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عضویت

جستجوی مقالات مرتبط با کلیدواژه "musculoskeletal disorders (msds)" در نشریات گروه "پزشکی"

  • Abouzar Eynipour, Navid Arjmand, Iman Dianat, Alireza Soltanian, Rashid Heidarimoghadam *
    Background

    Various tools and methods are available to assess the risk of musculoskeletal injuries in occupational settings, each considering different assessment criteria. While these methods have been previously studied, further comparative investigations are still needed.

    Objectives

    This study aimed to assess the risk of musculoskeletal disorders (MSDs) in workers performing various tasks using different ergonomic and biomechanical risk assessment tools and to compare the outcomes of these tools.

    Methods

    This analytical and cross-sectional study was conducted in a sector of the SAIPA Automobile Part Manufacturing Factory in Iran. A total of 33 workers engaged in lifting, grinding, pushing, and lowering activities participated. Lifting activities involved handling parts weighing 36, 7.9, and 3.4 kg at three workstations. In total, six tasks were examined, and workers' discomfort levels were evaluated using the Cornell Musculoskeletal Discomfort Questionnaires (CMDQ). Fourteen biomechanical and ergonomic risk assessment tools were utilized and compared. Kendall's tau-b correlation coefficient and Cohen's kappa agreement coefficient were applied to determine relationships between different tools and to match the measurement of risk levels, respectively. Additionally, the mean and standard deviation of the data were calculated.

    Results

    There was a high positive correlation between the outcomes of three biomechanical tools [3D static strength prediction program TM (3DSSPP), hand-calculation back compressive force (HCBCF), and JACK], with 3DSSPP and HCBCF being interchangeable for estimating lumbar spine loads. Ergonomic assessment tools showed a suitable correlation in assessing load-carrying tasks. Manual handling assessment charts (MAC) had perfect agreement with National Institute for Occupational Safety and Health (NIOSH), and SNOOK with Washington Industrial Safety and Health Act (WISHA). Among body posture evaluation methods, rapid upper limb assessment (RULA) and rapid entire body assessment (REBA) had the highest correlation. Lifting fatigue failure tool (LiFFT) correlated well with manual handling methods, and survival chance correlated better with body posture evaluation methods. Lowering activities were identified as the most hazardous.

    Conclusions

    Ease of use and accuracy are key considerations when selecting biomechanical risk assessment tools. Experienced assessors can effectively utilize JACK, 3DSSPP, and HCBCF. The MAC and NIOSH, as well as RULA and REBA tools, are interchangeable. Selecting appropriate tools requires consideration of their limitations and advantages.

    Keywords: Risk Assessment, Biomechanical Tools, Ergonomic Methods, Musculoskeletal Disorders (Msds)
  • JAVAD Torkaman*, Seyed Ghavamedin Attari
    Aim

    Musculoskeletal Disorders (MSDs) are the most common work-related problem in many bakery workers in developing and industrialized countries. This study aimed to assess the rate and ergonomic risk factors of MSDs among traditional bread bakers in Hamadan. 

    Method and Materials

    This cross-sectional descriptive-analytic study was conducted on 310 traditional bread bakers in Hamadan, Iran. The prevalence of MSDs was assessed using the Nordic Questionnaire (NQ), body map, and Visual Analogue Scale (VAS). Analysis of data was performed in SPSS (version 20) using Chi-square and independent T tests. 

    Findings

    The Mean and Standard Deviation (M±SD) of work experience, height, weight, Body Mass Index (BMI) and age were respectively, 4±6.82 (Year), 1.6±0.08 (M), 60±12.76 (kg), 24.65±4.70 and 43.5±12.60 (Year). The involved organs in baking consisted of the neck, shoulder, back, waist, elbow, arm, hand, thigh, knee, shin and ankle. The highest prevalence rates of pain in the studied workers referred to the middle back (N=38; %92.68), knees (N=33; %80.49), shoulders (N=13; %30.95), forearms (N=11; %26.19) and wrists (N=11; %26.19) respectively.The prevalence of MSDs correlated with BMI and work experience significantly (P ≤0.05).

