Developing a comprehensive approach to risk management of musculoskeletal disorders in non-nursing health care sector employees

This study of selected jobs in the health care sector explored a range of physical and psychosocial factors to identify those that most strongly predicted work-related musculoskeletal disorders (WMSD) risk. A self-report survey was used to collect data on physical and psychosocial risk factors from employees in three health care organisations in Victoria, Australia. Multivariate analyses demonstrated the importance of both psychosocial and physical hazards in predicting WMSD risk and provides evidence for risk management of WMSDs to incorporate a more comprehensive and integrated approach. Use of a risk management toolkit is recommended to address WMSD risk in the workplace.     

Assimilation and use of ergonomic knowledge by nonergonomists to improve jobs in two electrical product assembly plants

This article describes the results of an analysis of the assimilation of ergonomic knowledge by nonergonomists during participatory ergonomics projects whose aim is the prevention of work-related musculoskeletal disorders (WMSDs). In two plants producing electrical consumer products and telecommunications equipment, ergonomic groups were established and trained. The groups analyzed seven working situations resulting in 50 implemented proposals. A reduction in WMSD risk factors was observed. The analysis of the assimilation of ergonomic knowledge by the groups and their members was based on two sources: analysis of the groups' working sessions, and independent interviews of group members. The results show that group members master most phases of the formalized ergonomic analysis. The interviews revealed that several factors influence knowledge transfer: prior training and organizational status of the group members, the didactic method used, company culture, support by management, and attitudes of coworkers. © 1997 John Wiley & Sons, Inc.     

Kinematics differences between obese and non-obese workers during vertical handling tasks

Obesity is highly prevalent in the workforce but little is known about its effects on musculoskeletal disorders risk factors, such as the posture adopted during work activity. Vertical Handling Tasks (VHT), including manual lifting and lowering loads, are quite frequent in industrial settings and are considered to be a major cause of Work-Related Musculoskeletal Disorders (WMSD). Therefore, the main objective of this study is to compare and analyse the strategies and postures adopted during VHT between obese and non-obese subjects. A kinematics study with the VICON® system was conducted within a convenience sample of 8 non-obese (4 women and 4 men) and 8 obese (4 women and 4 men) volunteers participants. Different occupational conditions were tested over 8 trials of VHT. When developing VHT, the obese group presents kinematics significant differences (p < 0.05), compared with non-obese, namely: a decrease in the duration of the tasks, an increase in the horizontal distance between the load and the body worker, and an increase of the trunk sagittal flexion. This study demonstrates that obese individuals are exposed to a higher level of WMSD risk, during VHT performance.Relevance to industryThe findings are relevant to ergonomic workstations/job design for obese workers. This study defends that obesity can be a WMSD risk factor during VHT frequently found in industry, pointing to the need of companies to include this factor during ergonomic interventions on workstations and to adopt obesity prevention measures.     

Negotiating participation: understanding the "how" in an ergonomic change team

In participatory ergonomic (PE) interventions, "how" effective participation by workplace parties can be achieved remains unclear. We conducted a case study of the dynamics of an ergonomic change team (ECT) process in a medium-sized (175 employees) automotive foam manufacturing plant. We present analyses of observer field notes and post-intervention interviews from which key elements on the dynamics of the "how" emerged: (1) impacts of facilitators' involvement and interests; (2) tensions in delimiting the scope of ECT activities; issues around (3) managing meetings and (4) realizing labour and management participation; and (5) workplace ECT members' difficulties in juggling other job commitments and facing production pressures. We highlight the ongoing negotiated nature of responses to these challenges by labour, management and ergonomic facilitator members of the ECT. We argue for greater examination of the social dynamics of PE processes to identify additional ways of fostering participation in ergonomic project implementation.     

Low back injury risks during construction with prefabricated (panelised) walls: effects of task and design factors

New technology designed to increase productivity in residential construction may exacerbate the risk of work-related musculoskeletal disorders (WMSDs) among residential construction workers. Of interest here are panelised (prefabricated) wall systems (or panels) and facilitating an ongoing effort to provide proactive control of ergonomic exposures and risks among workers using panels. This study, which included 24 participants, estimated WMSD risks using five methods during common panel erection tasks and the influences of panel mass (sheathed vs. unsheathed) and size (wall length). WMSD risks were fairly high overall; e.g. 34% and 77% of trials exceeded the 'action limits' for spinal compressive and shear forces, respectively. Heavier (sheathed) panels significantly increased risks, although the magnitude of this effect differed with panel size and between tasks. Higher levels of risk were found in tasks originating from ground vs. knuckle height. Several practical recommendations based on the results are discussed. STATEMENT OF RELEVANCE: Panelised wall systems have the potential to increase productivity in residential construction, but may result in increased worker injury risks. Results from this study can be used to generate future panel design and construction processes that can proactively address WMSD risks.     

