• Title/Summary/Keyword: Musculoskeletal factor

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The Guideline Construction for the Manufacturing Process of Working Environment Applying Ergonomic Engineering (인체공학을 적용한 제조공정 작업환경에 대한 가이드라인 구축)

  • Kim, Hwa-Sik;Choi, Seong-Dae
    • Journal of the Korean Society of Industry Convergence
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    • v.13 no.4
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    • pp.219-225
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    • 2010
  • A structure of line for producing products is variously changing to be automatic and one-person Cell-Line considering the physical burden for workers in manufacturing industry of electronic goods. However, workers tend to still accuse Work-related Musculoskeletal Disorders (including shoulder, waist, hand, wrist, leg etc.) as a simply repeated work by accelerating of the production speed for productivity improvement in the assembly line. Thus manufacturing engineers in charge of changing and set up newly for an assembly line are necessary to the construct of the guideline on human engineering. Especially. There is no standardized engineering-guide and it is difficult to create the exact work environment because the risk factor analysis and the improvement for assembly line are executed once a year on the current situation. I'd like to reduce the physical burden on workers through the effective improvement of processing by the guideline on working environment fit for a characteristic on manufacturing process when the process is changed or newly installed.

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A Factor Analysis on Subjective Symptom of Musculoskeletal Diseases in Dental Hygienists (치과위생사의 근골격계질환 자각증상에 관한 요인)

  • Jeong, Mi Ae
    • Proceedings of the Korea Contents Association Conference
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    • 2012.05a
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    • pp.347-348
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    • 2012
  • 본 연구의 목적은 치과위생사의 근무환경, 근골격계 질환 예방교육에 대한 인식, 작업관련성 근골격계 질환과 근무특성과의 연관성에 대하여 알아보고자 하였으며, 근골격계 질환 증상 감소를 위한 관리방안을 제시하고자 한다. 전국(서울, 경기, 대구, 포항) 210명의 치과위생사를 대상으로2011년 8월 1일부터 12일까지 자기기입식 설문지 조사를 시행한 후 회수하여 응답이 불분명하거나 크게 사고를 당한 5명을 제외한 205명에 대해서 분석 하였다. 수집된 자료는 SPSS WIN 15.0 프로그램을 이용하여 분석하였다. 그 결과 근골격계질환 예방에 관한 교육을 받은 적이 없는 치위생사가 78.0%로 대부분을 차지하였으며, 근골격계 질환 예방프로그램이 필요하다고 인식하는 치과위생사가 93.2%로 대부분을 차지하였다. 신체부위별 통증빈도를 보면, 평균이 '어깨-목 사이(오른쪽)'가 3.07로 가장 높았고, 신체부위별 통증 정도를 보면, 평균이 '발목/종아리(왼쪽)'가 1.47로 가장 높게 나타났다. 신체부위별 근골격계 질환 통증경험 관련 작업능력 지장여부를 보면, 평균이 '무릎(오른쪽)'이 1.84로 가장 높게 나타났다. 손에 대한 근골격계 질환 증상으로는 오른손의 불편함 정도를 보면, 평균이 'Abductor hallucis muscle' 부분이 2.05로 가장 높았고, 왼손의 불편함 정도를 보면, 평균이 'Thumb' 부분이 1.69로 가장 높게 나타났다.

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Development of Preventive Management Manual for Non-Manufacturing Industries (비제조업종의 근골격계질환 예방관리 매뉴얼 개발)

  • Kim, Chol-Hong;Moon, Myung-Kug;Kim, Day-Sung
    • Journal of the Ergonomics Society of Korea
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    • v.28 no.1
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    • pp.29-36
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    • 2009
  • A Study was conducted to investigate the type and level of occupational risk factors for the onset of work-related musculoskeletal disorders (WMSDs) in non-manufacturing industries. Total of 38 worksites were investigated from 5 different business areas such as financial institution, transportation service, building maintenance, sanitary service and educational service. Major job and task category were classified and corresponding occupational risk factors such as awkward posture, force exertion, repetitiveness of job, and work/rest cycle were examined using various ergonomic risk analysis techniques. Sets of matrices were developed including types and levels of risk factors for the classified jobs and tasks from 5 different non-manufacturing industries. Also possible ergonomic remedies were suggested for the improvement working conditions. Results and risk factor matrices can be applied as a guideline for the investigation of WMSDs risk factors in similar industries for the prevention of WMSDs.

