scholarly journals Effect of an Ergonomic Intervention on Reduction of Musculoskeletal Disorders; A case study on employees of Bandar Abbas zinc Production Company

Author(s):  
Seyed Mohammad Reza Anjavi ◽  
Shantia Ghasemzadeh ◽  
Hadi Salari

Introduction: Musculoskeletal discomfort is one of the most important causes of occupational injury and disability. The aim of this study was to evaluate the risk factors of musculoskeletal disorders and ergonomic intervention in order to reduce them. Methods: This analytic-descriptive study was conducted on 116 employees of Bandar Abbas Zinc Production Company. The Nordic questionnaire and QEC method were used to collect data before and after the interventions. An intervention program was conducted to reduce the workers' load weight, change their work level height, job rotation, and training. Finally, the collected data were analyzed using SPSS 23. Results: During the last year, the highest frequency of musculoskeletal disorders were 65.52% in the lower limbs, 43.10% in the shoulder, and 43.10% in the knees. According to Cochran test, a significant difference was found between the discomfort before and after the intervention in the organs. Conclusion: The results revealed a significant reduction in musculoskeletal discomfort 3 months after the intervention. As a result, it can be deduced that integrated use of engineering and management interventions in a simple, practical, and cost-effective manner can reduce these diseases. Furthermore, continuous monitoring over appropriate implementation of these interventions over a long period of time along with commitment of the management and employee participation may  reduce the musculoskeletal disorders.

Author(s):  
M Yusuf ◽  
Nyoman Adiputra ◽  
I Dewa Putu Sutjana ◽  
Ketut Tirtayasa

Workload was predicted based on work pulse that was measured using 10 beats method on radial artery with stopwatch. The indication of subjective disorders was measured based on the farmers’ general fatigue and musculoskeletal disorders before and after work. General fatigue was measured using 30 Items Self Rating Questionnaire Industrial Fatigue Research Committee from Japan Association of Industrial Health, while musculoskeletal disorders were measured using NIOSH Nordic Body Map Subjective Filling. Environment temperature was measured using sling Psychrometer. Noise was measured using Gossen’s sound level meter. Statistical analysis to find out the mean difference of the data before and after work was analyzed using t-Paired test with significance level of 5%. RULA result recommended changing from bending work posture using the old tool into standing work posture using new hole maker. The old work posture (P0) showed RULA grand score of 7 with high risk level, while the new work posture (P1) showed RULA grand score of 3 with low risk level. There was significant difference on subjective disorders of the farmers (p<0.05) on P0 and P1 on general fatigue and musculoskeletal disorders. The fatigue score of P0 was 51.27 while P1 was 40.82 which meant there was reduction of 20.4%. While the musculoskeletal disorders score of P0 was 70.75 and P1 was 50.58 which meant there was reduction of 28.5%. It can be concluded that the improvement of work posture using RULA analysis decreases work risk level and subjective disorders of strawberry farmers in Bali.


Author(s):  
Hadi SALARI ◽  
Mohammad Reza GHOTBI RAVANDI ◽  
Mohammad DASTANPOUR ◽  
Sajjad ZARE

Introduction: One of the effective factors in the occurrence of musculoskeletal disorders is the mismatch between the mental workload on the person and his abilities and limitations. Therefore, this study aimed to investigate the effect of mental workload on the prevalence of musculoskeletal disorders in Bandar Abbas Production Company. Method: This cross-sectional descriptive-analytical study was conducted in 2019. The data collection tools included demographic information questionnaires, Nordic musculoskeletal disorders, and NASA-TLX mental workload. The participants were 172 people who were identified using Cochran's formula and simple random sampling. The collected data were analyzed by SPSS25 software. Results: The results indicated that 76.74% of the subjects had musculoskeletal disorders. Most of disorders were reported in the low back (51.16%), knees (38.95%), and neck (23.84%). The mean score of mental workloads in Bandar Abbas Production Company in this study was high (66.67). Among the mental workload subscales, the effort subscale had the highest score (85.32) and the performance subscale had the lowest score (20.00). Statistical tests showed that there was a significant relationship between mental workload and the prevalence of musculoskeletal disorders. Conclusion: According to the findings of the study, there was a direct relationship between mental workload and the prevalence of musculoskeletal disorders. Therefore, measures should be taken to reduce the perceived mental and psychological load, such as reducing working hours, interrupting and resting between working, increasing the variety of working postures, and  


