A Comparison of “Case Definitions” to Estimate Prevalence of Work-Related Musculoskeletal Disorders in Hospital Laundry Workers and the Influence of Psychosocial Variables

2000 ◽  
Vol 44 (30) ◽  
pp. 5-577-5-580 ◽  
Author(s):  
Judy Village
Keyword(s):  
Case Definition ◽  
Musculoskeletal Symptoms ◽  
Body Parts ◽  
Psychosocial Variables ◽  
Case Definitions ◽  
Work Related ◽  
Work Tasks ◽  
Work Related Musculoskeletal Disorders ◽  
Symptom Prevalence ◽  
Estimate Prevalence

As part of an intervention study in 3 hospital laundries, 157 workers (83.5% response) completed questionnaires about musculoskeletal symptoms and psychosocial factors. Symptom prevalence was compared using 3 “case definitions“. Prevalence rates varied depending upon the “case definition” with 73% reporting “any” pain, 71% reporting pain ≥3 time in the year or ≥5 days duration (Hunting), 57% reporting pain in the last 7 days (Nordic-week) and 54% reporting pain ≥12 times or ≥7 days in the last year and ≥mod***erate intensity (NIOSH). When compared with psychosocial scores, there were significant differences for all body parts using the Nordic-week and NIOSH definition. For the upper limbs, only the Nordic-week was significant and for the back, the Hunting and NIOSH were significant with psychosocial scores. Analyzed individually, variety in work tasks and mental exhaustion after work were significantly different between “cases” and “non-cases”. The “case definition” used determines not only prevalence of MSD, but significance of psychosocial variables as well.

scholarly journals Towards harmonisation of case definitions for eight work-related musculoskeletal disorders - an international multi-disciplinary Delphi study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Sietske J. Tamminga ◽  
P. Paul F. M. Kuijer ◽  
Kathryn Badarin ◽  
Jose Hernán Alfonso ◽  
Joana Amaro ◽  
...  
Keyword(s):  
Occupational Health ◽  
Physical Examination ◽  
Knee Osteoarthritis ◽  
Health Professionals ◽  
Delphi Study ◽  
Case Definition ◽  
Case Definitions ◽  
Work Related ◽  
Work Related Musculoskeletal Disorders ◽  
Definition Of

Abstract Background International consensus is needed on case definitions of work-related musculoskeletal disorders and diseases (MSDs) for use in epidemiological research. We aim to: 1) study what information is needed for the case definition of work-related low back pain (LBP), lumbosacral radicular syndrome (LRS), subacromial pain syndrome (SAPS), carpal tunnel syndrome (CTS), lateral and medial elbow tendinopathy, and knee and hip osteoarthritis, and to 2) seek consensus among occupational health professionals/researchers regarding the case definitions of these work-related MSDs. Methods A two-round Delphi study was conducted with occupational health professionals/researchers from 24 countries. Definition of work-related MSDs were composed of a case definition with work exposures. Round 1 included 32 case definitions and round 2, 60 case definitions. After two rounds, consensus required 75% of the panellists to rate a case definition including work exposures ≥7 points on a 9-point rating scale (completely disagree/completely agree). Results Fifty-eight panellists completed both rounds (response rate 90%). Forty-five (70%) panellists thought that for LBP a case definition can be based on symptoms only. Consensus was only reached for work-related medial elbow tendinopathy, while the lowest agreement was found for knee osteoarthritis. Where consensus was not reached, this was – except for LBP - related to physical examination and imaging rather than disagreement on key symptoms. Conclusion Consensus on case definitions was reached only for work-related medial elbow tendinopathy. Epidemiological research would benefit from harmonized case definitions for all MSDs including imaging and physical examination for LRS, SAPS, CTS, lateral elbow tendinopathy and hip and knee osteoarthritis.

scholarly journals Prevalence of Work-Related Musculoskeletal Disorders: Psychological and Physical Risk Factors

