• 대한인간공학회지
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• 제30권2호
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• pp.297-302
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• 2011

Many WMSDs(work-related-musculoskeletal disorders) have been reported in diverse industries and have also attracted much attention in recent years. Neck-related MSD is generally known as one of common WMSDs, especially it happens to workers who are working at the automobile assembly plants and/or shipyards. The awkward posture is considered as a main cause of neck-related MSDs. A neck supporter was developed to prevent neck-related MSDs, and 10 males were recruited to evaluate the newly developed neck supporter by measuring subjective discomfort ratings of whole body, shoulder, neck and neck-muscle activities. Muscle activities from four neck muscle groups(left/right sternocleidomastoid and upper/middle trapezius) were measured while simulating an automobile assembly task. Results showed that the neck supporter help to significantly improve subjective discomfort for whole-body, shoulder as well as neck body parts. The analyses of muscular activities also showed that the activities of left/right sternocleidomastoid muscles were statistically decreased with the neck supporter in this study. The muscle activities of upper/middle trapezius in case of wearing the neck supporter were not significantly different with the muscle activities in case of no-wearing the neck supporter. Overall findings verified that the neck supporter might help to prevent neck-related MSDs based on the current study.

• 대한산업공학회지
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• 제24권2호
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• pp.167-173
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• 1998

Many workers like welders work in squatting postures with the object on the ground during an entire work shift. It is suspected that such prolonged squatting without any supporting stool would gradually cause musculoskeletal injuries to workers. This study is to examine the physical stress caused by the prolonged squatting and to recommend a safe work/rest schedule for a welding task with squatting posture based on the lab experiments. In this study, 8 healthy student subjects participated in the experiment. They maintained a squatting work posture for 16 minutes with 4 different stool height conditions: no stool; 10cm height; 15cm height; and 20cm height. Every 2 minutes, the discomfort was subjectively assessed with the magnitude estimation method for the whole body, lower back, upper leg and lower leg. Based on discomfort ratings, we found that a 10cm height stool relieved the workload most. Discomfort rating results also indicated that a 20cm height stool showed the highest workload, and the there were no difference in workload between a 15cm height stool and no stool. We recommend to use low height stools and to maintain such working postures no longer than 6 minutes for prolonged squatting tasks.

• 대한인간공학회지
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• 제33권6호
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• pp.565-575
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• 2014

Objective: The aim of this study is to evaluate the effect of weight of load and time on the physical workload of repetitive upper-limb tasks with handling light weight loads using EMG and perceived discomfort, and to investigate the relationship between EMG and perceived discomfort for those repetitive tasks of moving light weight loads. Background: Repetitive upper-limb motion is known as one of the main risk factors of musculoskeletal disorders, and a lot of repetitive tasks are carried out while handling light weight loads in the industry. In evaluating the workload of repetitive tasks handling light weight loads, EMG and perceived discomfort can be used, though their relationship in those work conditions are not much investigated. Method: A laboratory experiment with 18 healthy males were conducted to record EMG signals from 5 muscle sites of the right arm and shoulder and rate perceived discomforts for the body parts and the whole body while carrying out repetitive materials-handling tasks for 52min. The subjects were divided into 3 groups which handled the loads of 1kg, 2kg and 3kg, respectively. ANOVAs were conducted to analyze the effects of the weight and time on RMS of EMG amplitude (normalized RMS: NRMS), median frequency of power spectrum of EMG (normalized MDF: NMDF) and perceived discomfort. The correlations between NRMS and NMDF and perceived discomfort were also analyzed. Results: Statistically significant muscular fatigue effects were not found from NRMS and NMDF in most muscles, while there were significant increases of discomfort as the task time elapsed. It was shown that there were an increasing trend of the muscular activity as the weight of load increased and a decreasing trend of median frequency of EMG of upper and lower arms as time elapsed. It was found that there were significant negative correlations between NMDFs from the lower arm and discomfort ratings, though the relationships were weak. Conclusion: It can be concluded that the working conditions adopted in this study were not enough to induce muscular fatigue, while there was significant increase in perceived discomfort. A further study is necessary to integrate the objective and subjective measures for more reliable and sensitive evaluation of workload of repetitive tasks of handling light weight loads. Application: This study can be used as a basic study for the evaluation of workload of repetitive tasks handling light weight loads.

