Musculoskeletal disorders among male sewing machine operators in shoemaking

Research on the relationship between the operation of sewing machines and the appearance of musculoskeletal disorders has been conducted mainly among women working in garment or textile production, in developed countries; little is known about male sewing machine operators in other industries, in less developed countries. This study involved 143 Mexican men operating sewing machines in eight shoe factories; 132 of them operated flat-type machines, 11 column-type machines. When studied, the operators had been in this task for at least one year. The study aimed to identify the body regions more liable to develop musculoskeletal disorders and the rates both of appearance of such troubles and of sick leave resulting from them. A questionnaire was given to each worker, asking for their work history, the presence of musculoskeletal disorders at the time of the inquiry, and the frequency of sick leave during the previous 12 months; additionally, a number of workers were filmed on video and this material was then used to identify the body regions undergoing the major work demands. 47·5% of the subjects declared current musculoskeletal disorders; a statistical difference was found when the two groups were considered separately. Low back pain was the most frequent at a rate of 18·2% for both groups; the shoulder was a site of complaint for 14% of the subjects, being three times more frequent among column-machine operators; the back as a whole was mentioned also by 14% of the subjects, all of them flat-machine operators; 4·9% of the subjects complained of neck pain and again none of the column-machine operators was affected. Only one subject had taken sick leave because of musculoskeletal problems. The body regions affected were those expected from the analysis of the video recordings and were consistent with those reported for occupations involving similar postures and movements. The rates of musculoskeletal complaint found in this study are lower than those reported by other authors who have studied sewing machine operators; taking sick leave is a very rare choice for the workers studied.     

Investigation of musculoskeletal symptoms and ergonomic risk factors among female sewing machine operators in Turkey

This cross-sectional study aimed to identify the prevalence of musculoskeletal symptoms and ergonomic risks in female sewing machine operators at a textile company. The study sample comprised all female sewing machine operators in the company. The sample included 283 sewing machine operators. Data were collected through the use of the adapted Nordic Musculoskeletal Questionnaire and by direct observations via the rapid upper limb assessment (RULA) to determine ergonomic risks. RULA is a validated tool for assessment of ergonomic risks. The mean age of the women was 30.2 (SD: 8.4) and the mean number of years of employment was 13.4 (SD: 5.5). The highest prevalence rates for the women’s musculoskeletal symptoms were in the trunk (62.5%), neck (50.5%), and shoulder (50.2%). Of the women, 65% had experienced musculoskeletal pain or discomfort over the last 6 months. Pain intensity of these symptoms was assessed with a visual analogue scale. The average pain intensity of the women was found to be 3.5 (SD: 2.8). Results of the RULA scores were found to be quite high. There were no employees who received RULA scores of 1–2, which indicates acceptable postures (all scores >5). The final RULA scores of 6.9 indicate that the participants’ postures at their work stations need to be investigated immediately.

Relevance to industry

This study based on the RULA method allowed to perform a rapid and quite correct evaluation tolls for SMOs. For this research population, the research findings provided fundamental data on the prevalence of musculoskeletal symptoms and ergonomic risks among Turkish female SMOs.     

Comparison of ergonomic risk assessment outputs from OWAS and REBA in forestry timber harvesting

Globally, work-related (musculoskeletal disorders (MSDs) are one of the most important health problems encountered by ergonomists. Forest work, especially logging harvesting, is traditionally recognized as one of the most difficult types of physical work and has distinct characteristics. Harvesting works in forestry are composed of the following work stages: logging, skidding, and loading. This study aimed to examine risk factors of MSDs associated with different work postures during harvesting under variable external conditions by comparing work stages using the Ovako Working posture Assessment System (OWAS) and Rapid Entire Body Assessment (REBA). A statistically significant difference was observed between the two methods. While the difference in risk to the musculoskeletal system was statistically significant in different work stages using REBA, logging and skidding were assigned to the same risk level using OWAS. Easy-to-use ergonomic hand tools should be developed that are suitable for working conditions and help reduce MSD risk in forestry workers.     

Quantitative and qualitative assessment of musculoskeletal disorders and socioeconomic issues of workers of brick industry in Pakistan

Brick industry, in Pakistan, is prominent and provides job to 3.1 million people only in one province. The industry hires different percentage of workers for different stages of brick formation and these stages trigger musculoskeletal disorders (MSDs) in workers. This study identifies relation between 5 work stages and MSDs in 9 body parts and also finds socioeconomic sufferings inflicted by the industry and removal of research gap at national level. We conducted both qualitative and quantitative research. 105 men and 45 women from 15 brick kilns were selected as subject. Rapid Upper Limb Assessment (RULA) and Rapid Entire Body Assessment (REBA) sheets, Standard Nordic MSDs Questionnaire along with general questionnaire, still photography and video recording were used to carry out the study. About 96% workers involved in mixing & molding complained tiredness at end of day. Similarly, 90% male and 83% female staff performing spreading task suffered tiredness after their duty hours. Workers engaged in different tasks reported varying levels of pain in observed body parts. Digging and carrying jobs caused significant pain in body parts including neck, upper back, shoulders, lower back and hips. Mixing and molding emerged most dangerous activities for most of the body parts and exhibited 7 score on RULA. Furthermore, mixing and molding demonstrated high to very high risk level by showing 9 and 13 higher score on REBA, respectively. The current study divulged that all observed work tasks during manufacturing and transportation of bricks are equally dangerous for pain generation in lower back. Many socioeconomic issues like residency of workers in muddy house (83%) low monthly income (<90.3 $) of 83% workers, higher tendency of alcoholism and smoking in men, lack of health facilities and higher illiteracy rate were also identified. The enhanced musculoskeletal disorders during brick making process render the brick industry unhealthy for work. This dismal picture requires an improvement in quality of life and occupational environment of workers of the industry. Well organized duty timings, modified working posture, job rotation and preliminary training perhaps manage these miseries and the output of the brick industry may increase many fold.     

