Browse > Article
http://dx.doi.org/10.12674/ptk.2012.19.2.069

Work-Related Musculoskeletal Pain and Workload Evaluation of Physical Therapists: Focused on Neurological Injury Treatment of Adults  

Lee, Jung-Ho (Dept. of Rehabilitation Science, The Graduate School, Daegu University)
Choi, Young-Chul (Dept. of Rehabilitation Science, The Graduate School, Daegu University)
Kim, Jin-Sang (Dept. of Physical Therapy, College of Rehabilitation Science, Daegu University)
Publication Information
Physical Therapy Korea / v.19, no.2, 2012 , pp. 69-79 More about this Journal
Abstract
Importance of the work-related musculoskeletal disorders (WMSDs) has been increasing in the hospital industry such as health care industry and financial industry. This study investigated in order to identify the factors like general, occupational and ergonomically characteristics of the subjects related to musculoskeletal disorders (MSDs) of physical therapists (PTs). Ergonomic tools of rapid upper limb assessment (RULA) were used for evaluation workload of the tasks. Prevalence of MSDs were 13 PTs (26.0%) for neck, 31 PTs (62.0%) for shoulder, 9 PTs (18.0%) for arm/elbow, 27 PTs (54.0%) for hand/wrist, 28 PTs (56.0%) for back, 14 PTs (28.0%) for leg/foot. The analysis of the rate of the pain intensity showed that 53.5% subjects experience moderate pain and 14.0% subjects experience severe pain. Factors which were general characteristics, for example, height, ergonomically characteristics such as 'Posture Score A' were related musculoskeletal subjective symptoms in logistic analysis (p<.05). Among physical therapists, action level of RULA were action level 2 (6.0%), action level 3 (52.0%), action level 4 (42.0%). Physical therapists were estimated one of the highest risk factor in this study. This study suggested that the need of preventive education and program for PTs (physical therapists). Comprehensive and systematic management plans should be established to include both ergonomic and sociopsychological aspects.
Keywords
Constraint-induced movement therapy; Effect size; Meta-analysis; Stroke;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 강미정, 정원미, 구정완. 작업치료사의 근골격계 자각증상 과 관련요인. 대한작업치료학회지. 2007;15(2):117- 128.
2 기도형, 박기현. 작업 자세 평가 기법 OWAS, RULA, REBA 비교. 한국산업안전학회지. 2005;20(2):127-132.
3 김강윤, 안선희, 최호춘 등. 물리치료사의 근골격계 부담작업 유해요인평가-운동치료를 중심으로. 한국산업위생학회지. 2004;14(2):144-154.
4 김경모. 물리치료사의 근골격계 통증과 직무 스트레스. 서울, 연세대 보건환경대학원, 석사학위논문, 2005: 17-23.
5 권미지, 김수민. 대구지역 물리치료사들의 직업과 관련된 근골격계장애 조사. 대한물리치료학회지. 2001; 13(1):151-160.
6 권현진. Video를 이용한 치과위생사의 작업자세분석과 근골격계 자각증상과의 관련성. 대한치과위생학회지. 2004;6(1):1-10.
7 노동부. 노동부고시 제2003-24호. http://www.moel.go.kr
8 노동부. 산업재해통계. 2004:79. http://www.moel.go.kr
9 노동부. 2007년 노동백서. 2008:306-308. http://www.moel.go.kr
10 명준표, 이향기, 김형렬 등. 환경미화원의 작업별 근골 격계질환 자각증상 특성과 상지의 인간공학적 평가. 대한산업의학회지. 2008;20(2):93-103.
11 박기현, 사업장 근골격계질환 예방 실천사항. 한국산업안전보건공단. 2007.
12 박정근, 김대성, 서경범. 병원근로자의 근골격계질환 증상 특성 및 관리방안. 대한인간공학회지. 2008;27 (3):81-92.
13 서순림, 기도형. 종합 병원 간호사의 근골격계질환 실태 조사. 대한인간공학회지. 2005;24(2):17-24.
14 용준형, 이충휘, 권오윤 등. 물리치료사의 직무관련 근골격계 통증과 직무 스트레스. 한국전문물리치료확회지. 2010; 17(1):53-61.
