• 제목/요약/키워드: Work-Related Musculoskeletal Disorders

검색결과 274건 처리시간 0.023초

근골격계부담작업 유해요인조사 이행 실태 조사 (Survey on Performance of the Risk Assessment of Musculoskeletal Disorders)

  • 박재희;이인석;기도형;정화식;박정근
    • 한국안전학회지
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    • 제26권1호
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    • pp.49-57
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    • 2011
  • A questionnaire study was carried out to understand the status of performing the risk assessment of work-related musculoskeletal disorders(WMDSs), which is the employers' legal responsibility when the employees are involved in doing tasks with risk factors. Employers or managers from 340 companies and the representative employees from 250 companies participated in the survey. According to the participated employers and employees, 35.0~46.2% of companies had performed the first risk assessment before the end of 2005. However, it is presumed that the real condition might not be as much as the result, because most companies were very reluctant to took part in the survey. It was found that the type of business and size of the company are the main factors affecting the performance of the risk assessment in terms of the performing ratio, method, and so on. The participants were positive in the thought that the assessment would be helpful in preventing msuculoskeletal disorders, while there was a little difference between the employers and employees in the thought that the assessment would be helpful in finding the injuries in the early stage. It was found that it is necessary to modify and improve the definition and criteria of the tasks to be examined in the assessment.

치과위생사 작업과 관련된 근골격계 통증의 영향요인 (Dental Hygienists Work on the Impact of Factors Associated with Musculoskeletal Pain)

  • 김민아;서화정
    • 치위생과학회지
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    • 제12권6호
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    • pp.558-565
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    • 2012
  • 작업관련 근골격계 질환은 중요한 직업병 중 하나이며, 이는 치과의료 직종도 예외일수는 없다. 치과위생사는 주로 장시간 서서 진료를 하거나 머리와 목을 구부리고 어깨와 손을 많이 틀면서 움직이거나 부적절한 자세로 진료하는 경우가 많기 때문에 더욱 더 근골격계 질환에 대한 위험에 대한 노출도 크다. 따라서 본 연구는 작업과 관련하여 근골격계의 부위별 통증의 유무와 업무분야별 통증의 차이가 있는지를 알아보기 위하여 수도권 지역의 치과위생사 300명을 대상으로 설문조사를 하였고 이 중 268명이 설문에 응하였다. 본 연구의 결과는 다음과 같이 요약될 수 있다. 1. 연구대상자들의 신체부위별 근골격계 통증 정도를 분석해 본 결과, 어깨 90.3%, 목 89.2%, 다리 83.6%, 허리 81.7%, 손/손목/손가락 75.7%, 팔/팔꿈치 52.8%로 나타났다. 2. 연구대상자들의 업무영역에 따라서 근골격계 질환이 다르게 나타났으며 연구결과, 외과업무의 경우 목, 허리, 다리, 어깨, 손, 팔로 나타났으며 보철업무의 경우 어깨, 다리, 손, 목, 허리, 팔로 나타났다. 교정업무의 경우 목, 어깨, 손, 허리, 다리, 팔로 나타났고 접수의 경우 목, 어깨, 허리, 다리, 손, 팔로 나타났다. 모든 치료의 경우 어깨, 허리, 목, 다리, 손, 팔로 나타났다. 여기서 나타난 것처럼 연구대상자들이 주로 하는 진료에 대한 근골격계 통증이 신체부위별로 다르다는 연구결과가 나왔다. 3. 근골격계 질환의 주요변인에 대한 연구결과, 일반적 특성은 통계적으로 유의하지는 않았지만 신장이 큰 연구대상자들에게 허리와 어깨의 통증이 많았고 체중이 적게 나가는 연구대상자들은 목과 팔의 통증이 높았다. 연령은 29~33세는 어깨, 34세 이상에서는 팔/팔꿈치가 높았으며 이는 통계적으로 유의하였다(p<0.05). 근무환경은 경력이 높아질수록 손/손목/손가락은 통증이 증가하였고(p<0.05) 목과 어깨(p<0.05), 팔(p<0.01), 허리는 3~4년의 경력에서 가장 높았다. 그리고 다리/발은 1~2년의 경력에서 통증경험이 높았다. 근무시간은 시간이 증가함에 따라 목에 대한 통증이 높아진다고 하였으나 유의한 차이는 없었다. 그러나 손/손목/손가락에서는 근무시간이 적을 때 높은 통증경험을 나타냈으며 통계적으로 더욱 유의한 차이를 보였다(p<0.01). 근무처에 따라서 분과병원에서는 손/손목/손가락에서 높은 통증경험율을 나타냈고(p<0.05) 중소치과에서는 다리/발에서 높은 통증경험률을 나타냈다(p<0.05). 이와 같은 결과는 치과위생사의 근골격계 질환은 평균이상으로 많으며 이 질환에 대한 위험성을 인식하고 경각심을 느껴야 한다고 보여진다. 근골격계 질환은 초기에 발생되면 간단하게 치료받을 수 있지만 누적되어서 오랫동안 방치되었을 때는 이미 정상으로 되돌릴 수 없기 때문에 올바른 자세를 유지하고 통증이 나타나거나 피로가 쌓일 경우 즉시 치료를 하고 적극적인 자세로 응대하고 지속적인 노력이 필요하다고 보여진다.