    Conclusion

    As, this study revealed that the rate of musculoskeletal disorders in the different body regions of bread bakers were high, properinterventional preventive management are strongly recommended to be designed and impleneted to eliminate the disorders among this target group.

    Keywords: Body Map, Nordic Questionnaire (NQ), Musculoskeletal Disorders(MSDs), Visual Analog Scale
  • سیده فریماه نویدی، علی صفری واریانی، سکینه ورمزیار*
    مقدمه

    اختلالات اسکلتی- عضلانی مرتبط با کار از مهمترین دلایل غیبت از کار، افزایش هزینه ها و آسیب های انسانی است که شیوع آن در کاربران کامپیوتر بسیار بالا می باشد. تحقیق حاضر با هدف بررسی 8 هفته تمرینات حرکات اصلاحی بر کاهش شیوع اختلالات اسکلتی- عضلانی کاربران کامپیوتر شرکت گاز انجام شده است.

    روش کار

    این مطالعه ی تحلیلی-مقطعی در سال 1397 در بین 101 نفر از کاربران کامپیوتر شرکت گاز شهر قزوین انجام شد. از این تعداد، 14 نفر در برنامه مداخله آموزشی حرکات اصلاحی به مدت 8 هفته (16جلسه 1ساعته و 2 بار در هفته) شرکت نمودند. به منظور بررسی شیوع و شدت اختلالات اسکلتی- عضلانی از پرسشنامه های نوردیک و نقشه بدن استفاده گردید. نتایج با استفاده از آزمون-های کولموگروف-اسمیرنف، وی کرامر، مک نمار و ویل کاکسون در نرم افزار spss نسخه 23 بررسی شدند.  

    یافته ها

    بیشترین اختلالات در بین کاربران کامپیوتر در طی یک هفته گذشته قبل از مداخله مربوط به نواحی شانه ها (3/64%)، کمر (9/42%) و گردن (7/35%) می باشند. شیوع اختلالات اسکلتی - عضلانی بوسیله حرکات ورزشی تقویت عضلات و انعطاف پذیری در نواحی گردن و شانه به ترتیب با اطمینان 95 و 99 درصد قبل و بعد از مداخله متفاوت و کاهش معناداری نشان داد. شیوع ناراحتی در ناحیه کمر بعد از مداخله به میزان 8/35% و در سایر نواحی نیز حداقل به میزان 1/7% کاهش یافته است.

    نتیجه گیری

    نتایج این مطالعه نشان داد که اجراء برنامه مداخله آموزشی حرکات اصلاحی توسط افراد متخصص علوم ورزشی می تواند باعث تقویت عضلات و در نتیجه اختلالات اسکلتی - عضلانی را 3/64-1/7% کاهش دهد.

    کلید واژگان: حرکات اصلاحی, اختلالات اسکلتی-عضلانی, کاربران کامیپوتر
    Seyedeh Farima Navidi, Ali Safari Variani, Sakineh Varmazyar*
    Introduction

    Work-related musculoskeletal disorders (WMSDs) are one of the most important causes of absenteeism, increased costs and human injuries, which are very common in computer users. The purpose of this study was to investigate the effect of 8 weeks of corrective exercise on reducing the prevalence of musculoskeletal disorders (MSDs) in computer users working in a gas company.

    Material and Methods

    This cross-analytical study was conducted on 101 computer users working in a Gas Company in Qazvin city in 2019. Fourteen people participated in 8 weeks correction training intervention program (16 sessions in 1 hour and 2 times a week). Nordic questionnaire and body map were used in order to investigate the prevalence and severity of MSDs. The data were analyzed using Kolmogorov-Smirnov, Cramer V, McNamar, Paired sample t-test and Wilcoxon tests in SPSS version 23 software.

