• Title/Summary/Keyword: Musculoskeletal intervention

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Determining the Degree of Disability in Workers with Upper Limb Musculoskeletal Disorders using DASH (DASH로 평가한 상지 근골격계 질환자의 기능 제한)

  • Kim, Kyoo-Sang;Jang, Ki-Un
    • Journal of the Ergonomics Society of Korea
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    • v.29 no.3
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    • pp.311-320
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    • 2010
  • This study aimed to examine the development and characteristics of the workers with upper limb musculoskeletal symptoms and disorders and to analyze the upper limb musculoskeletal symptoms and disorders for its relationship with the individual socio-demographic characteristics. This study investigated the effect on the limitations of physical activities using standardized surveillance tool and clinical diagnosis. Musculoskeletal symptoms and the limitations of physical activities were examined. The clinical diagnosis of musculoskeletal disorders were carried out by physical examination, radiological examination and electromyography-electroneuronography for 22 workers in kitchen hood assembly process and 50 workers in toggle process of leather product manufacturing. The proportion of workers with musculoskeletal disorders was higher and the DASH score was also statistically higher in female and aged workers with longer working hours, longer household working hours, less leisure/hobby activity and higher physical load. Physical activities component score increased in the following order: workers in normal health, workers with musculoskeletal symptoms, and workers with musculoskeletal disorders as clinically diagnosed. Score for each DASH component increased in the following order: sports/performing arts ability, social activities, specific physical functional activities, work or other regular daily activities, work ability, psychological activities, insomnia and upper limb symptoms. The overall and each component DASH scores were higher in workers with symptoms of status praesens and of more severity, and receiving medical intervention. Musculoskeletal symptoms and disorders are associated with individual socio-demographic characteristics, and DASH score for physical activities of upper limb was higher in workers with musculoskeletal disorders. Musculoskeletal symptoms and disorders have a remarkable epidemiological significance for physical activities, social activities, work or other regular daily activities, upper limb symptoms and insomnia, where work ability, sports/performing arts ability and preventive measure is needed.

The Effect of Exercise Program to Ease the Musculoskeketal Symptoms among the People Working in a Hotel (호텔종사자들의 근골격계 증상완화를 위한 운동프로그램의 효과)

  • Yu, Ji Hyoung
    • Korean Journal of Occupational Health Nursing
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    • v.17 no.2
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    • pp.138-145
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    • 2008
  • Purpose: The purpose of this study was to provide exercise program according to the relevant characteristics in order to provide practical information for intervention programs to prevent and manage musculoskeletal symptoms of workers who are employed in a hotel. Method: A self-administered questionnaire was used in order to identify any musculoskeletal symptoms among 280 employees who works at the hotel. Each experiment and control groups, consisting of 16 employees respectively, was assembled. The 10-minute exercise program was conducted twice a day for 6 weeks between 23 October and 3 December 2006. Results: The subjective symptom of subjects before and after implementing the exercise program for the period of 6 weeks was decreased in most body parts. In the control group the subjective symptom of subjects was decreased partly. Conclusion: The exercise program according to the symptom & task characteristics of hotel employees need to be introduced in preventive & proactive manners in order to ease and prevent the musculoskeletal symptom.

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Coping and Powerlessnessof Musculoskeletal Patients with Chronic Pain (만성통증이 있는 근골격계 환자의 대처와 무력감)

  • Choi, Gwi-Yun
    • The Korean Nurse
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    • v.36 no.4
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    • pp.88-99
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    • 1997
  • Applying effective coping strategies and reducing powerlessness for the chronic pain adjustment of musculoskeletal patients were researched for basic data in the development of nursing intervention. The subjects were 99 musculoskeletal patients with chronic pain. Data was gathered with direct interview using a questionnaire. With the SAS tool. data were analyzed for percentage. Pearson correlation. t-test. and ANOVA according to characteristics of variables. Internal consistency(alpha) coefficients were .91 for coping scales and .71 for powerlessness scales. The results are as follows: 1. Pain duration was mainly 6 - 12 months(52. 5%). 2. Primary pain site was mainly lower limbs(58.6%) and pain severity was a moderate level. 3. The preference of coping strategies was decreased in the order named in resting. seeking social support. exercise or stretch. guarding. and asking for assistance. 4. The longer pain duration. the more the coping strategies of asking assistance used. This was stastically significant(F=3. 35. p<.05). 5. The group with the experience of hospital admission was more powerless than the group without that(F=3. as. p<.01). 6. Pain severity and powerlessness were significantly positively correlated(r=.444. p<.001). Coping strategy applying and powerlessness were significantly negatively correlated(r=-. 288. p<.01). In consequence. the nurse should playa role as the supporter of patient's maximal usage of his resources in pain relief. adjustment, and control. The nurses should also develop for the nursing intervention of physical therapy and educational programs.

