• Title/Summary/Keyword: Musculoskeletal Diseases

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Clinical Situations in which Musculoskeletal Ultrasound is Helpful (근골격계 초음파검사가 도움이 되는 진료 상황)

  • Cho, Kil-Ho
    • Journal of Yeungnam Medical Science
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    • v.18 no.2
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    • pp.170-186
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    • 2001
  • Musculoskeletal ultrasound (MSUS) has newly evolved by the mechanical improvement of the machine over past several years, becoming a part of imaging techniques for the evaluation of variable diseases in the musculoskeletal system. MSUS has proven diagnostic superiority in pathologies including rotator cuff disease of the shoulder, lateral epicondylitis of the elbow, diseases of the peripheral nerve, detection of intra-articular loose bodies and soft tissue foreign bodies, and in evaluating small superficial soft tissue tumors such as ganglion, epidermoid cyst, and glomus tumor. Besides, MSUS is very useful for obtaining tissue or fluid via percutaneous fine needle aspiration and/or biopsy for the histopathologic diagnosis. Combining MSUS with MR would play a great role in the field of the diagnostic imaging of the musculoskeletal system. The MSUS examiner should have the knowledge of cross-sectional anatomy, and of the mechanical and physical properties of ultrasound in order to interpret the ultrasound findings accurately and properly, and to avoid diagnostic errors due to variable artifacts subsequently. The goal of this article is to introduce the capabilities of MSUS in certain kinds of clinical situation and to familiarize the reader with MSUS. For the purpose, author intends to describe this article according not to the disease-, or organ-based, but to the clinical problem-based format.

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Analysis of Musculoskeletal Burdened Work among Nurses at a University Hospital (일개 대학병원 간호사의 근골격계 부담작업 분석)

  • Jeong, Eun-Hee;Koo, Jung‐Wan
    • Journal of the Ergonomics Society of Korea
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    • v.25 no.3
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    • pp.97-103
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    • 2006
  • Severities of musculoskeletal diseases (MSDs) have been recognized at the regular work such as manufacturing but incidence of MSDs are increasing also at the atypical work. The examples of those are health medical workers, office workers and service workers etc. Nurses among health medical workers are accomplishing to manage and recover the patients' health in the first place. Therefore, they are exposed to very stressful work conditions during caring the patients. This study was performed to analyze the musculoskeletal burdened work among nurses at a university hospital, in order to grasp the realities of the MSDs, analyze and prevent MSDs. We surveyed risk factors for ward, intensive care unit, delivery room, newborn room, operation room, function test room and central supply room at a university hospital in Seoul. It was executed for 2 months as the field study that was composed of simulation, real measurement, work motion assessment and subjective assessment. And the results were analyzed into ergonomics techniques. Works according to the criteria of musculoskeletal burdened work by the Ministry of Labor were scrub in operation room and heart ultrasonic function test. And a lot of works that need attention and management were also detected. So it should be required the education and systematic managements of MSDs for nurses.

An Evaluation Method for the Musculoskeletal Hazards in Wood Manufacturing Workers Using MediaPipe (MediaPipe를 이용한 목재 제조업 작업자의 근골격계 유해요인 평가 방법)

  • Jung, Sungoh;Kook, Joongjin
    • Journal of the Semiconductor & Display Technology
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    • v.21 no.2
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    • pp.117-122
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    • 2022
  • This paper proposes a method for evaluating the work of manufacturing workers using MediaPipe as a risk factor for musculoskeletal diseases. Recently, musculoskeletal disorders (MSDs) caused by repeated working attitudes in industrial sites have emerged as one of the biggest problems in the industrial health field while increasing public interest. The Korea Occupational Safety and Health Agency presents tools such as NIOSH Lifting Equations (NIOSH), OWAS (Ovako Working-posture Analysis System), Rapid Upper Limb Assessment (RULA), and Rapid Entertainment Assessment (REBA) as ways to quantitatively calculate the risk of musculoskeletal diseases that can occur due to workers' repeated working attitudes. To compensate for these shortcomings, the system proposed in this study obtains the position of the joint by estimating the posture of the worker using the posture estimation learning model of MediaPipe. The position of the joint is calculated using inverse kinetics to obtain an angle and substitute it into the REBA equation to calculate the load level of the working posture. The calculated result was compared to the expert's image-based REBA evaluation result, and if there was a result with a large error, feedback was conducted with the expert again.

