Neck pain prevalence and associated occupational factors in Portuguese office workers

ObjectiveThis study aimed to assess the prevalence of neck pain and to identify associated occupational factors in Portuguese office workers.BackgroundThere is still necessary to quantify the association of the use of new technologies with neck pain in office workers.MethodsSix hundred-and-one office workers completed online questionnaires with questions related to anthropometric parameters, work-related variables, workstation setup, and musculoskeletal pain from the Portuguese version of the Standardized Nordic Musculoskeletal Questionnaire.ResultsThe prevalence of neck pain was 56.1%. An average of 35.6% of the office workers with neck pain reported pain in more than three body segments. The significantly risk factors were “age between 50 and 65” [OR: 1.92 (1.26–2.91) P = 0.002], “working without break for 2 h” [OR: 1.82 (1.00–3.31) P = 0.05], “more than 3 h” [OR: 2.41 (1.35–4.10) P = 0.003], screen localization not centered” [OR: 2.01 (1.01–4.00) P = 0.045], and “use of computer mouse more than 50% of the worktime” [OR: 2.05 (1.14–3.71) P = 0.017].ConclusionThere was a high prevalence of neck pain and a considerable number of painful body segments in office workers. Age, working without break, screen localization and the use of computer mouse where the significant risk factors associated with the development of neck pain.Relevance to industryA high prevalence of neck pain and number of areas with pain in office workers require a detailed pain mechanism assessment. There were associated occupational risk factors for the development of neck pain. Call for concerted actions to explore optimal and efficient management plans.     

Musculoskeletal complaints among nurses related to patient handling tasks and psychosocial factors--based on logbook registrations

The aims were to evaluate the inter-method reliability of a registration sheet for patient handling tasks, to study the day-to-day variation of musculoskeletal complaints (MSC) and to examine whether patient handling tasks and psychosocial factors were associated with MSC.Nurses (n = 148) fulfilled logbooks for three consecutive working days followed by a day off. Low back pain (LBP), neck/shoulder pain (NSP), knee pain (KP), psychosocial factors (time pressure, stress, conscience of the quality of work) and patient transfers and care tasks were reported.The logbook was reliable for both transfer and care tasks. The numbers of nurses reporting MSC and the level of pain increased significantly during the three working days (15%-30% and 17%-37%, respectively) and decreased on the day off. Stress and transfer task were associated with LPB and transfer tasks were associated with KP.Our results confirm a relationship between work factors and MSC and indicate that logs could be one way to obtain a better understanding of the complex interaction of various nursing working conditions in relation to MSC.     

Simultaneous measurements of posture and movements of head and trunk by continuous three-dimensional registration

The postures of three groups of employees were measured: straddle carrier drivers, crane operators and office employees. This type of sedentary work can be characterized as being highly static. Using a continuous three-dimensional registration device, the postures and movements of head and trunk were recorded simultaneously. The results show that the adopted postures and patterns of movement were predominantly imposed by the workplace. The posture of the crane operators was the most static compared to the other occupations. The most adopted posture in the sagittal plane for crane operators was trunk flexion of 5° and head flexion of 60°. Typically, a straddle carrier driver rotated his head more than 45° to the left or right for 28% of the day, which far exceeded that of the other groups. The measuring device provides accurate and reproducible data that can subsequently be used for calculating the postural load and for ergonomic analysis.     

Shoulder and neck complaints in customer relations: individual risk factors and perceived exposures at work

Perceived psychosocial and biomechanical exposures, individual factors and pain in the shoulder and neck were recorded in two groups of female service workers (healthcare and shopping centre workers). The jobs investigated were characterized by ‘much’ direct human relations, ‘little’ sitting and ‘much’ standing, and were light work by physiological or biomechanical criteria but potentially psychosocially demanding. A screening survey (n = 400 females) was the basis for the selected sample (n = 66 females), which was the object of the main investigation of this study. Reliability of the questionnaires was tested in a separate group of female healthcare workers (n = 29). Heart rate recordings through the work day estimated workload. There was a high prevalence of shoulder and neck pain (>50%) for both work groups. In the two populations it proved difficult to explain shoulder and neck pain by reported physical and psychosocial exposures or individual factors, except by the variable ‘perceived general tension’, which clearly differentiated workers with and without pain. The findings in this study indicated, first, that perceived general tension might be an independent risk factor for muscle pain and, second, that this might be related to personality factors. However, this putative relationship must be verified in a longitudinal study. As no variable describing exposures in the working environment was associated with shoulder and neck pain, the question is posed whether such complaints can be considered work-related. Alternatively, the variables used to describe mechanical and psychosocial exposures in this study may have low specificity in characterizing work-related risk factors for service workers with customer relations.     

