• 제목/요약/키워드: Musculoskeletal factor

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근골격계 위험요인이 농부증에 미치는 영향 (The Study of Effects of Musculoskeletal Risk Factors on Farmer's Syndrome)

  • 박재범;이경종;이세휘;김종구;정호근
    • 농촌의학ㆍ지역보건
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    • 제25권1호
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    • pp.11-21
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    • 2000
  • 농부들의 근골격계 위험요인을 평가하고 농부증 증상에 미치는 영향을 분석하기 위하여 경기도 농촌지역 3개 면(面)에서 30세 이상 농부 97명을 대상으로 일반적 사항, 근골격계 위험인자, 농부증 증상에 대한 면접 설문조사와 혈압검사, 임상검사를 실시하였다. 근골격계 위험인자 9항목 중 6개 이상 해당하는 농민들을 근골격계 고위험군, 해당항목이 5개 이하인 농민들을 저위험군으로 선정하여 농부증 증상과 임상검사 결과를 비교하였다. 근골격계 위험인자 중 가장 농민들이 많이 호소한 인자는 반복 동작, 허리를 굽히 자세, 빠른 동작 순이였다. 전체 연구 대상자의 농부증 양성률은 28.9%였으며 남자의 농부증 양성률은 16.4%, 여자의 양성률은 45.2%로 나타나 여자의 농부증 양성률이 남자보다 의미있게 높았다. 근골격계 고위험군의 농부증 점수는 5.9점, 저위험군은 4.4점으로 유의학게 고위험군이 높아 농부증에 근골격계 위험인자가 영향을 미치고 있었다. 농부증 증상 중 가장 흔한 증상은 요통으로 76.3%의 농민이 호소하고 있었으며, 수족 감각둔화(54.6%)와 어깨결림(54.6%) 순으로 근골격계 증상 유병률이 높았다. 농부증 근골격계 증상은 어깨결림이 고위험군에서 62.2%, 저위험군이 43.2%로 수족 감각둔화가 고위험군이 62.3%, 저위험군이 45.5%로 의미있게 고위험군의 유병률이 높으나 요통은 고위험군이 77.4%, 저위험군이 75.0%로 의미있는 차이가 없었다. 농부증 점수를 종속변수로 하고 근골격계 위험도, 성, 연령, 음주 여부, 흡연 여부를 독립변수로 하여 다중 회귀 분석을 실시한 결과 근골격계 위험도와 성이 유의한 독립변수로서 작용하였다. 혈압검사와 임상검사에서는 두군간에 의미있는 차이를 보이지 않았다. 이상의 결과에서 근골격계 위험인자는 농부증에 영향을 미치고 있었으며 이에 관한 인간 공학적인 평가와 개선 방안에 대한 지속적인 연구가 필요할 것으로 생각된다.

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진단 초음파 검사자의 작업 관련 근골격계질환 연구 (A Study on Work-Related Musculoskeletal Disorders Related to Sonographer's)

  • 안현
    • 대한방사선기술학회지:방사선기술과학
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    • 제45권4호
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    • pp.355-363
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    • 2022
  • This study was to investigate the prevalence rate of musculoskeletal disorders in relation to general characteristic factors, living environment factors, and work environment factors for sonographer's. For the response questions, the guidelines for musculoskeletal burden work were used. For statistical analysis, SPSS 26.0 version was used. For the common body parts of the sonographer's who responded, the prevalence was investigated by dividing the group into a group with high pain or discomfort and a group with low pain or discomfort according to the degree to which they experienced symptoms during the past 12 months. Multiple logistic regression analysis was used to determine the variance inflation factor(VIF), odds ratio (OR) and corresponding 95% confidence interval (CI). A p-value of <0.05 was considered statistically significant. As a result, housework hours, examination history, regular physical activity, number of patient examinations per day, and sitting posture were investigated as variables for rate musculoskeletal disorders. The sonographer's occupational group was found to have a high prevalence rate of musculoskeletal disorders like various other occupational groups. Based on the results of this study, it is judged that musculoskeletal disorders can be reduced by recognizing musculoskeletal disorders and improving work environment factors.

