• Title/Summary/Keyword: Musculoskeletal system

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A Study on the Musculoskeletal Disorders among the Visiting Housekeeper (가사노동자의 근골격계질환 자각증상과 관련요인)

  • Yoon, Songyi;Choi, Jae-Wook;Kim, Hae-Joon;Lee, Eun-il
    • Korean Journal of Occupational Health Nursing
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    • v.15 no.1
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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.

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Investigation of the Potential Risk for Musculoskeletal Disorders in Migrant Workers (외국인근로자의 근골격계질환 발생가능성에 관한 연구)

  • Lim, Hyung-Duk;Rajitha Kawshalya, Mailan Arachchige Don;Nam, Ki-Hun
    • Journal of the Korean Society of Industry Convergence
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    • v.24 no.6_2
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    • pp.781-786
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    • 2021
  • Korean domestic workers are trend to avoid harmful and dangerous jobs calls 3D work due to the poor working conditions. Therefore, the incoming population of foreign workers is increasing to fulfill the required labor force. Mostly these foreign workers are placed in small and medium-size industries. As work that induces musculoskeletal disorders(WMSD) is equally exposed to domestic workers as well as foreign workers, this study attempted to investigate the work burdened by musculoskeletal disorders and derive improvement measures by understanding the actual conditions of the worksites of foreign workers. The result of this investigation defines that the possibility of developing musculoskeletal disorders is very high in the environment in which more than 40% of the respondents work with heavy objects and repetitive work of wrists and elbows. To prevent the symptoms of musculoskeletal disorders among foreign workers, three measures were proposed. To reduce the mandatory check-up period of WMSD under the Occupational Safety and Health Act, to revise the employment permit system, and to enhance the practical help of EPS education. Safety and health management of foreign workers is becoming an essential task not only for securing a workforce but also for the national image. Personal and economic losses at the national level should be minimized through policy support such as financial support for small and medium-sized businesses in Korea and supplementation of legal systems for the protection of foreign workers.

Basic Study for Development of Qigong Exercise Appropriate for Musculoskeletal Characteristics of Seniors (노인의 근골격계 특성에 적합한 기공운동 개발을 위한 기초연구)

  • Kim, Yi Soon;Lee, Jeong Won;Kim, Gyeong Cheol;Park, Tae Soeb;Kwak, Yi Sub;Lee, Hai-Woong
    • Journal of Society of Preventive Korean Medicine
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    • v.18 no.2
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    • pp.115-123
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    • 2014
  • Objective : The objective of this study is to develop a Qigong exercise program to reinforce musculoskeletal system of seniors appropriate for physical strength and conditions of seniors aged 65 years or above based on health Qigong exercise of oriental medicine. Method : Qigong exercise motions that can improve strength, muscular endurance, flexibility, and cardiovascular endurance of seniors were developed by primarily performing literature review of Qigong experts on the fields like oriental medicine, Qigong exercise, physical education and health science and secondarily using motion training for increased validity of motions. Results : The Qigong exercise program for musculoskeletal system of seniors was designed with 12 motions repeated 8 times and 20 minutes per session, including shoulder exercises (alternate turning of left and right shoulders, turning both arms back and forth, holding and lifting elbow to put it aside), waist exercises (wrapping the head with hands to bow, twisting waist while looking at the tip of hand, large spinning of ball, putting hands together to pull back), and knee exercises (going up a down while lifting a rock, balancing the body while lifting a knee, lifting and spreading knees while drawing circle with arms, raising both arms to the side while lifting heels, breathing). Conclusion : Once the effects of Qigong exercise for musculoskeletal system of seniors developed in this study are tested, the program is expected to contribute to development of Qigong exercise, a core part of oriental medicine health improvement project.

Changes in Postural Deviation Caused by the Pain Area (통증위치에 따른 자세 치우침의 차이비교)