    Results

    The most common disorders were shoulder (64.3%), waist (42.9%) and neck (35.7%) regions among computer users during the last week before intervention. The prevalence of MSDsby strength and flexion exercises in neck and shoulder regions with 95% and 99% confidence showed a significant decrease before and after intervention. The incidence of discomfort in the waist region decreased by 35.8% after intervention and in other regions decreased by at least 7.1%.

    Conclusion

    The results of this study showed that implementation of corrective training intervention program by exercise specialists can increase muscle stretch and consequently decrease the prevalence of MSDs7.1%- 64.3%.

    Keywords: Corrective exercises, Musculoskeletal Disorders (MSDs), Computer Users
  • Zahra Mohammadi, Rozina Rahnama, Roya Nikbakht, Parisa Hosseini Koukamari*
    Aims

    Recently, there has been an increasing attention in workplace health-related issues. The issue of MusculoSkeletal Disorders (MSDs) has obtained considerable critical attention. In this regard,work station has a pivotal role in prevention of MSDs. This study was conducted to assess Work-Related Musculoskeletal Disorders (WMSDs) among a sample of Iranian computer users.

    Method and Instruments:

     A cross-sectional study was conducted on office computer users of a university in Tehran. The sample size of 435 people were randomly selected from the university employees. A standardized questionnaire was used to collect data. The data were analyzed using Spss.

    Findings

    The results revealed that the pain was frequently felt in the region of neck (64.4%), shoulder (60.9%) and wrist complaints (52.4%). The current study showed a high prevalence of MSDs among computer users. In addition, according to workstation questions, it was reported that there were no support device in for supporting lower back and arm in the workstation equipments.

    Conclusion

    Workstation is one of the essential factors for the prevention of occupational damages in MSDs. This study recommends that there is a need to investigate office equipments as a crucial element not only for promoting performance abalities, health, safety, and efficiency improving but also in reducing complaints and pain caused by MSDs.

    Keywords: MusculoSkeletal Disorders (MSDs), Work Station, Computer Users
  • آمنه گلباغی، لیلا نعمت پور*، بهزاد فولادی دهقی
    زمینه و هدف

    از جمله فاکتورهای مهم ایجاد کننده اختلالات اسکلتی- عضلانی در صنایع، آسیب های شغلی و ناتوانی مرتبط با کار می باشد. ایستگاه کاری نامناسب و پوسچر نامطلوب منجر به افزایش بار خستگی و در نهایت بروز اختلالات اسکلتی- عضلانی می شود. اختلالات اسکلتی- عضلانی علاوه بر کاهش قوای جسمانی، موجب کاهش دقت، افزایش حوادث و کاهش بهره وری شغلی می شود. لذا، هدف از این مطالعه ارزیابی ریسک فاکتورهای ایجاد کننده اختلالات اسکلتی- عضلانی در مونتاژکاران قطعات الکتریکی با استفاده از روش   MFAو NERPA می باشد.

    روش بررسی

    این پژوهش مطالعه ای موردی می باشد که در مونتاژکاران قطعات الکتریکی یک کارگاه تولیدی در استان خوزستان با 84 کارگر زن، انجام گرفت. در این کارگاه 13 شغل و 32 پوسچر انتخاب گردید. به منظور تعیین فراوانی اختلالات اسکلتی عضلانی از پرسشنامه نوردیک استفاده گردید. سپس با استفاده از دو روش MFA و NERPA سطوح ریسک در افراد مورد مطالعه تعیین گردید. داده های بدست آمده در نرم افزار SPSS نسخه 16 تحلیل گردید.

    یافته ها

    یافته های حاصل از MFA  نشان داد، مچ دست راست و کمر با  7/66 % ، گردن و شانه راست با 60% کارگران و در روش NERPA  مچ دست راست 3/67 % ، کمر  4/65 % ،گردن 3/61 % و شانه راست 8/60 % در سطح "خیلی زیاد"  اولویت اقدام اصلاحی قرار دارند که بی درنگ باید اقدامات اصلاحی صورت گیرد. همچنین نتایج آماری نشان داد همبستگی معنی داری بین نتایج پرسشنامه نوردیک ، MFA و NERPA دیده شده است.