2021 ◽  
Vol 18 (17) ◽  
pp. 9361
Author(s):  
K. Saraswathi Krishnan ◽  
Gunasunderi Raju ◽  
Omar Shawkataly
Keyword(s):  
Risk Factors ◽  
Female Gender ◽  
Cross Sectional Study ◽  
Musculoskeletal Symptoms ◽  
Body Region ◽  
Left Shoulder ◽  
Body Parts ◽  
Cross Sectional ◽  
Work Related ◽  
Lower Back

Purpose—This study aimed to estimate the prevalence and risk factors of MSD pain in various anatomical regions among nurses. Method—A cross-sectional study involving a self-administered questionnaire by registered nurses with clinical experience. Data was collected using convenience sampling after obtaining informed consent. The results were drawn from a total of 300 nurses. Results—The nurses presented with occasional mental exhaustion (44.3%) and often physical exhaustion (44.0%). Almost all (97.3%) the nurses complained of having work-related pain during the last 12 months. Body parts with the most pain were the lower back (86.7%), ankles (86.7%), neck (86.0%), shoulders (85.0%), lower legs (84.7%) and upper back (84.3%). The pain frequency was rated as occasional pain for the neck and upper back, pain was often felt for the rest of the parts. Nurses complained of severe pain in the lower back (19.7%), right shoulder (29.7%) and left shoulder (30.3%). The frequency of having musculoskeletal symptoms in any body region was increased with age, lower education level, female gender, high BMI, job tenure and lifestyle. Conclusions—Nurses’ WRMSD complaints should be taken seriously to curb further risk and musculoskeletal hazards.

scholarly journals O5E.3 Occupational diseases among workers in different socioeconomic positions

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A49.3-A50
Author(s):  
Henk van der Molen ◽  
Sanne de Vries ◽  
Judith Sluiter
Keyword(s):  
Musculoskeletal Disorders ◽  
Occupational Diseases ◽  
Psychosocial Risk ◽  
Occupational Physicians ◽  
Work Related ◽  
Incidence Trends ◽  
Work Tasks ◽  
Low Back Disorders ◽  
Work Related Musculoskeletal Disorders ◽  
Increasing Trend

IntroductionTo determine differences between workers in lower and higher socioeconomic positions (SEP) in: i) incidence, trends and type of occupational disease (OD) and ii) incapacity for work due to ODs. It is hypothesized that workers in lower and higher SEP still differ in health disparities from an occupational perspective.MethodsFrom a Dutch cohort of occupational physicians (OPs), ODs assessed by OPs were retrieved over a seven year period (2010–2016) for lower and higher SEP groups. Incidence and type of OD and incapacity for work were determined for the total number of ODs and six frequently occurring ODs. Trends in incidence were estimated using a multilevel negative binominal regression model.ResultIn total, 54 per 100,000 workers in elementary occupations, machine operating and assembly jobs, as well as managerial and intellectual jobs during 2016 had an OD diagnosed and reported by an OP, from which 98 per 100,000 were for lower SEP, and 36 per 100,000 for higher SEP. Among the lower SEP, musculoskeletal disorders (37%) and noise-induced hearing loss (NIHL) (32%) comprised two-thirds of the OD diagnoses. Among the higher SEP, distress/burnout comprised 60% of the OD diagnoses, with an increasing trend (6%; 95% CI: 3%-8%). Incapacity for work due to work-related low back disorders (69% vs 9%) and shoulder-, arm- and wrist disorders (89% vs 47%) differed significantly between workers in lower compared to higher SEP.DiscussionOccupational diseases occur at a 2.7 higher incidence rate for workers in lower SEP compared with higher SEP. Incapacity for work due to work-related musculoskeletal disorders are higher for workers in lower SEP compared with higher SEP, suggesting fewer opportunities to modify work tasks and working circumstances for lower SEP. Psychosocial risk factors constitute the greatest problem for workers in higher SEP, resulting in distress/burnout, accompanied by incapacity for work.