2차원 면에서의 자세 관측시 시야각이 관절각 추정에 미치는 영향 (Effects of Viewing Angle on the Estimation of Joint Angles in the 2-dimensional Plane)

  • 이인석
    • 대한인간공학회지
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    • 제25권2호
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    • pp.51-62
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    • 2006
  • In assessing risks related to working posture, pictures of postures are taken from various directions, which can be a source of observation error. Joint postures of the neck, lower back, knee, shoulder, and elbow were taken from 7 different viewing angles and 19 observers estimated joint angles by observing the pictures in 2-dimensional display. The joint angles were also measured using an optoelectronic motion measurement system. The estimation error increased as the viewing angle varies from the right side of the human body, but the patterns differ according to which joint angles were being observed. Guidelines to increase the validity of observation of joint angles were presented based on the results. In general, it is recommended to maintain the viewing angle within 20 degrees from the right side of the human body, while different ranges of viewing angle are recommended for each joint angle.

인삼 재배 작업의 재해 위험 요인과 안전 대책 - 인삼 재배 농업인 대상 안전교육 자료 개발을 위한 조사 연구 (Risk Factors and Safety Measures for Ginseng Cultivation Work - An Examination Study to Develop Contents of Safety Education for Ginseng Farmers)

  • 공용구;이인석;이경숙;최경희;강다영;이주희
    • 대한인간공학회지
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    • 제36권5호
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    • pp.545-557
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    • 2017
  • Objective: The aim of this study was to find risk factors in cultivating ginseng based on risk assessments and suggest safety measures for main risks. Background: Safety education and training is one of the practical and effective methods to prevent occupational accidents and injuries. In agricultural sector, there are few contents of safety education as compared to other industries. Especially, farm work has different cultivation characteristics according to the crops, so it needs special education materials for each crop. Among the various types of crops, ginseng contains various risk factors due to its long cultivating period and unique environment. Therefore, safety education material specified for ginseng is necessary to improve ginseng farmers' safety. Method: Risk assessment for cultivating tasks of ginseng was carried out through data obtained from various methods (site survey, interview, literature survey). To improve objectivity, the risk assessment was applied with 3-criteria (researcher estimate, interview, previous research results). Finally, the three high-risk tasks were selected and safety measures for those tasks were provided. Results: Three tasks, such as 'Mounting, maintenance and removing supports', 'Pest control' and 'Harvest', were selected as risky tasks among total tasks. (1) In 'Mounting' and maintenance and removing supports', the farmers found to be exposed to the risks of musculoskeletal disorders and accidents related to operating the tablet machine. (2) In 'Pest control', agrichemical poisoning, musculoskeletal disorders and hyperthermia were main risks. Finally, (3) In 'Harvest', the farmers are mainly exposed to the possibility of accidents of agricultural machines and risks of musculoskeletal disorders. Thus, it needs to apply appropriate safety measures to those risky tasks, such as safety guidelines, convenience equipment, protective kit, and so on. Conclusion: This study can be used as basic data for agricultural safety and expected that it would be useful for further study. In addition, the results of the research will be produced in the form of animation, which will enhance the safety consciousness for aged farmers. Application: The result of this study can be used in developing safety education materials for ginseng farmers which is essential to prevent occupational accidents and injuries among ginseng farmers.