Low back injury risks during construction with prefabricated (panelised) walls: effects of task and design factors

New technology designed to increase productivity in residential construction may exacerbate the risk of work-related musculoskeletal disorders (WMSDs) among residential construction workers. Of interest here are panelised (prefabricated) wall systems (or panels) and facilitating an ongoing effort to provide proactive control of ergonomic exposures and risks among workers using panels. This study, which included 24 participants, estimated WMSD risks using five methods during common panel erection tasks and the influences of panel mass (sheathed vs. unsheathed) and size (wall length). WMSD risks were fairly high overall; e.g. 34% and 77% of trials exceeded the ‘action limits’ for spinal compressive and shear forces, respectively. Heavier (sheathed) panels significantly increased risks, although the magnitude of this effect differed with panel size and between tasks. Higher levels of risk were found in tasks originating from ground vs. knuckle height. Several practical recommendations based on the results are discussed.

Statement of Relevance:Panelised wall systems have the potential to increase productivity in residential construction, but may result in increased worker injury risks. Results from this study can be used to generate future panel design and construction processes that can proactively address WMSD risks.     

SEE: A proactive strategy-centric and deep learning-based ergonomic risk assessment system for risky posture recognition

Work-related musculoskeletal disorders (WMSDs) are serious workplace injuries that put workers' safety at risk. However, traditional WMSD assessments are based on the human-evaluation strategy (HES), requiring human intervention. Proactive strategy (PAS)-oriented WMSDs assessments collect data using posture data tags and special semi-human–machine equipment to improve efficiency and reduce human efforts to capture specific postures in a real-world setting. Meanwhile, more research on applying artificial intelligence-based pose machines for musculoskeletal risk assessment in various workplaces is needed. Hence, this study proposed a holistic posture acquisition and ergonomic risk analysis model with the PAS-oriented philosophy for developing a smartphone-based and workplace-based risk assessment system for WMSDs. The Convolutional Pose Machines (CPM) method was combined with a rapid entire body assessment method for the system's design. Finally, the smart ergonomic explorer (SEE) system includes three subsystems: an automotive scene capturer, an ergonomic risk level calculator, and a risk assessment reporter. A musculoskeletal risk assessment experiment with 13 poses was also carried out to validate the SEE system and compare its accuracy with manual evaluation. The result shows good agreement with the REBA score, with an average proportion agreement index (P0) of 0.962 and kappa of 0.82. It indicates that the proposed system can not only accurately analyze the working posture, but also accurately evaluate the total REBA scores. This study is hoped to provide practical advice and implications for achieving a more effective empirical response for WMSD assessment.     

Ergonomics interventions to reduce musculoskeletal risk factors in a truck manufacturing plant

Ergonomic interventions may potentially reduce MSDs, but the context of industries (barriers, ever-changing situations, dialogue processes) might play a significant role in the success of interventions. This study evaluates the effectiveness of ergonomic interventions including engineering/technical and organizational interventions, and the involvement of the stakeholders in reducing musculoskeletal risk factors/symptoms. A pre-post-test experimental study in non-randomized groups was performed over three years in a sector of a truck assembly plant. The mean age of the operators in the sector for the initial and second assessment time was 42.0 (±7.6) years and 39.0 (±8.7), respectively. The mean length of work experience in the current job was 15.2 (±7.2) years and 13.9 (±7.3) for the initial and second assessment times, respectively. Five engineering ergonomic solutions and organizational interventions were implemented after a comprehensive ergonomic analysis. The organizational interventions consisted mostly of transferring and redistributing the tasks, i.e., ergonomically balancing and redesigning of the workstations. Before performing the interventions, the findings of the ergonomic study were presented at several meetings to encourage the involvement of the stakeholders (including managers, engineers, and operators) in the interventions. This study showed that a combination of ergonomic measures—engineering and organizational interventions—could reduce physical workloads. Musculoskeletal symptoms decreased after interventions although the difference was not significant.     