15 이충휘. 물리치료사의 요통발생 위험요인 분석. 대한물리치료사학회지. 1990;11(2):93-115.
16 이태식, 백일훈. 물리치료사 업무특성과 근골격계 질환 예방을 위한 관심도 연구. 대한물리치료사학회지. 2003;10(2):163-172.
17 이형수, 송화경, 김한나 등. 전남 동부지역 물리치료사 의 근무환경 및 직무 만족도 조사연구. 대한물리치료학회지. 2005;17(1):71-86.
18 정상희. 치과위생사의 작업관련성 근골격계질환 유병률과 주요업무별 인간공학적 평가. 대한치과위생학회지. 2004;6(1):87-99.
19 최명관, 최상복, 차상은. 치과의사의 근골격계질환 자각 증상과 유해요인에 관한 연구. 한국안전학회지. 2006;21(6): 106-115.
20 차주형, 유태범, 최화순 등. 국내 치과의사의 근골격계 질환 실태 조사. 대한인간공학회지. 2007;26(2): 137-147.
21 한국산업안전공단. 근골격계부담작업 유해요인조사지침. 2003.
22 Darragh AR, Huddleston W, King P. Work-related musculoskeletal injuries and disorders among occupational and physical therapists. Am J Occup Ther. 2009;63(3):351-362.   DOI
23 Bongers PM, de Winter CR, Kompier MA, et al. Psychosocial factors at work and musculoskeletal disease. Scand J Work Environ Health. 1993;19(5):297-312.   DOI
24 Buchholz B, Paquet V, Punnett L, et al. Path: A work sampling-based approach to ergonomic job analysis for construction and other non-repetitive work. Appl Ergon. 1996;27(3):177-187.   DOI   ScienceOn
25 Cromie JE, Robertson VJ, Best MO. Work-related musculoskeletal disorders in physical therapists: Prevalence, severity, risks and responses. Phys Ther. 2000;80(4):336-351.   DOI
26 David G, Woods V, Li G, et al. The development of the quick exposure check (qec) for assessing exposure to risk factors for work-related musculoskeletal disorders. Appl Ergon. 2008;39(1): 57-69.   DOI
27 Dempsey P, McGorry RW, Maynard WS. A survey of tools and methods used by certified professional ergonomists. Appl Ergon. 2005;36(4): 489-503.   DOI
28 Fransson-Hall C, Gloria R, Kilbom A, et al. A portable ergonomic observation method (peo) for computerized on-line recording of postures and manual handling. Appl Ergon. 1995;26(2):93-100.   DOI   ScienceOn
29 Hignett S, McAtamney L. Rapid entire body assess ment (REBA). Appl Ergon. 2000;31(2):201-205.   DOI   ScienceOn
30 Fredriksson K, Alfredsson L, Ahlberg G, et al. Work environment and neck and shoulder pain: The influence of exposure time. Results from a population based case-control study. Occup Environ Med. 2002;59(3):182-188.   DOI
31 Molumphy M, Unger B, Jensen GM, et al. Incidence of work-related low back pain in physical therapists. Phys Ther. 1985;65(4):482-486.   DOI
32 Karhu O, Kansi P, Kuorinka I. Correcting working postures in industry: A practical method for analysis. Appl Ergon. 1977;8(4):199-201.   DOI   ScienceOn
33 Kemmlert K. A method assigned for the identification of ergonomic hazards-PLIBEL. Appl Ergon. 1995;26(3):199-211.   DOI   ScienceOn
34 McAtamney L, Nigel Corlett E. RULA: A survey method for the investigation of work-related upper limb disorders. Appl Ergon. 1993;24(2):91-99.   DOI   ScienceOn
35 Podniece Z. Work-related musculoskeletal disorders: Prevention report. Belgium, European agency for safety and health at work, 2008:5-12.
36 Punnett L, Wegman DH. Work-related musculoskeletal disorders: The epidemiologic evidence and the debate. J Electromyogr and Kinesiol. 2004;14(1):13-23.   DOI   ScienceOn