  • Bang, Sang-Boon;Joung, Ho-Bal
    • Journal of Korean Physical Therapy Science
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    • v.9 no.3
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    • pp.97-106
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    • 2002
  • Purpose. This study was tried to compare the effect of the change in postural deviation caused by the pain side Subjects and Methods. Inpatients and outpatients (n=71) were selected from I hospital who have a musculoskeletal low back pain and shoulder pain without any history of the central nervous system (CNS) lesions, orthopaedic problems of the both lower extremities, or the vestibular and the visual default. For the control group, normal and healthy subjects (n=30) were selected without any history of weight bearing disorders. the weight bearing was rated by the computerized force plate. Results. 1) Postural deviation was not significant difference between patients and control group(p<0.01). But postural deviation in patients was more pronounced than control group. 2) There was significant difference of postural deviation between in patients according to the pain side(p<0.01). When the pain side was on the left side, postural deviation tended to the right. When the pain side was on the right side and vertebral body, postural deviation tended to the left. 3) There was no significant difference of postural deviation between regional pain in shoulder and regional pain in low back(p<0.01). Discussions and Conclusion. As a result, the pain, for sure, affected the good posture and its keeping process directly or/and indirectly. Therefore, as the postural deviation increases, the additional energy consumption increased by the works of the muscles to keep the good posture. Preponderated postural deviation, furthermore, could load too much to the musculoskeletal system, leading to increase the pain. The postural deviation, a result of the pain, can cause a secondary deformity of the distal area as a compensatory reaction, and this compensation actually become a cause of the musculoskeletal symptom back in a cycle. Therefore, the appropriate treatment of the musculoskeletal problem and the education of the posture correction should be given to decrease the pain, preventing the secondary deformities, and increasing muscle energy efficiency of the posture remaining muscles.

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Study on the Change of the Autonomic Nervous System by HRV Test in Musculoskeletal Pain Patients Treated with Acupuncture (근골격계 통증 환자에서 침 치료 후 심박수 변이도(Heart rate variability) 변화에 관한 연구)

  • Kim, Dae-Feel;Heo, Kwang-Ho;Park, Young-Hoi;Keum, Dong-Ho
    • Journal of Korean Medicine Rehabilitation
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    • v.15 no.2
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    • pp.17-30
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    • 2005
  • Objectives : This study was designed to evaluate the changes of autonomic nervous system by heart rate variability(HRV) test on the musculoskeletal pain patients treated with acupuncture on the Back-su points and the unfixed points, and untreated healthy adults. Methods : This clinical study have been carried out with 64 cases of musculoskeletal pain patients and 26 healthy adults. 35 patients were treated with acupunctureon on the Back-su points(Group I) and 26 patients were treated on the Unfixed points(GroupII), and two groups were tested by HRV at pre and post acupuncture treatment. 26 healthy adults(GroupIII) were tested twice by HRV without any stimulation. Results : In Group I, VAS was decresased $5.83{\pm}1.62$ to $5.17{\pm}1.89$ significantly(p<0.05) after acupuncture treatment, and LF/HF ratio was decreased significantly(p<0.05) as compared with healthy control Group. In GroupII, SDNN & RMSSD were increased singnificantly(p<0.05) as compared with other Groups. in Group I & II, MHRT was decreased significantly(p<0.05) as compared with healthy control Group. Conclusions : These results suggest that acupuncture treatment on the Back-su points was able to reduce the pain, suppress the sympathetic activities and enhance the parasympathetic activities in musculoskeletal patients.

A Keyword Network Analysis of Standard Medical Terminology for Musculoskeletal System Using Big Data (빅데이터를 활용한 근골격계 표준의료용어에 대한 키워드 네트워크 분석)

  • Choi, Byung-Kwan;Choi, Eun-A;Nam, Moon-Hee
    • Journal of Digital Convergence
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    • v.20 no.5
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    • pp.681-693
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    • 2022
  • The purpose of this study is to suggest a plan to utilize atypical data in the health care field by inferring standard medical terms related to the musculoskeletal system through keyword network analysis of medical records of patients hospitalized for musculoskeletal disorders. The analysis target was 145 summaries of discharge with musculoskeletal disorders from 2015 to 2019, and was analyzed using TEXTOM, a big data analysis solution developed by The IMC. The 177 musculoskeletal related terms derived through the primary and secondary refining processes were finally analyzed. As a result of the study, the frequent term was 'Metastasis', the clinical findings were 'Metastasis', the symptoms were 'Weakness', the diagnosis was 'Hepatitis', the treatment was 'Remove', and the body structure was 'Spine' in the analysis results for each medical terminology system. 'Oxycodone' was used the most. Based on these results, we would like to suggest implications for the analysis, utilization, and management of unstructured medical data.

