scholarly journals The Effect of Age and Workload on Work Posture toward Musculoskeletal Disorders Complain on Loading and Unloading Workers

2021 ◽  
Vol 9 (E) ◽  
pp. 1115-1121
Author(s):  
Syamsiar S. Russeng ◽  
Lalu Muhammad Saleh ◽  
Widya Nur Wahyulianti ◽  
Sukri Palutturi

Background: Workers in informal sector such as loading and unloading workers have a risk of experiencing health disorder of occupational disease such as musculoskeletloadingal disorders (MSDs). Such complain usually occurs on spine (back and neck) and upper limb. Most of the loading and unloading workers work using manual material handling, such as loading, unloading, pushing, pulling, throwing, moving, or rotating loads using their hands or other body parts. Such work method has musculoskeletal disorders (MSDs) risk, including low back pain. There are several factors causing the musculoskeletal disorders (MSDs) including individual factors (age and gender), work factors (workload and work posture), and work environment factors. Objective: The purpose of this study was to determine the direct and indirect effects of age and workload with work posture as an intervening variable against musculoskeletal disorders (MSDs) on loading and unloading workers at PT. Pelabuhan Indonesia IV (Persero) of Makassar Branch. Methods: The current research applied analytical observation with a Cross-Sectional approach involving 140 respondents selected through a simple random sampling technique. This research was further carried out at Pelabuhan Indonesia IV (Persero) of Makassar Branch in April-May 2021. Data obtained were analyzed using univariate, bivariate, and multivariate analysis. Results: There were 65 respondents (46.4%) who suffered from musculoskeletal disorder complaints in the high category followed by 53 respondents (37.9%) who suffered from musculoskeletal complaints in the very high category. It was also obtained that workload significantly affected the work position variable (p = 0.000 <0.05), age significantly affected the work posture variable (p = 0.000 <0.05), workload significantly affected the musculoskeletal disorders variable (p = 0.000 <0.05), and work posture significantly affected the musculoskeletal disorder variable (p = 0.000 <0.05). Conclusion: A significant indirect effect between workload and musculoskeletal disorders complaints through work posture variables. Significant indirect effect was also found between age and musculoskeletal disorder complaints through work posture. In addition, the highest category of low back pain complaints is in moderate disability.

Author(s):  
Seyed Sadegh Salehi Sadati ◽  
Hojat Allah Haghgoo ◽  
Zahra Mortazavi ◽  
Sahar Dehdar karsidani ◽  
Homa Naderifar ◽  
...  

Introduction: Musculoskeletal disorders are among the main occupational and work-related diseases with different impacts on general health status of employees. Present study was performed for assessment of association between general health and musculoskeletal disorders among beekeepers of Boroujen.Methods: In this cross-sectional study, beekeepers were selected by census, in 2017. Nordic musculoskeletal questionnaire and general health questionnaire (GHQ28) were used to collect data. Then, the obtained data were analyzed using SPSS- software.Results: Mean of Ggeneral health score was (51.25±12.92) which was suspected to have disorders, and  somatic, depression, social and anxiety indices were 12.4± 3.62, 11.43± 4.08, 14.05± 2.63 and 12.55± 4.15, respectively. Also, the most frequent  musculoskeletal symptom, during the past 7 days, during the past 12 months, the deterrence of work in the past year was low back pain and knee pain. Although mean of general health score in beekeepers was poorer than normal. No significant correlations were found between general health and musculoskeletal disorder (p-value>0.05). Age, BMI, work experience were risk factor for musculoskeletal disorder.Conclusion: Findings of our study showed that beekeepers were suspected to have general health disorders and the most frequent musculoskeletal disorder was low back pain and knee pain.


2021 ◽  
Vol 16 (2) ◽  
pp. 138-146
Author(s):  
Burhan Muslim ◽  
Shalsa Devira ◽  
Basuki Ario Seno ◽  
Darwel Darwel ◽  
Erdinur Erdinur

Low Back Pain (LBP) is pain in the waist or lower spine that can be felt up to the buttocks and thighs. Many workers experience illness. Results The study was conducted on 9,482 workers in 12 regencies and cities in Indonesia, the disease experienced by workers was Musculoskeletal Disorder as much as 16% including Low Back Pain. This study aims to determine the relationship between work duration and work posture with complaints of Low Back Pain at Nagari Simpang Kapuak tailors, Lima Puluh Kota Regency. This research is quantitative with a cross sectional approach. Collecting data through a census of 43 tailors with interviews and questionnaires. Data analysis with univariate, bivariate and Chi-Square statistical test. The results of the study found that 58.1% of tailors experienced severe complaints of low back pain. 72.1% are classified as risky age, 74.1% are female, 58.1% have a BMI at risk, 67.4% work with risky work duration, 69.8% work with risky work postures. There is a relationship between age (p = 0.017), BMI (p = 0.013), work duration (p = 0.002), and body posture (p = 0.006) with complaints of Low Back Pain. To reduce the risk of Low Back Pain, tailors should relax and rest by stretching muscles, exercising based on the age of the worker, consuming foods that contain calcium, working with a balanced working time and doing an ergonomic work system.


