• Title/Summary/Keyword: musculoskeletal symptom

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Trends of Korean Medicine Treatment after Musculoskeletal Disorder Surgery: A Literatural Review (근골격계 질환 수술 후 한방치료 동향(국내 학술지를 중심으로))

  • Lee, Kang-Joon;Park, Chang-Hyun;Lee, Yoon-Jae;Lee, Jung-Han;Cho, Jae-Heung;Park, Tae-Yong;Yang, Na-Rae;Hwang, Eui-Hyoung;Song, Yun-Kyung
    • Journal of Korean Medicine Rehabilitation
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    • v.27 no.3
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    • pp.61-70
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    • 2017
  • Objectives The purpose of this review is to analyse the trend in papers related with Korean Medicine Treatment after musculoskeletal disorder surgery. Methods We reviewed Korean Medicine papers by searching Korean web databases 'Korea Traditional Knowledge Portal', 'Scientific and Technological Information Integration Service (NDSL)', 'Academic Research Information Service (RISS)', 'Korea Medical Informati on Portal (OASIS)'. We classified the papers by the year of publishment, the title of journals, the type of study, surgery region, chief complain after surgery, main treatment, periods after surgery, assessment for outcomes. Results 1. Korean Medicine treatment after musculoskeletal disorder surgery has received more attention than in the past and there are attempts to do various studies besides the case reports. 2. 41 research papers were divided in to 3 original articles, 3 review articles, 35 case reports. But almost presented a low level of evidence. 3. Pain was the most common symptom after the musculoskeletal disorder surgery. Pain should be the primary goal of Korean rehabilitation treatment after musculoskeletal disorder surgery. 4. Assessment tools for outcome were concentrated in questionnaries, VAS and NRS. In order to evaluate better, it is necessary to evaluate the overall condition of the patient such as the quality of life evaluation and patient satisfaction. Conclusions In this study, we expect that the development and clinical application of Korean rehabilitation treatment program after musculoskeletal disorder surgery will be actively pursued.

Association between Myofascial Pain Syndrome and the Assessment of Pain and the related Function tests in female telephone directory assistance operators using VDT (VDT 사용 여성 전화교환원들의 근막동통증후군과 동통 및 기능평가 검사와의 관련성)

  • Roh, Sang-Chul;Lee, Soo-Jin;Song, Jae-Cheol;Park, Hung-Bae
    • Journal of Preventive Medicine and Public Health
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    • v.30 no.4 s.59
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    • pp.779-790
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    • 1997
  • The Association between myofascial pain syndrome and some tests was assessed in a cross-sectional study of 904 female telephone operators using video display terminals(VDTs). 105 cases were diagnosed as Myofascial pain syndrome with symptom questionnaire, laboratory examination and physician's physical examination and 550 controls were defined to show only musculoskeletal symptoms using NIOSH symptom criteria. Data on demographics, musculoskeletal symptom and visual analogue scale(VAS) were obtained by questionnaire. Anthropometric measurements, pressure pain threshold, Grip & Pinch strength and laboratory test were conducted. No significant difference between case and control at comparing of demographics, occupational history and body measurements were observed. But, Grip strength, pressure pain threshold and VAS showed the statistical difference between case and controt. Age, pressure pain threshold of Rt. Upper trapezius and VAS were associated with myofascial pain syndrome in multivariate logistic regression analysis. This results suggest that, to diagnose of myofascial pain syndrome, the consideration of the objective aspects among patients' subjective symptom complaints through the VAS and pressure pain threshold is required.

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A Study on Quantitative Evaluation Method for Risk of Work-related Musculoskeletal Disorders Associated with Back Flexion Posture (작업관련성 근골격계질환에 있어서 작업자세 위험도의 정량적 평가방법에 대한 연구 -허리 굴곡 자세를 중심으로-)

