• 제목/요약/키워드: 근골격 질환

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근골격계 통증질환의 진단과 치료를 위한 주사바늘형 복합온도 프로브의 개발 (Needle Type of Hybrid Temperature Probe for Both Diagnosis and Treatment of Musculoskeletal Pain Syndrome)

  • 남성기;김형일;변창호;이선규
    • 한국정밀공학회지
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    • 제31권4호
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    • pp.359-364
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    • 2014
  • This paper describes the development of needle type probe that measures temperature and injects medicine for both diagnosis and treatment of musculoskeletal pain syndrome (MPS). The size of trigger points is from several micrometers to millimeter. Therefore, it is required to develop a medical device that is capable of not only finding the trigger points by temperature measurement, but also injecting medicine at the exact location for treatment. To challenge these difficulties, thermocouple was fabricated on the surface of a needle using metal deposition process. Special type of stainless-constantan thermocouple was achieved from the stainless body of a needle itself and deposited constantan metal film. In particular, parylene coating enables to limit the temperature sensitive area to the end of the needle tip. Fabricated needle type probe produces $3.25mV/^{\circ}C$ of thermoelectric sensitivity and compared its performance with commercial T-type thermocouple in animal muscle sample.

성별에 따른 근로자의 업무상 근골격계질환 산재 승인 영향요인 (Gender Differences in Factors Affecting Musculoskeletal Diseases among the Korean Workers)

  • 황라일;김경하;석민현;정성원
    • 근관절건강학회지
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    • 제21권1호
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    • pp.65-74
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    • 2014
  • Purpose: This study examined gender differences on Musculoskeletal disease (MSD) medical status, the characteristics of the approved patients in workers, and the factors affected approval. Methods: Claim data for the MSD to the Korea Worker's Compensation & Welfare Services (2011) were employed. The medical status by gender was analyzed using t-test, chi square-test and multivariate logistic regression models. Results: The number of claims for MSD has continuously increased in females but not in males since 2006. The severity measured by the care duration, surgery experience and disability grade has been substantially higher in males than in females. Age, size of company, types of occupation, work duration and the weight of materials handled daily were associated with the approval. When males were considered, the work duration, the weight of materials handled daily and parts of the body were statistically significant predictors of approval in males. In case of female, there were meaningful predictors in types of industry and parts of the body. Conclusion: These findings suggest that gender-specific risk factors of MSD should be measured and the management program for MSD should be developed.

치과위생사의 근골격계질환 자각증상 및 위험도 평가 (Subjective symptoms and risk assessment of musculoskeletal disorders of the dental hygienists)

  • 김정희;유왕근
    • 한국치위생학회지
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    • 제12권1호
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    • pp.67-79
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    • 2012
  • Objectives : The study was carried out to find out the experience of musculoskeletal disorder symptoms of dental hygienists and evaluate the risk with ergonomic evaluation method(RULA). Methods : The subjects in this study were 344 dental hygienists working at dental clinics and general hospitals in Seoul, Gyeonggi, Daejeon and Chungnam/Chungbuk. The data were collected through the self-questionnaire survey from July 26th 2010 to September 30th 2010. Results : The results showed that those who working at dental hospital, network dental clinics, with 1-5 years of clinical experience, long working hour and sitting hour, no rest hour, more physical and mental burden had higher rate of the experience of musculoskeletal disorder symptoms compared with other groups. The final score of RULA evaluation results was 6 on average requiring continuous observation and urgent demand for work improvements. According to the result of RULA evaluation by work, the orthodontic clinics were 4.5, prosthodontic clinics were 5.0, and dental surgery clinics were 6.8 being the most risky. Conclusions : The study showed high complaints rate on musculoskeletal disorders in dental hygienists. Thus, various measures including provision of proper working and rest hours, use of ergonomic working equipments, strengthening the health education for desirable working posture and the development of musculoskeletal disorder prevention program should be needed.

건강신념모형을 적용한 사무직 근로자의 근골격계질환에 대한 인식도 및 예방프로그램 요구도 조사 (A Study on the Perception and Needs of Prevention Program for Musculoskeletal Disease of Office Workers Based on the Health Belief Model)

  • 박상순;정혜선
    • 한국직업건강간호학회지
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    • 제15권1호
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    • pp.50-57
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    • 2006
  • Purpose: The purpose of this study was to research the health belief, perception and need of prevention program for musculoskeletal disease of office workers in a public corporation. Method: We surveyed 339 office workers at a industry based in Ahn Yang, Kyunggi Province, with questionnaires, during the period June 3rd - June 18th, 2004. Result: Forty-four percent of the subjects said they had musculoskeletal symptoms, and 10.9% said they had received medical treatment for musculoskeletal disease in the last year. Factors that affected perception of musculoskeletal disease were appeared to be perceived severity, perceived barrier, cue to action, marital status, regular exercise and age, and they explained 23.2% of perception of musculoskeletal disease. Factors that affected need of prevention program appeared to be perceived susceptibility, perceived severity, perceived benefit and PC using hours, and they explained 20.8% of need of prevention program. Conclusion: In conclusion, we suggested that in management the prevention of musculoskeletal disease for office workers, it should be considered nursing intervention strategies to reinforce health belief.