• 대한인간공학회지
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• 제30권6호
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• pp.695-703
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• 2011

Objective: This study was to investigate the effects of coordinated upper-limb body postures on the subjective discomfort rating, heart rate, and muscle activities. Background: Although generally many checklists such as OWAS, RULA, and REBA were applied to evaluate various body postures, the body postures were might be overestimated or underestimated because each body part(i.e., back, shoulder, and elbow etc.) was evaluated separately, and then added all rates of individual body parts to assess an overall risk level for the body posture in these methodologies. Methods: A total of 20 participants maintained 14 postures which were combinations of back, shoulder, and elbow flexion angles and then muscle activities, subjective discomfort, and heart rates were collected every three minute during a sustained 15 minute and 0.5kg weight holding task. Four muscle groups were investigated: erector spine, anterior deltoid, upper trapezius, triceps brachii. Results: Results showed that subjective discomfort was the lowest when the angle of back and shoulder were both $0^{\circ}s$, while the body posture with $45^{\circ}$ of back angle and $45^{\circ}$ shoulder angle was rated as the most subjective discomfort posture. In general, the subjective discomfort ratings increased as back and shoulder flexion angles increased. It was noted that, however, the subjective discomfort of body posture with a $45^{\circ}$ back angle and $45^{\circ}$ shoulder flexion angle was lower than that of body posture with a $0^{\circ}$ back and $45^{\circ}$ shoulder flexion angle. The research findings of heart rates and muscle activities showed similar results for the analyses of subjective discomfort ratings. Conclusions: The possible limitations of the current ergonomics evaluation techniques which assessing a body posture with summing all body part score after individually analyzed in this study. Based on the analyses of subjective discomfort, heart rate, and muscle activities, it was recommended that a use of effects of coordinated upper-limb body postures would be considered when one evaluates work-load for various working postures. Application: These findings can be used for developing a more accurate assessment checklist for working posture as well as preventing musculoskeletal disorders of workers in workplaces.

• 한국직업건강간호학회지
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• 제29권4호
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• pp.342-353
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• 2020

Purpose: This study aimed to systematically review literature and conduct a meta-analysis to comprehensively identify and evaluate the effects of workplace risk assessment-based ergonomic intervention on work-related muscular-skeletal disorders in workers. Methods: We searched the Ovid-Medline, EMBASE, and Cochrane library and up to 2018 using search terms such as muscular-skeletal, disorder, impairment, work-related muscular-skeletal disorders, ergonomic, intervention, management with no language limitations; screened reference lists; and contacted experts in the field. Results: We identified 545 references and included 13 randomized controlled tests (3,368 workers). We judged nine studies to have a low risk of bias, while the other four studies have a high risk of bias. Conclusion: Ergonomic intervention based on risk assessment in the workplace did not significantly differ in terms of the intensity of pain or duration of workers in the workplace, but low-quality evidence decreased the frequency of musculoskeletal disorder pain in three to six months moderate-quality evidence and in six to nine months low-quality evidence. Besides, low-quality evidence to reduce discomfort and moderate-quality evidence to improve worker posture. Therefore, ergonomic intervention based on the assessment of risk factors in the workplace should be applied to reduce pain frequency and discomfort and improve workers posture among musculoskeletal disorders.

• 대한인간공학회지
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• 제35권2호
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• pp.67-74
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• 2016

Objective: The aim of this study is to develop a farming shovel to reduce workload, which helps farmers lower the risk of musculoskeletal disease. Background: Most of work using farming tools including shovels requires repetitive works and awkward postures on body parts, and it could possibly cause work-related musculoskeletal disorders. It is necessary to develop and distribute farm equipment and tools in order to reduce physical workload. Method: To improve the most uncomfortable task perceived by ten farmers during the work with a shovel, the improved shovel was designed and made as a prototype for experiment for the comparison of the existing and improved shovels. Twenty males were recruited for this experiment, and muscle activity (%MVC) of six body parts and subjective discomfort ratings by body parts while working with a shovel were measured. A paired t-test was performed to compare physical workload between the existing shovel and the developed one. Results: A shovel applying foothold tied between shaft and blade was designed, which can help workers reduce repetitive bending of back and pressures for upper limbs while digging soil. According to compared evaluation of the developed shovel and the existing shovel, the developed shovel's %MVCs in all experimental muscles were significantly lower than those of the existing shovel. The developed shovel showed the biggest drop in perceived subjective discomfort rating of back, followed by arm and neck, compared to the existing shovel. Conclusion: It was confirmed that attaching a foothold to a shovel was an effective way of reducing workload in back and upper limbs during digging. Application: In the near future, if we put the prototype of developed shovel to practical use after making up for defects, it will help farm work environment be healthier and safer.

• 한국직업건강간호학회지
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• 제15권1호
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• pp.14-29
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• 2006

