DOI QR코드

DOI QR Code

Approval status and characteristics of work-related musculoskeletal disorders among Korean workers in 2020

  • Eun-woo Cha (Department of Occupational and Environmental Medicine, Pusan National University Yangsan Hospital) ;
  • Sae-mi Jung (Department of Occupational and Environmental Medicine, Pusan National University Yangsan Hospital) ;
  • Il-ho Lee (Department of Occupational and Environmental Medicine, Pusan National University Yangsan Hospital) ;
  • Dae Hwan Kim (Department of Occupational and Environmental Medicine, Inje University Haeundae Paik Hospital) ;
  • Eui Hyek Choi (Department of Occupational and Environmental Medicine, Inje University Haeundae Paik Hospital) ;
  • In-ah Kim (Department of Occupational and Environmental Medicine, Hanyang University College of Medicine) ;
  • Yong-kyu Kim (Korea Workers' Compensation & Walfare Service Incheon Hospital) ;
  • Kyung-joon Lee (Korea Workers' Compensation & Walfare Service Incheon Hospital) ;
  • Yang Won Kang (Korea Workers' Compensation & Walfare Service Ansan Hospital) ;
  • Ho-gil Kim (Korea Workers' Compensation & Walfare Service Ansan Hospital) ;
  • Young-ki Kim (Department of Occupational and Environmental Medicine, Pusan National University Yangsan Hospital)
  • Received : 2022.03.18
  • Accepted : 2022.09.27
  • Published : 2022.12.31

Abstract

Background: This study aimed to investigate the characteristics of work-related musculoskeletal disorders (WRMSDs) in occupational disease claims and identify patterns of WRMSDs for each body part by industry and occupation. Methods: This study analyzed the raw data of occupational disease claims for musculoskeletal disorders deliberated by the Occupational Disease Decision Committee of the Korea Workers' Compensation & Welfare Service in 2020. The data was classified into 6 body parts with the highest numbers of occupational disease cases by using the complete enumeration data on principal diagnoses and 4 types of subdiagnoses in the raw data. The characteristics and approval rates of WRMSDs by body part, industry and occupation were examined and summarized. Results: A total of 13,015 occupational disease cases for WRMSDs were classified, and lumbar spinal (back) diseases accounted for the largest proportion of claimed diseases, followed by shoulder, elbow, wrist, knee, and neck diseases in a descending order. The occupations with the highest and second highest numbers of occupational disease cases by body part were found to be automobile assemblers and production-related elementary workers for the neck, school meal service workers and cooks for the back, construction frame mold carpenters and school meal service workers for the shoulder, elementary workers in mining and food service workers for the elbow, food service workers and automobile parts assemblers for the wrist, and ship welders and school meal service workers for the knee. Conclusions: This study examined the characteristics and approval status of WRMSDs by body part and occupation. Based on the study results, management strategies for the prevention of WRMSDs should be established regarding occupations with a high risk of WRMSDs for each body part.

Keywords

Acknowledgement

This research was supported by 2-year Research Grant Pusan National University (2021).

