• 제목/요약/키워드: Work-related musculoskeletal disease

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Human Body Mechanics of Pushing and Pulling: Analyzing the Factors of Task-related Strain on the Musculoskeletal System

  • Argubi-Wollesen, Andreas;Wollesen, Bettina;Leitner, Martin;Mattes, Klaus
    • Safety and Health at Work
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    • 제8권1호
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    • pp.11-18
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    • 2017
  • The purpose of this review is to name and describe the important factors of musculoskeletal strain originating from pushing and pulling tasks such as cart handling that are commonly found in industrial contexts. A literature database search was performed using the research platform Web of Science. For a study to be included in this review differences in measured or calculated strain had to be investigated with regard to: (1) cart weight/ load; (2) handle position and design; (3) exerted forces; (4) handling task (push and pull); or (5) task experience. Thirteen studies met the inclusion criteria and proved to be of adequate methodological quality by the standards of the Alberta Heritage Foundation for Medical Research. External load or cart weight proved to be the most influential factor of strain. The ideal handle positions ranged from hip to shoulder height and were dependent on the strain factor that was focused on as well as the handling task. Furthermore, task experience and subsequently handling technique were also key to reducing strain. Workplace settings that regularly involve pushing and pulling should be checked for potential improvements with regards to lower weight of the loaded handling device, handle design, and good practice guidelines to further reduce musculoskeletal disease prevalence.

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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Synthesis of Evidence to Support EMS Personnel's Mental Health During Disease Outbreaks: A Scoping Review

  • Bronson B. Du;Sara Rezvani;Philip Bigelow;Behdin Nowrouzi-Kia;Veronique M. Boscart;Marcus Yung;Amin Yazdani
    • Safety and Health at Work
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    • 제13권4호
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    • pp.379-386
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    • 2022
  • Emergency medical services (EMS) personnel are at high risk for adverse mental health outcomes during disease outbreaks. To support the development of evidence-informed mitigation strategies, we conducted a scoping review to identify the extent of research pertaining to EMS personnel's mental health during disease outbreaks and summarized key factors associated with mental health outcomes. We systematically searched three databases for articles containing keywords within three concepts: EMS personnel, disease outbreaks, and mental health. We screened and retained original peer-reviewed articles that discussed, in English, EMS personnel's mental health during disease outbreaks. Where inferential statistics were reported, the associations between individual and work-related factors and mental health outcomes were synthesized. Twenty-five articles were eligible for data extraction. Our findings suggest that many of the contributing factors for adverse mental health outcomes are related to inadequacies in fulfilling EMS personnel's basic safety and informational needs. In preparation for future disease outbreaks, resources should be prioritized toward ensuring adequate provisions of personal protective equipment and infection prevention and control training. This scoping review serves as a launching pad for further research and intervention development.

어선선원(漁船船員)들의 직업 관련성 질병 실태 조사 (A Questionnaire Survey on Occupational Disease of Fisheries)

  • 김재호;장성록
    • 한국안전학회지
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    • 제21권5호
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    • pp.84-91
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    • 2006
  • The purpose of this study was to find out morbidity rate and pattern of occupational disease and affect of variables related disease of Fishing sailors'. The subjects this study were 624 fisheries sailors' who took a safety education course in Korea Institute of Maritime and Fisheries Technology. This questionnaire was focused on finding the basic data for prevention of occupational disease and promotion health on the fishing sailors'. The collected data were analyzed by using descriptive statistics, Chi-square, cross tab by SPSS package. The result of this study are as follow. 1) The morbidity rate within recent 12 months was 70.2%. There were significant differences of occurred disease in age, rank, perceived health status, fatigue symptoms, rest time, workload, overtime duration 2) The more aging(p<0.01), perceived fatigue(p<0.01), workload(p<0.01), overtime(p<0.05) and the less perceived health status(p<0.01), rest time(p<0.01), the higher morbidity rate. 3) Considering disease unable to work more than 4 hour, the number of those who had musculoskeletal disease were 20.9%, which revealed the highest rate, digestive disease 14.3%, traumatic disease 13.5%.

치과위생사의 근골격계질환 자각증상과 인간공학적 평가 (Evaluation of the Ergonomic Method and Musculoskeletal Symptoms in Dental Hygienist)