Purpose: The purposes of this study were to survey the extent of pain and discomfort in the musculoskeletal system among visiting housekeepers, above all concerning neck, shoulder, back, wrist, knee, and arm pain and to find possible relations between symptoms and various working conditions. Method: A questionnaire was answered by 174 woman visiting housekeepers living in Kyeonggi-do and Seoul from December 1, 2003 to February 30, 2004. The symptoms of musculoskeletal system were coded by the pain index which illustrates the extent of the symptoms, and analyzed in view of NIOSH guideline and Kim, et. al.'s notion. Result: 1. As to the complaint rate of subjective musculoskeletal symptoms by body region, the figure was the highest for shoulder with 78.2%, followed by back with 66.7%, knee 53.6%, neck 56.3%, wrist 40.2%, and arm 29.2%, respectively. The logistic analysis showed shoulder pain and arm pain have no relation with working and health conditions, and back pain was significantly related to current health condition. In same way, knee pain and wrist pain were found to be mainly related to marital status. 2. Following the NIOSH guideline, the positive rate of subjective musculoskeletal symptoms was found out in following order: shoulder 69.5%, back 59.2%, knee 54%, neck 46%, wrist 32.8%, and arm 25.3%. To investigate the main cause of each disease, the symptoms were classified by pain index, where the value of more than 3 comes to the NIOSH case, and analyzed in term of complaint rate using discrete logistical method : shoulder pain was highly related to the housekeeping time after work, back pain was to current health condition and the heavy weight carrying and neck, wrist, arm pain were commonly related to the ordinary health condition. For knee pain, working speed was a main cause. 3. In view of Kim et. al.'s standard, where the pain index is over 7, the positive rate was showed in order slightly different from previous analyses : shoulder 33.3%. knee 29.9%, back 28.2%, neck 17.2%, wrist 17.2%, and 16.7%. From the logistical analysis, insufficient rest was shown as the main cause of shoulder, back, arm and wrist pain. For neck pain, ordinary health condition was mainly related. In case of knee pain, any apparent relation is not found. Conclusion: According to the logistic regression analysis of musculoskeletal system, there was strong suggestion that the less insufficient physical rest, the more significant disorder complaint. This means that the most musculoskeletal symptom among the visiting housekeepers can be prevented and cured by sufficient physical resting.

• 대한산업공학회지
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• 제16권1호
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• pp.67-81
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• 1990

Effectiveness of physical exercise in reducing work-related musculoskeletal stress was investigated. This was compared to the stress alleviation accomplished by using ergonomically designed work station. Tasks chosen for the study were data entry and file maintenance on the video display terminal (VDT). Three different measures, namely root-mean-square (RMS) values of electromyogram (EMG), subjective rating and task performance were used for the evaluation. Electromyograms were recorded from the neck, the left and right trapezius muscles in the shoulder region, and L2/L3 region of the back. Subjects rated discomfort levels for the same parts of their body. Task performance was measured by recording typing speed and errors. Each of the five subjects was tested for two days (8 hours/day) in two different work stations. These were the ergonomically designed adjustable work station and the fixed work station of traditional design with no adjustable features. Assigned physical exercises were performed for four minutes, every two hours during the breaks, by the subjects while working in the fixed work station. It was concluded that the physical exercise could be helpful in reducing musculoskeletal stress as effectively as the ergonomic design of the VDT work station.

• 대한인간공학회지
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• 제26권1호
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• pp.39-46
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• 2007

The purpose of this study was to develop a comprehensive posture classification scheme considering the effects of external load and motion repetition as well as those of working posture. The scheme was developed based on a series of existing empirical studies dealing with postural classification scheme, effects of external load and motion repetition. Ranges of joint motions, external load and motion repetition were divided into the groups with the same degree of discomforts. Each group was assigned a numerical relative discomfort score of code on the basis of discomfort values for the neutral position of elbow flexion. The criteria for evaluating stress of working postures were proposed based on the four distinct action categories, in order to enable practitioners to apply appropriate corrective actions. The proposed scheme was compared with OWAS, RULA and REBA. The comparison revealed that while the proposed scheme and RULA showed similar results for the working postures with light external load and non-repetitive postures, the former overestimated postural load for postures with moderate or heavy external load and repetitive postures than the latter.

• 대한인간공학회지
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• 제31권1호
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• pp.165-170
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• 2012

Objective: The aim of this study is to develop new K-OWAS on the basis of the anthropometry of Koreans considering works in shipbuilding and heavy industry for evaluation whole-body working postures. Background: Work Related Musculoskeletal Disorders(WMSDs) were a leading cause of sick leaves and injuries in the industries of our country. Especially, awkward working postures and handling of heavy weight are known as a main cause of WMSDs. OWAS, RULA and REBA are much used as the method for evaluating the awkward working postures. OWAS is the working postures evaluation method that can be used for the evaluation of whole-body working postures. OWAS was the method made based on the anthropometry of the foreigner, working postures and weight does not fit our work state. Method: This method was evaluated considering the anthropometry of the Koreans, working postures and weight in shipbuilding and heavy industry work state in Korea. Results: Correlation of action level of OWAS and subjective discomfort for each body parts were not statistically significant($p{\geq}0.1$). But correlation of action level of K-OWAS and subjective discomfort for torso and waist were statistically significant($p{\leq}0.1$). Conclusion: K-OWAS was suitable in the evaluation of upper body including torso and waist. Application: New method for whole-body working postures from this study prevent WMSDs and help improvement of working environment and design of working method.