Author(s):  
Ni Luh Gede Suwartini ◽  
Ketut Tirtayasa ◽  
Luh Made Indah Sri Handari Adiputra

General fatigue complaints and musculoskeletal disorders are two of the most common symptoms experienced by dialysis nurses, as the products of the poor ergonomic working poses. Ergonomic intervention and stretching in the workplace are needed to reduce the symptoms.  Unnatural pose has a potential to develop general fatigue and musculoskeletal disorders in hemodialysis room where each nurse in every shift is in charge to take care of four patients. The study aims to investigate the improvement of poses of work ergonomically by using ergonomic workplace stretching to reduce complaints in musculoskeletal and general fatigue which in turn can expectedly improve work productivity in hemodialysis room. This study is an experimental study with treatment by subject design. The study was conducted in hemodialysis unit in Wangaya Regional Public Hospital (WRPH) Denpasar from October until December 2019 with 11 people as the participants. As the result, there is no significant difference in the average of musculoskeletal complaints before working with p=0.350 (p>0.05). Meanwhile, the average of musculoskeletal complaints of nurse after working shows a significant difference that is p=0.001 (p<0.05). The analysis result indicates that there is a significant decrease in musculoskeletal complaints, which is 36.18%. The average of general fatigue before working shows no significant difference in score, that is p=0.350 (p>0.05). In the other side, there is a significant difference in score after working with p=0.001 (p<0.05). The analysis result reveals that there is a significant decrease in general fatigue for 66.97%. A significant improvement is shown in the productivity average with p=0.001 (p<0.05). The conclusion of this study is the improvement in poses of work and ergonomic workplace stretching have reduced the complaints in musculoskeletal and general fatigue and also improve nurses’ working productivity in hemodialysis unit.


Author(s):  
Meiza Anniza ◽  
Ketut Tirtayasa ◽  
I Made Muliarta

Cassava cutting machine is a tool to cut the cassava into thin sheets with a thickness of 1 to 2 mm. High base of work cassava cutting machine is under worker’s elbow height. So during the work, the workers took the cassava to put into the machine by means of bending and putting cassava to cutting machine one by one until the cassava is cut off. Ergonomics intervention is making an additional pad on cassava cutting machine. The purpose of this research was to prove the effect of adding pad machines and the provision of dynamic stretching at the cutting process of cassava reduce the workload, musculoskeletal disorders, and increasing work productivity at cassava chips industry. Research was conducted by the same design subject (treatment by subjects design) with a sample of nine workers. Workload by measured the pulse of the workers. Musculoskeletal disorders measured by nordic body map questionnaire, and productivity is measured by a comparison between the results of cuts cassava production is divided workload multiplied working time. Data analyzed by t - paired with a significant level of p <0.005. The analysis showed after adding pad machine occurs a significant difference (p <0.05) between before and after treatment: (1) decreases in workload of workers from 102.41 beats per minute become 95.51 beats per minute, (2) decrease musculoskeletal disorders from the average score of 33.56 into 31.56, and (3) increase work productivity from 1.64 to 3.58. It was concluded that the addition of base support and the provision of dynamic stretching at the process of cutting cassava reduce the workload, musculoskeletal disorders, and increasing work productivity in cassava chips industry. It is suggested in the effort to reduce the workload, musculoskeletal disorders, as well as increasing work productivity in cassava cutting workers so it is suggested to addition of base support and do dynamic stretching movements.