    نتیجه گیری

    با توجه به نوع فعالیت، عدم استفاده از تکیه گاه، بالاترین درصد ریسک در مچ دست راست، کمر و گردن مشاهده گردیده است. لذا به منظور حداقل رساندن خستگی عضلانی، طراحی مناسب ایستگاه کاری و اجرای اقدامات مدیریتی پیشنهاد می گردد. این دو روش نیز شباهت هایی به هم داشته اند و زمانیکه لازم به بررسی تمام اعضای بدن باشد روش MFA ارجحیت دارد. اما در بررسی جزییات بیشتر می توان از NERPA استفاده نمود.

    کلید واژگان: اختلالات اسکلتی-عضلانی, MFA, NERPA, پرسشنامه نوردیک
    Ameneh Golbaghi, Leila Nematpour*, Behzad Fouladi Dehaghi
    Background

    Occupational injuries and work-related disabilities are among the most factors contributing to the creation of musculoskeletal disorders (MSDs) in industry. Improper workstation and poor posture increase fatigue load and, eventually, the appearance of MSDs. In addition to reducing physical strength, MSDs mitigate accuracy, augment the accidents, and reduce job productivity. Hence, the purpose of this research was to assess the risk factors for MSDs in electrical devices assembly workers utilizing Muscle Fatigue Assessment (MFA) and Novel Ergonomic Pos tural Assessment (NERPA).

    Methods

    This study was one cross-sectional descriptive study in the year … and was conducted in one electrical device manufacturing workshop in Khuzestan province along with 84 female workers. 13 jobs and 32 postures were selected in this workshop. Nordic Questionnaire was used to determine the frequency of MSDs. Then, the risk levels were specified in the studied individuals with the use of MFA and NERPA. The obtained data were analyzed in SPSS software version 16. The statistical methods applied in this study were mean, standard deviation, frequency, frequency percentage, t-test of two independent samples, and correlation coefficient assessment. Furthermore, the significance level of statistical tests was considered to be P<0.05.

    Results

    Findings obtained from MFA exhibited that the right wrist and waist were with 66.7%, neck and right shoulder were with 60% of workers and NERPA method results mentioned that the right wrist with 67.3% and the waist with 65.4% and neck with 61.3% and the right shoulder with 60.8% were at “very high” level of corrective actions priority, which these actions must be taken immediately. Also, statistical results indicated that there was a significant correlation between the results of Nordic, MFA, and NERPA questionnaires (P<0.05).

    Conclusion

    Concerning the kind of activity and misuse of support, the highest percentage of risk was evident in the right wrist, waist, and neck. So, a proper design of workstation and implementation of managerial actions were proposed to minimize muscle fatigue. These two methods also had similarities. MFA method was preferred when it was required to assess all body parts. On the other hand, NERPA was applied to determine more details.

