• 대한상한금궤의학회지
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• 제4권1호
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• pp.13-28
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• 2012

Objective : The purpose of this study is to suggest medical approach to musculoskeletal system disorders using the decoction of Sanghan-Geumgwe. We studied cases of Ling-Gui-Gan-Zao-Tang prescribed patients to evaluate the clinical efficacy in musculoskeletal system disorders Method : We devised medical approach of Sanghan-Geumgwe in musculoskeletal disorders as follows. First, we chose ryeon-je(攣劑) and soo-je(水劑) herb medicine, commonly used in musculoskeletal disorders. In the selected herb group, we designated ryeon-je(攣劑) to be first key herbs, Soo-Je(水劑) as the second key herb, and other herb groups as third key herb. In this sequential selection and exclusion process, herbs were chosen based upon yak-neung-hyo-seon (藥能效選). Combination of those selected herbs drew pre-prescription group, finally prescription were made by the prescription criteria. Results : Based on the medical approach of decoctions of Sanghan-Geumgwe, we chose Ling-Gui-Gan-Zao-Tang to treat many kinds of musculoskeletal system disorders. And we achieved higher results on treatment for musculoskeletal system disorders. Conclusions : The medical approch using the decoctions of Sanghan-Geumgwe is very useful in choosing accurate prescriptions for patients with musculoskeletal system disorders in clinic.

• 한국치위생학회지
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• 제12권4호
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• pp.685-693
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• 2012

Objectives : This research was conducted to find the subjective symptoms of musculoskeletal system for main jobs and job posture. Methods : A survey was conducted from September 15, 2011 to October 7, 2011 and 357 dental hygienists were responded. The survey was consisted of the working environment and medical equipments, psycho-social characteristics, health habits and education, job posture, subjective symptoms of musculoskeletal system pain, and so on. Results : In the survey on the frequency of job posture of dental hygienists by jobs, said they cast down or tilt their head by 15 degrees or more or twist or bend their back. The result of the analysis on the subjective symptoms of musculoskeletal system by main job showed that they experienced a pain in neck, shoulder, and back, although the order differed. The order of subjective symptoms of musculoskeletal system for casting down or turning head by 15 degrees or more, twisting or bending back, having shoulders not parallel to the ground, sitting at the end of a chair, and supporting the whole body with one leg or pressing on a pedal for treatment was from the shoulders to the neck to the back. The order of subjective symptoms of musculoskeletal system for having arms too far from the body or hunching for treatment and bending wrists inward or outward for treatment was from the shoulders to the back to the neck. Conclusions : Due to the characteristics of the job which requires one to have a proper view of a patient's oral cavity, most of the postures included casting down of head or bending of back. Therefore a development of new postures is needed to replace the existing job postures which pressure the musculoskeletal system. And shift rotation can be used as a preventive measure.

• 대한안전경영과학회지
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• 제23권2호
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• pp.25-30
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• 2021

The possibility of developing musculoskeletal disorders increases with the length of service of the worker. Musculoskeletal disorders can occur when performing repetitive and forceful movements. Therefore, Cargo drivers operate repeatedly in the wrong posture for a long time. When loading and unloading a cargo, the cargo driver works repeatedly with force. Cargo operators are also exposed to musculoskeletal disorders in the working environment due to poor posture and repetitive movements. In this study, we are going to conduct a study on the level of awareness and prevention of the possibility of musculoskeletal disorders in cargo drivers for long periods of time. As a result of the study, the factors that cause musculoskeletal disorders in each group can occur during the long-term operation and preparation of drivers.