Author(s):  
Ratih Andhika Akbar Rahma ◽  
Dian Afif Arifah ◽  
Ario Ramadhan

Educational staff at the University of Darussalam Gontor sit in front of the computer screen for quite a long time, causing musculoskeletal complaints. Applying the Rule of Twenty (RoT) method is one way to minimize the risk of musculoskeletal disorders. This study aimed to measure the effectiveness of the Rule of Twenty methods in reducing the risk level of complaints of musculoskeletal disorders for the educational staff of the University of Darussalam Gontor. This study was a pre-experimental research with one group pre-test – post-test design. The population in this study was the entire 68 educational staff of the University of Darussalam Gontor. Twenty-one (21) staff involved as a sample in this study and selected by purposive sampling method. The Nordic Body Map instrument was used to measure musculoskeletal complaint levels before and after the rule of twenty methods applied. Data were analyzed using the SPSS program version with autocorrelation test and paired t-test (CI: 95%). The measurement results of musculoskeletal disorders among 21 respondents before and after the application of RoT were the level of action 1 (low-risk level). The result of the autocorrelation measurement showed that the value of Durbin Watson (DW) was 1.958 and DW (1.968)> DU (1.8116), indicates that there was no autocorrelation between variables. The paired t-test showed the value of t = 5.760 and p = 0.0001, indicates a significant difference between musculoskeletal disorders before and after the application of the Rule of Twenty Method (p<0.05). Based on the result, this study found that the Rule of Twenty Method is effective in reducing the musculoskeletal disorders of the Educational Staffs, and potentially reduce 9.4% of musculoskeletal complaints among workers.


2013 ◽  
Vol 10 ◽  
pp. 300-307 ◽  
Author(s):  
N.A. Samsuddin ◽  
Dian Darina Indah Daruis

This study investigated the effectiveness of workstation ergonomic intervention in reducing musculoskeletal disorders (MSD) in Visual Display Terminal (VDT) workers. The study was carried out at one of a Multinational Company in Petaling Jaya, Selangor. Sixty Heavy VDT workers were selected randomly as case study respondents. Questionnaires were given to 60 respondents to investigate their awareness in ergonomic intervention, job-related factors that contributing to musculoskeletal disorders, as well as MSD severity and symptoms among them. Then, 30 workers who are heavy VDT users were selected to receive the education and ergonomics interventions, whereas another 30 receive the education and ergonomic intervention, whereas another 30 workers were assigned as a control group. The two groups were then crossedover after sixth week, and follow-up questionnaire s we given to all of them once again. The results for both questionnaires, before and after the ergonomics intervention, were then analyzed for this case study. The interventions include ergonomics leaflets, ergonomic posters, online ergonomic education and ergonomic working posture guidance. The outcomes suggested that a participation in an ergonomics program, even though in a short duration and minimally disruptive to the normal workplace routine, can still contribute to a rapid effect on improving work posture. Although improper posture is associated to be the main risk factor for work-related musculoskeletal disorders, multigroup and long-term randomized trial are required to establish the effectiveness or workstation ergonomic intervention in reducing musculoskeletal disorders in VDT workers. In conclusion, there is significant evidence that individualized ergonomic interventions may contribute to improve work-related posture and reduce MSD injuries for VDT workers.


Author(s):  
A. E. Chernikova ◽  
Yu. P. Potekhina

Introduction. An osteopathic examination determines the rate, the amplitude and the strength of the main rhythms (cardiac, respiratory and cranial). However, there are relatively few studies in the available literature dedicated to the influence of osteopathic correction (OC) on the characteristics of these rhythms.Goal of research — to study the influence of OC on the rate characteristics of various rhythms of the human body.Materials and methods. 88 adult osteopathic patients aged from 18 to 81 years were examined, among them 30 men and 58 women. All patients received general osteopathic examination. The rate of the cranial rhythm (RCR), respiratory rate (RR) heart rate (HR), the mobility of the nervous processes (MNP) and the connective tissue mobility (CTM) were assessed before and after the OC session.Results. Since age varied greatly in the examined group, a correlation analysis of age-related changes of the assessed rhythms was carried out. Only the CTM correlated with age (r=–0,28; p<0,05) in a statistically significant way. The rank dispersion analysis of Kruskal–Wallis also showed statistically significant difference in this indicator in different age groups (p=0,043). With the increase of years, the CTM decreases gradually. After the OC, the CTM, increased in a statistically significant way (p<0,0001). The RCR varied from 5 to 12 cycles/min in the examined group, which corresponded to the norm. After the OC, the RCR has increased in a statistically significant way (p<0,0001), the MNP has also increased (p<0,0001). The initial heart rate in the subjects varied from 56 to 94 beats/min, and in 15 % it exceeded the norm. After the OC the heart rate corresponded to the norm in all patients. The heart rate and the respiratory rate significantly decreased after the OC (р<0,0001).Conclusion. The described biorhythm changes after the OC session may be indicative of the improvement of the nervous regulation, of the normalization of the autonomic balance, of the improvement of the biomechanical properties of body tissues and of the increase of their mobility. The assessed parameters can be measured quickly without any additional equipment and can be used in order to study the results of the OC.