Work-related pains among the workers associated with pineapple peeling in small fruit processing units of North East India

The present study aimed at investigating work-related pain issues among the workers associated with pineapple peeling activity in small fruit processing units of North East India. The study also assessed the associated levels of ergonomic risk prevalent among the workers and identified ergonomic risk factors associated with pineapple peeling task. A cross-sectional survey was conducted using questionnaire-based interview, pain self-report and direct observation of the activities to understand the prevailing work conditions. Rapid Upper Limb Assessment (RULA) was used to assess the level of ergonomic risks involved. Prevalence of pain, in different body parts of the participants, was found evident with a higher percentage of participants reporting pain in shoulders (41.1%), upper arms (37.1%) and lower back (45.7%) while some had also reported of pain in neck (13.2%), lower arms (15.9%), wrists (12.6%) and palm (6%). For RULA, 89.4% of the participants had a grand score greater than equal to 5 which fell under action level 3 indicating for further investigation and changes soon. Hence, various risk factors influencing pain occurrences were identified using logistic regression, and factors like age, gender, hours of peeling, frequency of rest breaks, perceived work fatigue and years of experience, were found to be associated with risk of pain in at least one of the body parts. Identification of these risk factors laid down path for the future course of actions and improvements to address the work pain related issues among workers.Relevance to industryThe study established pain prevalence associated with manual pineapple peeling task and identified the potential risk factors, laying down basis for possible future actions to address work pain related issues and enhance productivity of the workers.     

Implementation of a participatory ergonomics program in the rehabilitation of workers suffering from subacute back pain

This paper describes a participatory ergonomics program aimed at early return to regular work of workers suffering from subacute occupational back pain and assesses the perceptions of the participants on the implementation of ergonomic solutions in the workplace. The participatory ergonomics program was used in the rehabilitation of workers suffering from subacute back pain for more than 6 weeks, a program that was associated with an increased rate of return to work. The perceptions of the participatory ergonomics participants were assessed 6 months after completion of the ergonomic intervention through a questionnaire sent to employer representatives, union representatives and injured workers of participating workplaces. About half of the ergonomic solutions were implemented according to the perception of the participants, with a substantial agreement between respondents.     

Intel's incident-free culture: a case study

The occupational ergonomic program that Intel's newly established manufacturing plant in Israel implemented in 1997 helped prevent injuries and also marked the launch of a whole new approach to ergonomics. A key element in the success of the seven-point program was a strong commitment from management, which came to regard this plan as a vital strategic element in the new plant's success. Comprehensive, top-down planning imposed obligations on all elements in the manufacturing spectrum, from suppliers to contractors to employees. Work requirements were set; cooperation with the plant's occupational health professionals was established; and long-term reporting and instruction systems were developed. Extensive ergonomic training was a crucial factor in integrating ergonomic procedures into the organization's day-to-day activities. Along with this instructional program, ergonomic engineers implemented a strict measuring system to ensure that each ergonomic activity would be performed according to schedule. By the time the factory opened its gates and began to produce, a vigorous ergonomic environment had emerged and employees were displaying an ergonomic mindset that also impinged upon their non-work activities. As a result of the successful implementation of the program, Intel's ergonomic program has become a model for Israeli industry. This paper presents a full ergonomic program that besides supplying the Intel plant with solutions was unique enough to impact the whole Israeli industry.     

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).     

Lean job design and musculoskeletal disorder risk: A two plant comparison

This study examined the relationship between lean job design and work‐related musculoskeletal disorder (WMSD) risk factors. Repetition, force, and posture were assessed for a sample of 56 production jobs across departments at a lean automobile‐manufacturing plant and compared to 56 similar jobs at a traditional automobile‐manufacturing plant. The results showed greater productivity in the lean plant: less waiting (p = .006) and walking (p < .001); and greater repetition exposure (p = .001). The mean rating for repetition was 5.5 in the lean plant, compared to 5.0 in the traditional plant based on the Latko (1997) hand activity level scale. However, the lean plant had significantly lower peak hand force ratings (p = .01). When examining force and repetition combined, the lean plant had a lower percentage of jobs above the American Conference for Governmental Industrial Hygienists (ACGIH)‐recommended Threshold Limit Value (TLV^®). The findings suggest that lean manufacturing does not necessarily increase workers' risk for WMSD injuries. © 2009 Wiley Periodicals, Inc.     