    Keywords: Musculoskeletal Disorders (MSDs), MFA, NERPA, Nordic Questionnaire
  • Naser Hoboubi, Alireza Choobineh *, Fatemeh Kamari Ghanavati, Maryam Khalife, Sareh Keshavarzi, Ali Akbar Rezaie, Mahnaz Shakerian
    Background and Objectives
    The organizational leadership style can be considered as an important psychosocial factor that may affect workers’ health, safety, and productivity. The current study aimed at investigating the relationship between organizational leadership style and musculoskeletal disorders (MSDs) among workers.
    Methods
    The current descriptive, cross sectional study was conducted on 188 employees, including 10 leaders and 178 followers of an Iranian process industry. Nordic MSDs questionnaire (NMQ) and leadership style questionnaire (MLQ) were used as data collection tools. Statistical analysis was performed with SPSS version 19.
    Results
    Totally, 71.7% of the participants reported experiencing the symptoms of MSDs during the last 12 months. The highest prevalence of MSDs was in lower back (47.2%), shoulder (34.8%), and neck (32.4%), respectively. Statistical analysis revealed that the mean scores of transformational and laissez faire leadership styles in the two groups of with and without MSDs were significantly different.
    Conclusions
    MSDs had high prevalence among workers of the studied process industry. Higher rate of MSDs was observed among the workers with higher scores of laissez faire leadership style. In contrast, the employees under transformational leadership style as the dominant management method, reported lower rate of MSDs complaints. As a conclusion, a relationship was observed between the leadership style and MSDs occurrence in the studied industry.
    Keywords: Musculoskeletal Disorders (MSDs), Leadership Style, Process Industry
  • Hossien Izadirad, Fatemeh Pourhaji *, Mohammad Hossien Delshad, Gholamreza Masoudy, Khair Mohammad Jadgal
    Background
    In today's world, Musculoskeletal Disorders (MSDs) with high prevalence in work settings are one of the most important occupational health issues. In addition, MSDs cause personal distress, decreased working capacity, and waste of time, work absenteeism, increased health care costs and economic losses. This study aimed to compare the prevalence rate of MSDs and their associated factors among farmers and workers in Agh Ghala.
    Methods and Materials: This study was a cross-sectional study. The study population consisted of 300 patients (150 farmers and 150 workers) who were selected from Agh Ghala city in Golestan province. The data collection instrument was Nordic questionnaires. The data were analyzed using descriptive statistics and chi-square test in SPSS software version.
    Results
    In this study, about 72% of the farmers (N = 108) and 83.33% of the workers (N = 125) were suffering from MSDs during the preceding year. The most common disorders were Lower Back Pain (LBP) 36.7% (N = 55) and 55.3% (N = 83) in farmers and workers respectively, followed by knee pain 25.3% (N = 38) and 36.7% (N = 57) in farmers and workers respectively. The chi-square test showed a significant relationship between the MSDs and age, level of education, and training in ergonomic principles (P
    Conclusion
    Regarding the high prevalence rate of MSDs, it is necessary to organize training courses about professional ergonomic interventions in order to raise farmer's and worker's awareness and skills. These programs can be used to improve the health behsubsequentubsequently healthworkers, duefarmers and workers due to preventing from the occurrence of musculoskeletal disorders.
    Keywords: Musculoskeletal Disorders (MSDs), Prevalence, Farmers, Workers
  • اسماعیل شجاع*، رجبعلی حکم آبادی، محسن شجاع، معصومه قرایی
    زمینه و هدف