2018 ◽  
Vol 1 ◽  
pp. 107
Author(s):  
Adi Heryadi ◽  
Evianawati Evianawati

This study aims to prove whether transformational leadership training is effective for building anti-corruption attitudes of villages in Kebonharjo village, subdistrict Samigaluh Kulonprogo. This research is an experimental research with one group pre and posttest design.Subject design is 17 people from village of 21 candidates registered. Measuring tool used in this research is the scale of anti-corruption perception made by the researcher referring to the 9 anti-corruption values with the value of reliability coefficient of 0.871. The module used as an intervention made by the researcher refers to the transformational leadership dimension (Bass, 1990). The data collected is analyzed by statistical analysis of different test Paired Sample Test. Initial data collection results obtained sign value of 0.770 which means> 0.05 or no significant difference between anti-corruption perception score between before and after training. After a period of less than 1 (one) month then conducted again the measurement of follow-up of the study subjects in the measurement again using the scale of anti-corruption perception. The results of the second data collection were analysed with Paired Samples Test and obtained the value of 0.623 sign meaning p> 0.05 or no significant difference between post test data with follow-up data so that the hypothesis of this study was rejected.


2018 ◽  
Vol 7 ◽  
Author(s):  
Arefeh Shahi

Background: Postpartum depression with a different incidence of 40- 45% in different societies, which it has adverse effects on the health of mothers and their child, given the negative effects of maternal depression and its harmful effects on the baby and the quality of family life. So, this study was performed with the aim to determine postpartum depression and its associated factors in Bandar Abbas city. Materials and Methods: A descriptive cross-sectional study was conducted in 2015 after obtaining consent from mothers by the census. A total of 343 mothers was examined for depression who referred to Bandar Abbas health centers in the 2nd and 4th months after childbirth. The data collection tools included demographic information and Postpartum Depression Edinburgh questionnaires. Finally, the statistical analyses were performed using SPSS (version 22.0) software and data were analyzed using the Independent t-test, Mann Whitney, Chi-square, and Fisher exact tests.Result: Totally, 68 (19.8%) of samples were in the second month and 54 (15.7%) in the fourth month after delivery had postpartum depression. The incidence of depression in the four months was 6.6%. There was a significant difference between depression and income, parental education, father’s use of cigarette and abnormalities of the infant (P <0.001). There was no significant difference between other factors such as gestational age, infant sex, birth weight, unwanted pregnancy, and type of delivery. Conclusion: Regarding the prevalence of this disorder, it seems that postpartum depression screening planning should be considered during child routine care as an essential component, especially for vulnerable groups.


Author(s):  
Sanjeeva Kumar Goud T ◽  
Rahul Kunkulol

The present study was aimed to study the effect of Sublingual Vitamin D3 on Serum Vitamin D level in Vitamin D deficiency patients. This was a cross-sectional and interventional study. All the Vitamin D deficiency patients of age 18-60years and either gender, willing to participate in the study were included. Patients who had greater than 20 ng/ml were excluded from the study. The total number of participants in our study was 200, out of these 111 males and 89 females, the mean age in our study was 51.07 ± 7.39Yrs. All volunteers were given sublingual vitamin D3 (60,000IU) in six doses every fifteen days of follow up for 3 months. The subject’s serum 25(OH)D levels were estimated before and after the treatment of sublingual vitamin D3. There was a statistically significant difference in serum vitamin D3 level before 16.61±6.71 ng/ml and after 35.80±7.80 ng/ml after treatment with Sublingual Vitamin D3. Six doses of 60,000IU of Vitamin D3 sublingual route having improved the role of serum 25(OH)D levels in the treatment of Vitamin D3 deficiency patients.Keywords: Vitamin D3; Sublingual route


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