The Study on Chronic Pelvic Pain in Orietal and Occidental Medicine (만성골반통의 동서의학적 고찰(부인과 질환으로 중심으로))

  • Kim, Soon-Youl;Yoon, Jong-Won
    • The Journal of Dong Guk Oriental Medicine
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    • v.5
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    • pp.15-31
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    • 1996
  • The purpose of this study was to generalize the conception of chronic pelvic pain(CPP)through the literature of oriental medicine and occidental medicine. The results are obtained as follows. First, chronic pelvic pain(pain of more than 6 months duration) may include pain of gynecologic, gastroenterologic, urologic, neurologic, and musculoskeletal origin. In this study, the etiology of chronic pelvic pain may remain obscure and the relationship between certain types of pathology, such as endometriosis or adhesions, and the pain response may be inconsistent and often inexplicable. Second, the causes of CPP through the literature of oriental medicine were reviewed as pains due to a wind-pathogen, a cold, disorder of Qi, disorder of blood stasis, a improper diet, disorder of fluid, and deficiency type etc... And the charateristic pains were concerned with a aching pain, a heavy pain, a distending pain. a pain due to mass in the abdoman, a pain likes pulling etc... The degree and classification of charateristic pains in current of time were dependent on subjective factors. Third. in oriental medicine, it wasn't to be suggested concretely recognition of etiological factor in pain. But they recognised that facters were influenced by pain. For example, diretic peripheral demages were concerned with a blood stasis, a phlegm, a damp phlegm, heart, and the pains that were occurrenced by sevn emotions were concerned with a stagnancy of Qi or a stagnancy of liver-Qi.

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Gender-related Factors Associated with Upper Extremity Function in Workers

  • Kim, Kyoo-Sang;Kim, Min-Gi
    • Safety and Health at Work
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    • v.1 no.2
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    • pp.158-166
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    • 2010
  • Objectives: This study aimed to find gender distinctions in terms of the sociology of the population; to determine work-related factors; to analyze gender differences in daily living, work, sports, and art performances; and to identify gender-related factors that limited performance of daily living and work activities. Methods: A questionnaire was designed that included disabilities of the arm, shoulder, and hand (DASH), accident history, disease history, work duration at current workplace, marital status, job satisfaction, job autonomy, and physical demands of the job. Out of 1,853 workers surveyed, 1,173 questionnaires (63.3%; 987 males, 186 females) included responses to DASH disability and DASH optional work and were judged acceptable for analysis. Results: Upper extremity functional limitation during work and daily living was higher for females than males. The limitations for males increased according to their household work time, accident history, work duration, job satisfaction, physical demand, and job autonomy. Meanwhile, female workers' upper extremity discomfort was influenced by their disease history, job satisfaction, and physical demands. In addition, the size of the company affected male workers' upper extremity function, while marriage and hobbies influenced that of female workers. Conclusion: This study addressed sociodemographic factors and work-related factors that affect each gender's upper extremity function during daily living and working activities. Each factor had a different influence. Further studies are needed to identify the effect that role changes, not being influenced by risks at work, have on musculoskeletal disorders.

Electromyographic Analysis of Wrist Flexors by the Shape of Ultrasound Head (초음파 도자의 모양에 따른 손목굽힘근의 근전도 분석)

  • Kim, Won-Ho;Kim, Jong-Man;Park, Hyung-Ki;Park, Eun-Young
    • Physical Therapy Korea
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    • v.14 no.3
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    • pp.9-15
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    • 2007
  • The purpose of this study was to investigate electromyographic activities of the flexor digitorum superficialis (FDS) and the flexor carpi ulnaris (FCU) by the shape of the ultrasound head. Twelve healthy subjects participated and performed ultrasound therapy with a round head and a long handled head during each 5-minute application. Electromyographic activities of the FDS and FCU were recorded by surface electrodes and normalized by maximal voluntary isometric contraction (MVIC) values. There was no difference in the muscular fatigue of FDS and FCU as determined by the shape of the ultrasound head (p>.05). Without the shape of head, the mean power frequency decreased with the time. There also was no difference in %MVIC of the FDS and FCU as determined by the shape of the ultrasound head (p>.05), but the force exerted exceeded 20%MVIC. There was however a significant difference in the amount of cumulative workload of the FDS and FCU as determined by the shape of ultrasound head (p<.05). The workload was however not affected by the shape of the ultrasound head. Constant static grasp of ultrasound transducer head during ultrasound therapy is considered a high risk factor of work-related musculoskeletal disease.

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Correlation between Forward Head Posture, Round Shoulder Posture, and Muscle Activity during the Shoulder Flexion and Abduction Task

  • Hae-Yong Lee;Min-Sik Yong
    • The Journal of Korean Physical Therapy
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    • v.35 no.3
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    • pp.83-88
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    • 2023
  • Purpose: This study was to investigate the effect of forward head posture (FHP) and round shoulder posture (RSP) on changes in muscle activities according to shoulder flexion and abduction tasks. Methods: Twenty-two male subjects with no history of neurological, musculoskeletal surgery or injuries, or pain in the spine region within the previous 3-month periods were recruited for this study. Craniovertebral angle (CVA) and Scapula Index were measured before performing 90° abduction and flexion tasks holding a 3kg dumbbell. Muscle activities were measured during the tasks. All measurements except height of the acromion were carried out in a sitting position at the height of the subject's knee angle of 90 degrees, and two tasks were randomly performed with the arm that the subject mainly use to throw the ball. The abduction and flexion angles were checked by the examiner using a goniometer beside the subject. Results: Correlation coefficient analysis between Scapular Index and upper trapezius muscle activity during shoulder abduction task showed significant positive correlation. No significant correlation was observed between CVA, Scapular Index, and other muscle activities. Conclusion: FHP showed increased muscle activation, making it difficult to change muscle activity under lower loads, and RSP was correlated with UT activation in shoulder abduction. Therefore, in the RSP, the loaded shoulder abduction is considered a potential risk factor for increasing shoulder muscle tension. This paper proposes an approach to treating RSP before FHP.