IT 환경에서 소방공무원의 근골격계 증상이 건강관련 삶의 질에 미치는 영향 (Impact of symptoms of Work-related Musculoskeletal Disorders on health related Quality of Life in firefighter under the IT environment)

  • 오경재;이정미;양충용;박형주;박윤희;유찬욱;강은영;정복희
    • 한국전자통신학회논문지
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    • 제9권3호
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    • pp.311-322
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    • 2014
  • 본 연구의 목적은 최근 IT환경에서 소방관의 건강 관련 삶의 질에 대하여 작업 관련 근골격계 질환의 영향을 평가하고자 하였다. 평가는 구조화된 설문지를 이용하였으며, 직접 대면 면담 방식으로 진행되었다. 연구는 전체 366명의 소방관이 참여하였다. 평가 방법은 근골격계 질환의 증상에 대한 평가를 위해 NIOSH의 증상 표를 이용한 자가 평가식 설문지로 측정하였으며, 건강관련 삶의 질의 평가를 위해 SF-36을 근거로 측정하였다. 근골격계 질환의 유병률은 상지에서 38.0%, 허리에서 35.5%, 하지에서 21.6%이었으며, 59.3%에서 신체의 두 부위 이상에서 증상이 발생하였다. 근골격계 질환의 증상을 갖는 소방관은 상지에 근골격계 질환의 증상을 갖지 않는 소방관보다 감정 기복 제한을 제외한 삶의 질의 7 범주에서 유의한 낮은 점수를 보였다. 반면에 근골격계 질환의 증상을 갖는 소방관은 하지나 허리에 근골격계 질환의 증상을 갖지 않는 소방관보다 삶의 질의 모든 범주에서 유의한 낮은 점수를 보였다. 이러한 결과는 근골격계 질환이 삶의 질에 부정적 효과를 갖음을 유추할 수 있다. 따라서 소방관에서 근골격계 질환의 예방은 건강 관련 삶의 질을 향상하기 위한 효과적인 중재적 전략으로 고려할 수 있을 것이다.

Ergonomic Design of Medic Work Table (MWT) for Medical Technologist

  • Choi, Kyeong-Hee;Lee, Sung-Yong;Lee, Jun-Hyub;Kong, Yong-Ku
    • 대한인간공학회지
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    • 제35권6호
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    • pp.595-609
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    • 2016
  • Objective: The purpose of this study was to develop and validate the guidelines for Medic Work Table (MWT) based on the anthropometric data of medical technologists. Background: Users' anthropometric data such as sitting height, sitting elbow height, knee height, and so on are significant factors for designing comfortable and useful furniture. Thus, many guidelines for different types of desks and chairs based on the users' anthropometric data have been suggested to many researchers. However, few researches have been conducted to provide design guidelines for MWT for blood collecting task. Medical technologists often use their upper extremities to perform blood collecting task with high repetitions. These repeated motions could be a critical factor in the prevalence rate of Work-related Musculoskeletal Disorders (WMSDs). Therefore, a study on ergonomic design of MWT would be essential in preventing the WMSDs and improving the quality of the working environment of medical technologists. Method: This study suggested design guidelines for ergonomic MWT by focusing on the heights of the upper side and underside, depths of the inside and outside, and width of MWT through anthropometric studies and literature reviews. Afterwards, a new MWT was made using the suggested design guidelines for this study. Five healthy medical technologists participated to evaluate the original MWT and new MWT. All participants took part in the range of motion (ROM) test, electromyography (EMG) muscle activity test, and usability test to validate the suggested guidelines in this study. EMG signals of related muscles (Flexor Carpi Ulnaris, Extensor Carpi Ulnaris, Deltoid Anterior, and Biceps Branchii) were recorded through the surface electromyography system from both the original MWT and the new MWT. The ROM test of the shoulder and elbow flexion was also assessed using motion sensors. Results: The newly designed MWT showed decreased ROMs of the shoulder and elbow up to 22% and 18% compared to the original MWT. The muscle activities in the new MWT also showed a decrease of 13% in Anterior Deltoid, 6% in Biceps Brachii, 5% in Flexor Carpi Ulnaris, and 8% in Extensor Carpi Ulnaris muscle groups, compared to the original MWT. In the usability test, the satisfaction score of the new MWT was also 56.1% higher than that of the original MWT. Conclusion: This study suggested guidelines for designing MWT and validating the guidelines through qualitative and quantitative analyses. The results of motion analysis, muscle activity, and usability tests demonstrated that the newly designed MWT may lead to less physical stress, less awkward posture, and better physical user interface. Application: The recommended guidelines of the MWT would be helpful information for designing an ergonomic MWT that reduces physical loads and improves the performance of many medical technologists.