Subjective symptoms in musculoskeletal and preventive actions of Dental technicians in Daegu Metropolitan City (대구지역 치과기공사의 근골격계 자각증상과 예방행위)

  • Jang, Eun-Jin;Bark, Young-Dae
    • Journal of Technologic Dentistry
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    • v.36 no.4
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    • pp.257-266
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    • 2014
  • Purpose: This report intend to provide basic materials of Musculoskeletal diseases prevention program development and preventive measures establishing by surveying Musculoskeletal symptoms. Musculoskeletal disease and Musculoskeletal disease prevention act about dental technician in Daegu. Methods: From October. 2012 to November. 2012 by conducting self - survey using questionnaire and use unit490 final analysis data. Results: In dental Technicians, as the musculoskeletal symptoms back or waist pain rate appear such as 28.2% and as the musculoskeletal disorders, the shoulder region pain complaint rate appear highly such as 87.4%. Musculoskeletal disease prevention act was highly appeared man more than women, the married than the unmarried, over 10 years dental experience, fewer working hours per day, the average monthly income is greater regular medical check-up dental technician than technician who do not. As working environment, In case working in laboratory whch dust is well ventilated and with a barrier, Musculoskeletal disease prevention act rate was highly appeared more than another technician who do not. Conclusion: We must prepare an effective preventive measures. To development Musculoskeletal disease prevention program suitable for dental technic working and make obliged to practice.

Trends in the Use of Oriental Medical Care Service and Treatment Satisfaction (지역주민의 한방의료 이용성향과 진료만족도)

  • Suh, Ho-Suk;Nam, Chul-Hyun;Kim, Jae-Don;Kim, Sung-Jin;Ryu, Jang-Gun;Jun, Bong-Chun;Kim, Mi-Ae
    • Journal of Society of Preventive Korean Medicine
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    • v.11 no.2
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    • pp.41-70
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    • 2007
  • The purpose of this study was to identify a tendency in patients who seek oriental medical service and factors influencing patient satisfaction. The study was conducted with 1,520 residents of a community during the period from February 5, 2005 through June 30, 2005 using a questionnaire. This study results are summarized as follows : 1. Of subjects who sought oriental medical service, 66.2% had musculoskeletal disorder and connective tissue disease, 18.9% had digestive tract disease, 16.4% had respiratory disease, 8.2% had endocrinemetabolic disease, 7.5% had circulatory disease and the remaining subjects had other diseases(p<0.001). 2. Of subjects who sought oriental medical service for the treatment of musculoskeletal disorder, 84.9% preferred acupuncture. Of those who had digestive tract diseases, 47.0% preferred packaged herbal medicine. Of those who had respiratory disease, 63.0% preferred packaged herbal medicine. 3. Acupuncture was the most often sought by subjects with musculoskeletal disorder. Packaged herbal medicine was sought by subjects with respiratory disease, digestive tract disease, endocrine-metabolic disease or circulatory disease. Tablet-type herbal medicine was sought by subjects with musculoskeletal disorder or digestive tract disease. Combined therapy was sought by subjects with musculoskeletal disorder, digestive tract disease, hematopoietic disease or immune disorder. 4. The level of satisfaction with oriental medical service was higher in subjects with circulatory disease, subjects with digestive tract disease, subjects with neurological disorder and subjects with musculoskeletal disorder in descending order. Of total subjects, 39.4% experienced side effects of oriental medical care, 38.1% experienced side effects of herbal medicine. About 51.9% considered the price of herbal medicine costly while 23.2% considered it reasonable. 5. Subjects' knowledge of herbal medicine was measured as $29.2{\pm}3.83$ out of 42 scores or 69 out of 100 points, indicating a low knowledge level. Subjects' knowledge was influenced by occupation, religion, side effects, sex, age, residence area, the type of insurance. These variables explained 15.2% of the variance. 7. Of total subjects, 56.8% were satisfied with oriental medical service. Patient satisfaction varied with occupation, religion, the type of insurance, health state and treatment outcomes. These variables explained 37.3% of the variance. Conclusion : The majority of subjects were satisfied with oriental medical service. However, oriental medical care are not widely used to treat all kinds of diseases while its use skews to a small categories of diseases. It is therefore necessary for the government and oriental medical service providers to develop new therapy approaches for the treatment of a broader range of diseases.