  • Park, Dong Hyun;Noh, An Na;Choi, Seo Yeon
    • Journal of the Korea Safety Management & Science
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    • v.16 no.1
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    • pp.119-127
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    • 2014
  • This study tried to develop a basis for quantitative index of working postures associated with WMSDs (Work-related Musculoskeletal Disorders) that could overcome realistic restriction during application of typical checklists for WMSDs evaluation. The baseline data(for a total of 603 jbs) for this study was obtained from automobile manufacturing company. Specifically, data for back posture was analyzed in this study to have a better and more objective method in terms of job relevance than typical methods such as OWAS, RULA, and REBA. Major statistical tools were clustering, logistic regression and so on. The main results in this study could be summarized as follows; 1) The relationship between working posture and WMSDs symptom at back was statistically significant based on the results from logistic regression, 2) Based on clustering analysis, three levels for WMSDs risk at back were produced for flexion as follows: low risk(< $18.5^{\circ}$), medium risk($18.5^{\circ}{\sim}36.0^{\circ}$), high risk(> $36.0^{\circ}$), 3) The sensitivities on risk levels of back flexion was 93.8% while the specificities on risk levels of back flexion was 99.1%. The results showed that the data associated with back postures in this study could provide a good basis for job evaluation of WMSDs at back. Specifically, this evaluation methodology was different from the methods usually used at WMSDs study since it tried to be based on direct job relevance from real working situation. Further evaluation for other body parts as well as back would provide more stability and reliability in WMSDs evaluation study.

A Study on Working conditions and Characteristics of Dental Technicians (치과기공사의 근무 환경 및 업무특성 평가에 관한 연구)

  • Song, Jae-Sang;Hong, Young-Ho;Choi, Sang-Jun
    • Journal of Technologic Dentistry
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    • v.33 no.4
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    • pp.379-390
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    • 2011
  • Purpose: This study was conducted to improve the working conditions of dental technicians, through survey for working conditions related to perform one's duty, the extent of personal exposure to substances hazardous and complaint rate and factor of job stress and subjective symptom on musculoskeletal disorders. Methods: Using four types of structured questionnaires: social and demographic factor; the actual conditions of working space; working conditions; and characteristics of dental technicians, respondents filled in the questionnaires and the results were analyzed statistically. Results: The evaluation of comfort in working place found that satisfaction level on indoor noise was the lowest with 2.6 on a five-point scale and privacy space followed 2.8 point. In reasons for dissatisfaction with job, over workload ranked the highest by 25.4% and role overload had the highest by 39.5% in job stress factors. Based on the results, we could draw conclusion that dental technicians were unsatisfied with role overload and heavy workload a day. In reasons for musculoskeletal symptom prevalence, long-patient work was the highest by 24.1%. It was thought to cause dental technicians need deep procession and long-patient work due to the nature of their job. Conclusion: In conclusion, noise reduction and privacy space are required to improve job efficiency of dental technicians. In addition; we need to think of ways to increase the job satisfaction with adequate rest while deep procession and long-patient working.

Mobile Phone Use Pattern and Visual Display Terminal Syndrome Symptom Experience in Female Adolescents (여자 청소년들의 휴대전화 사용행태와 컴퓨터단말기증후군 증상경험)

  • Park, Soonjoo;Yang, Sumin;Yoon, Jihye;Choi, Hannha;Han, Jayeon;Kwon, Sooyeon
    • The Journal of the Korea Contents Association
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    • v.16 no.4
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    • pp.45-55
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    • 2016
  • The purpose of this study was to identify the relation between mobile phone use and visual display terminal syndrome symptom experience in female students from middle school and high school. The convenience sample consisted of 349 female students in four schools. The data were collected from May to June in 2013 using VDTS Subjective Symptom Questionnaire. Descriptive statistics, Kruskal-Wallis test, and Mann-Whitney U test were used to analyze the data using SPSS 21.0. Almost all (96.3%) female students use mobile phone. Among them, 87.7% of the subjects experienced more than one VDTS symptom and the average score was $.39{\pm}.41$ in VDTS symptom experience. Eye related symptom was most experienced and musculoskeletal symptom was the highest in severity among five subdomain of VDTS symptoms. There were significant differences in VDTS symptom scores in accordance with posture, hours of use, and break type during mobile phone use. These findings suggest that the education program for adolescents would be necessary, and the development of checklist would be useful for adolescents to check themselves.