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중소규모 제조업 근로자의 상지 근골격계질환 발생에 영향을 미치는 요인 (Related Factors of Upper Limb Musculoskeletal Disease in Small-to-Medium-sized Manufacture Enterprises Workers)

  • 김혜진;정혜선
    • 한국직업건강간호학회지
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    • 제13권1호
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    • pp.19-29
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    • 2004
  • Purpose: This study was conducted at small-to-medium-sized manufacture enterprises less than 300 employees. Method: For 167 workers in 12 small-to-medium-sized manufacture, we examined the self-recording questionnaires about general characteristics, health characteristics, occupational characteristics and subjective musculoskeletal symptoms designed by NIOSH. Result: Related factors of upper limb musculoskeletal symptoms were found in using of the PC except work, the speed control at working and inappropriate positions for neck, and that using of the PC except work, the degree of intensity at working and the speed control at working for shoulder, and that the degree of intensity at working, the speed control at working, inappropriate positions and excessive workforce for arm/elbow, and that the degree of intensity at working, the speed control at working, inappropriate positions, excessive strong and vibration for hand/wrist/fingers. Conclusion: As a result of multiple logistic regression analysis, musculoskeletal symptoms of neck were influenced by use of the PC except work, household work, and the speed control at working, symptoms of shoulder by using of the PC of except work and the degree of intensity at working, symptoms of arm/elbow by the speed control at working, and symptoms of hand/wrist/fingers by the degree of intensity at work and excessive workforce.

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농작업자의 건강과 안전 향상을 위해 적합한 작업용 좌대 높이의 검증 (Verification of Suitable Height of Plank Seat for Improving the Health and Safety of Farmers)

  • 정인주;정화식
    • 대한안전경영과학회지
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    • 제9권4호
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    • pp.11-16
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    • 2007
  • 최근 들어 산업현장 뿐만 아니라 농어촌에도 자동화가 가속화되면서 작업자의 안정성과 편리성을 높이기 위한 다양한 방안이 제시되고 있지만 여전히 농업현장에서 대부분의 작업들이 부적절한 자세로 수행할 수밖에 없는 경우가 자주 발생한다. 본 연구는 쪼그려 앉는 작업자세가 요구되는 각종 농작업에 있어서 적합한 높이의 작업용 좌대를 제공함으로써 부적절한 작업자세를 개선하여 노동 강도를 경감시킴과 동시에 작업능률 향상과 요통 등 근골격계질환을 감소시켜 작업자의 건강과 안전을 증진시키는데 목적을 두었다. 이를 위하여 농작업에서 행해지는 쪼그려 앉는 여러 자세에 있어서 재배작물의 높이에 따라 적절한 작업용 좌대의 높이를 실험을 통하여 규명하였다. 연구결과 쪼그려 앉아 작업을 수행해야 하는 유사한 작업이라도 작업위치에 따라 쪼그려 앉는 작업용 좌대의 적합한 높이는 달라져야 한다는 것을 발견하였다. 즉 작업위치가 5cm 이하이면 작업용 좌대 높이는 10cm가 적절하며 작업위치가 20cm이면 15cm, 작업위치가 40cm이면 20cm가 적절함을 알 수 있었다. 이와 같은 결과를 농작업에 적용한다면 작업조건이 향상되어 편안하고 안전한 자세로 작업을 할 수 있기 때문에 허리, 어깨, 다리 등의 근골격계 질환을 감소시킬 수 있으며 인력작업에 따른 무리한 힘의 소모를 감소시켜 노동력 절감은 물론 생산성 향상을 가져올 수 있다고 판단된다.