An assessment of neck and upper extremity disorders by questionnaire and clinical examination

Abstract

To study the usefulness of a screening questionnaire for neck/upper extremity complaints, 165 women in either repetitive industrial, or mobile and varied work, were studied by the questionnaire and by a detailed clinical physical examination. A total of 94 subjects recorded complaintsin the questionnaire. In 140 subjects findingswere recorded at the examination. Most subjects with findings at the clinical examination of shoulders reported complaints in the questionnaire (sensitivity 80%). For the other anatomical regions, the sensitivity was rather low (42– 65%). For all regions, most subjects without findings reported no complaints (specificity 77–97%). A total of 75 subjects were given clinical diagnoses according to a set of predetermined diagnostic criteria. The capacity of the questionnaire to identify diagnoses of shoulders was higher (sensitivity 92%) than for the other regions (66–79%). Of subjects who did not qualify for diagnosis, a majority (specificity 71–81%) did not report complaints in the questionnaire. We conclude that the questionnaire approach gives a fairly good picture of the neck/upper extremity status of a working female population. However, a clear view of the size of a problem is obtained only by a detailed clinical examination, particularly as regards the neck, elbows and hands, for which the questionnaire gave an underestimate.     

Assumptions necessary and unnecessary to risk homoeostasis

This paper discusses recent criticisms of the theory of risk homoeostasis which has been put forward to explain the spatial, temporal and per capita traffic accident risk in a given jurisdiction, as well as their pattern of interrelation. Four assumptions have recently been proposed in the literature as being necessary for the theory to be valid. These were viewed as wanting and, therefore, presented as a challenge to the theory in question. In the present discussion, these four assumptions are examined on their conceptual pertinence. It is concluded that, without some major and some seemingly minor-yet theoretically crucial—modifications, none of these assumptions appear to be essential to the validity of the theory under debate.     

Further studies of shoulder and neck pain and exposures in customer service work with low biomechanical demands

The aim of the study was to establish insight into work exposures that cause shoulder and neck pain among occupational groups that have low biomechanical exposure and experience work stress from client/customer contact, among other exposures. Four occupational groups were studied, in health care (n = 20), retail (n = 22), banking (n = 26), and university secretaries (n = 26), a total of 94 volunteers. Thirty-nine were classified as pain-afflicted in the shoulder and neck, while 55 were pain-free. The subjects' perceptions of biomechanical and psychosocial exposures were established by use of quantitative questionnaires and by explorative interviews with open-ended questions, covering the same themes. Heart rate and trapezius EMG were recorded over a full workday and the following leisure period. Trapezius median and static activity during work were 3.3% and 0.3% EMG_max, only marginally higher than trapezius activity in the leisure period (2.7% and 0.2% EMG_max). The quantitative questionnaire did not identify any variable that correlated with shoulder and neck pain except perceived general tension. The interviews established that the interaction with clients or customers was an important source of work stress. Such stress appeared to be a complex entity not easily characterized by established psychosocial questionnaires. The physiological variables were at most weakly elevated in periods with high stress as compared to periods with low stress. The authors caution against relying on standardized quantitative questionnaires and/or physiological recordings to characterize work stress in occupations with emotional stress through client/customer service work.     

Vibration in operating heavy haul trucks in overburden mining

The objective of this study was to determine if the vibration in sagittal (x), coronal (y) and vertical (z) axes of the seat pan of the heavy haul trucks used in overburden mining, and the vibration experienced by the drivers at the third lumbar and seventh cervical vertebral levels in operating these trucks exceeded the ISO standards, thereby posing threat to safety. A new and an old truck of two different makes and different carrying capacities (200 and 300 series) were instrumented with a triaxial accelerometer on the seat pan. Fourteen drivers (8 male and 6 female) were instrumented with a triaxial accelerometer at C7 and L3 spinous processes. The vibration at the seat pan, C7, and L3 levels were recorded using an onboard computer with PCMCIA card and, compared against the ISO standards. The vertical vibration of the seat pan in the entire sample ranged from a low of .37 m/s² to a high of 11.73 m/s². The vibration at the lumbar level in the sample ranged between .34 and 2.72 m/s². The values for cervical level vertical vibration in the sample ranged between .2 and 2.22 m/s². The gender of the driver, truck make, and it's carrying capacity did not have a significant effect on the vibration. However, the body weight of the driver, the segment of the truck and the site of measurement revealed significant differences in vibration (p<0.001). Out of a total 36 combinations (4 trucks×9 recording locations) the seat pan vertical vibration exceeded the ISO standards 8 times for males and 9 times for females. The lumbar vertebral vertical vibration in males exceeded ISO standards 12 times and in females 11 times. The cervical vertebral vertical vibration exceeded ISO standards once in females only. However, in sagittal and coronal planes the whole body vibration exceeded the ISO standards many times. Heavy haul trucks (240 and 320 ton capacity) frequently generated vibrations in excess of ISO standards in overburden mining operation representing a health hazard.     

辊颈密封的生产

冶金设备用轧辊辊颈密封的研制及生产     

曲轴磨连杆夹具的改进设计

针对M8263曲轴磨床磨连杆夹具在加工中存在的问题,对其进行了改进设计,使其达到较高的相位角加工精度,尤其是夹具的分度方式更有独到之处.实践证明,满足了公司多品种加工、生产率高的要求,具有一定的参考价值.