Assessing exposure to risk factors for work-related musculoskeletal disorders using Quick Exposure Check (QEC) in taxi drivers

Work-related musculoskeletal disorders (WMSDs) are a common health problem throughout the world. This study aimed to examine the risk factors that are involved in the development of WMSDs in taxi drivers. In total 382 taxi drivers were observed using Quick Exposure Check (QEC) observational tool, which allows practitioners and workers to assess four key areas of the body. Results of the QEC scores were found to be very high for the shoulder/arm, wrist/hand and neck, whereas the scores for the back were found to be high for static use and moderate for moving. The results also showed that the occupational risk factors for WMSDs were associated with restricted postures, repetitive movements, vibration, work related stress. Essential ergonomic interventions are needed to eliminate risk of exposures to WMSDs in taxi drivers.Relevance to industryThe study results have relevance for ergonomists, health and safety practitioners as well as the drivers themselves, and helpful for estimating the main physical risk factors for WMDSs before choosing a method prior to an ergonomic intervention in industry.     

Legal system and its effect for prevention of work-related musculoskeletal disorders in Korea

This study aims to introduce the legislation of occupational safety and health regulations for prevention of WMSDs in Korea and investigate its effect by showing an ergonomic intervention effort in a major motor company. In Korea, WMSDs incidence rates had increased from 1999 to 2003, and it is noted that its increment jumped rapidly in 2002 and 2003. The Korean government established a law prescribing employers’ duty of preventing WMSDs in 2002, which began effective in July, 2003. Following the legislation, all employers should execute the examination of WMSDs risk factors for the eleven designated tasks every three years. In addition to this legal obligation, some large companies voluntarily established an ergonomic intervention program by carrying out in-depth assessments for stressful tasks using OWAS, RULA, NLE, etc. We introduce a major motor company case to illustrate the industry’s activities of fulfilling the legislative requirement and of performing ergonomic assessments. Thanks to Korean government and industry’s effort for prevention of WMSDs, the incidence rates of WMSDs have continually decreased from the year of 2004, right after the year when the WMSDs-related regulation was enforced.

Relevance to industry

In spite of booming of information technology industries and automation of manufacturing processes in Korea, many workers are still exposed to the risk of WMSDs including awkward postures, stressful force exertions, repetitive motions in manufacturing and agriculture industries. WMSDs cases alone constitute 43.1% of occupational diseases in Korea and the industry’s effort of ergonomic intervention of WMSDs becomes a major issue to both the management and the labor union.     

Study protocol and baseline results for a quasi-randomized control trial: An investigation on the effects of ergonomic interventions on work-related musculoskeletal disorders,quality of work-life and productivity in knowledge-based companies

IntroductionWork-related musculoskeletal disorders (WMSDs) are the major causes of lost workdays, increased costs, and occupational diseases in all countries. The prevalence of WMSDs among the workers in small and medium-sized enterprises in Iran was reported as 73%. This paper aimed to describe the design of an interventional study to investigate the effects of ergonomic interventions on work-related musculoskeletal disorders, quality of work-life, and productivity among office workers of knowledge-based companies and introduce the results obtained from the baseline survey.Methods/designIt was a quasi-randomized control trial study on 313 participants with four parallel groups including ergonomic training intervention; management training and work changes intervention; ergonomic training, management training and work changes intervention; and non-interventional control group. The primary outcome was WMSDs, and the secondary outcomes were occupational stress factors, quality of work-life, and productivity. All primary and secondary outcomes were measured before the interventions, one, three, and six months after the interventions.ResultsAt this phase of study only baseline results were reported. 328 participants, with a mean age of 31.97 years (SD = 5.39), completed the baseline survey and entered the study. The highest prevalence of musculoskeletal disorders was found in neck (52.13%), right shoulder (41.16%) and right forearm (37.2%), respectively.ConclusionErgonomic interventions were conducted based on baseline data of the participants at individual and management levels. The focus of training program interventions was to reduce musculoskeletal disorders in upper limbs; in management training and work changes program, the focus was to increase social support.Trial registrationIRCT registration number: IRCT20181204041840N1 (date of registration: 2019-02-05).     