치과위생사 업무 중 근·골격계 질환의 자각 증상과 업무상 재해 인정기준에 관한 연구 (A Study on The Acknowledgement of A Criterion and Subjective Symptom of Musculoskeletal Diseases by Dental Hygienists works)

  • 이숙정
    • 한국치위생학회지
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    • 제5권2호
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    • pp.235-245
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    • 2005
  • The changes in korean economic environment, from quantitative to qualitative growth of economy, go with making desperate efforts, that is, companies have put through many technical improvements, quality control, improvement of service, and so forth. Enterprises cut the number of employees through labor-management adjustment, so that a shortage of labor caused. An increase in intension of labor brought about growing the proportion of occupational diseases which is musculoskeletal diseases. Because of a rapid change in society and a change in our circumstances, we have many difficulties in examine a business disease closely. In support corroboration of relevance on admission of business, a criterion for dudging afford a basis for a causal relationship of medical science, take the state of working conditions into consideration, and at the same time, give a adaptable decision based on the purpose and point of "The Labor Standard Law" as well as "The Law about Industrial Accident Compensation insurance". In conclusion, it is necessary for the dental hygienists 10 reduce the on-duty hours a day, to make good postures in working, and to remove the stressful conditions in order to reduce the incidence of the lumbago. Good working postures, appropriate rest time, and early detection, care and education of the lumbago could be recommended for the dental hygienists.

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통합적 고찰을 통한 간호사들의 직업 관련 근골격계 질환 유병률과 예측요인 (Prevalence and Indicators of Musculoskeletal Diseases on Nurses: An Integrated Review)

  • 최은희
    • 근관절건강학회지
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    • 제27권1호
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    • pp.1-11
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    • 2020
  • Purpose: The purpose of this study was to explore prevalence and causal factors of musculoskeletal diseases on nurses. Methods: This study was an integrated review. Documentations were searched through electric databases using SAGE journals, EBSCOhost, Pubmed, RISS, NDSL and KCI. Terminology for this review was "Nurse" and "Musculoskeletal" and language versions were Korean or English. Number of final articles was 70 (Korean articles were 11 and english versions were 59). Results: Studies related to musculoskeletal diseases on nurses started in Sweden and USA from 1995. Subjects of studies were general hospital nurses in 50 out of 70 studies. Lower back in Korea and waist in other countries were highest areas of muculoskeletal disease's prevalence. Revisable factors of musculoskeletal diseases on nurses included physical, psychosocial and environmental factors that were more than unrevised factors. Conclusion: This study suggests to develop programs for preventing musculoskeletal disease of lower back or waist in general hospitals because of high frequency. Interventions to prevent musculoskeletal diseases need to consider prevalence and quality indicators on nurses.

진단 초음파 검사자의 작업 관련 근골격계질환 연구 (A Study on Work-Related Musculoskeletal Disorders Related to Sonographer's)

  • 안현
    • 대한방사선기술학회지:방사선기술과학
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    • 제45권4호
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    • pp.355-363
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    • 2022
  • This study was to investigate the prevalence rate of musculoskeletal disorders in relation to general characteristic factors, living environment factors, and work environment factors for sonographer's. For the response questions, the guidelines for musculoskeletal burden work were used. For statistical analysis, SPSS 26.0 version was used. For the common body parts of the sonographer's who responded, the prevalence was investigated by dividing the group into a group with high pain or discomfort and a group with low pain or discomfort according to the degree to which they experienced symptoms during the past 12 months. Multiple logistic regression analysis was used to determine the variance inflation factor(VIF), odds ratio (OR) and corresponding 95% confidence interval (CI). A p-value of <0.05 was considered statistically significant. As a result, housework hours, examination history, regular physical activity, number of patient examinations per day, and sitting posture were investigated as variables for rate musculoskeletal disorders. The sonographer's occupational group was found to have a high prevalence rate of musculoskeletal disorders like various other occupational groups. Based on the results of this study, it is judged that musculoskeletal disorders can be reduced by recognizing musculoskeletal disorders and improving work environment factors.

소아 진료 치과의사 및 성인 진료 치과의사의 근골격계 통증 비교 설문 조사 (Comparison of Musculoskeletal Disorders between Pediatric Dentists and General Dentists)

  • 김기민;이제식;김현정;남순현
    • 대한소아치과학회지
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    • 제48권2호
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    • pp.184-197
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    • 2021
  • 이 연구는 소아 진료 치과의사와 성인 진료 치과의사의 근골격계질환 발생관 관련되는 요인을 알아보고자 하였다. 최근 1년 동안 근무를 하는 치과의사 중 온라인을 통해 설문 조사에 참여한 43명의 소아 진료 치과의사와 66명의 성인 진료 치과의사, 총 109명의 설문 조사지를 분석 평가하였다. 소아 진료 치과의사 및 성인 진료 치과의사 모두 목, 어깨, 손목, 허리에서 주로 근골격계 통증 및 불편을 호소하였다. 소아 진료 치과의사는 치료 시 주로 허리에서 불편한 자세로 통증을 느끼며 진료하였다. 소아 진료 치과의사의 약물진정치료시에는 목과 어깨에서 통증을 더 많이 느꼈다. 근골격계 통증의 예방을 위한 규칙적인 운동 및 스트레칭은 허리에서만 통증을 경감시키는 것으로 나타났다.