인쇄업종 근로자들의 작업위험성 평가 (Risk Factor Analysis of Printing Business Workers)

  • 최호달;김현호;정병용;양홍석
    • 대한안전경영과학회지
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    • 제7권3호
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    • pp.63-72
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    • 2005
  • The purpose of this study is to examine the prevalence of musculoskeletal disorders and ergonomic risk factors for workers of printing business. A self-reporting survey and task analysis using video camera were performed to identify ergonomic risk factors associated with musculoskeletal disorders. We used the OWAS, RULA, and REBA methods to quantify the risk factors, and the results show that the printing business have high risk of work-related musculoskeletal disorders.

시설참외 재배작업의 근골격계 위험도 및 자각증상 호소율 (Risk Assessment and Symptoms of Musculoskeletal Disorders in Melon Farm Workers)

  • 김경수;김경란;김효철;이경숙
    • 한국산업보건학회지
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    • 제16권4호
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    • pp.385-397
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    • 2006
  • A high prevalence of farmer's work-related musculoskeletal disorders(MSDs) have been reported in precedent studies. To offer the basic data for reducing the melon farmer's MSDs, a questionnaire survey about MSDs symptoms and work loaded body part and video analysis by 3 checklist(REBA, RULA, OWAS) for musculoskeletal risk assessment were carried. 94 melon farmers for this questionnaire and 1 typical farm for risk assessment were participated. A total of 80.9% of the farmers reported musculoskeletal symptoms and 60.6% reported musculoskeletal symptoms over NIOSH standard. The mainly symptom body part is low back, knee and shoulders. Main risk factors in melon farm are awkward postures, heavey/frequent lifting and repetitive hand/arm motions. The high risk tasks induced by video analysis were harvesting, removing the sprouts and covering with rags. These result can be used practically for planning intervention strategy and programs to prevent farmer's MSDs.

초등학생의 상대적인 책가방 무게와 근골격계 증상에 영향을 미치는 요인 (Factors Associated with Relative Schoolbag Weight and Musculoskeletal Symptoms Among Elementary School Children)

  • 유경은;김진선
    • Child Health Nursing Research
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    • 제21권4호
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    • pp.320-330
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    • 2015
  • Purpose: The purpose of this study was to investigate the use of schoolbags and the prevalence of musculoskeletal symptoms among elementary school children and to identify factors associated with relative schoolbag weight and musculoskeletal symptoms. Methods: A descriptive correlation study was conducted with 228 elementary school children in grades 4-6. A self-administered questionnaire was used for data collection. Descriptive statistics, t-test, ANOVA, $x^2$-test or Fisher's exact test, logistic regression analysis were used for data analysis. Results: Mean relative schoolbag weight (RSW) was 6.40%. Among participants, 13.2% carried more than 10% of their RSW. Only 49.6% of participants organized the contents in their school backpack correctly. Musculoskeletal symptoms were reported by 42.5% of participants. Results from logistic regression analysis identified grade was a significant factor predicting RSW, and gender, RSW, and using a locker were significant factors predicting musculoskeletal symptoms among schoolchildren. Conclusion: Although RSW of school children in this study was within the currently recommended load limit, a considerable proportion of school children were not following guidelines for safe schoolbag use. An effective schoolbag safety campaign for parents, students, and teachers needs to be developed and evaluated to prevent possible musculoskeletal symptoms related to schoolbag use.

