scholarly journals The Improvement of Working Posture and Ergonomic Workplace Stretching Decreased Musculoskeletal Complaint and Fatigue and Increased Productivity of Nurses

2020 ◽  
Vol 6 (2) ◽  
pp. 105
Author(s):  
Ni Luh Gede Suwartini ◽  
Ketut Tirtayasa ◽  
Luh Made Indah Sri Handari Adiputra
Keyword(s):  
Musculoskeletal Disorders ◽  
Public Hospital ◽  
Work Productivity ◽  
Musculoskeletal Complaints ◽  
General Fatigue ◽  
Working Posture ◽  
Hemodialysis Unit ◽  
Significant Difference ◽  
Dialysis Nurses ◽  
Ergonomic Intervention

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.

scholarly journals RANCANGAN RUANG PENGERING BERBASIS ERGONOMI MENURUNKAN KELUHAN MUSKULOSKELETAL PERAJIN IKAN

2016 ◽  
Vol 6 (1) ◽  
Author(s):  
I Gede Bawa Susana
Keyword(s):  
Musculoskeletal Disorders ◽  
Musculoskeletal Complaints ◽  
Drying Process ◽  
Anthropometric Data ◽  
Working Posture ◽  
The Mean ◽  
Drying Chamber ◽  
Participatory Method

With  traditional fish drying process,  most possible can cause an unhealthy  working posture , such as a squatting action.   As a consequence , worker will suffer a  musculoskeletal disorders because of not  ergonomic tools and bad working posture. Without ergonomics  working  procedures was found that  the average of   musculoskeletal complaints after working is 52.25 ± 1.03. To solve this ccomplaints, a drying chamber based ergonomics design was built in order to reduce musculoskeletal disorders. Dimensions of the drying chamber were based on anthropometric data of fish craftsmen and the material of drying chamber was by the participatory method. Test was performed on 20 samples and the result showed that the mean rate of  musculoskeletal complaints after working is 38.30 ± 1.30. The ergonomic based design for drying camber application can reduce  the musculoskeletal complaints up to 26.7%.

The Improvement of Work Posture Using RULA (Rapid Upper Limb Assessment) Analysis to Decrease Subjective Disorders of Strawberry Farmers in Bali

2016 ◽  
Vol 2 (9) ◽  
pp. 1 ◽  
Author(s):  
M Yusuf ◽  
Nyoman Adiputra ◽  
I Dewa Putu Sutjana ◽  
Ketut Tirtayasa
Keyword(s):  
Musculoskeletal Disorders ◽  
Sound Level ◽  
Risk Level ◽  
Research Committee ◽  
Significance Level ◽  
Work Posture ◽  
General Fatigue ◽  
Environment Temperature ◽  
Significant Difference ◽  
Before And After

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.

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

2020 ◽  
Author(s):  
Seyed Mohammad Reza Anjavi ◽  
Shantia Ghasemzadeh ◽  
Hadi Salari
Keyword(s):  
Musculoskeletal Disorders ◽  
Musculoskeletal Discomfort ◽  
Management Interventions ◽  
Effective Manner ◽  
Significant Difference ◽  
Before And After ◽  
Zinc Production ◽  
Bandar Abbas ◽  
Production Company ◽  
Ergonomic Intervention

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.

scholarly journals UJIAN OSCE REGULER BERORIENTASI ERGONOMI MENINGKATKAN KINERJA PENGUJI DI FAKULTAS KEDOKTERAN UNIVERSITAS ISLAM AL-AZHAR MATARAM

1970 ◽  
Vol 1 (2) ◽  
Author(s):  
Iing . ' ◽  
Dewa Putu Sutjana ◽  
Ida Bagus Alit Swamardika
Keyword(s):  
Clinical Skills ◽  
Clinical Skill ◽  
Average Score ◽  
Musculoskeletal Complaints ◽  
Research Committee ◽  
Fatigue Score ◽  
Muscle Stretching ◽  
Significant Difference ◽  
Second Period ◽  
Ergonomic Intervention