  • 오나래;김해경;정미애
    • 한국콘텐츠학회논문지
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    • 제12권9호
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    • pp.234-243
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    • 2012
  • 본 연구의 목적은 치과위생사의 근골격계 증상과 작업관련 요인과의 연관성을 알아보고자 한다. 자기기입식 설문지는 서울, 경기, 대구, 포항의 210명 치과위생사를 대상으로 2011년 8월1일부터 12일까지 조사를 실시한 후 회수하여 응답이 불분명하거나 크게 사고를 당한 5명을 제외한 205명을 연구대상자로 선정하였다. 수집된 자료의 분석은 SPSS WIN 18.0 프로그램을 이용하여 교차분석 및 로지스틱 회귀분석을 하였고 인간공학적 분석은 RULA 와 REBA를 사용하여 수행되었다. 연구대상자의 205명중 신체 한 부위라도 근골격계 증상을 경험한 사람은 196명으로 95.6%의 총경험률을 나타내었고, 근골격계 증상 경험은 오른쪽 목과 어깨사이가 82.4%로 가장 높았다. 목부위가 78%, 오른쪽 어깨가 69.8%, 오른쪽 손목이 66.3% 순으로 나타났다. 치과에서의 작업환경 개선은 치과위생사의 근골격계 질환을 예방하는데 필요하다. 스켈링 position별 점수는 술자 7시 방향에서 점수가 높았고, 교정장치 결찰작업 중 설측 교정결찰 작업의 REBA Total score가 12점으로 Action Level 5 에 해당 되었다.

미용사의 근골격계 질환에 대한 지식과 예방행위 수준 (Knowledge and Preventive Behavior on Work-related Musculoskeletal Disease in Beauty Artists)

  • 권현숙;박용억;이은숙;양숙희;남철현
    • 보건교육건강증진학회지
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    • 제22권4호
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    • pp.245-256
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    • 2005
  • The purpose of this study is to research the situation and related knowledge and behavior of Korean beauty artists on their musculoskeletal disorders and the factors on them. It was researched by questionnaire from March 1 to May 31, 2003, and the subjects were 984 of beauty artists who were working as hair designers, skin care specialists, and make-up artists over 1 year in big cities including Seoul, Daegu, Busan and Gwangju. The analyzation was done by frequency, percentage, $x^2-test$, t-test. The results can be summarized as follows; 1. As for their degree of pain according to part of their body, the highest was shoulder as 88.3%, and next were neck(cervical region) as 83.2%, waist as 77.6%, and wrist(hand) as 71.8%, in order. 2. The level of knowledge on the muscloskeletal disorder was 65.6 points on the basis 100points. As for their level of protective behavior and knowledge on the disorders of musculoskeletal system according to their educational experience, the higher educational level they had the higher knowledge level they showed, as 42.6% of 'high', 30.4% of 'medium', and 27.0% of low; and as for degree of performing the protective behavior, they showed the higher protective behavior level when they had the higher educational level. 3. As for their level of knowledge on disorders of musculoskeletal system according to their general uniqueness as beauty artists, they showed statistical significance on the field of their marriage status, educational degree, specialized field, and numbers of customers they manage; and as for the degree of their protective behavior, they showed statistical significance in the field of age, marriage status, specialized field, and rank in their jobs. 4. The level of protecting behavior on the muscloskeletal disorder was 57.4 points on the basis 100points. As for their degree of pain on each part of their body according to their protective behavior and knowledge on musculoskeletal system, it had statistical significance on their elbows and hips, and the less pain they showed when the higher knowledge they had; it had statistical significance on their neck(cervical region), shoulders, backs, waists, knees and ankles(feet) according their protective behavior, and the less pain they showed when the higher level of protective behavior they did.

대학 교직원의 근골격계 자각증상에 영향을 미치는 요인 (The Factors Related to Musculoskeletal Symptoms of University Faculty and Staff)

  • 정미경;하명희;공정현;박연미
    • 문화기술의 융합
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    • 제6권4호
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    • pp.259-266
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    • 2020
  • 본 연구는 대학 교직원의 건강행태, 직무스트레스, 근골격계 자각증상에 대해 알아보고, 근골격계 자각증상에 미치는 영향요인을 규명하기 위한 서술적조사 연구이다. 대학 교직원 158명을 대상으로 하였으며, 자료수집기간은 2020년 7월부터 8월까지이었다. 연구결과 건강행태 관련 특성에서 음주를 하는 비율이 68.6%였고, 흡연자 9.6%, 주 3회 이상 운동하는 비율은 15.4%, 규칙적인 식사 습관을 가진 비율이 64.7%로 나타났다. 직무스트레스는 평균점수가 63.7점이며, NIOSH의 직업적 근골격계 자각증상 기준에 해당되는 근골격계 질환 증상군은 18.6%으로 그 중 어깨 부위 근골격계 자각증상의 비율이 가장 많게 나타났다. 또한, 연구 대상자의 29.5%가 근골격계 통증의 원인이 업무라고 응답하였다. 근골격계 자각증상에 영향을 미치는 요인으로 어깨부위 자각증상은 성별, 연령, 경력, 직무스트레스가 유의한 영향을 미치는 것으로 나타났으며(p<.01), 허리 자각증상은 흡연과 규칙적인 운동이 유의한 영향을 미치는 것으로 나타났다(p<.05). 다리·무릎 자각증상은 학력, 규칙적인 식사가 유의미한 영향을 미치는 것으로 나타났다(p<.05). 따라서 대학 교직원의 근골격계 질환을 예방하기 위해서는 직무스트레스 완화, 규칙적인 운동, 규칙적인 식사를 할 수 있도록 프로그램 개발 및 적용이 필요하다.