Author(s):  
Marta Cezar-Vaz ◽  
Clarice Bonow ◽  
Daiani Xavier ◽  
Joana Vaz ◽  
Letícia Cardoso ◽  
...  

This study’s aim was to analyse the relationship between musculoskeletal disorders (low back pain and dorsalgia) and sociodemographic characteristics, workload and occupational hazards among casual dockworkers. This cross-sectional study addressed casual dockworkers from the state of Rio Grande do Sul, Brazil. The convenience sample was composed of 232 casual dockworkers. Data were collected using a structured interview and observation. Poisson regression analysis was used. Association between low back pain and physiological occupational risk (p = 0.006), total exertion levels (p = 0.014) and frustration (p = 0.020) remained statistically significant, while the use of illicit drugs (p = 0.023), being a quayside worker (p = 0.021) and physiological occupational risk (p = 0.040) remained associated with dorsalgia. Decreasing these variables in the workplace may also reduce the prevalence of musculoskeletal disorders such as low back pain and dorsalgia.


2021 ◽  
Author(s):  
Jafar Yahyavi Dizaj ◽  
Manijeh Soleimanifar ◽  
Reza Hashempour ◽  
Ali Kazemi Karyani ◽  
Fateh Mohsen ◽  
...  

Abstract Background: MSK health is imperative for the active participation of an individual in society and MSK related disorders more direly affects a person's quality of life compared other non-communicable disease while it also negatively effects the health system and economy of a country. The current manuscript analyzed and describes the disease burden of MSK disorders in the EMRO region.Methods: This was a cross-sectional descriptive-analytical study conducted based on data published by the Global Burden of Disease Database for MSK disorders up to 2017. The study target comprised population from all countries of the EMRO region of World Health Organization. The present study considered, MSK disorders such as (rheumatoid arthritis), (osteoarthritis), (Low back pain), (neck pain), (gout) and (other Musculoskeletal disorders. The DALY index was used to measure total disease burden.Results: MSK disorders in the world and in the EMRO region was ranked 5th (4% of total disease burden) and 7th (5% of total disease burden) among all diseases in 2017, respectively. Women over 30 years of age in the EMRO region had the highest risk of MSK disorders compared to other regions and in addition, the DALY lost in EMRO region due to MSK disorders was higher in women of all age categories than men. According to the results of this study, Low back pain, Other musculoskeletal disorders and Neck pain had the highest prevalence and burden of disease in the EMRO region and the world. Bahrain, Iran, and Morocco had the highest incidence of MSK DALY score in the EMRO region, and Somalia, Djibouti, and Afghanistan had the lowest incidence of MSK disorders and DALY score, respectively.Conclusion: With the increase in geriatric population and obesity especially in developing countries, consequently, more people tend to suffer from MSK disorders and it is predicted that this spike will continue in the coming decades. Taking in to account the high prevalence and burden of MSK disorders, forces government and health-policy makers to focus more on preventive cares and rehabilitation.


Pain Medicine ◽  
2020 ◽  
Vol 21 (11) ◽  
pp. 3161-3171
Author(s):  
Terence M Penn ◽  
Demario S Overstreet ◽  
Edwin N Aroke ◽  
Deanna D Rumble ◽  
Andrew M Sims ◽  
...  

Abstract Objective For most patients with chronic low back pain (cLBP), the cause is “nonspecific,” meaning there is no clear association between pain and identifiable pathology of the spine or associated tissues. Laypersons and providers alike are less inclined to help, feel less sympathy, dislike patients more, suspect deception, and attribute lower pain severity to patients whose pain does not have an objective basis in tissue pathology. Because of these stigmatizing responses from others, patients with cLBP may feel that their pain is particularly unjust and unfair. These pain-related injustice perceptions may subsequently contribute to greater cLBP severity. The purpose of this study was to examine whether perceived injustice helps explain the relationship between chronic pain stigma and movement-evoked pain severity among individuals with cLBP. Methods Participants included 105 patients with cLBP who completed questionnaires assessing chronic pain stigma and pain-related injustice perception, as well as a short physical performance battery for the assessment of movement-evoked pain and physical function. Results Findings revealed that perceived injustice significantly mediated the association between chronic pain stigma and cLBP severity (indirect effect = 6.64, 95% confidence interval [CI] = 2.041 to 14.913) and physical function (indirect effect = −0.401, 95% CI = −1.029 to −0.052). Greater chronic pain stigma was associated with greater perceived injustice (P = 0.001), which in turn was associated with greater movement-evoked pain severity (P = 0.003). Conclusions These results suggest that perceived injustice may be a means through which chronic pain stigma impacts nonspecific cLBP severity and physical function.


