• 한국산업보건학회지
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• 제8권1호
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• pp.36-49
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• 1998

The purpose of this study is to investigate the relationship between the work postures and upper extremity cumulative trauma disorders(CTDs) in female medical insurance bill reviewers(n=448). This study included diagnosis for CTDs, anthropometry and job analysis (workstations and posture). The characteristics of subject were 33.6 years of average age and 8.7 years of average work duration. The results were as fallows. Ergonomic conditions of workstation were unsuitable compared with anthropometry result. The height of work surface(79.5 cm) and chair(43.0 cm)were high. work space was small, and legs space under the table was limited. Work postures were awkward compared with recommended neutral postures. Neck flexion($21.0-36.0^{\circ}$), elbow elevation, shoulder abduction ($46.0-47.0^{\circ}$). wrist radial and ulnar deviation, forearm supination and pronation, and wrist repeated motion(12.7-21.5 freq./min) were analyzed as hazardous risk factors by job analysis. The prevalence of CTDs was 32.8 % by medical diagnosis. The prevalence rate of CTDs in hazardous work posture group was significantly greater than safe work posture group both neck-shoulder (relative prevalence = 5.2, p<0.001) and wrist-hand (relative prevalence = 2.5, p<0.05).

• 대한산업공학회지
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• 제24권4호
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• pp.503-517
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• 1998

Cumulative trauma disorders(CTDs) of the upper extremities among the workers at manufacturing workplace have become a serious problem in Korea. However, most of the studies on the CTDs carried out in this country have focused on the Video Display Terminal(VDT) operators. In fact, high rates of the CTDs have been reported for telecommunication employees, and the CTDs associated with VDT use in telecommunication industries pose great health and social problems in Korea today. On the other hand, there are few studies on the CTDs among the manufacturing workers, and the severity of the problem was much under-reported. This study reports and discusses the results of the literature review on the cross-sectional studies of the CTDs, along with the analysis of the problems associated with identification, medical examinations, and ergonomic evaluation of the disorders. Also a checklist was developed for the use of quick screening tool for risk factor analysis. Consistency of the checklist was validated with the field studies of several manufacturing workplace. Current issues and suggestions for future ergonomic studies are also addressed.

• 한국산업보건학회지
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• 제8권1호
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• pp.24-35
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• 1998

Cumulative trauma disorders(CTDs) have been a growing problems for US and European industries with higher incidence rate every year. The increase and their associated costs has led companies to form committes and implement programs to address this problem. In our country, we have just started to recognize and to work on the problems in industry. This study conducted an ergonomic analysis for typical jobs of ship building industry which was not usually surveyed for CTD problem. A baseline CTD checklist which was supposed to do a risk assessment was developed and applied in this study. Initially, we considered five major parts in the checklist which consisted of personal, frequency, posture, force, and miscellaneous information. Most jobs in ship building industry were much different from typical assembly work and VDT work that have been major part of the previous CTD studies. Specifically, job characteristics in terms of frequency and posture were quite different. There were relatively long cycle time, awkward postures for whole body (not just for upper extremities). Also, CTD risk scores based on checklist were a lot higher than the scores for VDT jobs which was a case of preceding application of the checklist. Specifically, grinding jobs turned out to be the most risky one in terms of CTDs. In conclusion, usual CTD prevention guidelines are not likely to he effective in this type of industry. An individual job based interventions are strongly suggested to have a good control of CTD problems in ship building industry.

• 한국산업보건학회지
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• 제11권1호
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• pp.85-91
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• 2001

Background : It goes without saying that cumulative trauma disorders is spreading to various types of occupation in many advanced countries including America, and it forms considerable rate of total occupational disorders already. and as the result of it, the seriousness of worker health problem and economic loss owing to production loss, recuperation expense, etc. are on the increasing trend through whole society. In case of Korea, the related measures as well as accurate fact-finding survey data on cumulative trauma disorders aren't prepared in detail, so it implies forward problem would be serious. Purpose : The purpose of this study is to draw the risk factor of cumulative trauma disorders in production factory, to forecast the rate of occurrence of cumulative trauma disorders on the basis of subjective symptoms, and to present forward realistic and effective prevention measures by showing the risk of cumulative trauma disorders, objecting the production factory of a domestic riding automobile assembly shop, by estimating in the aspect of human-engineering through the analysis of risk factor being a cause of cumulative trauma disorders. Methods : For this study, I investigated work type and on-duty hours, breathing time, and subjective symptoms of cumulative trauma disorders through questionnaire, objecting the workers in press. car body, coating, and outfit factory. Results : As a result of research, 81.2% of workers were in the physical burden due to present working, and the highest prevalence by part of body is an waist. The higher a rule score, The higher the number of workers complaind for working intensity, and the higher age work duration, tool used time, the higher prevalence of subjective symptoms by part of body. The number of workers complaind subjective symptom for treatment is the highest in drugstore.

• 한국산업보건학회지
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• 제11권1호
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• pp.56-69
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• 2001

Objectives : This study was designed to develop and standardize a checklist for ergonomic risk factors, and to provide ergonomic guidelines for managing cumulative trauma disorders (CTDs) in automobile assembly lines. Methods : The Checklist for Ergonomic Risk Factors (CERF-1) was developed based on the results of previous studies, and then modified after performing pilot study. Information on the symptoms possibly related with CTDs was obtained using a self-reported Questionnaire from 465 automobile assembly workers. Their job conditions were examined to assess risk factors through both direct observation and video analysis. Results : Rate of detecting risky job through CERF-1 was 85.6%, and was similar to that (88.8%) by Occupational Safety and Health Adminstration(OSHA) checklist but higher than that (63.7%) by American National Standards Institute(ANSI) Z-365. Relationship of the exposure scores derived from CERF-1 with levels of symptom was greater (r=0.49) than OSHA (r=0.28) and ANSI Z-365 (r=0.22). Considering the relationship, jobs scoring higher than 16 could be classified as the Risk Job. and lower than 16 as the Low Risk Job. Sensitivity and specificity of the Risk Job were 92.5 % and 31.5 %, respectively. Odds ratio (OR) after age adjustment was 5.69 (95 % confidence interval 3.15-10.29) for the Risk Job, and these ORs were significantly different from those of the Low Risk Job. The exposure scores were Quite valid, in that the scores at the main survey were significantly correlated with those at the follow-up survey, as suggested by test-retest(r=0.88) and inter-rater reliability(r=0.80). Conclusions : The CERF-1, developed in this study, will be an efficient tool for evaluation of risk jobs for CTDs in automobile assembly lines, and can be used easily by health care providers.