근골격계질환 예방프로그램의 필요성과 자동차 부품 제조업 근로자들의 근력과 자세의 특성 연구 (Characteristics of Muscle Strength and Posture among Automobile Parts Manufacturing Workers and the Necessity of the Musculoskeletal Injury Prevention Program)

  • 권일호;신원섭
    • 대한물리의학회지
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    • 제14권4호
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    • pp.173-181
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    • 2019
  • PURPOSE: This study examined the necessity of a musculoskeletal injury-prevention program for automobile parts manufacturing workers by assessing the body composition, muscle strength, and posture according to sex and age. METHODS: Two hundred eighty-two workers (men, 218; women, 64; mean age, 38.97 years; and mean work tenure, 10.29 years) participated in this study. They completed a questionnaire on their general characteristics, excluding personal identification codes. The participants were evaluated for body composition, muscle strength, and posture using InBody, a hand dynamometer, and the Image J program through photography, respectively. An independent t-test and one-way analysis of the variance were used for the comparisons according to sex and age, respectively. RESULTS: Significant sex-related differences in muscle strength and grip force were observed (p<.05). In addition, the left-side pelvic inclination was significantly higher in the female participants than in the male participants (p<.05). Significant age-related differences in the skeletal muscle mass and muscle strength were observed around 40 years (p<.05). Significant correlations were observed among the body composition (skeletal muscle and body fat masses), muscle strength, and posture (pelvic inclination; p<.01). CONCLUSION: Significant differences in pelvic inclination by sex and muscle strength by age were found, even in healthy workers. Additional posture and muscle strength measurements will be needed for workers who participate in the musculoskeletal injury prevention program because they are exposed to an incorrect posture for many hours or in many repetitive tasks.

건설업 종사자의 상지 근골격계 증상에 영향을 미치는 업무관련 요인 (Work-related Risk Factors Associated with Upper Extremity Symptoms among Construction Workers)

  • 조형열;박종;이철갑
    • 한국산업보건학회지
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    • 제28권2호
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    • pp.211-221
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    • 2018
  • Objectives: The purpose of this study was to identify work-related risk factors associated with upper extremity symptoms among construction workers using the fourth Korean Working Condition Survey(KWCS). Methods: Subjects were 2,724 construction workers selected from 50,007 respondents in the 2014 KWCS. The presence or absence of upper extremity symptoms and work-related risk factors, including individual, physical, and psychosocial factors, were used as variables. A multiple logistic regression analysis was performed in order to evaluate the relationship of the upper extremity symptoms with work-related risk factors. Results: Upper extremity symptoms were significantly associated with: employment type(OR: 1.57, 95% CI: 1.18~2.09); job satisfaction(OR: 2.06, 95% CI: 1.33~3.18); verbal abuse(OR: 2.06, 95% CI: 1.33~3.18); tiring or painful posture(OR: 2.33, 95% CI: 1.73~3.15); carrying or moving heavy loads(OR: 1.68, 95% CI: 1.23~2.24); repetitive hand or arm movement(OR: 1.42, 95% CI: 1.06~1.91) Conclusions: In order to prevent the upper extremity musculoskeletal disease in the construction industry, it is necessary to stabilize employment, enhance job satisfaction, and eliminate violence in the workplace and improve physical work environment.

소방공무원의 직무관련질환과 건강실태 조사 (Work related diseases in Korean fire fighters)

  • 노상균;김지희
    • 디지털융복합연구
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    • 제11권10호
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    • pp.571-576
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    • 2013
  • 이 연구의 목적은 소방공무원의 직무관련성 질환에 대하여 조사하고 소방공무원의 건강관리와 질환 예방대책 마련에 필요한 기초자료를 제공하는 데 있다. 연구 방법은 1개 소방서에 근무하는 전체 소방공무원을 대상으로 구조화된 설문지를 이용하여 자기기입식 기록으로 설문을 받았다. 연구 결과 소방공무원의 37.7%가 만성질환을 가지고 있었고, 12.3%가 만성요통을 앓고 있었다. 증상 부위별로는 허리 41.5%, 어깨 33.0%, 목 23.6%순이었으며, 이로 인해 48.1%가 지난 한달 동안 신체적 아픔으로 집이나 직장 일로부터 지장을 받았다고 답하였다. 또한 54.1%에서 지난 1년 이내에 병원 치료를 받은 것으로 조사되었다. 이상의 결론 도출을 통하여 소방공무원의 특수건강 진단에 근골격계 질환과 관련된 프로그램의 추가, 근골격계 질환을 예방하기 위한 건강증진 프로그램의 개발, 직무 상 발생되는 급성장애에 대한 수시건강진단 체계의 도입 마련을 제언하고자 한다.