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Prevalence of Musculoskeletal Symptoms Related With Activities of Daily Living and Contributing Factors in Korean Adults

  • Choi, Kyusik;Park, Jae-Hyun;Cheong, Hae-Kwan
    • Journal of Preventive Medicine and Public Health
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    • v.46 no.1
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    • pp.39-49
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    • 2013
  • Objectives: This study aims to investigate the prevalence of musculoskeletal symptoms and factors related to daily activities in a representative Korean population. Methods: This study was based on the questions about musculoskeletal symptoms in the Korean General Social Survey 2010. The questionnaire about musculoskeletal symptoms was adopted from Korean Occupational Safety and Health Agency guide, and it includes general characteristics, characteristics of pain, work type, work intensity and a 12-item Short Form Health Survey (SF-12). We utilized the criteria of the National Institute for Occupational Safety and Health to define the prevalence of musculoskeletal symptoms. Demographic, behavioral and socioeconomic factors were analyzed using logistic regression. Results: The prevalence of musculoskeletal symptoms was 38.3%. The prevalence was higher in females, the elderly, those without health insurance, and those with a low income, low education, and occupations with a heavy workload. The prevalence by body part was highest in the back, shoulder, and knee, in that order. The physical component summary and mental component summary of the SF-12 decreased with increasing musculoskeletal symptoms. Conclusions: Musculoskeletal symptoms are very common in the general population, and related to various socio-demographic factors. These results suggest that active prevention and management of musculoskeletal symptoms is needed at a national level.

A Study on Job Hazard Factors through Analysis of Musculoskeletal Diseases and Job Stress of Teachers (교사의 근골격계 질환 및 직무 스트레스의 분석을 통한 직무 유해요인에 관한 연구)

  • Kim, Seung-yeon;Jeong, Myeongjin;Seo, Ye-seul;Yoon, Eun-been
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.4
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    • pp.163-170
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    • 2021
  • The purpose of this study is to identify the harmful factors of teacher's job stress and occupational-related musculoskeletal diseases, and to investigate according to job types to seek solutions and improvement measures for removing harmful factors. A total of 168 elementary and high school teachers in Seoul were surveyed. As a result, the average RULA score of the teacher was 4.2 points, and the average RULA score of the teacher who did not complain of musculoskeletal diseases was 4.3 points. In addition, the average job stress score of the teacher was 58.9 points, and the stress score by factor was in the order of student guidance, work burden, loss of authority, organizational structure and curriculum, treatment and welfare, human relations. As a result of analyzing the teacher's RULA score and job stress, it was possible to derive a correlation between musculoskeletal disorders and job stress caused by occupation.

Analysis of Influencing Factors of Korean Medical Utilization among Persons with Unmet Healthcare Needs - Based on Korea Health Panel - (미충족의료 경험자의 한방의료이용에 미치는 영향 요인 분석 - 한국의료패널자료를 중심으로 -)