The investigation of work-related musculoskeletal disorders among female workers in a hazelnut factory: Prevalence,working posture,work-related and psychosocial factors

BackgroundWork-related musculoskeletal disorders (WMSDs) are the most common occupational health problems in the industrialized world. The identification of WMSDs specific to occupation is essential to plan and implement preventative programs. This study investigated the prevalence of WMSDs and determined the factors related to the severity of the most common disorders among female workers in a hazelnut factory.MethodsA total of 114 female workers were examined in this cross-sectional study using the Nordic Musculoskeletal Questionnaire, the Dutch Musculoskeletal Questionnaire, and an author-developed questionnaire (for socio-demographic characteristics and psychosocial factors). Working posture, craniovertebral angle, thoracic kyphosis angle (TKA), and lumbar lordosis angle were evaluated based on a photogrammetry method using the ImageJ program.ResultsThe prevalence of WMSDs in at least one body part during the last 12 months was 92.1%. The highest prevalence of WMSDs was in the lower back (61.4%), neck (57.9%), shoulder (53.6%), and upper back (45.6%). The least affected part was the elbow. Lower back, shoulder, and neck disorders were the most common causes of activity limitation. The severity of lower back pain was associated with stress in the workplace and work-related factors. The neck pain severity was related to craniovertebral angle and work-related factors. The shoulder pain severity increased with TKA and employment duration. TKA was related to upper back pain severity.ConclusionsWMSDs are common among female workers in a hazelnut factory. Reorganizing of working posture, work-related factors, and stress at work may be beneficial to decrease the prevalence of WMSDs and pain severity.Relevance to Industry; The female workers in the hazelnut factory are vulnerable to the work-related musculoskeletal disorders, particularly in the spinal region. The employers should endeavor to improve the health of the workers by the adjustment of the working posture and environmental factors.     

Optimization of the operating parameters of a grass trimming machine

Hand-arm vibration syndrome (HAVS) is very common among the workers operating power tools and doing similar nature of work for long hours. Grass trimming is one of the operations that involves use of vibrating cutter, and results in hand-arm vibration among workers. In this study, the influence of several operating parameters (length of nylon cutting thread, engine speed and handle material) is investigated in terms of HAV. Data are analyzed via orthogonal array, main effect, signal-to-noise (S/N) ratio, and analysis of variance to determine the appropriate operating parameter levels to minimize HAV. Operating parameters under investigation are found to be influential in controlling HAV generation during grass trimming operation. Experiments are carried out for measuring hand-arm vibration using tri-axial accelerometer conforming the effectiveness of this approach. Results show that 100 mm length of nylon thread, 3000 ± 400 rpm of engine speed and ABS handle material combination results in minimum HAV (HARM) of magnitude 2.76 m/s². Through this study not only the optimal operating parameter levels for GTM are obtained, but also the main process parameters that affect the HAV are determined. The optimum HAV obtained through appropriate level selection of operating parameters, significantly reduces the occurrence of HAVS among the grass trimmers.     

Risk assessments of work-related musculoskeletal disorders among the TFT-LCD manufacturing operators

The thin film transistor liquid crystal display (TFT-LCD) industry is one of the major industries in Taiwan, yet few studies addressed its work-related musculoskeletal disorders (WMSDs). Thus, this study aims to evaluate the risk of WMSDs among the operators of a TFT-LCD manufacturing company in Taiwan by using the subjective questionnaire and ergonomic assessment tools. First, the NMQ survey was conducted among 393 operators, accounting for 94% of all operators in the TFT-LCD plant. The results showed that the prevalence of WMSDs was 31.8%. Among the various body parts, the highest prevalence of WMSDs was found in neck and shoulders (20.4%), while upper limbs were with the lowest prevalence (9.2%). Besides, the prevalence of WMSDs tends to be affected by both work factors and operator factors. Those who were more experienced, working in day shift and involved in the Array process tend to have a higher prevalence of WMSDs. Further, female and domestic operators reported a higher prevalence of WMSDs than male and foreign operators. Moreover, the jobs of 50 employees were analyzed using ergonomic assessment tools including OSHA MSDs, BRIEF, OWAS, 3D SSPP, and NIOSH lifting equation. The findings indicated that inadequate working height, restricted working space, awkward postures, overweight load, and high repetition were the major risk factors of WMSDs. Thus, countermeasures such as redesigning the workstations and material handling carts, proactive training of manual material handling, and providing safety clearance are recommended to enhance the occupational health and safety of the TFT-LCD operators.     