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

  • Park, Jae-Beom;Lee, Kyung-Jong;Lee, Se-Wi;Kim, Jong-Goo;Chung, Ho-Keun
    • Journal of agricultural medicine and community health
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    • v.25 no.1
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    • pp.11-21
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    • 2000
  • This study was conducted to reveal the effects of musculoskeletal risk factor on farmer's syndrome. We sampled 97 farmers aged above 30 in 3 villages of Kyunggi-do. Self-administered questionnaire for general characteristics, farmer's syndrome, musculoskeletal risk factor, blood pressure, and laboratory tests were conducted. According to the score of musculoskeletal risk factor, we divide the subjects high risk group and low risk group. The most common musculoskeletal risk factor is repetitiveness, bending of waist and rapid movement in order. The prevalence of farmer's syndrome of all subjects is 28.9%. In female the prevalence of farmer's syndrome(45.2%) is higher than in male(16.4%) significantly. High musculoskeletal risk group had higher score of farmer's syndrome(5.9) than low musculoskeletal risk group(4.4). The most common symptom is lumbago(76.3%), the second was numb limb and shoulder stiffness(54.6%, 54.6%). The prevalence of numb limb and shoulder stiffness higher in high musculoskeletal risk group than low musculoskeletal risk group, but that of lumbago did not show significant differences. In linear regression, score of farmer's syndrome was related to musculoskeletal risk factor as well as gender. Blood pressure and laboratory test did not show significant differences between two groups. These results suggest that musculoskeletal risk factor would influence farmer's syndrome. Further ergonomic evaluation and intervention of farmer's works and musculoskeletal diseases are needed.

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A Result of Field Survey for Ergonomic Work Risk Factors in General Hospital (의료업종의 작업위험요인에 대한 실태조사 결과)

  • Kim, Jin-Young;Kim, Yeong-Mee;Kim, Day-Sung;Im, Heung-Jae;Kim, Jeung-Ho;Kang, Seong-Kyu
    • Journal of the Ergonomics Society of Korea
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    • v.26 no.3
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    • pp.91-100
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    • 2007
  • The purposes of this research are to survey work-related risk factors of musculoskeletal disorders(MSDs) in various departments and tasks at general hospitals in non-manufacturing sectors, and to use basic data derived from the survey results in preventing work-related MSDs in hospital workers. Investigation started in March of 2006 and continued for 6 months in 220 general hospitals at Seoul, Incheon, Kyeongi, and Kangwon area. Investigators visited and interviewed workers in hospitals to identify the presence of tasks of musculoskeletal burden, the investigation results of ergonomic risk factors required by the Occupational Safety and Health Law, statistical analysis from questionnaire for musculoskeletal symptoms, and major departments and tasks that have such risk factors. Twenty-seven percents of hospitals finished the investigation of ergonomic risk factors, and 69% did not do the investigation while remained 4% did not have such factors in their hospitals. The rank order of major departments that had such musculoskeletal burdens was kitchen rooms of 143, managing departments/computer rooms/dispensaries of 137, physical treatment rooms of 109, nursing departments of 96, radiological and clinical laboratories of 63. Eighteen hospitals that did not hold legal duties by the section 148 of labor minister decree practiced prevention programs of MSDs according to the labor-management cooperation. Nursing departments ranked in the first place for the numbers of musculoskeletal symptoms of 438. Managing departments/computer rooms/dispensaries, kitchen rooms, and medical treatment departments held 127, 52 and 45 symptoms, respectively. The magnitude order of physical symptom areas followed shoulder of 185, backs and waist of 166, hand wrists of 120, necks of 110, and legs/feet of 106. The departments and jobs that had major work-related ergonomic risks were patient transporting, central supplying, patient nursing (moving patients into wheel-chairs, changing of patient posture and sheet alteration), manual transporting, operation, and managing/computer departments.