Work related musculoskeletal disorders among adolescent girls and young women employees of textile industries in Tamil Nadu, India – a comparative study

2017 ◽  
Vol 30 (6) ◽  
Author(s):  
Gnanaselvam Nancy Angeline ◽  
Joseph Bobby
Keyword(s):  
Musculoskeletal Disorders ◽  
Musculoskeletal Pain ◽  
Adolescent Girls ◽  
Young Women ◽  
Textile Industry ◽  
Musculoskeletal Symptoms ◽  
Work Related ◽  
Women Employees ◽  
Work Related Musculoskeletal Disorders ◽  
Textile Industries

Abstract Musculoskeletal disorders are common in those employed in the textile industry. The aim of the study is to assess musculoskeletal disorders among adolescent girls who are current employees of textile industries in comparison with the adolescent girls and young women who are past employees of textile industries and adolescent girls who have never been employed in the textile industry. Methodology This is a cross-sectional study. A total of 321 subjects, 107 in each study group were sampled. Standardized nordic questionnaires (SNQ) was used to assess musculoskeletal symptoms. Results More than half of the current employees (67.28%) and past employees (67.28%) reported musculoskeletal pain. Among the never been employed, 18.69% reported musculoskeletal pain. Neck and shoulder were the most common sites of musculoskeletal pain among the current employees (49.5% and 50.5%, respectively) and the past employees (45.8% and 49.5%, respectively). In the regression model, having ever been diagnosed for anemia (AOR 6.57, 95% CI 1.4 to 30.76), working for more than 48 h in a week (AOR 3.37, 95% CI 1.53 to 7.41) and the presence of depression (AOR 6.6, 95% CI 1.48 to 29.36) were significantly associated with the presence of musculoskeletal pain in the study participants. Conclusion Musculoskeletal disorders are a major occupational health problem among the adolescent and young women employees of textile industries. Working hours should be fixed at 48 h per week and anemia and depression should be treated to avert the work related musculoskeletal disorders in the study population.

scholarly journals A Supernumerary Soft Robotic Limb for Reducing Hand-Arm Vibration Syndromes Risks

2021 ◽  
Vol 8 ◽  
Author(s):  
Andrea S. Ciullo ◽  
Manuel G. Catalano ◽  
Antonio Bicchi ◽  
Arash Ajoudani
Keyword(s):  
Upper Limb ◽  
Robotic Hand ◽  
Body Parts ◽  
New Approach ◽  
Work Related ◽  
Common Causes ◽  
Work Related Musculoskeletal Disorders ◽  
Mass Spring ◽  
New Generation ◽  
Theoretical Considerations

The most common causes of the risk of work-related musculoskeletal disorders (WMSD) have been identified as joint overloading, bad postures, and vibrations. In the last two decades, various solutions ranging from human-robot collaborative systems to robotic exoskeletons have been proposed to mitigate them. More recently, a new approach has been proposed with a high potential in this direction: the supernumerary robotic limbs SRLs are additional robotic body parts (e.g., fingers, legs, and arms) that can be worn by the workers, augmenting their natural ability and reducing the risks of injuries. These systems are generally proposed in the literature for their potentiality of augmenting the user’s ability, but here we would like to explore this kind of technology as a new generation of (personal) protective equipment. A supernumerary robotic upper limb, for example, allows for indirectly interacting with hazardous objects like chemical products or vibrating tools. In particular, in this work, we present a supernumerary robotic limbs system to reduce the vibration transmitted along the arms and minimize the load on the upper limb joints. For this purpose, an off-the-shelf wearable gravity compensation system is integrated with a soft robotic hand and a custom damping wrist, designed starting from theoretical considerations on a mass-spring-damper model. The real efficacy of the system was experimentally tested within a simulated industrial work environment, where seven subjects performed a drilling task on two different materials. Experimental analysis was conducted according to the ISO-5349. Results showed a reduction from 40 to 60% of vibration transmission with respect to the traditional hand drilling using the presented SRL system without compromising the time performance.