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The Development of a Checklist for Quantitative Assessment of Risk Factors of Musculoskeletal Complaints in Shipbuilding Workers (조선소 근로자의 근골격계 자각증상에 대한 위험요인 평가척도 개발)

  • Kim, Won-Ho
    • Physical Therapy Korea
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    • v.16 no.1
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    • pp.42-51
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    • 2009
  • The purpose of this study was to develop a checklist of risk factors for quantitative assessment of musculoskeletal complaints in shipbuilding workers. A key point was to develop comprehensive a checklist including the worker's physical ability, as ergonomic and workload factors. ln the first, through correlation analysis between musculoskeletal complaints and physical abilities in shipbuilding workers, risk factors related to physical abilities were selected. In the second, after the development of a checklist was composed of physical, ergonomic and workload factors, factor analysis was used to test the validity of the developed checklist. Each factors selected finally showed that physical factors were hand grip strength, spinal curvature, and flexibility (sit to reach), ergonomic factors were posture, total exposed time, duration, and force of working, and workload factors were physical and psychological workload perceived by worker. The results showed that musculoskeletal complaints was associated with physical abilities (p<.05). The developed checklist had a reliability of .761 (Cronbach=.761) and a validity and explanation of 54.9%. The criterion of management was classified in 4 stages by relative weights of each factor. It is suggested that active intervention is needed to reduce musculoskeletal complaints in workers with more than a 14.31 score.

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A Study on the Characteristics of the Awareness and Satisfication Level of Musculoskeletal Patients and Non-Musculoskeletal Patients that Use Korean Medical Institutions (한방의료기관 이용자 중 근골격계질환자와 비근골격계질환자의 인식도 및 만족도 특성연구)

  • Sung, Angela Dongmin;Choi, Sung Young;Park, Minjung;Sung, Soo-Hyung
    • Journal of Society of Preventive Korean Medicine
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    • v.24 no.3
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    • pp.27-38
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    • 2020
  • Background : The study aimed at examining the awareness and satisfaction level of Korean medicine treatment of musculoskeletal patients and non-musculoskeletal patients. Method : The frequency and percentage were calculated to identify the overall characteristics, and to identify the characteristics of the respondents who visited the hospital to treat musculoskeletal diseases and those who visited for the treatment of non-musculoskeletal diseases, the correlation between the variables was analyzed using the chi-square analysis (χ2-test). Furthermore, analysis items were compared depending on detailed diseases within the musculoskeletal disorder (lumbar pain, sprains, arthritis, frozen shoulders, spondylitis, disc) Result : Respondents who used Korean medicine for the purpose of treating musculoskeletal diseases had answered that costs involved in Korean medicine was expensive, and answered that herbal decoction was the preferred Korean medicine treating method for expanding health insurance benefits. Regarding the safety awareness of Korean medicinal herbs, responses that said it was safe was high, and their willingness to use and recommend Korean medicine in future was also high. Respondents who used Korean medicine for the purpose of treating musculoskeletal diseases said they were overall satisfied along with the attitude of Korean medical doctors, treatment results, and costs of treatments. Conclusion : The study was aimed at securing basic data to indirectly identify the national demand for Korean medicine, through investigating the level and degree of differences that exist in the perception and satisfication level and further find a point where policy intervention is possible in future.

Safety Management for Small Food Manufactures (10인 이하 농식품 사업장의 안전관리)

  • Lee, Kwan Suk;Chung, Da Yeh
    • Journal of the Korean Society of Safety
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    • v.28 no.1
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    • pp.109-116
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    • 2013
  • The objective of this study is to develop a new system that is simpler to be used to keep the safe workplace at the small food manufacturers which employees less than 10 persons. The number of these small food manufacturers is 13,853 and account for almost 80% of all food manufacturers. Most of these companies do not pay attention to safety and thus keep high accident potential. It is very important to persuade these companies to manage safety but they can hardly handle the complicated requirements of safety, health, quality, food quality, and musculoskeletal disorders intervention. This system is intended to develop a system which can be easily implemented but comprehensive to reflect main points in safety management, musculoskeletal disorders intervention,. ISO 9001, ISO 14001, KOSHA 18001, GAP and ISO 22000.