Regular Objective Structured Clinical Examination  (OSCE) was a clinical skill  test in the Faculty of Medicine Islamic University Al-Azhar Mataram.  Examiner of OSCE in this study was a doctor who was also a lecturer trained in judging student’s clinical skills. The study aimed to know whetherergonomic-oriented regular OSCE by muscle stretching and drinking sweetened tea can improve the performance of examiners in the Faculty of Medicine Islamic University Al-Azhar Mataram. Performance improvement indicators used were decreased complaints of boredom, fatigue and musculoskeletal.Methods used in this study was experimental study with “treatment by subject design”. The study used as many as 18 sample given two treatment which was the first period without the ergonomic intervention involving stretching of the muscle and drinking sweetened tea and the second period was a group with ergonomic intervention. Boredom was measured by a boredom questionnaire.Fatigue, was measured from 30 items of fatigue questionnaire from Japan IFRC(Industrial Fatigue Research Committee).   Skeletal   muscle   complaints was predicted from  Nordic Body  Map  questionnaire.  Data  were  analyzed  bynormality test and t-paired test with significancy level of 5%.The results of this study showed that there was a significant difference(p<0,05) in average score boredom, fatigue and musculoskeletal complaints. The mean boredom score in the first period was 39,724 and in the second period was26,415 with reduction in average boredom score was 33.5 %. Fatigue mean scorein the first period  was 44,050 and the second period was 23,525 with reductionof fatigue score was  46,59 %. Mean musculoskeletal complaints score in the first period was 39,25 and the second period was 14,02 with reduction in mean musculoskeletal complaints score was 64,28 %. 19It can be concluded from this study that ergonomic  intervention by muscle stretching and drinking sweetened tea in the interrupted time of examination process improved the performance of OSCE examiner in terms of boredom, fatigue and musculosceletal complaints in the Faculty of Medicine of Islamic University Al-Azhar Mataram.

scholarly journals REDESAIN RAKEL DAN PEMBERIAN PEREGANGAN AKTIF MENURUNKAN BEBAN KERJA DAN KELUHAN MUSKULOSKELETAL SERTA MENINGKATKAN PRODUKTIVITAS KERJA PEKERJA SABLON PADA INDUSTRI SABLON SURYA BALI DI DENPASAR

1970 ◽  
Vol 2 (2) ◽  
pp. 15
Author(s):  
Daryono . . ◽  
I Dewa Putu Sutjana ◽  
I Made Muliarta
Keyword(s):  
Musculoskeletal Disorders ◽  
Working Conditions ◽  
Work Experience ◽  
Screen Printing ◽  
Work Productivity ◽  
Wilcoxon Test ◽  
Second Phase ◽  
Musculoskeletal Complaints ◽  
Significance Level ◽  
Two Phases

Problems ergonomics in industrial screen printing traditional fabrics such as work attitude unnatural causing musculoskeletal disorders in workers printing. To overcome these problems, especially for fabric printing activity done by redesigning Rakel research and giving active stretching. The purpose of this study was to know the effects of the using redesigning Rakel and active stretching for the fabric screen printing workers to decrease the workload, musculoskeletal disorders and increased work productivity. The study design is the design of the same subject, involving 12 workers printing male, 20-45 years old, between 1-5 years of work experience. Research into two phases. The first phase (I) subjects treated with Rakel without redesigning work and without giving active stretching. The second phase (II) subjects treated with redesigning work Rakel and giving active stretching. Among the two phases of the study, given a wash out period for 2 days and adaptation redesigning Rakel for 4 days, to eliminate carry-over effects. The workload is measured by the method of pulse 10 beats, musculoskeletal complaints measured by a questionnaire Nordic Body Map at 4 Likert scale and work productivity based on the ratio between output and input. Data were analyzed with the Shapiro-Wilk test to determine the normality of the data, paired t-test to test the significance difference variable workload and productivity of work at the significance level ? = 0.05 and Wilcoxon test for variables musculoskeletal complaints. The results showed that redesigning Rakel and provision of active stretching can reduce the workload of 30,3% (p<0.05) and lower musculoskeletal complaints by 16,9% (p<0.05) as well as increasing work productivity by 45,5% (p <0.05). It concluded that the redesign Rakel and provision of active stretching can reduce the workload and musculoskeletal disorders and increase productivity for workers printing. Suggested to the owner of a similar business industry to make good working conditions referring to ergonomic principles, so as to create safer working conditions, comfortable, healthy and productive workers.