• 한국산업보건학회지
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• 제33권4호
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• pp.447-454
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• 2023

Objective: This study aims to investigate the impact of changes in working conditions on job-related stress and musculoskeletal disorders using the results of seven surveys conducted at a single workplace from 2004 to 2022 regarding factors hazardous to the musculoskeletal system. Additionally, the study aims to propose alternative methods of investigating factors hazardous to the musculoskeletal system. Methods: A car parts manufacturing plant where the same survey was taken seven times from 2004 to 2022 was selected and the survey data was analyzed. The main contents of the survey were weekly working hours, Borg's scale, work intensity, job-related stress, and the prevalence of musculoskeletal symptoms. The statistical analysis was performed using SAS (version 9.4). Results: The results of this study are as follows. Firstly, changes in working conditions have an impact on job-related stress. Secondly, changes in working conditions have an impact on work intensity indicators. Thirdly, changes in working conditions have an impact on the prevalence of musculoskeletal symptoms. Fourthly, even with an increase in age and length of service, job-related stress and musculoskeletal symptoms were alleviated when working conditions were improved. Conclusions: In order for measures to reduce musculoskeletal disorders to be successful, working conditions must not deteriorate, and it is necessary to demand revisions to regulations, etc. to reflect these points in the investigation of hazardous factors to the musculoskeletal system.

• 한국건축시공학회지
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• 제11권6호
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• pp.618-626
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• 2011

The characteristics of construction work cause excessive strain on specific body parts of the construction craft workers. However, there are few tools to mane an accurate measurement of the load on the musculoskeletal system, and the musculoskeletal disorders (MSDs) experienced by the workers have not been properly understood. So, there is an urgent need for development of a tool to measure the load on the musculoskeletal system. Therefore, this research aims to develop a musculoskeletal load measuring device for construction workers. In order to eliminate the noise and errors, an accelerometer, gyro sensors and the Kalman Filter are used in the device developed in this research.

• 대한인간공학회지
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• 제24권3호
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• pp.43-52
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• 2005

A two-dimensional posture measurement system was developed to evaluate the risks of work-related musculoskeletal disorders(MSDs) easily on various conditions of work. The posture measurement system is an essential tool to analyze the workload for preventing work-related musculoskeletal disorders. Although several posture measurement systems have been developed for workload assessment, some restrictions in industry still exist because of its difficulty on measuring work postures. In this study, an image recognition algorithm was developed based on a neural network method to measure work posture. Each joint angle of human body was automatically measured from the recognized images through the algorithm, and the measurement system makes it possible to evaluate the risks of work-related musculoskeletal disorders easily on various working conditions. The validation test on upper body postures was carried out to examine the accuracy of the measured joint angle data from the system, and the results showed good measuring performance for each joint angle. The differences between the joint angles measured directly and the angles measured by posture measurement software were not statistically significant. It is expected that the result help to properly estimate physical workload and can be used as a postural analysis system to evaluate the risk of work-related musculoskeletal disorders in industry.

• 한국전문물리치료학회지
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• 제17권1호
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• pp.53-61
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• 2010

This study investigated the relationships between Work-related musculoskeletal disorders (WMSDs), contributing factors, and the occupational stress of physical therapists. Self-reported questionnaires were given to 180 physical therapists in Gangwon Province. Variables examined included the prevalence of pain sites related to WMSDs; pain intensity; pain pattern; and job stress, which is thought to involve the physical environment; job demand; insufficient job control; interpersonal conflict; job insecurity; organizational system; reward system; and occupational culture. Among physical therapists, work-related musculoskeletal pain commonly affected the low back (30.1%), shoulder (29.3%), and wrist (12.2%). The sites of work-related musculoskeletal pain treated medically were the low back (22.8%), shoulder (19.8%), neck (12.7%), and wrist (12.1%). "Repeating the same work constantly" was suggested to be the major cause of the pain. The younger therapists were significantly more likely to feel high job stress due to the physical environment (p<.05), job demand (p<.05), and organizational system (p<.01). Women were more likely to feel greater job stress related to job demand, insufficient job control, the organization system, and job rewards. Men were more likely to feel greater job stress related to job insecurity. Weak positive relationships were observed between work-related musculoskeletal pain and job stress, which is thought to involve the physical environment; job demand; insufficient job control; interpersonal conflict; job insecurity; organizational system; reward system; and occupational culture. Physical therapists appear to be at higher risk of WMSDs because 80.1% of the physical therapists studied experienced work-related musculoskeletal pain. To reduce the risk, we need intervention strategies such as preventive education, ergonomically designed medical equipment, a psychosocial approach to work conditions, improved mechanical conditions related to therapeutic patterns, and an institutional infrastructure with sufficient personnel and scheduling.