A Review of Outpatients in Oriental Obstetric & Gynecology Clinic of the Oriental Hospital for 3 Years (3년간 일개 한의대 부속 한방병원 여성의학과 외래 환자에 대한 임상고찰)

  • Kwon, Ji-Myung;Park, Young-Sun;Kim, Dong-Chul
    • The Journal of Korean Obstetrics and Gynecology
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    • v.24 no.4
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    • pp.163-173
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    • 2011
  • Purpose: To show the clinical aspects in outpatients who visited Oriental Obstetric & Gynecology Clinic Methods: We studied 7141 patients who visited Oriental Obstetric & Gynecology Clinic from 2008 to 2010. Results: 1. The total patients and the percentage of new patients increased every year. 2. The age distribution showed over 60% in 20~49. 3. The percentage of Oriental Ob&Gy patients decreased with 55% in 2008, 28% in 2009, 29% in 2010. 4. The distribution of oriental diagnosis showed 55.4% in Ob&Gy, 19.2% in musculoskeletal system, 6% digestive system and respiratory system neuropsychiatry in 2008. And 30.6% in musculoskeletal system, 28.5% in Ob&Gy, 10.9% neuropsychiatry in 2009. And 29% in musculoskeletal system, 28.1% in Ob&Gy, 11.1% in heart system in 2010. 5. The most commonly used herbal medicine was Ikgibohyeltang. Conclusions: We hope these results could be helpful to diagnosis and treatment of oriental Ob&Gy patients.

Comparison of Physical Therapy Field Preferences of Students and Physical Therapists

  • Joo-Young Park;Sang-Min Han;You-Jin Noh;Jae-Yong Park;Hyeok-Gyu Kwon
    • Journal of the Korean Society of Physical Medicine
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    • v.18 no.4
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    • pp.47-55
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    • 2023
  • PURPOSE: This study compared the preferences of students majoring in physical therapy (PT) and those of physical therapists regarding various PT fields. METHODS: Two hundred and sixty-two participants (students: 161, physical therapists: 101) were recruited, and their preferences for seven fields of the PT (musculoskeletal system, nervous system, children and adolescents, cardiopulmonary system, sports, and pelvic and women's health) were surveyed using a Likert five-point scale. An independent t-test was conducted to compare the preference scores of each field between the PT student and physical therapist groups. RESULTS: PT for the musculoskeletal system was the most preferred by PT students and physical therapists. In contrast, PT for children and adolescents had the lowest preference. A comparison of the preferences of various PT fields in the two groups revealed PT students to have a significantly higher preference for PT on the musculoskeletal system, children and adolescents, and the nervous system compared with the physical therapists. CONCLUSION: These results could provide the basic information for various PT fields.

An Investigation of Musculoskeletal Disorders Risk Factors at an Autopart Company (자동차 부품 제조업체의 근골격계 질환 유해요인 조사)

  • Kang, Young-Sig;Yang, Sung-Hwan;Cho, Mun-Son
    • Proceedings of the Safety Management and Science Conference
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    • 2009.04a
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    • pp.69-78
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    • 2009
  • The goal of this study is to propose the effective method of investigating the injurious factors and making improved plans that prevents the workers against musculoskeletal disorders at an autoparts company and the same business field with similar working conditions and process. A questionnaire were adopted to analyze the symptoms of workers' musculoskeletal disorders, and an ergonomic assessment method such as RULA, OWAS were performed to find out harmful factors of workplace and working posture. Based on the result of the evaluation, to enhance the working environment, improvement of worktable, working space, tools, and outfit was suggested, and induction of mechanical system was also suggested. It can be concluded that the method and process described in this paper could be helpful for diagnosing the musculoskeletal disorders and making improvement plans to the autopart company and the same business field with similar working conditions and process.

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Improvements on Injurious Factors of Work Related Musculoskeletal Disorders at a Fishcake Manufacturing Company by Ergonomic Approach (인간공학적 접근을 통한 어묵 제조업체의 작업관련성 근골격계 질환 유해요인 개선)

  • Yang Sung-Hwan;Cho Mn-Son;Kang Young-Sig
    • Journal of the Korea Safety Management & Science
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    • v.7 no.4
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    • pp.73-83
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    • 2005
  • The goal of this study is to propose the improved scheme that prevents the workers against musculoskeletal disorders at a fishcake manufacturing company, A questionnaire and an ergonomic assessment method were adopted to analyze the symptoms of workers' musculoskeletal disorders, and an analysis of working postures and a quantitative assessment on various processes were performed to find out harmful factors of workplace. Based on the result of the evaluation, to enhance the working environment, improvement of worktable, working space, tools, and outfit was suggested, and induction of mechanical system was also suggested. Suggested improvement plan was applied to the workplace step by step and it is confirmed that improvement plan can removes the injurious factors of musculoskeletal diseases effectively.