scholarly journals Work-related musculoskeletal disorders among health care professionals

2017 ◽  
Vol 7 (1) ◽  
pp. 4-9
Author(s):  
Mokhlesur Rahman ◽  
Abhijit Chowdhury ◽  
Mohammad Shiblee Zaman ◽  
Nihar Sultana ◽  
Mariam Binte Amin ◽  
...  
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Musculoskeletal Disorders ◽  
Musculoskeletal Pain ◽  
Health Care Professionals ◽  
Musculoskeletal Symptoms ◽  
P Value ◽  
Care Hospital ◽  
Work Related ◽  
Work Related Musculoskeletal Disorders

Musculoskeletal disorders (MSDs) represent a significant occupational problem among health care professionals; however, data on prevalence of work-related musculoskeletal disorders (WMSDs) are limited in our country for referencing. A descriptive cross sectional study was conducted during January to December 2016 among 160 health care professionals (doctors, nurses) working in a tertiary care hospital in Dhaka city. The aim of the study was to determine the prevalence, distribution and to find out the multiple risk factors that contribute to the development of WMSDs among the sample population. Data were collected with semi structured questionnaire based on a validated research instrument Standardized Nordic Questionnaire (SNQ) which records the prevalence of MSDs in terms of musculoskeletal symptoms (ache, pain, discomfort) in the preceding 12 months. The statistical analysis was done by using the SPSS software 21 version. The study result revealed that out of 160 (100.0%) health care professionals 109 (68.1%) had musculoskeletal pain or discomfort in the last 12 months and 51 (31.9%) had not, and it was also found that 57 (61.3%) doctors and 52 (77.6%) nurses had musculoskeletal pain or discomfort in the last 12 months and the prevalence of work-related musculoskeletal disorders in different body region in the last 12 months, where more than 1 site involvement 46 (42.2%) followed by neck 19 (17.4%), shoulder 15 (13.8%), lower back 13 (11.9%), hips 8 (7.3%), hand/fingers 5 (4.6%). About the self reported risk factors among the health care professionals for WMSDs were found working the same position for long periods 48 (29.8%),followed by treating excessive number of patients in a day 47 (29.1%), inadequate training on injury prevention 25 (15.9%), working awkward or cramped position18(11.6%).There were no statistically significant association found in age and years of experience of the health care professionals with the WMSDs (p value .281, .083 respectively), but significant association found in sex and occupation of the health care professionals with WMSDs (p value .045, .031 respectively). As because a high proportion of health care professionals had WMSDs and they are on the risk for development of WMSDs, it can be recommended that education programmes on prevention and coping strategies for musculoskeletal disorders be made mandatory for health care professionals in order to reduce the rate of WMSDs among them and to promote efficiency in patient care.Update Dent. Coll. j: 2017; 7 (1): 04-09

Ergonomics Interventions in the Manual Harvest of Wine Grapes

2000 ◽  
Vol 44 (22) ◽  
pp. 628-630 ◽  
Author(s):  
Ira Janowitz ◽  
Diana G Tejeda ◽  
John A Miles ◽  
Victor Duraj ◽  
Victor Duraj ◽  
...  
Keyword(s):  
Field Testing ◽  
Musculoskeletal Symptoms ◽  
Post Intervention ◽  
Conveyor System ◽  
Work Related ◽  
High Incidence ◽  
Work Related Musculoskeletal Disorders ◽  
The University ◽  
Permanent Workers ◽  
The Impact