Ergonomic intervention during a gas processing plant refurbishment

The potential for human error has been shown to increase in the transitional phase of technological modernisation in process industries. Studies have shown there is a need for a systematic and disciplined approach to problem solving and identifying factors influencing human performance to minimise the impact of change in these circumstances.The aim of this study was to provide ergonomic intervention to assist personnel to reduce the potential for human error and optimise working conditions during a gas plant control room refurbishment. The terms of reference were; to identify factors likely to interfere with operators performance during the transition to a new layout and their operational procedures, to assist in altering operational practice and decision making during this period where necessary, and assess the effectiveness of any changes recommended.The continually changing work situation required client/consultant collaboration, staff support and identification of problems as they arose. Action research was adopted as the basic methodological approach. Preliminary investigations identified factors which might interfere with operators' performance. Structured aids were developed, and technical advice given, together with ongoing ergonomic input (feedback and on-site support). The structured aids proved to be of benefit although the modernisation process was underway before the start of this study. The technical advice offered was judged to be beneficial by senior management and project staff. Overall the ongoing ergonomic involvement and input was seen by the client as contributing most to smoothing the technological transition, reduction of human error and the impact of the change process.Relevance to industryThis study highlights the value of a continuing role for ergonomic intervention throughout the course of a technological change project. The approach and techniques adopted here can be used to provide support in future situations within industry.     

Predictors of a successful implementation of an ergonomic training program

Job, organizational and individual predictors of a successful implementation of an ergonomic training program were evaluated in a single-case study. The conceptual model of learning transfer of Baldwin and Ford (1988) was adapted for an ergonomic context. 116 employees in a large production company underwent a comprehensive ergonomic training. Transfer of training into practice was measured by the number of ergonomic improvements which were realized in the company in the years after the training. Job, organizational and individual variables explained 35% of the variance of learning transfer in to the organization. Psycho-social resistance attitudes and management support were found to be the most important predictors of implementation failure and success.     

Ergonomic effects of a management-based rationalization in assembly work - a case study

Due to unsatisfactory productivity, a large company in the Swedish manufacturing industry decided to rationalize their assembly system. The intended rationalization comprised several changes with deliberate ergonomic implications. The main aim of the present study was to evaluate the impact of the rationalization on the physical work load of the operators. The work load was assessed before and after the changes using expert observations, company records and direct technical measurements. The results indicate that the intervention led to only minor changes in muscle load, body postures and movement patterns. Several of the planned initiatives were never implemented, e.g. teaching the workers multiple skills and designing work stations at which a major part of the assembly sequence could be performed. This was mainly due to a policy revision caused by changes in the market situation. In spite of the company's original intentions, the revised production system contained only minor ergonomic improvements. Thus, the realization of the ergonomic potential in a rationalization seems to depend on management culture, as well as factors outside the company.     

Verifying Contextual Refinement with Ownership Transfer

Contextual refinement is a compositional approach to compositional verification of concurrent objects.There has been much work designing program logics to prove the contextual refinement between the object implementation and its abstract specification.However,these program logics for contextual refinement verification cannot support objects with resource ownership transfer,which is a common pattern in many concurrent objects,such as the memory management module in OS kernels,which transfers the allocated memory block between the object and clients.In this paper,we propose a new approach to give abstract and implementation independent specifications to concurrent objects with ownership transfer.We also design a program logic to verify contextual refinement of concurrent objects w.r.t.their abstract specifications.We have successfully applied our logic to verifying an implementation of the memory management module,where the implementation is an appropriately simplified version of the original version from a real-world preemptive OS kernel.     

Job stress management and ergonomic intervention for work-related upper extremity symptoms

In practice the secondary prevention of work-related upper extremity (WRUE) symptoms generally targets biomechanical risk factors. Psychosocial risk factors have also been shown to play an important role in the development of WRUE symptom severity and future disability. The addition of a stress management component to biomechanically focused interventions may result in greater improvements in WRUE symptoms and functional limitations than intervening in the biomechanical risk factors alone. Seventy office workers with WRUE symptoms were randomly assigned to an ergonomics intervention group (assessment and modification of work station and stretching exercises) or a combined ergonomic and job stress intervention group (ergonomic intervention plus two 1-h workshops on the identification and management of workplace stress). Baseline, 3- and 12-month follow-up measures of observed ergonomic risks and self-reported ergonomic risks, job stress, pain, symptoms, functional limitation, and general physical and mental health were obtained from all participants. While both groups experienced significant decreases in pain, symptoms, and functional limitation from baseline to three months with improvements continuing to 12 months post baseline, no significant differences between groups were observed for any outcome measures. Findings indicate that the additional two-session job stress management component did not significantly enhance the short- or long-term improvements brought about by the ergonomic intervention alone.