근골격계질환자의 양.한방 외래 의료이용과 관련요인 (The Utilization of Western and Oriental Medical Services by Outpatients with Musculoskeletal System Disorders and Its Related Factors)

  • 김성영;박재용
    • 보건의료산업학회지
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    • 제6권1호
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    • pp.27-38
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    • 2012
  • This study is to find out the correlation among the predisposing, enabling, and need factors in Anderson Behavioral Model using the data from Korea Medical Panel Survey conducted in the early part (April 1 - October 31) of 2008. The findings are as follows. It was found that the utilization rate of western medical service was far higher. the influential factor to choose western or oriental medical service taking western medical institutions as the reference group, the influential factor to choose oriental medical institution has significantly increased when the patient who have covered by medical insurance has one accompanied disease and their age was between 45 - 74, compared to the people less than 45 years old. It also increased when the age of the patient was between 45-54 years old, and in the event those who are not covered by medical insurance have accompanied disease and that the disease mobility period is 2-4 years. reviewing the several characteristics of the utilization of western and oriental medical services by the patient with musculoskeletal system disorders, the number of accompanied disease is an influential factor for the utilization of oriental medical services. And, disease mobility period is a significant factor for the utilization of both western and oriental medical services together, though it is not identified in this study. Therefore, it is expected that mutual cooperation between western and oriental medical services is more required for the patient with musculoskeletal system disorders as the aging society rapidly develops. In order to foster oriental medicine, it is required to specialize in competitive disease such as musculoskeletal system disorders.

Cross-cultural adaptation and validation of the Turkish Yellow Flag Questionnaire in patients with chronic musculoskeletal pain

  • Koc, Meltem;Bazancir, Zilan;Apaydin, Hakan;Talu, Burcu;Bayar, Kilichan
    • The Korean Journal of Pain
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    • 제34권4호
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    • pp.501-508
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    • 2021
  • Background: Yellow flags are psychosocial factors shown to be indicative of long-term chronicity and disability. The purpose of the study was to evaluate the psychometric properties of the Turkish Yellow Flag Questionnaire (YFQ) in patients with chronic musculoskeletal pain (CMP). Methods: The cross-cultural adaptation was conducted with translation and back-translation of the original version. Reliability (internal consistency and test-retest) was examined for 231 patients with CMP. Construct validity was assessed by correlating the YFQ with the Hospital Anxiety and Depression Scale (HADS), Orebro Musculoskeletal Pain Questionnaire (OMPQ), and Tampa Kinesiophobia Scale (TKS). Factorial validity was examined with both exploratory and confirmatory factorial analysis. Results: The YFQ showed excellent test/retest reliability with an Intraclass correlation coefficient of 0.82. The internal consistency was moderate (Cronbach's alpha of 0.797). As a result of the exploratory factor analysis, there were 7 domains compatible with the original version. As a result of confirmatory factor analysis, the seven-factor structure of YFQ was confirmed. There was a statistically significant correlation between YFQ-total score and OMPQ (r = 0.57, P < 0.001), HADS-anxiety (r = 0.32, P < 0.001), HADS-depression (r = 0.44, P < 0.001), and TKS (r = 0.37, P < 0.001). Conclusions: This study's results provide considerable evidence that the Turkish version of the YFQ has appropriate psychometric properties, including test-retest reliability, internal consistency, construct validity and factorial validity. It can be used for evaluating psychosocial impact in patients with CMP.

작업관련 근골격계질환의 요양재해 추이 분석 및 위험요인과 유병률에 관한 고찰 (Analysis of Trends in Patients with Work-related Musculoskeletal Disorders and Literature Review of Risk Factors and Prevalence)