Interaction between physical and psychosocial risk factors on the presence of neck/shoulder symptoms and its consequences

This study aimed to quantify the interaction between physical and psychosocial factors on the presence of neck/shoulder symptoms (NSS) and its consequences (reduced activities and absenteeism) among 1294 coal mining workers in Indonesia. A self-administered questionnaire was used to obtain information on current workplace exposure and NSS and its consequences. Participants were grouped into one of four combination exposure groups: low physical and low psychosocial (as the reference group); low physical and high psychosocial; high physical and low psychosocial, and high physical and high psychosocial (HPhyHPsy). The attributable proportion (AP) due to interaction between both factors was examined. Individuals in the HPhyHPsy group were most likely to report NSS [odds ratio (OR) 4.83, 95% confidence interval (CI) 2.43–9.58], reduced activities (OR 3.90, 95% CI 2.36–6.43), and absenteeism (OR 3.91, 95% CI 2.11–7.25). This study has shown an interaction between physical and psychosocial factors that increases the OR of NSS (AP 0.49, 95% CI 0.08–0.89).

Practitioner Summary: Although physical and psychosocial factors are known to be predictors for NSS, little is known about their interaction. Self-reported questionnaire was used to obtain information about physical and psychosocial factors at work. This study found an interaction between the physical and psychosocial risk factors that increases the odds ratio of NSS.     

A multi-criteria methodology for evaluating alternative ultrasound devices

Abstract

Several surveys and clinical studies report high prevalence of work-related musculoskeletal disorders (WMSDs) among sonographers and sonologists. Better performing ultrasound devices can increase the number and quality of examinations, but also reduce the user comfort and increase the risk of WMSDs. This should lead the choice of the device to buy and use. To support hospitals or diagnostic centres in selecting the best ultrasound device, this study provides a structured methodology based on a multi-criteria approach, the Analytic Hierarchy Process. It has a Goal (to optimise workers’ well-being and satisfy company production objectives) and 45 evaluation elements. It was applied in an Italian hospital comparing 3 alternatives: wireless, portable, and cart-based. The latter proved to be the best in satisfying the Goal, whereas a previous study obtained that the wireless device was preferable considering only the ergonomic point of view. The case study validated the applicability of the methodology.

Practitioner summary: This paper provides the decision-makers of hospitals or diagnostic centres with a multi-criteria methodology to select the best ultrasound device capable of optimising workers’ well-being and satisfying company production objectives. The methodology can also support manufacturers of ultrasound devices in improving their products.

Abbreviations: AHP: analytic hierarchy process; AIUM: American Institute of Ultrasound in Medicine; BSI: British Standards Institution; CEN: European Committee for Standardisation; EU-OSHA: EU Agency for Occupational Safety and Health; ISO: International Organisation for Standardisation; MCMD: multiple criteria decision-making; NIOSH: US National Institute for Occupational Safety and Health; SDMS: society of diagnostic medical sonography; WHO: World Health OrganizationWMSD: work-related musculoskeletal disorder     

Prevalence and associated risk factors of low‐back pain in textile fishing net manufacturing

This study examined the 7‐day prevalence of low‐back pain (LBP; i.e., pain within the preceding week of the survey) and identified associated factors, including working posture, for a population of fishing net assembly workers. LBP is a serious problem in manual work with high prevalence and affects worker absenteeism. A cross‐sectional survey study was conducted among textile fish net industrial workers using a structured questionnaire (hand delivered by researchers and independently completed by workers). The 7‐day prevalence of LBP in this study was 68.6% (95% confidence interval [CI]: 65 to 72%). Work factors significantly related to LBP included prolonged standing and walking. Workers 35 years old or greater were significantly more likely to experience LBP within the past 7 days preceding the survey than were those 34 years old or less (adjusted odds ratio [ORadj] = 4.9; 95% CI: 2.4 to 10.3; p = .0001). Other significant factors associated with LBP included posture position, specifically stooping (ORadj = 1.6; 95% CI: 1.0 to 2.3; p = .033), lifting (ORadj = 1.6; 95% CI: 1.1 to 2.4; p = .025), and high concentration jobs (ORadj = 1.9; 95% CI: 1.3 to 2.7; p = .001), respectively. LBP among textile fish net workers is a serious problem meriting ergonomic evaluation and design of control measures for reducing worker exposure to risk factors. Work characteristics were more significantly associated with LBP than were individual characteristics. Factories need to consider adjusting work conditions to prevent worker low‐back injuries. © 2012 Wiley Periodicals, Inc.     