scholarly journals PENAMBAHAN ALAS MESIN DAN PEMBERIAN PEREGANGAN DINAMIS DI BAGIAN PROSES PEMOTONGAN SINGKONG MENURUNKAN BEBAN KERJA, KELUHAN MUSKULOSKELETAL, DAN MENINGKATKAN PRODUKTIVITAS KERJA PADA INDUSTRI KERIPIK SINGKONG

2017 ◽  
Vol 3 (1) ◽  
pp. 29
Author(s):  
Meiza Anniza ◽  
Ketut Tirtayasa ◽  
I Made Muliarta
Keyword(s):  
Musculoskeletal Disorders ◽  
Work Productivity ◽  
Average Score ◽  
Time Data ◽  
Dynamic Stretching ◽  
Cutting Machine ◽  
Significant Difference ◽  
Before And After ◽  
Cassava Production ◽  
High Base

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.

scholarly journals The Effectiveness of the Rule of Twenty Method in Reducing the Musculoskeletal Complaints among Educational Staffs

2020 ◽  
Vol 6 (2) ◽  
pp. 78
Author(s):  
Ratih Andhika Akbar Rahma ◽  
Dian Afif Arifah ◽  
Ario Ramadhan
Keyword(s):  
Musculoskeletal Disorders ◽  
T Test ◽  
Risk Level ◽  
Musculoskeletal Complaints ◽  
Significant Difference ◽  
Before And After ◽  
Post Test ◽  
Educational Staff ◽  
The University ◽  
Paired T Test

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.

scholarly journals Study of effectiveness and reliability of education on ergonomic risk factors and musculoskeletal complaints in patient-carrier personnel of Shahid Bahonar Hospital of Kerman

2019 ◽  
Author(s):  
N Eskandari nasab ◽  
SJ Mirmohammadi ◽  
AH Mehrparvar ◽  
H Fallah
Keyword(s):  
Risk Factors ◽  
Social Media ◽  
Musculoskeletal Disorders ◽  
Medical Personnel ◽  
Training Method ◽  
Musculoskeletal Complaints ◽  
Assessment Index ◽  
Significant Difference ◽  
Ergonomic Risk Factors ◽  
Ergonomic Risk

Introduction: Lack of awareness of the principles and rules of ergonomics, inappropriate postures and frequent displacement of patients and loads can cause musculoskeletal disorders in medical personnel. The purpose of this study was to evaluate the effectiveness of in-person training and social network education on the ergonomic risk factors and musculoskeletal of patient carrier personnel in the   Shahid Bahonar Hospital of Kerman. Method: This study is an applied and quasi-experimental study. That was performed on 60 participants in Shahid Bahonar Hospital kerman. The participants were randomly divided into two groups of 30. The first group was trained via in-person training method combined with practical work and questionings and the second group was trained via social networks. The data were collected through a self-made questionnaire measuring awareness, Nordic questionnaire along with the scale of the investment rate and the numerical checklist patient transfer assessment index (PTAI) was collected before training for one week, one month and six months after training. For analyzing the data, SPSS software version 24 was used. Results: Low back pain is more prevalent among sick carriers than other musculoskeletal disorders. There was a significant difference between the knowledge and PTAI scores in both methods before and six months after training (P <0.05). Also, comparing neck (P = 0.014), shoulder (P = 0.006), waist (P = 0.00), knee (P = 0.006), and foot (P = 0.016) complaints in training method There was a significant difference before and six months after training. There was no significant difference in musculoskeletal complaints at the end of six months in education via social media. Conclusion: According to the results, it seems that both in-person and via social media training had an impact on reducing ergonomic risk factors and musculoskeletal complaints. And the effect of in-person training was significantly greater than that of via social media training. In addition, the reliability of the training effect was significant only In-person training

scholarly journals Assessment of the Working Posture among Dental Students to Prevent Musculosk ent Musculoskeletal Disor eletal Disorders