Reliability of the scapular dyskinesis test yes-no classification in asymptomatic individuals between students and expert physical therapists

  • Lawrence S. Ramiscal;Lori A. Bolgla;Chad E. Cook;John S. Magel;Stephen A. Parada;Raymond Chong
    • Clinics in Shoulder and Elbow
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    • v.25 no.4
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    • pp.321-327
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    • 2022
  • Background: Scapular dyskinesis is considered a risk factor for the shoulder pain that may warrant screening for prevention. Clinicians of all experience screen scapular dyskinesis using the scapular dyskinesis test yes-no classification (Y-N), yet its reliability in asymptomatic individuals is unknown. We aimed to establish Y-N's intra- and inter-reliability between students and expert physical therapists. Methods: We utilized a cross-sectional design using consecutive asymptomatic subjects. Six students and two experts rated 100 subjects using the Y-N. Cohen's kappa (κ) and Krippendorff's alpha (K-α) were calculated to determine intra- and inter-rater reliability. Results: Intra- and inter-rater values for experts were κ=0.92 (95% confidence interval [CI], 0.91-0.93) and 0.85 (95% CI, 0.84-0.87) respectively; students were κ=0.77 (95% CI, 0.75-0.78) and K-α=0.63 (95% CI, 0.58-0.67). Conclusions: The Y-N is reliable in detecting scapular dyskinesis in asymptomatic individuals regardless of experience.

A Study on the Field Application of Occupational Health Risk Assessment Method (산업보건 위험성평가 기법의 현장 적용에 관한 연구)

  • Jongdeok Jung;Jaehung Yu;Yunhee Kim;Kihyo Jung
    • Journal of the Korea Safety Management & Science
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    • v.26 no.2
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    • pp.79-86
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    • 2024
  • Scientific exploration of how occupational health risks relate with occupational illnesses are essential for mitigating health-related issues in industries. This study analyzed the risk scores obtained by occupational health risk assessments at 3,172 manufacturing companies and examined their effects on occupational illness. Statistical analyses revealed that companies with an occupational health manager (scored 89.1 out of 100) had significantly higher activity scores of health management compared to those without (78.2). However, companies with a history of occupational illness (79.1) or those classified as high-risk industries (85.2) had significantly lower activity scores than their counterparts (81.7, 87.3). In addition, regression analyses using factor analysis showed that latent risk factors such as cardiovascular disease/job stress, health management, and musculoskeletal problem significantly influenced the risk of occupational illness. The activity factors such as health management, work environment management, and regulatory complaisance significant impacted the reduction of occupational illness. The findings of this study can be used to improve the occupational health risk assessment method and utilized in effectively managing occupational risks in industries.

Prognostic factors in Osteosarcoma (골육종의 예후인자)

  • Jeon, Dae-Geun;Lee, Jong-Seok;Kim, Sug-Jun;Yang, Hyun-Seok;Lee, Soo-Yong
    • The Journal of the Korean bone and joint tumor society
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    • v.3 no.1
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    • pp.1-8
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    • 1997
  • Osteosarcoma is the most common primary bony malignancy and its survivorship has been progressed markedly through refined chemotherapy and surgery. But still there are many non-responders and analysis of prognostic factors may be helpful for them. Two hundred and sixty-six patients were enlisted between Mar, 1985 and Sep. 1994. Among them our inclusion criteria were: 1)primary, nonmetastatic classical osteosarcoma 2)extremity in location 3)no prior treatment at other institute and completed neoadjuvant chemotherapy and surgery according to our protocol. One hundred and eleven cases were eligible. Analyzed factors were:age, sex, location, tumor size, and pathologic response. Statistical methods were log-rank test for univariate and Cox's test for multivariate analysis. Male to female ratio was 69:42 with an average age of 17.2 years. Locations of tumor were distal femur 59, proximal tibia 29, and proximal humerus 8. Tumor size were measured by its maximal diameter and 48 cases were above 10cm and 47 cases were below 10cm. For pathologic response, 57 cases showed more than 90% and 54 cases were less than that. Limb salvage procedure was 101 cases and amputation was 10 cases and their local recurrence rate were 3.6%. Average follow-up period was 24(9-78.2) months and their final status was CDF 86, AWD 8, NED 5, and DOD 12 cases. In univariate study: type of operation(p=0.005), tumor size(p=0.005), and pathologic response(p=0.02) were significant variables. Pathologic response(p=0.03) and type of operation(p=0.01) were meaningful prognostic factors on multivariate analysis. But the latter result was interpreted as a bias, so pathologic response remained as a sole meaningful prognostic factor. More aggressive chemotherapy will be needed to improve the survival.

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