Whole-body vibration exposure experienced by motorcycle riders – An evaluation according to ISO 2631-1 and ISO 2631-5 standards

Riders of twelve motorcycles, comprising 6 full-scale motorbikes and 6 motor-scooters, and 5 sedan vehicles, performed test runs on a 20.6 km paved road composed of 5 km, 5 km, and 10.6 km of rural, provincial and urban routes, respectively. Each test run of motorcycle was separately performed under speed limits of 55 km/h and 40 km/h. Tri-axial accelerations of whole-body vibration (WBV) were obtained by using a seat pad and a portable data logger, and the driver's view was videotaped with a portable media recorder. Root mean square (RMS) acceleration, 8-h estimated vibration dose value (VDV₍₈₎) and 8-h estimated daily dose of static compression dose (S_ed) were determined from the collected data in accordance with ISO 2631-1 and ISO 2631-5 standards. Experimental results indicate that the WBV values of the sedan vehicle drivers have low RMS, VDV₍₈₎ and S_ed values (RMS 0.27–0.32 m/s²; VDV₍₈₎ 6.3–8.3 m/s^1.75; S_ed 0.21–0.26 MPa). However, over 90% of the motorcycle riders had VDV₍₈₎ (mean 23.5 m/s^1.75) exceeding the upper boundary of health guidance caution zone (17 m/s^1.75) recommended by ISO 2631-1, or had S_ed (mean 1.17 MPa) exceeding the value associated with a high probability of adverse health effects (0.8 MPa) recommended by ISO 2631-5. Over 50% of the motorcycle riders reached these boundary values for VDV and S_e in less than 2 h. The WBV exposure levels of the full-scale motorbikes riders and motor-scooter riders were not significantly different. However, the RMS and VDV₍₈₎ values of motorcycle riders indicate significant roadway effect (p < 0.001), while their S_ed values indicate significant speed limit effect (p < 0.05). This study concludes that the WBV exposure levels of common motorcycle riders are distinctively higher than those of sedans, even on a regular paved road. The impact on health of WBV exposure in motorcycle riders should be carefully addressed with reference to ISO 2631-1 and ISO 2631-5.

Relevance to industry

This study compares the predicted health risks of motorcycle riders according to ISO 2631-1 and ISO 2631-5 standards. Experimental data suggest that the vibration dose value of ISO 2631-1 and daily dose of equivalent static compression stress of ISO 2631-5 have roughly equivalent boundaries for probable health effects.     

Analysis of the return on preventive measures in musculoskeletal disorders through the benefit–cost ratio: A case study in a hospital

Work-related musculoskeletal disorders (WMSDs) are among the most costly health problems that society is facing today. Prevention involves investments and it is important for organizations to make a cost–benefit analysis of ergonomic projects. Return on prevention is a recent concern in the domain of occupational safety and health (OSH). There are many studies concerning the return on the prevention of WMSDs, in terms of the benefits for the organization in which the preventive measures are implemented. However, it is also important to perform an analysis of the impact of each measure on society (externalities). A model to perform a financial and economic cost–benefit analysis related to OSH projects was developed and it was applied in the case of the prevention of WMSDs in a Portuguese hospital. An analysis of the accidents and corresponding costs has been made in six of the services of the hospital. Financial and an economic cost–benefit analysis have been made and the benefit–cost ratio (B/C) has been calculated. While the B/C financial ratio, considering only the benefits to the hospital, is around 2, the economic B/C ratio, taking into account all the external benefits that have been quantified, is higher than 14.Relevance to industryBoth the economic and the financial B/C ratio are important support tools for decision makers in public and private organizations, helping them to define which preventive measures should be implemented, taking into account the costs involved and the resulting quantified benefits, for the organization, for the workers and for the society.     