Musculoskeletal Ultrasound Application in Cervical Spine: Pictorial Essay (경추부의 초음파 적용: 임상화보)

  • Yoon, Yong-Soon;Lee, Jung-Hoo;Kim, Eun-Sil;Lee, Kwang Jae
    • Clinical Pain
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    • v.20 no.2
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    • pp.74-85
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    • 2021
  • Ultrasound (US) can depict of various anatomical structures, such as muscles, tendons, ligaments, nerve roots, and vessels, around the neck. The usage of US around the neck is increasing due to its quick and easy application for guided injection for nerves, tendons, and joints. This article elaborates the degenerative diseases causing neck pain, sonoanatomy, and the use of US for diagnosis and intervention; for example, small nerves around the neck, cervical root, stellate ganglion, medial branches, greater occipital nerve (GON), and third occipital nerve (TON). The aim of this review article is to lead readers to understand the anatomy around the neck and structural relations, and to get to know about several US-guided intervention of the neck.

An Improved Musculoskeletal Discomfort Assessment Questionnaire (근골격계 장애 분석을 위한 설문지 조사에 관한 연구)

  • 장성록
    • Journal of the Korean Society of Safety
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    • v.14 no.2
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    • pp.148-154
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    • 1999
  • A self-report musculoskeletal assessment tool was adapted following field use by ergonomic analysis teams and was administrated to 100 employees of ChangWon techno-complex. Results were analyzed to determine of the self-report could adequately predict whether or not an employee reportedly sought medical treatment for a work-related discomfort. It is anticipated this tool can be utilized as an easily administrated, proactive surveillance instrument to assist in early identification of ergonomic concerns and to help prioritize jobs for intervention.

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Analysis and Improvement Methods of Unsafe Posture Associated with Various Agricultural Works

  • Jung, Hwa-Shik
    • Journal of the Ergonomics Society of Korea
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    • v.30 no.4
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    • pp.473-480
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    • 2011
  • Objective: This paper presents the results of a literature review undertaken to analyze the types and risk factors of unsafe posture in accordance with the crops and the working position and to introduce various ergonomic intervention approaches. Background: There is clear and consistent evidence that agricultural work has been rated as one of the dangerous occupations in the world. A considerable number of adverse health conditions, including musculoskeletal disorders(MSDs) are related to agricultural work. Method: An agricultural work requires squatting, kneeling, and bending(stooping) postures for significant periods of the work day which due to a wide variety of activities such as planting, cultivating and harvesting various agricultural products. Thus, each of these postures is analyzed in detail to recommend the improvement methods. Results: Various unsafe postures in agricultural works are revealed and analyzed. It is proven that ergonomics intervention has the potential benefits to reduce MSDs among agricultural workers. Two types of ergonomic intervention methods were discussed to improve unsafe working postures, engineering controls and administrative controls. Conclusion & Application: As a concluding remark, this article can be used as a reference manual for the agricultural workers and also used to raise the research community's awareness to the risk of unsafe working postures for workers in agriculture.

Insufficient Rest Breaks at Workplace and Musculoskeletal Disorders Among Korean Kitchen Workers

  • Park, Sungjin;Lee, Jongin;Lee, June-Hee
    • Safety and Health at Work
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    • v.12 no.2
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    • pp.225-229
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    • 2021
  • Background: The socioeconomic burden of musculoskeletal disorders (MSDs) is significant, and kitchen work is a high-risk occupation for MSDs due to the intensive manual workload and repetitive movements that are involved. However, there are very few studies on MSDs and rest breaks as a workplace intervention among kitchen workers. This study examined the relationship between insufficient rest breaks and increased MSD risk among Korean kitchen workers. Methods: Sociodemographic and occupational factors of 1,909 kitchen workers were collected from the 3rd-4th Korean Working Conditions Survey data. Five items on rest breaks at work were categorized into two groups, "sufficient" and "insufficient." The number of MSDs and work-related MSDs (WMSDs), an outcome variable, was obtained from the sum of MSDs/WMSDs in three anatomical sites (back, neck, and upper limb, lower limb). The association between rest breaks and MSDs was estimated using zeroinflated negative binomial analyses, with adjustments for age, education level, and weekly working hours, and the analyses were stratified by sex. Results: After adjustment, significant associations were found between insufficient rest breaks and an increased risk of MSDs (odds ratio [OR] 1.68 95% confidence interval [CI] 1.11-2.54) and WMSDs (OR 1.40 95% CI 1.01-1.96) among female kitchen workers. Insufficient rest breaks were significantly associated with MSDs in female kitchen workers in all three anatomical sites. Conclusion: This study emphasizes the need for rest breaks as a workplace intervention for preventing MSDs in kitchen workers. Further studies to reveal the causality of this relationship are required.