2017 ◽  
Vol 76 (8) ◽  
pp. 1365-1373 ◽  
Author(s):  
Maziar Moradi-Lakeh ◽  
Mohammad H Forouzanfar ◽  
Stein Emil Vollset ◽  
Charbel El Bcheraoui ◽  
Farah Daoud ◽  
...  

ObjectivesWe used findings from the Global Burden of Disease Study 2013 to report the burden of musculoskeletal disorders in the Eastern Mediterranean Region (EMR).MethodsThe burden of musculoskeletal disorders was calculated for the EMR's 22 countries between 1990 and 2013. A systematic analysis was performed on mortality and morbidity data to estimate prevalence, death, years of live lost, years lived with disability and disability-adjusted life years (DALYs).ResultsFor musculoskeletal disorders, the crude DALYs rate per 100 000 increased from 1297.1 (95% uncertainty interval (UI) 924.3–1703.4) in 1990 to 1606.0 (95% UI 1141.2–2130.4) in 2013. During 1990–2013, the total DALYs of musculoskeletal disorders increased by 105.2% in the EMR compared with a 58.0% increase in the rest of the world. The burden of musculoskeletal disorders as a proportion of total DALYs increased from 2.4% (95% UI 1.7–3.0) in 1990 to 4.7% (95% UI 3.6–5.8) in 2013. The range of point prevalence (per 1000) among the EMR countries was 28.2–136.0 for low back pain, 27.3–49.7 for neck pain, 9.7–37.3 for osteoarthritis (OA), 0.6–2.2 for rheumatoid arthritis and 0.1–0.8 for gout. Low back pain and neck pain had the highest burden in EMR countries.ConclusionsThis study shows a high burden of musculoskeletal disorders, with a faster increase in EMR compared with the rest of the world. The reasons for this faster increase need to be explored. Our findings call for incorporating prevention and control programmes that should include improving health data, addressing risk factors, providing evidence-based care and community programmes to increase awareness.


2020 ◽  
Vol 12 (3) ◽  
Author(s):  
Davood Afshari ◽  
Maryam Mojaddam ◽  
Maryam Nourollahi

Background: Manual load lifting is one of the most important risk factors for musculoskeletal disorders, including occupational low back pain. These disorders are common in women workers who perform manual load lifting and displacement tasks at the workplace. Objectives: To determine the level of musculoskeletal disorders and to evaluate the recommended limits of manual load lifting in women workers using WISHA checklist and ACGIH TLV, the recommended limits of Iran, and compare the results of two methods. Methods: This cross-sectional study was conducted on 100 women workers who performed manual loading tasks in 2018. Nordic questionnaire was used to determine the prevalence of musculoskeletal disorders, and two methods, WISHA checklist and ACGIH TLV, were used to determine the recommended allowable limits for manual load lifting. Results: The results of the prevalence assessment of musculoskeletal disorders showed that most of the musculoskeletal disorders were in the low back (55%) in the past 12 months. The results of the assessment of the allowable lifting limits also showed that 8% of women in the WISHA checklist method and 31% in the ACGIH TLV method were at risk for low back injuries. The kappa coefficient test (0.031) also showed that there is a poor and insignificant agreement between the two methods of WISHA checklist and ACGIH TLV in determining the allowable limits for manual lifting. Conclusions: The results of this study showed a poor agreement between the WISHA checklist and ACGIH TLV in determining the allowable limits for manual lifting, which suggest that the two methods are not mutually exclusive. Hence, owing to the increasing presence of women in various occupations and raising the hand load-lifting and, naturally increasing occupational low back pain among them, it is necessary that in a comprehensive study, the allowable limits of lifting loads according to anthropometric and physiological characteristics of Iranian women, prepare and compile according to a comprehensive instruction.