Associations of ergonomic and psychosocial work hazards with musculoskeletal disorders of specific body parts: A study of general employees in Taiwan

Background and aimsMusculoskeletal disorders (MSDs) are major occupational health concerns. This study examined the associations of ergonomic and psychosocial work hazards with the risks of MSDs of specific body parts and their distribution across a wide range of occupational groups.MethodsStudy participants comprised 8,937 male and 7,052 female employees aged 20–65 years from a nationwide survey in 2016. A self-report questionnaire was administered to obtain information regarding demographic characteristics, work conditions, ergonomic and psychosocial work hazards, and MSDs of different body parts in 12 months. Multivariate logistic regression models were used to estimate prevalence ratios of MSDs in relation to ergonomic and psychosocial work hazards.ResultsIn professionals and skilled workers, MSDs of the neck and shoulders were more prevalent, whereas in manual workers, MSDs of the hands, wrists, and lower back were more prevalent. Psychosocial work hazards, including high psychological demand and low workplace justice, were major work-related risk factors for shoulder and neck disorders, whereas ergonomic hazards were major work-related risk factors for lower back and wrist or hand disorders.ConclusionDifferent workplace hazards contribute to the risks of different MSDs. To prevent the development of MSDs, occupational health professionals should evaluate both ergonomic and psychosocial work hazards and develop health prevention programs tailored to the risk profiles of working populations.     

Work-related musculoskeletal disorders in home care nurses: Study of the main risk factors

BackgroundNurses are a risk group for work-related musculoskeletal disorders (WMSDs). Several studies reveal that nurses have high prevalence rates of injuries and symptoms related to WMSDs. However, many of these studies focus mostly on hospital nurses. Worldwide, few studies include home care nurses.ObjectiveThis work aimed to identify the body region most affected by musculoskeletal complaints in home care nursing, and subsequently develop a statistical model, that includes the main risk factors, to predict the risk of having musculoskeletal complaints in the identified region.MethodsThe research method was based on the Standardised Nordic Questionnaire applied to home care nurses working at Health Centres of northern Portugal. Univariate and multivariate models of logistic regression were used to meet the goals of this work.ResultsHome care nurses have a three times greater chance of having lumbar complaints than their counterparts working only at Health Centres (OR = 3.19 (p < 0.05), with a 95% confidence interval [1.256; 8.076]). A statistical model with seven variables (forearm posture; static postures; arm posture; arm supported; bed height; job satisfaction; assistive devices) was obtained to predict lumbar complaints.ConclusionsThe lumbar region was identified as the most affected by musculoskeletal complaints. These complaints were associated with seven factors.     

The relationship between usage intention and adoption of electronic health records at primary care clinics

Objective

Despite of emerging evidence that electronic health records (EHRs) can improve the clinical quality, enhances patient safety and efficiency. Most physicians in primary health care clinics in the Taiwan do not currently adopt EHR at their clinic practices. We aim to measure the relationship between usage intention and adoption behavior.

Study design and methods

We used structured questionnaires distributed both EHRs adopter and non-adopter group to the primary health care physicians which participated in the DOH project to establish the information exchange environment across Taiwan. The response rate of adopter and non-adopter is 54.7% and 55.0% respectively.

Measurements

EHRs adoption behavior.

Results

The EHRs adopter group has higher intention than non-adopter (p = 0.003). From the result of logistic regression analyses, we found the key factors affecting physicians’ adoption pattern were intention to use (OR: 2.85; 95% CI: 2.30–3.54). In addition, higher perceived usefulness (OR: 1.29; 95% CI: 1.06–1.56) and perceived ease to use (OR: 1.48; 95% CI: 1.22–1.79) increase adoption of EHR found.

Conclusion

The intention to use EHR, perceived usefulness and ease to use of primary care physicians were found as key factors influencing EHRs adoption. Thus, we suggest that government should promote the potential benefits of EHR and enhance physicians’ willingness to adopt the EHRs at their clinic practices.     

Occupational hazards survey among coal workers using hand-held vibrating tools in a northern China coal mine

ObjectiveProlonged exposure to hand-transmitted vibration (HTV) is associated with an increased risk of hand-arm vibration syndrome (HAVS). This study aimed to identify the signs and symptoms associated with coal workers using hand-held vibrating tools in a northern China coal mine, and to determine the risk factors for HAVS.MethodsA cross-sectional survey was conducted of 167 male workers with part-time exposure to HTV. A structured questionnaire was administered to the workers along with a series of function tests. The frequency-weighted vibration acceleration of hand-held tools was measured. The prevalence ratio and symptom correlation to HAVS among the different subgroups were evaluated.ResultsThe prevalence of hand numbness, carpal tunnel syndrome, hand ache, tinnitus, memory loss, dizziness and headache showed significant differences in the longer-exposure groups (working years > 3 years or the daily-exposure duration > 2 h), compared with the control group (P < 0.05). Function tests showed abnormal findings only in vibration sensation and the X-ray examination of the longer-exposure groups (P < 0.05). The logistic regression analysis showed that longer working years, higher daily exposure and alcohol consumption were risk factors, while wearing anti-vibration gloves showed protective effects for hand numbness.ConclusionsThis study has identified the main signs and symptoms of HAVS among coal workers exposed to HTV in China. More information related to occupational safety and health programs are required to reduce the risk of HAVS.     