• The Korean Journal of Pain
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• 제30권3호
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• pp.192-196
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• 2017

Background: This study was planned to investigate the relationship between musculoskeletal problems, depression, and quality of life in students preparing for university entrance exams. Methods: A total of 180 students were included in the study, 104 were female (57.77%), and 76 were male (42.22%). Students were reached through the cram schools ("dershane") in Denizli. Musculoskeletal system problems, depression status, and quality of life were determined with the Musculoskeletal-Postural Discomfort Scale (MDS), Boratav Depression Screen Scale (Bordepta), and Short Form-36 (SF-36), respectively. Demographic data, daily study, and sleep duration were also recorded. Results: Students have moderate musculoskeletal discomfort. Musculoskeletal disorders and depressive symptoms are more observed in female students than male students (P = 0.000). The SF-36 results were significantly negatively correlated with the MDS and Bordepta scores. A significant positive correlation was found between musculoskeletal disorders and depression status (r = 0.351, P = 0.000). Sleep duration was negatively correlated with the MDS and Bordepta (r = -0.209, P = 0.005; r = -0.148, P = 0.047, respectively) and positively correlated with the SF-36 role limitation/emotional and social functioning subscales (r = 0.225, P = 0.002 and r = 0.191, P = 0.010 respectively). Conclusions: Musculoskeletal problems and depression status negatively affects general health status especially in female students who are preparing for university entrance examinations. Students should be informed about musculoskeletal problems by healthcare professionals and the study room, tables, and chairs should be arranged ergonomically. Further studies might be determined that why musculoskeletal disorders and depression status are more widely among female students.

• 한국병원경영학회지
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• 제25권3호
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• pp.53-66
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• 2020

This study is aimed at investigated and compared the differences in the affect of hospital specialization according to hospital size using claims data of the Health Insurance and Review Assessment National Inpatient Sample in 2018 for diseases of the musculoskeletal system and connective tissue. To this end, we used multivariate hierarchical linear models(a.k.a., multi-level models) using two-tier data from 106,599 patients discharged after diseases of the musculoskeletal system and connective tissue from 734 hospitals. Multivariate results indicate that patients who were discharged with diseases of the musculoskeletal system and connective tissue from specialized hospitals with 200 beds or less stayed shorter and paid less inpatient charge than those who were discharged from less specialized hospitals. But for hospitals with 201-300 beds, no positive impact relationship was found between hospital specialization and operational performance. This finding may be limited evidence that the affect of a hospital's specialization strategy may vary depending on the size of the hospital. We discussed several managerial and health policy implications below.

• 대한인간공학회지
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• 제29권4호
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• pp.423-433
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• 2010

The presence of musculoskeletal burden tasks and work related musculoskeletal disorders (WMSDs) at Industrial workers was not well-known until 2000 in Korea. Since The Occupational Safety & Health Law was registered a business of proprietor duty in preventing work-related MSDs of workers In July of 2003 WMSDs became a big issue in Korea. A social previous interest was focused on the manufacturing industry just like auto and shipping industry in manufacturing sectors but nowadays it is spreading out to non-manufacturing fields gradually. Nevertheless, we have WMSD prevention Law and System in Korea to reduce WMSDs effectively and systematically we recognized some mistakes and problems of WMSD Law and System. In this paper we study these recent problems in Korea from about 10 years experience and proposed some proposals as discussion.