Work-Related Musculoskeletal Disorders of Upper Limb and Back: Review of Guidelines for Their Prevention

Author(s):  
Marco Clari ◽  
Giacomo Garzaro ◽  
Matteo Di Maso ◽  
Francesca Donato ◽  
Alessandro Godono ◽  
...  

This study aimed to evaluate the association between personal and job characteristics and the risk of upper limb work-related musculoskeletal disorders (WMSDs) among operating room nurses (ORNs). To this end, we collected data from 148 ORNs working at 8 Italian hospitals and measured any upper limb disabilities experienced in the previous year using the Italian version of the disabilities of the arm, shoulder and hand (DASH) questionnaire. The associations between personal and job characteristics and risk of upper limb WMSDs were estimated by unconditional logistic regression models. The prevalence of upper limb WMSDs was 45.9%. Multivariate analysis showed the “female gender” and “monthly hours spent working as a scrub nurse” to be directly associated with a higher DASH score (adjusted OR for gender = 5.37, 95% CI: 1.65–17.51, p < 0.01; adjusted OR for monthly hours as scrub nurse = 3.09, 95% CI: 1.33–7.19, p < 0.01). Overall, our findings indicate that a full-time job (>120 h/month) as a scrub nurse significantly increases the risk of developing upper limb WMSDs among female ORNs. Thus, to reduce such risk in this particularly sensitive population, we recommend urgent implementation of ergonomic interventions on surgical equipment alongside job rotation and medical surveillance programs.


2019 ◽  
Vol 9 (3) ◽  
pp. 429-437
Author(s):  
Ajay Kumar ◽  
Surendra Kamath

INTRODUCTION: RULA (rapid upper limb assessment) is a survey method developed for use in ergonomics investigations of workplaces where work-related upper limb disorders are reported. There are various researches available regarding the use of RULA in assessing work-related musculoskeletal disorders (WRMSDs). But till date, there is no compiled review available regarding the comprehensive research on the uses of RULA in various ergonomic assessment. OBJECTIVE: To compile the availability of article related to the uses of RULA in assessing WRMSDs among workers from various fields. MATERIALS AND METHODS: The articles related to RULA in ergonomic assessment were searched using the reputed academic databases, including PubMed, Medline, CINAHL, PsycINFO, and EBSCO from inception to July 22, 2019 using the five keywords, “ergonomics,” “musculoskeletal,” “workplace,” and “rapid upper limb assessment.” These keywords were combined using the Boolean operators “AND,” “OR,” and “NOT.” RESULTS: A total of 263 articles (n=263) were identified. After the removal of 161 duplicate articles, 102 articles were screened for the analysis. Among then, 21 articles were excluded and 81 full-text articles were assessed for eligibility. Again 68 articles were excluded due to not meeting the inclusion criteria and finally 13 articles were included in the qualitative comprehensive analysis. CONCLUSION: The wider application of RULA has been confirmed from this comprehensive review.


2007 ◽  
Vol 33 (1) ◽  
pp. 58-65 ◽  
Author(s):  
Alexis Descatha ◽  
Yves Roquelaure ◽  
Jean François Chastang ◽  
Bradley Evanoff ◽  
Maria Melchior ◽  
...  

2010 ◽  
Vol 25 (3) ◽  
pp. 116-119 ◽  
Author(s):  
Maria Papandreou ◽  
A Vervainioti

The performing arts medicine literature indicates that the prevalence of work-related musculoskeletal disorders in musician instrumentalists is approximately 43%. The primary purpose of this study was to record rates of the most common musculoskeletal disorders among professional and student percussionists in Greece. The secondary aim was to uncover relationships between the percussionists’ musculoskeletal disorders and work-related factors such as their age, main musical activity, and practice time in musical training. METHODS: Thirty percussionists of both sexes, in active musical activity, aged 20 to 60 years, participated. The Musicians Health Questionnaire was used to record their musculoskeletal disorders as assessed in four factors: personal data, musical activity, total body musculoskeletal disorders, and treatment. RESULTS: In the 30 percussionists, 32% of musculoskeletal disorders involved the upper limb, 20% the vertebral column, 8% muscle tissue, 13% psychological problems, and 27% the rest of the body. The most common problems were tremor (20%, n = 6), neuralgia in the arms (17%, n = 5), and backache (20%, n = 6). Statistically significant correlations were found between upper-limb tremor and main musical activity (r = 0.53, p = 0.01), backache and age (r = 0.48, p = 0.01), and neuralgia in the arms and musical practice time (in hrs/day; r = 0.45, p = 0.01). CONCLUSIONS: The findings of this study indicated that most musculoskeletal disorders among percussionists in Greece affect the upper limbs and involve multiple risk factors. Because of the limited number of respondents, this study should be considered as a pilot population study.


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