2021 ◽  
Vol 28 (2) ◽  
Author(s):  
Eleena Mohd Yusof ◽  
◽  
Muhamad Amir Hazim Razli ◽  
Siti Aisyah Iman Mohd Nasir ◽  
◽  
...  
Keyword(s):  
Musculoskeletal Disorders ◽  
Upper Limb ◽  
Dental Students ◽  
The Other ◽  
Gender Variance ◽  
Chi Square ◽  
Working Posture ◽  
Working Postures ◽  
Dental Practitioners ◽  
Significant Difference

Poor working posture among dental practitioners has been known to cause musculoskeletal disorders (MSDs), which are made worse by lengthy procedures and a lack of awareness about the proper working posture. Objectives: To assess the working posture of clinical dental students to determine if interventions were needed to reduce MSDs. Methods: The working postures of 225 clinical dental students were recorded and assessed within 10 minutes into procedures from March-December 2019, using the Rapid Upper Limb Assessment (RULA) method. The results were then statistically analysed using chi-square and Fisher’s exact tests. Results: Of the 225 students observed, 64 (28.4%; 95% CI: 23.1-35.7%) were classified as having RULA scores of 1-2 and 3-4, 141 (62.7%; 95% CI: 58.4- 65.7%) had RULA scores of 5-6 and 19 (8.4%; 95% CI:5.3-12.4%) had RULA scores of 7. Only one student had a RULA score of 1-2, where posture was considered acceptable. The working postures of the students in year 4 (P<0.001) were worse than those of the students in the other clinical years. No significant difference was observed concerning gender variance. Conclusion: Students’ working postures should be evaluated frequently, and other tools, for example, dental loupes, should be provided to help them maintain good working postures

scholarly journals The effects of a single session of lumbar spinal manipulative therapy in terms of physical performance test symmetry in asymptomatic athletes: a single-blinded, randomised controlled study.

2018 ◽  
Vol 4 (1) ◽  
pp. e000389 ◽  
Author(s):  
Bruno A P Alvarenga ◽  
Ricardo Fujikawa ◽  
Filipa João ◽  
Jerusa P R Lara ◽  
António P Veloso
Keyword(s):  
Musculoskeletal Disorders ◽  
Physical Performance ◽  
Performance Test ◽  
Statistical Significance ◽  
Spinal Manipulative Therapy ◽  
Controlled Study ◽  
Eligibility Criteria ◽  
Manipulative Therapy ◽  
Significant Difference ◽  
Randomised Controlled

Background and aimMusculoskeletal disorders in athletes, including spinal biomechanical dysfunctions, are believed to negatively influence symmetry. Spinal manipulative therapy (SMT) is recognised as a safe and effective treatment for musculoskeletal disorders, but there is little evidence about whether it can be beneficial in symmetry. Therefore, this study aimed to measure the effects of lumbar SMT in symmetry.MethodsForty asymptomatic athletes participated in the study. The randomisation procedure was performed according to the following group allocation: group 1 (SMT) and group 2 (SHAM). Each participant completed a physical activity questionnaire, and also underwent clinical and physical evaluation for inclusion according to eligibility criteria. Statistical significance (P<0.05) between groups and types of therapy were calculated by physical performance tests symmetry (static position, squat and counter movement jump (CMJ), pre- and post-SMT and SHAM. There were 14 trials of three symmetry tests for each participant, for a total of 560 trials.ResultsLumbar SMT produced immediate effects in symmetry in the static position; however, the same effects were not found in squat and CMJ on symmetry 1. Therefore, our results showed a significant difference in pre- (mean 16.3%) and post-lumbar SMT (mean 3.7%) in static symmetry. However, symmetry 2 showed no statistical significant differences for any of the tests and intervention groups. No statistically significant effects in symmetry pre- to post-SHAM were found in any of the tests.ConclusionsStatistically significant differences were found in lumbar SMT, but only for static symmetry. These findings suggest that SMT was effective in producing immediate effects in symmetry in the static position, but none in dynamic tests. Future studies could address our study's limitations.Clinical trials register numberNCT03361592.

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