Tuned vibration absorber for suppression of hand-arm vibration in electric grass trimmer

Prolonged use of electric grass trimmer exposes the user to the risk of hand-arm vibration syndrome. A simple approach for the suppression of hand-arm vibration in electric grass trimmer is presented. The proposed system is a tuned vibration absorber (TVA). Modal analysis and operating deflection shape analysis of the electric grass trimmer were carried out and a TVA was designed and fabricated for testing. The results indicated that minimum vibration level was related to the position of the TVA on the shaft of electric grass trimmer. The TVA was found to have best performance with 95% reduction on the acceleration level at position 0.025L. The results from modal analysis and operating deflection shape revealed that the presence of TVA has successfully reduced the large deformations of the handle where the node was shifted nearer to the handle location. The effect of TVA was also evaluated during field test involving grass trimming operation and subjective rating. The results indicated that average reduction of frequency-weighted rms acceleration in the Z_h- axis was 84% and 72% in X_h- axis for the cutting operation. For the no cutting operation, the reduction is 82% in Z_h- axis and 67% in X_h- axis. The presence of TVA in the electric grass trimmer has amplified the vibration level in Y_h- axis by 19% (no cutting) and 21% (cutting). From the field test, subjective rating of vibration perception consistently rate better for controlled electric grass trimmer.

Relevance to industry

The tuned vibration absorber when installed to the electric grass trimmer attenuated the vibration total value by 67%. This significantly reduces the risk of hand-arm vibration syndrome.     

A multilayered ergonomic intervention program on reducing musculoskeletal disorders in an industrial complex: A dynamic participatory approach

Work-related musculoskeletal disorders (WMSDs) are closely identified with common complaints in different workplaces. This study aimed to implement an intervention program through which ergonomic measures were dynamically localized in industry. An interventional study, including three basic layers, namely, training workshops, participatory ergonomics (PE), and workstation redesign was fulfilled in an Iranian steel manufacturing complex from 2017 to 2020. A steering committee (SC) was formed following several meetings held for clarification of the project to the management team. The SC members then attended four organized workshops managed by an ergonomics specialist. Afterwards, the basics of ergonomics were transferred to action groups. After developing ergonomic assessment tools, the ergonomic problems were prioritized and numerous positive changes were made by the action groups. The findings of the tailored checklists revealed a load of WMSDs risk factors. All the three layers of the program were implemented as initiated. Ergonomics training workshops were then held and significant differences were observed between the participants' pre/posttest mean scores in all workshops (p < 0.001). Moreover, PE measures were exercised at all levels of the organization inducing enthusiastic motivation of the workforce to consider ergonomic requirements in the workplace. Consequently, the workers' innovative ideas and the managerial support yielded diverse workstation redesigns due to a growth in either the workers' ergonomics awareness or participatory culture grounding. A multilayered ergonomic intervention was implemented in this study. In conclusion, a multifaceted long-term follow-up intervention program could be applied to enhance workers’ health status and to raise system productivity.     

The prevalence of neck pain and associated risk factors among undergraduate students: A large-scale cross-sectional study