BMC Medicine ◽  
2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Dongze Wu ◽  
Priscilla Wong ◽  
Cui Guo ◽  
Lai-Shan Tam ◽  
Jieruo Gu

Abstract Background With increasing life expectancy in China, no large population-based studies have been done on the trend for musculoskeletal disorders in China. We have investigated the pattern and trend of five major musculoskeletal disorders in China from the Global Burden of Disease Study 2017 and its association with sociodemographic index (SDI). Methods The main outcome measures were incidence, prevalence, and disability-adjusted life years (DALYs) for rheumatoid arthritis, osteoarthritis, low back pain, neck pain, and gout. Average annual percent change (AAPC) and annual percent change (APC) between 1990 and 2017 were analyzed with Joinpoint regression. Results The age-standardized rate of incidence, prevalence, and DALYs for the five major musculoskeletal disorders increased with age. For SDI, the age-standardized rate of DALYs was zigzagged increasing for rheumatoid arthritis and curvilinear increasing for gout, curvilinear decreasing for low back pain, and reaching to the highest point for osteoarthritis and neck pain with an SDI value of 0.61. The AAPC in age-standardized rate of DALYs indicated an increasing trend for rheumatoid arthritis (0.20, 95% CI 0.07, 0.34), osteoarthritis (0.26, 95% CI 0.20, 0.31), neck pain (0.09, 95% CI 0.07, 0.12), and gout (0.25, 95% CI 0.23, 0.27), but a decreasing trend for low back pain (− 0.96, 95% CI − 0.98, − 0.93). The AAPC of risk factors indicated a decreasing trend in smoking (− 0.14, 95% CI − 0.24, − 0.04) for rheumatoid arthritis, smoking (− 0.22, 95% CI − 0.24, − 0.19) and occupational ergonomic factors (− 1.25, 95% CI − 1.29, − 1.21) for low back pain, and impaired kidney function (− 0.95, 95% CI − 1.00, − 0.90) for gout, but an increasing trend in high body-mass index for osteoarthritis (3.10, 95% CI 3.03, 3.17), low back pain (3.07, 95% CI 2.99, 3.14), and gout (3.12, 95% CI 3.04, 3.20). Comparing the burden of five musculoskeletal diseases in China with the 19 countries of G20, China ranked first to second in the number of DALYs, and 12th to 16th in age-standardized rate of DALYs. Conclusion There are remarkably complex temporal patterns in disease burden and risk factors for five major musculoskeletal disorders across past three decades. Population-wide initiatives targeting high body-mass index may mitigate the burden of musculoskeletal disorders.


Author(s):  
Denny Nurkertamanda ◽  
I Nyoman Adiputra ◽  
Ketut Tirtayasa ◽  
I Putu Gede Adiatmika

Material handling manual work is a job at risk to worker health and safety, errors in the manual procedure of manual material handling will result in health impacts in the short and long term. One of the manual jobs of material handling is the job of lowering the sand from the top of the truck. In working the workers use a tool in the form of enggrong which is a shovel with a short handle. Due to the use of employee enggrong work with a stooped posture. This work posture raises the potential for low back pain on workers. Low back pain is a pain and/or loss of workability as a long-term risk of postural errors in activity. Low back pain occurs on low back disc L4 / L5 or L5 / S1. This study used treatment by the same subject design with a sample of 9 participants. The purpose of the study was to find out the different forces in Low back disc L4 / L5 when the worker worked using standard enggrong (Period 1 / P1) compared to using modification enggorong (Period 2 / P2). The forces in the L4 / L5 Low back disc include 1) compression, 2) anterior/posterior shear, and 3) lateral shear. Work posture data was taken using Microsoft KinectTM 3D camera and analyzed by using Siemen Jack 3D Static Strength Prediction Program (3DSSPP) method to get the force on the low back disc. The results of the analysis of the 6 work postures P1 and P2, showed a significant decrease (p <0.05) in the average compression force in the low back disc L4 / L5 on the work posture using modified enggrong. Enggrong modification lowers compression in low back disc L4 / L5 by 38.73% (P1 2143.8 ± 411.3 N; P2 1320.2 ± 418.4 N), anterior / posterior shear 46.17% (P1 542, 6 ± 103.9 N, P2 292.1 ± 81.2 N), and lateral shear 29.69% (P1 31.2 ± 22.08 N; P2 16.6 ± 14.28 N) compared with the use of enggrong standard. The threshold value for compression 3400 N and anterior / posterior shear is 700 N, then the compression and anterior / posterior shear values in Period 2 are well below the threshold. Decrease in the press force in low back disc L4 / L5 is as a result of changes in work posture workers who work using modification enggrong. It can be concluded that the use of modification enggrong can decrease the compressive force in the low back disc L4 / L5 so as to reduce the low back pain occurs to the workers.


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