A Study on Health Effects of VDT Syndrome in Hospital Workers (병원종사자의 VDT증후군 자각증상과 건강영향에 관한 연구)

  • Lee, SeungHwan;Jeong, Byeong Gon;Lee, Gyu Chan;Lee, Gwang Cheol;Bae, Seong Bock
    • The Korean Journal of Nuclear Medicine Technology
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    • v.16 no.2
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    • pp.87-98
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    • 2012
  • Purpose : This study aims to examine hospital employees' subjective symptoms of VDT syndrome (Video display terminal syndrome) and figure out their effects on health conditions and correlations. Materials and Methods : This study used a structured self-administering questionnaire and gained data from 125 subjects. The questionnaire consists of total 62 questions, and they went through real number, percentage, ${\chi}^2$-terst, t-test, one-way ANOVA, and logistic regression analysis. Results : Regarding the difference in the types of subjective symptoms of VDT syndrome by jobs, there was statistically significant difference in ophthalmic symptoms, systemic symptoms, and musculoskeletal symptoms. About the correlation between the subjective symptom points of VDT syndrome by the types of symptoms, there was statistically significant correlation all in skin trouble, backache, upper limb muscle pain, lower limb muscle pain, fatigue in the head and eyes, and depression or anxiety disorders. There was significant correlation between the subjective symptom points of VDT syndrome and subjective health conditions. Conclusion : Hospital employees' subjective health conditions had significant correlation with subjective symptom points of VDT syndrome. This result shows that as radiologists' and also other hospital employees' working conditions change into VDT environment, VDT syndrome gradually appears more and more. This implies that it is needed to designate not only radiologists but also all the other hospital employees as jobs exposed to the working environment of VDT syndrome and provide preventive measures, education, and publicity for it afterwards.

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A Meta-analysis of the Risk Factors related to Falls among Elderly Patients with Dementia (치매노인의 낙상위험요인에 관한 메타분석)

  • Hong, SunYoung;Park, Heeok
    • Korean Journal of Adult Nursing
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    • v.29 no.1
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    • pp.51-62
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    • 2017
  • Purpose: The purpose of this study was to provide data about the risk factors related to falls among elderly patients with dementia using meta-analysis. Methods: Key words used for search through electronic database (CINAHL, PubMed, Ovid-MEDLINE, RISS, KISS, DBPIA, National Assembly Library) included 'dementia', 'Alzheimer', 'fall'. Twenty studies met the inclusion criteria for the meta-analysis and 'R' version 3.2.2 was used to analyze the correlated effect size. Results: Study results showed that risk factors related to falls were identified as the demographic (age, gender, education), dementia-related (disease duration, cognition), physical (body mass index, walking, balance, activity of daily living, use of walking aids, number of medications including psychotropic drugs, musculoskeletal problems, parkinsonism, comorbidity), psychological (neuropsychiatric symptom, depression), environmental (Physical environment), and fall-related (fall history, high risk group of fall) factors. The effect size of risk factors such as high risk group of fall (r=.35), use of walking aids (r=.33), depression (r=.31), psychotropic drugs (r=.27), Musculoskeletal problems (r=.25) were higher than the other risk factors. Conclusion: Based on the findings of this study, strategies to improve elderly patient's depression, intensive care for high risk group of fall, and adequate training with walking aids are needed for prevention of falls in elderly patients with dementia.

Comparison of Shipyard Worker Self-reported and Expert-observed Method using the Same Checklist for Ergonomic Risk Factors (근골격계질환 위험요인에 대한 조선업 근로자 자가평가와 전문가 관찰 방법 비교)

  • Lee, Yun-Keun
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.15 no.2
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    • pp.83-89
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    • 2005
  • This study aims to compare a self-reported and expert-observed method on ergonomic risk factors of Work-related Musculoskeletal Disorders (WMSDs). The checklist was developed based on the results of previous studies, and the symptoms of WMSDs were obtained using a self-reported questionnaire from 1,029 shipyard workers. The risk factors were assessed through the self-report by workers and video analysis by ergonomists. The symptom prevalence at the low back (59.2%), shoulders (50.8 %), and knees (49.7%) were relatively higher than those at other body parts. Odds ratios (ORs) by body parts were 2.48 to 2.90 for the risk job, and the ORs were significantly different from those of the low risk job. The risk factor scores by body parts between workers and ergonomist were very high correlation(r=0.82 to 0.92). The rates of self-report from risk job were 54.0% (elbow and arm) to 72.1 % (low back), but sometimes overestimated(105.7 to 122.6%) than those by ergonomists. The checklist, developed in this study, will be an efficient tool for the evaluation of risk jobs using self-report by workers.