  • 김남수;김용배
    • 한국산업보건학회지
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    • 제33권3호
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    • pp.298-307
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    • 2023
  • Objectives: The purpose of this study is to analyze the recent trends in patients with work-related musculoskeletal disorders in South Korea and to check the major results by reviewing the literature on the risk factors and prevalence of musculoskeletal diseases related to work. Methods: Industrial disaster data from the Ministry of Employment and Labor from 2012 to 2021 were used, and the literature was reviewed regarding risk factors for musculoskeletal diseases related to work using PubMed and RISS. Results: The trend of patients with work-related musculoskeletal disorders has increased overall since 2017 after declining until 2016, with a particularly notable increase in the average annual number of patients with physical burden work. The average annual rate per ten thousand people for patients with body burden work, non-accidental lower back pain, and carpal tunnel syndrome among work-related diseases was high in the mining industry. The average annual rate per ten thousand people for patients with accidental lower back pain was the highest in the fishing industry. Within the manufacturing field, it was the highest in the shipbuilding and ship repair industry. As a result of the literature review, the search rate for work-related musculoskeletal disease papers in unstructured work was high. In addition, physical stress factors were high among risk factors, and pain areas showed a high rate for the waist. Conclusion: Even after the institutional implementation of a hazard investigation system related to musculoskeletal diseases is implemented, the number of patients with occupational musculoskeletal disorders continues to increase. Therefore, it is necessary to conduct regular surveys and implement effective improvement activities for vulnerable industries or occupations.

기술사용이 근로환경과 근로자 건강에 미치는 영향력에 대한 연구 (Study on the Impact of use of Technology on Work Environment and the Health of Workers)

  • 김영선;이경용;진주현;김기식
    • 한국안전학회지
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    • 제29권5호
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    • pp.146-153
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    • 2014
  • This study looks at the impact of psychological and physical factors of the working conditions on the health of workers depending on whether technology is used by such workers. The data used for the study is the third work environment survey. Out of 50,032 respondents, a total of 29,711 paid workers were used as analysis subjects. Although it was anticipated that the use of technology was a factor that hindered job autonomy and teamwork autonomy. However, the analysis results showed low levels of job autonomy and teamwork autonomy in the group that did not use technology. The study assumes a regression analysis model about work environment and work organizational practices of workspaces that have an impact on musculoskeletal complaints, stress symptoms and level of work satisfaction by controlling the social demographic variable that represents the level of individual sensitivity. As a result of the study, ergonomic risk had a significant effect on both groups that did or did not use technology with respect to stress symptoms, musculoskeletal complaints and level of work satisfaction. In particular, as workspace practices and work environment had an effect on the development of musculoskeletal complaints in the group that used machines, there is a need to improve such situation. The autonomous team work or level of job autonomy within the group that used technology may act as a risk factor to the health and welfare of workers. However, because it may also act as a buffer factor, there is a need for a change to reduce stress symptoms and increase the level of work satisfaction by improving autonomous team work and the level of job autonomy.

근골격계 유해요인 조사 보고서 검토를 통한 조사 방법 및 제도 개선 방안 (The Improvement of Investigation Method and System through the Review of Musculoskeletal Risk Factor Investigation Reports)

  • 김병훈;박지영;백경희;하권철
    • 한국산업보건학회지
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    • 제31권3호
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    • pp.266-273
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    • 2021
  • Objective: The objective of this study was to suggest improvement methods for investigations and systems through a review of musculoskeletal risk factor investigation reports conducted in the workplace. Methods: A total of 34 reports on musculoskeletal risk factor investigations were reviewed. To confirm the appropriateness of the evaluation, reevaluation was conducted through a field investigation using other evaluation tools. In order to understand the effectiveness of the improvement plan, a survey was conducted with those in charge of tasks with ergonomic burdens. Results: As a result of performing a field survey using the work sampling method recommended by the KOSHA (Korea Occupational Safety and Health Agency) for ten tasks, eight tasks were determined to pose an ergonomic burden. When 30 tasks were evaluated with RULA (rapid entire body assessment), 90% of them were evaluated at a higher level than the results of the workplace survey. Among the improvement measures, only 36% of the field workers affirmed them, and in only 19% of the workplaces were actual improvements made. Conclusions: In order to improve the ergonomic investigation system for risk factors in the ergonomic burden task, it is necessary to secure the objectivity of the evaluation performed by the institution and enable the active participation of workers in improvement activities.