Moire 영상을 이용한 근골격계 질환의 한의학적 진단에 관한 연구 (A Study on Oriental Medical Diagnosis of Musculoskeletal Disorders using Moire Image)

  • 이은경;유승현;이수경;강성호;한종민;정명수;천은주;송용선;이기남
    • 대한예방한의학회지
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    • 제4권2호
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    • pp.72-92
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    • 2000
  • This research has conducted studies on an Oriental medicine-based method of diagnosing of occupational musculoskeletal system diseases. This researcher has searched through existing relevant medical literature. Also, this researcher has worked on a moire topography using moire topography. In this course, this researcher has reached the following conclusion in relation to the possibility of using a moire topography as a diagnosing device of musculoskeletal system diseases under Oriental medicine . 1 The Western medicine outlines its criteria of screening occupational musculoskeletal system diseases as follows A. The occupational musculoskeletal diseases must clearly include one or more of the subjective symptoms characterized by pain, hypoesthesia dysaesthesia, anaesthesia. etc . B, There should be clinically admitted objective observations and diagnosis outlining that the disease concerned shows symptoms such as tenderness, induration. and edema that can appear with occupational musculoskeletal system diseases. dyscinesia should be admitted with the disease concerned, or there should be observations and diagnosis outlining that abnormality exists in electric muscular or nervous diagnosis and examination . C. It should be admitted that prior to the occurrence of symptoms or observations and diagnosis on musculoskeletal system-related diseases, a patient has been engaged in works with conditions requiring improper work posture or work movement. That is, this is an approach whereby they see abnormality in the musculoskeletal system come from material and structural defect, and adjust and control abnormality in the musculoskeletal system and secreta . 2. The Oriental medicines sees that a patient develops the pain of occupational musculoskeletal diseases as he cannot properly activate the flow of his life force and blood thus not only causing formation of lumps in the body and blocking the flow of life force and blood in some parts of the body. Hence, The Oriental medicine focuses on resolving the cause of weakening the flow of life force and blood, instead of taking material approach of correcting structural abnormality Furthermore , Oriental medicine sees that when muscle tension builds up, this presses blood vessels and nerves passing by, triggering circulation dyscrasia and neurological reaction and thus leading to lesion. Thus, instead of taking skeletal or neurophysiological approach. it seeks to fundamentally resolve the cause of the flow of the life force and blood in muscles not being activated. As a result Oriental medicine attributes the main cause of musculoskeletal system diseases to muscle tension and its build-up that stem from an individual's long formed chronicle habit and work environment. This approach considers not only the social structure aspect including companies owners and work environment that the existing methods have looked at, but also individual workers' responsibility and their environmental factors. Hence, this is a step forward method. 3 The diagnosis of musculoskeletal diseases under Oriental medicine is characterized by the fact that an Oriental medicine doctor uses not only photos taken by himself, but also various detection devices to gather information and pass comprehensive judgment on it. Thus, it is the core of diagnosis under Oriental medicine to develop diagnosing devices matching the characteristics of information to be induced and to interpret information so induced from the views of Oriental medicine. Diagnosis using diagnosing devices values the whole state of a patient and formal abnormality alike, and the whole balance and muscular state of a patient serves as the basis of diagnosis. Hence, this method, instead of depending on the information gathered from devices under Western medicine, requires devices that provide information on the whole state of a patient in addition to the local abnormality information that X-ray. CT, etc., can offer. This method sees muscle as the central part of the abnormality in the musculoskeletal system and thus requires diagnosing devices enabling the muscular state. 4. The diagnosing device using moire topography under Oriental medicine has advantages below and can be used for diagnosing musculoskeletal system diseases with industrial workers . First, the device can Provide information on the body in an unbalanced state. and thus identify the imbalance and difference of height in the left and right stature that a patient can not notice at normal times. Second, the device shows the twisting of muscles or induration regions in a contour map. This is not possible with existing shooting machines such as X-ray, CT, etc., thus differentiating itself from existing machines. Third, this device makes it possible for Oriental medicine to take its unique approach to the abnormality in the musculoskeletal system. Oriental medicine sees the state and imbalance state in muscles as major factors in determining the lesion of musculoskeletal system, and the device makes it possible to shoot the state of muscles in detail. In this respect, the device is significant. Fourth, the device has an advantage as non-aggression diagnosing device.

