Korean Journal of Occupational Health Nursing (한국직업건강간호학회지)

Korean Academic Society of Occupational Health Nursing (한국직업건강간호학회)
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Effects of Workplace Risk Assessment-based Ergonomic Intervention on Work-Related Muscular Skeletal Disorders: Systematic Literature Review and Meta-Analysis

작업장 유해요인조사에 기반한 인체공학적 중재가 작업 관련성 근골격계 질환의 증상에 미치는 효과: 체계적 문헌고찰 및 메타분석

  • Received : 2020.09.17
  • Accepted : 2020.11.13
  • Published : 2020.11.30
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Abstract

Purpose: This study aimed to systematically review literature and conduct a meta-analysis to comprehensively identify and evaluate the effects of workplace risk assessment-based ergonomic intervention on work-related muscular-skeletal disorders in workers. Methods: We searched the Ovid-Medline, EMBASE, and Cochrane library and up to 2018 using search terms such as muscular-skeletal, disorder, impairment, work-related muscular-skeletal disorders, ergonomic, intervention, management with no language limitations; screened reference lists; and contacted experts in the field. Results: We identified 545 references and included 13 randomized controlled tests (3,368 workers). We judged nine studies to have a low risk of bias, while the other four studies have a high risk of bias. Conclusion: Ergonomic intervention based on risk assessment in the workplace did not significantly differ in terms of the intensity of pain or duration of workers in the workplace, but low-quality evidence decreased the frequency of musculoskeletal disorder pain in three to six months moderate-quality evidence and in six to nine months low-quality evidence. Besides, low-quality evidence to reduce discomfort and moderate-quality evidence to improve worker posture. Therefore, ergonomic intervention based on the assessment of risk factors in the workplace should be applied to reduce pain frequency and discomfort and improve workers posture among musculoskeletal disorders.

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References

  1. Bang, Y. W., Im, H. J., Kwon, Y. J., Cho, S. S., Lee, T. K., Yoon, I. K., et al. (2011). The effect of socio-economic factors on occupational injuries in Korea: A time series analysis. Korean Journal of Occupational and Environment Medicine, 23(4), 397-406. https://doi.org/10.35371/kjoem.2011.23.4.397
  2. Boocock, M. G., McNair, P. J., Larmer, P. J., Armstrong, B., Collier, J., Simmonds, M., et al. (2007). Interventions for the prevention and management of neck/upper extremity musculoskeletal conditions: A systematic review. Occupational and Environmental Medicine, 64(5), 291-303. https://doi.org/10.1136/oem.2005.025593
  3. Brisson, C., Montreuil, S., & Punnett, L. (1999). Effects of an ergonomic training program on workers with video display units. Scandinavian Journal of Work Environment and Health, 25(3), 255-263. https://doi.org/10.5271/sjweh.432
  4. Bureau of Labor Statistics. (2019). 25 years of worker injury, illness, and fatality case data. Retrieved from https://www.bls.gov/spotlight/2019/25-years-of-worker-injury-illness-and-fatality-case-data/home.htm
  5. Hardeman, W., Sutton, S., Griffin, S., Johnston, M., White, A., Wareham, N. J., et al. (2005). Causal modelling approach to the development of theory-based behaviour change programmes for trial evaluation. Health Education Research, 20(6), 676-687. https://doi.org/10.1093/her/cyh022
  6. Higgins, J., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003). Measuring inconsistency in meta-analyses. British Medical Journal, 327, 557-560. https://doi.org/10.1136/bmj.327.7414.557
  7. Industrial Accident Compensation Insurance Act. (2019). 16273.
  8. Jeong, B. Y. (2010). Ergonomics' Role for Preventing Musculoskeletal Disorders. Journal of the Ergonomics Society of Korea, 29(4), 393-404, https://doi.org/10.5143/JESK.2010.29.4.393
  9. Jung, M. H., Jung, H. S., & Lee, B. I. (2013) Effect of workplace health manager's role performance on presenteeism in the workers. Korean Journal of Occupational Health Nursing, 22, 171-178. https://doi.org/10.5807/KJOHN.2013.22.2.171
  10. Kang, D., Kim, Y., Lee, Y. I., Koh, S., Kim, I., & Lee, H. (2014). Workrelated musculoskeletal disorders in korea provoked by workers' collective compensation claims against work intensification. Annals of Occupational and Environmental Medicine, 26(1), 19. https://doi.org/10.1186/2052-4374-26-19
  11. Kim, K. H., Hwang, R. I. & Suk, M. H. (2013). The trends and status of work-related musculoskeletal diseases under Korean worker's compensation system, Korean Journal of Occupational Health Nursing, 22(2), 102-111, 2013. https://doi.org/10.5807/KJOHN.2013.22.2.102
  12. Ko, Y, S., Park, H. S., Lee, J. H., Cha, Y. Y., Chung, W. S., Shin, B. C., et al. (2013). Research trends of work-related musculoskeletal disorders in Korean literature. Oriental Rehab Med, 23(2), 95-104.
  13. Korea Occupational Safety and Health Agency. (2014). The 5th Work Environment Survey in 2014.
  14. Lee, S. R., Kim, K. S., Kim, E. A., Kim, J. H., & Kim, D. H. (2014). Job stress and musculoskeletal disorder in seoul city's school foodservice employees. Korean Journal of Occupational Health Nursing. 23(4), 245-253. https://doi.org/10.5807/kjohn.2014.23.4.245
  15. Leyshon, R., Chalova, K., Gerson, L., Savtchenko, A., Zakrzewski, R., Howie, A., et al. (2010). Ergonomic interventions for office workers with musculoskeletal disorders: a systematic review. Work, 35(3), 335-348. https://doi.org/10.3233/WOR-2010-0994
  16. Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gotzsche, P. C., Ioannidis, J. P., et al. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: Explanation and elaboration. Journal of Clinical Epidemiology, 62(10), e1-e34. https://doi.org/10.1016/j.jclinepi. 2009.06.006
  17. Maher, C. G. (2000). A systematic review of workplace interventions to prevent low back pain. Australian Journal of Physiotherapy, 46(4), 259-269. https://doi.org/10.1016/S0004-9514(14)60287-7
  18. Ministry of Employment and Labor. (2019). Status of Industrial accident in 2018. Sejong: Author.
  19. Oh, I. H., Yoon, S. J., Seo, H. Y., Kim, E. J., & Kim, Y. A. (2011). The economic burden of musculoskeletal disease in Korea: a cross sectional study. BMC Musculoskeletal Disorders, 12, 1-9. https://doi.org/10.1186/1471-2474-12-1
  20. Park, J. S. (2016). Spring Conference of the Ergonomics Society of Korea and 18th Korea - Japan Joint Symposium. Ergonomics Society of Korea, 309-333.
  21. Putz-Anderson V. (1988). Cumulative trauma disorders: A manual for musculoskeletal diseases of the upper limbs. New York:Taylor & Francis.
  22. Rivilis, I., Van Eerd, D., Cullen, K., Cole, D. C., Irvin, E., Tyson, J., et al. (2008). Effectiveness of participatory ergonomic interventions on health outcomes: A systematic review. Applied Ergonomics, 39(3), 342-358 https://doi.org/10.1016/j.apergo.2007.08.006
  23. Robson, L., Stephenson, C., Schulte, P., Amick, B., Chan, S., Bielecky, A., et al. (2010). A systematic review of the effectiveness of training & education for the protection of workers. Toronto:Institute for Work & Health, DHHS (NIOSH). 2010-127.