  • Minsun Song;Chanhun Choi;Dongsu Kim
    • Journal of Society of Preventive Korean Medicine
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    • v.27 no.1
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    • pp.17-27
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    • 2023
  • Objectives : This study aimed to analyze the factors influencing Korean medical utilization among persons with unmet healthcare needs. Methods : This study utilized Korea Health Panel data in 2019, with 10,771. We performed a t-test and ANOVA on the difference in general characteristics between Korean medical utilization and unmet healthcare needs. Logistic regression analysis and generalized linear model analysis were conducted to analyze on factors affecting the Korean medical utilization by people with unmet healthcare needs. Results : Among people with unmet healthcare needs, the variables influencing Korean medical utilization were western medical utilization, gender, education level, musculoskeletal disease, and other chronic diseases. The more people with unmet healthcare needs, the more likely they were to use Korean medicine. As a result of logistic regression analysis, the influencing factors on Korean medical utilization were analyzed for people with unmet healthcare needs, and the higher the household income, the more musculoskeletal diseases, and the higher the probability of using Korean medicine. Conclusions : Korean medicine has a large proportion of musculoskeletal disease, so it was found that musculoskeletal diseases have an impact. In addition, considering that household income is an important factor in the influencing factor of unmet healthcare needs, it is necessary to increase the use of Korean medicine by those with low household incomes.

Factors that affect the muscular skeletal diseases of some industrial workers working in Changwon-si, Gyeongsangnam-do and the aspects of pain

  • Lee, Jun Cheol;Kim, Kyung
    • Journal of International Academy of Physical Therapy Research
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    • v.7 no.1
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    • pp.938-948
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    • 2016
  • In the present study, the general characteristics, job stress, working conditions, and aspects of pain of some industrial workers working in Changwon-si, Gyeongsangnam-do, were surveyed. In analyzing the relationship between job stress and the existence of pain, the variables "working speed" and "opportunities to develop abilities" were shown to have statistically significant relationships with the existence of pain ($p{\leq}.05$). Regarding the relationship between working conditions and the existence of pain, the variables" amount of work per hour," "amount of work per day," "number of parts handled during work," "work production per person," and" inconvenient postures or motions during work" were shown to have statistically significant relationships with the existence of pain($p{\leq}.05$). Regarding aspects of pain", within 1~3 years" was the most common answer to time of occurrence of symptoms, with a percentage of 27.6%; "appear almost always" was the most common answer to frequency of symptoms, with a percentage of 37.1%; "slight pain" was the most common answer to degree of pain, with a percentage of 50.5%; and "moderate" was the most common answer to encumbrance caused by pain to living and work, with a percentage of 41.2%. The aim of the present study was to determine the factors that affect pain due to musculoskeletal diseases in industrial workers and to define the aspects of pain in order to provide basic data for the preparation of measures to prevent musculoskeletal diseases. To control pain due to musculoskeletal diseases, factors that affect pain, as well as the aspects of pain, should be recognized early, and efforts should be made to supplement and improve systems for preventing recurrence.

Job Stress and Musculoskeletal Symptoms of Care Workers at Medical Welfare Facilities for Elders (노인의료복지시설 생활지도원의 직무스트레스와 근골격계 증상)

  • Lee, Young-Mi
    • Research in Community and Public Health Nursing
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    • v.18 no.3
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    • pp.410-419
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    • 2007
  • Purpose: This study is a descriptive survey to find out musculoskeletal symptoms in care workers working at medical welfare facilities for elders and factors affecting such symptoms. Methods: Data were collected from 115 care workers selected through convenient sampling from 6 medical welfare facilities in Seoul and Gyeonggi-do during the period from May 15th to May 19th. 2006. The Korean version of Job Content Questionnaire (JCQ) were used. Result: Of the subjects, 81.7% complained of musculoskeletal symptoms in two or more parts of their body. The frequency of body parts with musculoskeletal symptoms was high in order of shoulder, leg/foot, waist, neck/hand/wrist/finger and arm/elbow. The average job insecurity instability in the age group of 50-59 was 9.19, the average degree of regular exercise was 59.68. and the average job demand in those diagnosed with musculoskeletal diseases was 47.06, and the average job demand in those wounded during exercise or by an accident was 47.78, and all these were statistically significant. The heavier physical load in their work was, the higher their complaint of musculoskeletal symptoms was. In the lower social support group, the degree of complaint on musculoskeletal symptoms was remarkably high. Conclusion: The physical load of their duty and social support worked as the factors affecting musculoskeletal symptoms in care workers.

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