BackgroundNeck pain is a pervasive ailment causing work absenteeism, disabilities, and sleep disturbance among working adults. While the onset of neck pain in many individuals may date back to college-age, little is known regarding the prevalence of neck pain and associated risk factors among undergraduates. The current study aimed to compare the prevalence of neck pain among students in different undergraduate programs and to investigate their risk factors.MethodsUndergraduates from two universities were invited to participate in a self-administered online survey. The survey collected data regarding demographics, previous and the current neck pain symptoms, and potential risk factors (e.g., gender, age, body mass index, study programs, electronic devices usage, study hours, sports participation, and anxiety and depression levels, etc.). Multiple logistic regressions were conducted to identify risk factors for neck pain.ResultsA total of 5,195 invitation emails were sent. Of 1,002 respondents, 22.3% reported having current neck pain. Physiotherapy (26.5%) and nursing students (26.1%) had significantly higher prevalence of neck pain as compared to business students (13.2%). Anxiety (odds ratio (OR):1.11, 95%CI:1.07–1.16), concurrent low back pain (OR:3.28, 95%CI:2.15–5.00) and senior years of studies (OR:1.19,95%CI:1.01–1.41) were significantly associated with the presence of neck pain. Taller students (OR:1.02,95%CI:0.99–1.05) and prolonged smartphone usage (OR:1.05,95%CI:0.99–1.12) appeared to be associated with the presence of neck pain.ConclusionThis study not only revealed the high prevalence of neck pain among undergraduates but also identified several modifiable and non-modifiable risk factors for neck pain in this population. Specific prevention strategies should be developed and implemented to reduce the risk of neck pain in vulnerable students.     

A toolkit for the analysis of biomechanical overload and prevention of WMSDs: Criteria,procedures and tool selection in a step-by-step approach

BackgroundWhen studying work related musculoskeletal disorders (WMSDs), various factors (mechanical, organizational, psychophysical, individual) and their interrelationships have been considered to be important in general models for epidemiologic surveys and risk assessment and management. Hence the need for a “holistic” approach towards MSD prevention. On the other hand, considering the widespread presence of these factors and of WMSDs in many work places located in both developed and developing countries, there is a strong demand from OSH agencies and operators for “simple” risk assessment and management tools that can also be used by non-experts.ObjectivesThis paper is one of the main contributions towards a WHO/IEA project for developing a “Toolkit for WMSD prevention” by the TC on MSD of the IEA. The paper focuses on selecting tools at different levels for hazard identification, risk estimation and management. The proposals were primarily developed in this context but they also derive from other converging issues such as the ISO TR 12295 – published in 2014.Methods and criteriaProposals are based on two essential criteria: 1) adoption of a step-by-step approach starting with basic tools and moving to more complex tools only when necessary; 2) factoring in complexity and the presence of multiple influencing factors at every step (although with different degrees of in-depth analysis).ResultsThe proposals include: Step one: identification of preliminary occupational hazards and priority setting via “key-enter” questions (at this step, all potential hazards affecting WMSDs should be considered). Step two: identification of risk factors for WMSDs, consisting of a “quick assessment” and substantially aimed at identifying three possible conditions: acceptable/no consequences; critical/redesign urgently needed; more detailed analysis required. Step three: recognized tools for estimating risk (of WMSDs) are used depending on the outcomes of step two. Examples of such tools include “adaptations” of the Revised NIOSH Lifting Equation, Liberty Mutual Psychophysical Tables, OCRA Checklist, etc. These tools should adequately cover most of the influencing factors.Relevance to industryThe use of a step-by-step approach and validated risk estimation tools, in accordance with international standards, makes it possible to tackle the challenge of simplifying complexity in the assessment of biomechanical overload conditions and in the prevention of WMSDs in enterprises of all sizes, small businesses, agriculture, and in developing countries.     

Cross-sectional study of risk factors for symptoms in the neck and shoulder area

Abstract

This study was performed in order to evaluate how individual characteristics, as well as ergonomic, organizational and psychosocial factors in the work situation are associated with early symptoms in the neck and shoulder area. Nine hundred randomly drawn subjects of the working population in a semi-rural community in Sweden were mailed a questionnaire comprising the Nordic questionnaire on musculoskeletal symptoms, questions on ergonomic, organizational and psychosocial work conditions, life style factors, and background factors. The total response rate was 73% ( n = 637). Questions on ergonomic work conditions and on organizational and psychosocial work conditions provided the measures of exposure. Prevalence ratios (PR) were calculated for symptoms in the neck and shoulder area as reported by 303 subjects. Significant determinants for early symptoms were being a female and being an immigrant, as were repetitive movements demanding precision. High work pace, low work content and work role ambiguity were significant organizational risk factors while life style characteristics did not appear as risk factors. The results suggest that symptoms are signals not only of ergonomic deficiencies in the work situation, but in particular of work organizational conditions. Special attention should be given to the work conditions of women and immigrants in preventive interventions.