Winegrape operations, especially at harvest, produce a high incidence of work-related musculoskeletal disorders, predominantly involving back injury. The Agricultural Ergonomics Research Center of the University of California initiated a study of vineyard operations and recruited four cooperating growers representing 191 permanent workers. The goal was to develop, field-test, and evaluate interventions to reduce ergonomics risk factors for WRMSD's during winegrape harvest. We assessed pre- and post-intervention injury records and other indicators of musculoskeletal symptoms to monitor the impact of interventions on involved workers, and used biomechanical, metabolic, and postural analyses to evaluate the effectiveness of various approaches for handling cut grapes during vineyard harvest. We introduced a smaller, lighter tote bin with improved handles, reducing the average full bin load from 25.5 kg to 20.9 kg. The proportion of workers reporting pain lasting more than a week dropped from 61% to 26%. Biomechanical and metabolic assessments indicated reduced risk for WRMSD's. We are currently field-testing a conveyor system to reduce the height at which the bins are dumped.

scholarly journals Risk factors associated with work-related musculoskeletal disorders in dentistry

2016 ◽  
Vol 39 (6) ◽  
pp. 192 ◽  
Author(s):  
Sinem Bozkurt ◽  
Nesrin Demirsoy ◽  
Zafer Günendi
Keyword(s):  
Hospital Admissions ◽  
Working Hours ◽  
Musculoskeletal Symptoms ◽  
Risk Exposure ◽  
Low Back ◽  
Factors Associated ◽  
Work Related ◽  
Work Related Musculoskeletal Disorders ◽  
Exposure Levels ◽  
Research Assistants

Purpose: To evaluate musculoskeletal system-related complaints; identify regions at risk in dentists by observing and inquiring the dentists at work; and find out the associations with age, sex, working years, academic position and departments, positions during work and daily working hours. Methods: Modified Nordic Questionnaire (m-nMQ) was used to evaluate pain, hospital admissions and absenteeism. Quick Exposure Check (QEC) form was utilized to assess risk exposure levels related with low-back, neck, hand-wrist and shoulder-arm. Results: 163 dentists were included the most painful regions were found to be back (66.9%), neck (65%) and low back (64.4%). Musculoskeletal symptoms were more prevalent in women and research assistants. QEC scores were found to be lower in those who performed regular exercises. Conclusion: Dentists should be educated about ergonomics at the beginning of their professional life.

scholarly journals Predictors of work-related musculoskeletal symptoms in shoulders among nursing assistants working in nursing homes

PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e11152
Author(s):  
Kin Cheung ◽  
Ka Yan Ma ◽  
Hin Hei Cheung ◽  
Chun Ho Lee ◽  
In Mink Mavis Chan ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Health Workers ◽  
Physical Exertion ◽  
Nursing Assistants ◽  
Musculoskeletal Symptoms ◽  
Bivariate Analysis ◽  
Body Parts ◽  
Related Factors ◽  
Cross Sectional ◽  
Work Related

Nursing assistants (NAs) working in nursing homes (NHs) are at higher risk for work-related musculoskeletal symptoms (WRMSs) than their counterparts working in other health care settings. Worldwide, NAs have ranked shoulders in the top three body parts at risk of WRMSs. However, factors associated with their shoulder WRMSs are currently unknown. The aim of this study was to identify these associated risk factors among NAs working in NHs. 440 NAs from 47 nursing homes (with 60–90% response rate from each nursing home), recruited by convenience sampling, participated in this cross-sectional study in 2014–2015. A validated and reliable questionnaire was used for data collection. Information on demographic, job content questionnaire (JCQ), perceived physical exertion (PE), workstyle, ergonomic and manual handling knowledge and other work-related factors was collected using a self-administered questionnaire. 53% of the participants reported experiencing with WRMSs in their shoulders. Nine associated factors of shoulder WRMSs were identified using bivariate analysis. With the adjustment of age and gender using multivariable logistic regression, body mass index (OR = .931, 95% CI [.874–.991]), job title of health workers (OR = 2.72, 95% CI [1.18–6.25]) and workstyle-working through pain (OR = 1.06, 95% CI [1.01–1.11]) remained as predictors. Effort should be directed at integrating “workstyle intervention” into lifestyle physical activity training for NAs.

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