• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.11 no.1
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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.

• Journal of Navigation and Port Research
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• v.32 no.5
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• pp.395-401
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• 2008

The purpose of this study is to provide basic data for the prevention and management of Cumulative Trauma Disorders in Korea seamen. 569 seamen's questionnaire had been acquired at Korea Marine Training and Research Institute. The prevalence in Cumulative Trauma Disorders within recent 12 months was 68.5%. The more working hours(p<0.01), services on the vessel(p<0.01), and the less job satisfaction(p<0.05), the higher prevalence of Cumulative Trauma Disorders. The distribution of Cumulative Trauma Disorders by the part of the body was turned out as Back ; 43.6%, knee ; 23.9%, shoulder ; 19.3%. The officers had more frequency of symptom around the neck than the ratings(p<0.01) and the seamen who work at the engine room were more frequent in elbow than those at deck department(p<0.05). In the duration of pain, 55.4% were less than one week, 20.6% less than 30 days, and 24.0% 30 days and more. the cause of symptom was turned out as 34.5% by excessive hard work and 30.1 % was unknown.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.8 no.1
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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).

• Proceedings of the ESK Conference
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• 1996.10a
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• pp.3-6
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• 1996

Cumulative trauma disorders (CTDs) are becoming a major health hazard among phone directory service operators. In order to clarify the causes and to reduce the occurrence of CTDs, a site survey was done. The survey includes observation of the task and the working environment. Also, operators were closely examined and diagnosed to understand the exact causes of CTDs. Different types of CTDs were identified and the most cases were developed in a two or three-years after using new VDT-based workstations. The various design features of workstation aggravated the developemtn of CTDs together with the intense workload. The ergonomic resolutions were suggested based upon these observations.

• Journal of the Korean Society of Safety
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• v.12 no.4
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• pp.153-160
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• 1997

The purpose of this paper is to present design recommendations intended to reduce the risk of cumulative trauma disorders(CTD) at the Osram Slvania, Inc. The CTD risk index score is a method which quantifies the risk factors to CTD incidence, namely extreme postures, high force elements, frequent damaging hand motions, and other miscellaneous factors. The risk index score quantified the jobs as a single composite value by weighting the scores for each risk factor. Jobs were prioritized for capital outlays in workstation redesign, and the factors of highest risk within each job could be identified. Three jobs which presented the greatest risk of CTD incidence were redesigned ergonomically.

• Journal of the Ergonomics Society of Korea
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• v.32 no.3
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• pp.273-278
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• 2013

Objective: This study aims to analyze and evaluate fatigue in upper trapezius muscles of adults when inputting text on a smart phone, thereby examining the risk of cumulative trauma disorders in the musculoskeletal system of the upper extremity. Method: Forty-five healthy adults were divided equally into three groups: a smartphone group, a notebook group, and a desktop group. A surface electromyogram was placed on the upper trapezius muscle of each participant, after which they inputted text for ten minutes within an ergonomic setting; their side posture was recorded on video and analyzed. Results: The spectral edge frequency values for the smartphone group, as recorded from the upper right trapezius muscles on the surface electromyogram, showed a significant decrease(p<.05). Regarding the RULA, all three groups had results indicating "action level 2". Conclusion: All three groups had results indicating "action level 2" according to the RULA, which means that additional research on the posture of the participants while performing tasks is necessary, and their posture needs to be corrected. In particular, the smartphone group has the highest levels of fatigue in the upper trapezius muscles, suggesting that the task of inputting text on a smartphone is a high risk for causing cumulative trauma disorders.

• Journal of Korean Institute of Industrial Engineers
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• v.24 no.4
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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.

• Journal of Korea Society of Industrial Information Systems
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• v.6 no.3
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• pp.79-86
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• 2001

The CTD(Cumulative Trauma Disorder) as a new kind of occupational disease occurs mainly to workers on handling line under the highly-specialized industrial environments. This study took into account their exposure to Cumulative Trauma Disorders(CTD) by the utilization of EMG system, with respect to worker's muscle fatigue test according to fulfillment of iterative and simple task. The findings of this study were as follows : From the result of AEMG test analysis, worker's fatigue extent according to elapsed time of task was inclined to be increased continually. On the other hand, after its task ending, their fatigue extent was inclined to be decreased than before-circumstance of refractory brick lifting. The transference of MF(Median Frequency) and MPF(Mean Power Frequency) had highly significant difference between muscle fatigue and the elapsed time of work. Especially, their fatigue extent to erectorspinae and multifidus to lift firebrick was increased in the mean time. The transference of ZCR(Zero Crossing Rate) had considerable significant difference between muscle fatigue and the elapsed time of work. In short, as the work went of the muscle fatigue extent increased gradually. Thus, it can be concluded that the fatigue of erectorspinae and multifidus extent according to fulfillment of iterative and simple task is gradually being increased.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.11 no.1
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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.

• Journal of the Korea Safety Management & Science
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• v.3 no.4
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• pp.77-90
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• 2001

This paper summarized the results of previous and recent studies on cumulative trauma disorders (CTD) and provides a prevention strategy for CTD and showed the results from a quite extensive survey with tables and figures. This is a follow-up study of Kwon (1993) 〔2〕. From the previous studies, Kwon (1993) showed that many people are exposed on CTD, but they did not only know the clear reasons why they got CTD, but also how to prevent or change their workstation〔2〕. Lee (1996) showed the result from both field survey and medical examination. He found that most frequent symptoms are CTS (nerve disorders) and tendon disorders 〔6〕. From these previous results, it is obvious that CTD patients will increase in Korean industries if we did not pay attention to this CTD problem. Therefore a proper education of Ergonomics, CTD prevention for workers and moderate changes in workplace are necessary. From 1998 and 1999 follow-up studies, there are still many people(23％) did not hear about CTD, CTS, or MSD. Only 42％ of respondents is exercising during or after work for short-time. Therefore, there are many rooms for prevention strategy of CTD and education for preventing CTD.