Cobb angle prediction model for adolescent girls with idiopathic scoliosis. Methods: Five normal adolescents girls with no history of musculoskeletal disorders, 13 mild scoliosis patients (Cobb angle: $10^{\circ}-25^{\circ}$), and 14 severe scoliosis patients (Cobb angle: $25^{\circ}-50^{\circ}$) participated in this study. Six infrared cameras (VICON) were used to acquire data and 35 standing parameters of scoliosis patients were extracted from previous studies. Using the ANOVA and post-hoc test, parameters that had significant differences were extracted. In addition, these standing posture parameters were utilized to develop a Cobb-angle prediction model through multiple regression analysis. Results: Twenty two of the parameters showed differences between at least two of the three groups and these parameters were used to develop the multi-linear regression model. This model showed a good agreement ($R^2$ = 0.92) between the predicted and the measured Cobb angle. Also, a blind study was performed using 5 random datasets that had not been used in the model and the errors were approximately $3.2{\pm}1.8$. Conclusions: In this study, we demonstrated the possibility of clinically predicting the Cobb angle using a non-invasive technique. Also, monitoring changes in patients with a progressive disease, such as scoliosis, will make possible to have determine the appropriate treatment and rehabilitation strategies without the need for radiation exposure.

Review of Qualitative Approaches for the Construction Industry: Designing a Risk Management Toolbox

  • Zalk, David M.;Spee, Ton;Gillen, Matt;Lentz, Thomas J.;Garrod, Andrew;Evans, Paul;Swuste, Paul
    • Safety and Health at Work
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    • v.2 no.2
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    • pp.105-121
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    • 2011
  • Objectives: This paper presents the framework and protocol design for a construction industry risk management toolbox. The construction industry needs a comprehensive, systematic approach to assess and control occupational risks. These risks span several professional health and safety disciplines, emphasized by multiple international occupational research agenda projects including: falls, electrocution, noise, silica, welding fumes, and musculoskeletal disorders. Yet, the International Social Security Association says, "whereas progress has been made in safety and health, the construction industry is still a high risk sector." Methods: Small- and medium-sized enterprises (SMEs) employ about 80% of the world's construction workers. In recent years a strategy for qualitative occupational risk management, known as Control Banding (CB) has gained international attention as a simplified approach for reducing work-related risks. CB groups hazards into stratified risk 'bands', identifying commensurate controls to reduce the level of risk and promote worker health and safety. We review these qualitative solutions-based approaches and identify strengths and weaknesses toward designing a simplified CB 'toolbox' approach for use by SMEs in construction trades. Results: This toolbox design proposal includes international input on multidisciplinary approaches for performing a qualitative risk assessment determining a risk 'band' for a given project. Risk bands are used to identify the appropriate level of training to oversee construction work, leading to commensurate and appropriate control methods to perform the work safely. Conclusion: The Construction Toolbox presents a review-generated format to harness multiple solutions-based national programs and publications for controlling construction-related risks with simplified approaches across the occupational safety, health and hygiene professions.