DASH questionnaire for the analysis of musculoskeletal symptoms in industry workers: a validity and reliability study

Purpose

The disabilities of the arm, shoulder and hand (DASH) questionnaire is a self-administered region-specific outcome instrument developed as a measure of self-rated upper-extremity disability and symptoms. The aim of this study was to evaluate the reliability and the construct validity of the DASH questionnaire by establishing its correlation to the Medical Outcomes Study Short Form-36 (SF-36) in industry workers. Also we aimed to investigate whether the DASH can be used as a standardized questionnaire to evaluate the work-related musculoskeletal disorders (WMSDs) in upper extremity in industrial settings and epidemiological studies.

Material and methods

The Turkish version's reliability and construct validity were evaluated in 240 industry workers with upper-extremity musculoskeletal complaints. Workers were asked to complete a packet that included the DASH and the SF-36. Test-retest reliability was assessed in all workers who filled in the DASH questionnaire 15 days later. Construct validity was evaluated by comparing the overall and work component DASH scores with SF-36 summary and subscales.

Results

The mean DASH score for the textile workers whose duties were confection, dyeing, sewing, quality control and packaging was calculated as 65, 55, 68, 54 and 67, respectively. As a result of this study, pain intensity in shoulder, wrist and hand was significantly associated with the DASH score (p<0.05). Internal consistency of the DASH was high (Cronbach alpha 0.91). Test-retest reliability was excellent for the overall DASH (intraclass correlation coefficient (ICC) 0.92). Moderate correlations (p<0.05) were found between the overall and work component DASH and the SF-36 summary scales. Pearson correlation coefficients of the overall and work component DASH to the SF-36 subscales ranged from −0.33 to −0.82.

Conclusion

These results support that DASH is a reliable and valid instrument to measure functional disability and investigate the ergonomic risk factors in textile workers with upper-extremity musculoskeletal complaints.     

Assessment of working conditions in two different semiconductor manufacturing lines: Effective ergonomics interventions

This article examines two manufacturing lines producing semiconductors using different technology concepts, namely Conventional Line (CL) and Lean Production Line (LPL). Both lines manufacturing the same products were compared using various factors, including working conditions, task risks and dangers of the job, and physical body stress. Ergonomic approaches were adopted in the investigation of the two lines. Survey questionnaires were administered to 30% of the workers, and multiple statistical tests were used to determine crucial predictors and to investigate the interactions between the factors. This research has shown that improved ergonomics factors will lead to better working conditions and thus increased job satisfaction. The observed ergonomic differences of these two production lines are compared, and appropriate managerial remedial action is recommended. The interventions to both the lines should reduce accident rates, minimize waste of resources, improve work effectiveness, and provide a better working environment that enhances employees' morale and maximizes productivity and profits. © 2010 Wiley Periodicals, Inc.     

Risk of slaughterhouse workers developing work-related musculoskeletal disorders in different organizational working conditions

Job rotation is defined as workers rotating between tasks with different exposure levels and occupational demands. The aim of the present study was to analyze the risk factors for the development of upper-limb work-related musculoskeletal disorders (UL-WMSDs) in poultry slaughterhouse workers as well as compare the score of the OCRA Checklist in different organizational working conditions. In this cross-sectional study, 118 workers were involved, 68 women (32.3 ± 10.7 years) and 50 men (29.5 ± 10.5 years). Three organizational configurations (“without job rotation”, “with job rotation – tasks >1h” and “with job rotation - tasks <1h”) were evaluated using the OCRA Checklist method, totaling 36 tasks and 28 job rotation schemes composed of 2–3 tasks. The OCRA score of the right upper limbs (17.8 ± 3.2) was significantly higher (p = 0.046) relative to the left upper limbs (16.4 ± 3.6). The median score was significantly lower in the “with job rotation - tasks <1h” condition (18.6) when compared to the “job rotation – tasks >1h” (19.4) (p < 0.001) and the “without job rotation” (19.0) (p = 0.038) conditions. However, there was no significant difference between the condition “with job rotation - tasks >1h” and “without job rotation” (p = 0.155). Thus, job rotations with intervals <1h reduced the risk of developing UL-WMSDs. Job rotations with <1 h intervals in poultry slaughterhouses are recommended along with further studies to verify the effectiveness of rotations with more than two tasks, involving mild or non-repetitive tasks.     

Musculoskeletal outcomes in multiple body regions and work effects among nurses: the effects of stressful and stimulating working conditions

This study investigated the various stressors encountered by the nursing profession. In particular, the following hypotheses were tested: (1) working conditions of nurses significantly affect perceived risk of injury and illness, work dissatisfaction, work satisfaction, energy state at the end of workday, the effort exerted by the registered nurse (RN), psychosomatic outcomes, and musculoskeletal symptoms (in multiple body regions); (2) both intermediate work effects (i.e., effort, perceived risk of injury/illness, work satisfaction/dissatisfaction, energy state at end of workday) and psychosomatic outcomes significantly affect musculoskeletal outcomes (in multiple body regions); (3) both working conditions and effects significantly affect musculoskeletal outcomes. In a preliminary study conducted on 34 registered nurses, results show that: (1) stressful working conditions affect musculoskeletal outcomes in multiple body regions, and (2) physical maladies such as lower back problems are not only associated with physical factors but also with a complex interaction of working conditions. Further research is warranted to obtain a better understanding of the complex interaction and the synergistic effects of the various nursing working conditions.