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농작업에서 발생하는 하지자세의 근골격계 질환 위험도 평가를 위한 인간공학적 평가도구 개발 (Development of an Ergonomic Checklist for the Investigation of Work-related Lower Limb Disorders in Farming - ALLA: Agricultural Lower-Limb Assessment)

  • 공용구;한준구;김대민
    • 대한인간공학회지
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    • 제29권6호
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    • pp.933-942
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    • 2010
  • Objective: To develop an ergonomic evaluation tool which can be apply to assess the lower-limb postures associated with farming tasks. Background: In general, most of existing ergonomic assessment tools was developed to investigate the work-related musculoskeletal disorders of the upper-limb postures in manufacturing industry. Methods: As the first step of development of the evaluation tool, 13 lower-limb postures that were commonly observed in farming task were investigated by the subjective discomfort ratings, heart rates, and muscle activities. And then, an ergonomic evaluation tool for the lower-limb postures was developed based on results of the first experiment. Lastly, the ergonomic checklist which was developed in the current study was compared with other existing ergonomic assessment tools. Results: Based on the results of comparisons between a newly developed assessment tool and other existing assessment tools, it was found that a newly developed tool can perceive more sensitively for the various lower-limb postures than other assessment tools. Conclusions: Lower-limb posture assessment tool which can evaluate and assess risks of lower-limb WMSDs which were prevalent in farming tasks more easily and accurately was developed in this study. The lower-limb assessment tool can also be utilized to prevent WMSDs related with lower-limbs as well as improve working environments.

Development and Assessment of Shovel Applying Foothold

  • Lim, Cheolmin;Lee, Kyungsuk;Kim, Kyungran;Kim, Hyocher;Seo, Mintae;Kim, Seongwoo;Chae, Hyeseon
    • 대한인간공학회지
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    • 제35권2호
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    • pp.67-74
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    • 2016
  • Objective: The aim of this study is to develop a farming shovel to reduce workload, which helps farmers lower the risk of musculoskeletal disease. Background: Most of work using farming tools including shovels requires repetitive works and awkward postures on body parts, and it could possibly cause work-related musculoskeletal disorders. It is necessary to develop and distribute farm equipment and tools in order to reduce physical workload. Method: To improve the most uncomfortable task perceived by ten farmers during the work with a shovel, the improved shovel was designed and made as a prototype for experiment for the comparison of the existing and improved shovels. Twenty males were recruited for this experiment, and muscle activity (%MVC) of six body parts and subjective discomfort ratings by body parts while working with a shovel were measured. A paired t-test was performed to compare physical workload between the existing shovel and the developed one. Results: A shovel applying foothold tied between shaft and blade was designed, which can help workers reduce repetitive bending of back and pressures for upper limbs while digging soil. According to compared evaluation of the developed shovel and the existing shovel, the developed shovel's %MVCs in all experimental muscles were significantly lower than those of the existing shovel. The developed shovel showed the biggest drop in perceived subjective discomfort rating of back, followed by arm and neck, compared to the existing shovel. Conclusion: It was confirmed that attaching a foothold to a shovel was an effective way of reducing workload in back and upper limbs during digging. Application: In the near future, if we put the prototype of developed shovel to practical use after making up for defects, it will help farm work environment be healthier and safer.

Development and Evaluation of the Neck Supporter for Preventing Neck-related MSDs

  • Kong, Yong-Ku;Han, Jun-Goo
    • 대한인간공학회지
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    • 제30권2호
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    • pp.297-302
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    • 2011
  • Many WMSDs(work-related-musculoskeletal disorders) have been reported in diverse industries and have also attracted much attention in recent years. Neck-related MSD is generally known as one of common WMSDs, especially it happens to workers who are working at the automobile assembly plants and/or shipyards. The awkward posture is considered as a main cause of neck-related MSDs. A neck supporter was developed to prevent neck-related MSDs, and 10 males were recruited to evaluate the newly developed neck supporter by measuring subjective discomfort ratings of whole body, shoulder, neck and neck-muscle activities. Muscle activities from four neck muscle groups(left/right sternocleidomastoid and upper/middle trapezius) were measured while simulating an automobile assembly task. Results showed that the neck supporter help to significantly improve subjective discomfort for whole-body, shoulder as well as neck body parts. The analyses of muscular activities also showed that the activities of left/right sternocleidomastoid muscles were statistically decreased with the neck supporter in this study. The muscle activities of upper/middle trapezius in case of wearing the neck supporter were not significantly different with the muscle activities in case of no-wearing the neck supporter. Overall findings verified that the neck supporter might help to prevent neck-related MSDs based on the current study.