References

  1. Kang D, Kim YK, Kim EA, Kim DH, Kim I, Kim HR, et al. Prevention of work-related musculoskeletal disorders. Ann Occup Environ Med 2014;26(1):14. 
  2. Jeong BY. Ergonomics' role for preventing musculoskeletal disorders. J Ergon Soc Korea 2010;29(4):393-404. 
  3. Ministry of Employment and Labor. Analysis of industrial accidents in 2017. http://www.moel.go.kr/. Updated 2018. Accessed December 10, 2021.
  4. Ministry of Employment and Labor. Analysis of industrial accidents in 2020. http://www.moel.go.kr/. Updated 2021. Accessed December 10, 2021.
  5. Myong JP, Lee HK, Kim HR, Jung HS, Jeong EH, Nam W, et al. Musculo-skeletal symptoms of municipal sanitation workers and ergonomic evaluation on upperlimb. Korean J Occup Environ Med 2008;20(2):93-103. 
  6. Kim MJ, Choi E. Occupational accident compensation insurance coverage and occupational accidents for special-type delivery workers. J Korean Acad Community Health Nurs 2021;32(1):64-72. 
  7. Kim KS, Park JK, Kim DS. Status and characteristics of occurrence of work-related musculoskeletal disorders. J Ergon Soc Korea 2010;29(4):405-22. 
  8. Kim KH, Hwang RI, Suk MH. The trends and status of work-related musculoskeletal diseases under Korean worker's compensation system. Korean J Occup Health Nurs 2013;22(2):102-11. 
  9. Hwang R, Kim KH, Suk MH, Jung SW. Gender differences in factors affecting musculoskeletal diseases among the Korean workers. J Muscle Joint Health 2014;21(1):65-74.
  10. Bhattacharya A. Costs of occupational musculoskeletal disorders (MSDs) in the United States. Int J Ind Ergon 2014;44(3):448-54. 
  11. Wang X, Dong XS, Choi SD, Dement J. Work-related musculoskeletal disorders among construction workers in the United States from 1992 to 2014. Occup Environ Med 2017;74(5):374-80. 
  12. Cohen SP. Epidemiology, diagnosis, and treatment of neck pain. Mayo Clin Proc 2015;90(2):284-99. 
  13. Bernard BP. Musculoskelectal Disorders and Workplace Factors: A Critical Review of Epidemiologic Evidence for WorkRelated Musculoskelectal Disorders of Neck, Upper Extremity, and Low Back. Cincinnati, OH, USA: National Institute for Occupational Safety and Health(NIOSH), U.S. Department of Health and Human Services; 1997.
  14. Sluiter JK, Rest KM, Frings-Dresen MH. Criteria document for evaluating the work-relatedness of upperextremity musculoskeletal disorders. Scand J Work Environ Health 2001;27 Suppl 1:1-102. 
  15. Kasumovic M, Gorcevic E, Gorcevic S, Osmanovic J. Cervical syndrome - the effectiveness of physical therapy interventions. Med Arh 2013;67(6):414-7. 
  16. You JW. Lumbar disc disease. J Korean Soc Spine Surg 1999;6(2):208-19.
  17. Boden SD, Davis DO, Dina TS, Patronas NJ, Wiesel SW. Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects. A prospective investigation. J Bone Joint Surg Am 1990;72(3):403-8. 
  18. Woodward TW, Best TM. The painful shoulder: Part II. Acute and chronic disorders. Am Fam Physician 2000;61(11):3291-300. 
  19. Battevi N, Menoni O, Vimercati C. The occurrence of musculoskeletal alterations in worker populations not exposed to repetitive tasks of the upper limbs. Ergonomics 1998;41(9):1340-6. 
  20. Descatha A, Leclerc A, Chastang JF, Roquelaure Y; Study Group on Repetitive Work. Medial epicondylitis in occupational settings: prevalence, incidence and associated risk factors. J Occup Environ Med 2003;45(9):993-1001. 
  21. Shiri R, Viikari-Juntura E. Lateral and medial epicondylitis: role of occupational factors. Best Pract Res Clin Rheumatol 2011;25(1):43-57. 
  22. Franklin GM, Friedman AS. Work-related carpal tunnel syndrome: diagnosis and treatment guideline. Phys Med Rehabil Clin N Am 2015;26(3):523-37. 
  23. Keir PJ, Rempel DM. Pathomechanics of peripheral nerve loading. Evidence in carpal tunnel syndrome. J Hand Ther 2005;18(2):259-69. 
  24. Winn FJ Jr, Habes DJ. Carpal tunnel area as a risk factor for carpal tunnel syndrome. Muscle Nerve 1990;13(3):254-8. 
  25. Hong CY, Lee CG, Kim DH, Cho YS, Kim KY, Ryu SY, et al. Work-related risk factors of knee meniscal tears in Korean farmers: a cross-sectional study. Saf Health Work 2020;11(4):485-90. 
  26. Rytter S, Jensen LK, Bonde JP, Jurik AG, Egund N. Occupational kneeling and meniscal tears: a magnetic resonance imaging study in floor layers. J Rheumatol 2009;36(7):1512-9. 
  27. Snoeker BA, Bakker EW, Kegel CA, Lucas C. Risk factors for meniscal tears: a systematic review including meta-analysis. J Orthop Sports Phys Ther 2013;43(6):352-67.