    اختلالات اسکلتی- عضلانی (Musculoskeletal Disorders (MSDs یکی از انواع آسیب های شغلی هستند که دارای شیوع بالا و از علل مهم از کار افتادگی در کشورهای در حال توسعه می باشند. این مطالعه با هدف بررسی شیوع و ارزیابی ریسک ابتلا به اختلالات اسکلتی- عضلانی توسط روش QEC) Quick Exposure Check) در محیط کار یکی از صنایع الیاف ایران انجام گرفته است.
    مواد و روش کار
    در این مطالعه توصیفی- تحلیلی 48 نفر از کارگران بخش کشش صنایع الیاف تهران مورد بررسی قرار گرفتند. داده ها با استفاده از پرسشنامه های نوردیک Nordic Questionnaires و فرم QEC جمع آوری و با استفاده از نرم افزار آماری SPSS18 مورد تجزیه و تحلیل قرار گرفتند.
    یافته ها
    نتایج نشان داد که بالاترین میزان شیوع 12 ماهه گذشته MSDs به ترتیب در ناحیه کمر (9/47%)، دست و مچ (27/8%)، شانه (22/9%) و گردن (14/5%) بوده است. ارتباط بین ابتلا به MSDs و سن، در اندامهای گردن و شانه معنی دار (p<0.05) و با BMI در اندامهای دست (p= 0.002) و کمر (p= 0.04) معنی دار بوده است. حدود 80 درصد افراد در ناحیه کمر، 89 درصد در ناحیه شانه، 71 درصد در ناحیه دست و 87/5 درصد افراد نیز در ناحیه گردن در معرض خطر بالای اختلالات اسکلتی- عضلانی قرار دارند.
    نتیجه گیری
    ارزیابی ها نشان داد فراوانی و ریسک ابتلا به اختلالات اسکلتی- عضلانی در اندام های مختلف بالاست و همچنین انجام اقدامات اصلاحی برای برخی مشاغل این صنعت لازم است.
    کلید واژگان: اختلالات اسکلتی, عضلانی (MSDs), ارزیابی ارگونومیک, QEC, پرسشنامه نوردیک, صنایع الیاف
    Shoja E.*, Hokmabadi Ra, Shoja M., Gharaee M
    Background and Objectives
    Work-related musculoskeletal disorders are occupational injuries that have high prevalence and are major causes of disability in industrialized and developing countries. The aim of this study was evaluate exposure of musculoskeletal disorders risk factors by quick exposure check (QEC) technique and determine the prevalence of musculoskeletal disorders in a textile industry. Methods and Materials: 44 male workers in Stretch department of Tehran textile industry that were selected through census method were participated in this cross-sectional study. Data were collected using Nordic Musculoskeletal Disorders Questionnaire (NMQ) and QEC (Quick Exposure Check) form. Statistical analyses were performed using SPSS, version 18.
    Results
    Results showed that the highest prevalence of MSDs in12-month past was in low back (47.9%) and then respectively in hand and wrist (27.8%), shoulder (22.9%) and neck (14.5%). The relationship between age and the prevalence of MSDs in neck and shoulder was significant (p<0.05). The relationship between BMI and MSDs in hand and wrist (p= 0.002) and low back (p= 0.04) was also significant. 80% of workers in this study in the low back, 89% in shoulder, 71% in the hand and wrist and 87.5% in the neck were at high risk of musculoskeletal disorders.
    Conclusion
    based on the findings, risk level and prevalence of WMSDs in workers in this study were high. The evaluation results obtained from QEC according to the scores obtained for the whole body indicated that corrective actions in high levels of actions - done promptly -for some jobs in this industry was necessary.
    Keywords: Musculoskeletal disorders (MSDs), Ergonomic evaluation, QEC, Nordic Questionnaire, Textile industry
  • عبدالله غلامی، احمد رضا سلطان زاده، رقیه عابدینی، مرضیه صحرانورد
    زمینه و هدف
    اختلالات اسکلتی- عضلانی بخش عمده ای از بیماری های شغلی را به خود اختصاص داده و یکی از مهم ترین دلایل غیبت از کار و از کار افتادگی می باشد. این مطالعه با هدف تعیین شیوع MSDs و ریسک فاکتورهای آن و همچنین ارزیابی ریسک ابتلا به این اختلالات به روش RULA در یک کارخانه چینی سازی در استان خراسان رضوی انجام گرفته است.
    مواد و روش ها
    این مطالعه توصیفی- تحلیلی بر روی 100 کارگر زن بخش دکوراسیون یک کارخانه چینی سازی انجام شده است. جمع آوری داده های مطالعه با استفاده از پرسشنامه ویژگی های دموگرافیک، نوردیک و چک لیست RULA انجام شد. داده های مطالعه با استفاده از آزمون های آماری کای دو و t و با استفاده از نسخه 16 نرم افزار SPSS تجزیه و تحلیل شده و مقدار آلفای کمتر از 05/0 به عنوان سطح معنی داری در نظر گرفته شد.
    یافته ها
    میانگین سن و سابقه شغلی افراد مورد مطالعه به ترتیب 09/14±6/28و 63/1±53/2 سال و میزان شیوع اختلالات اسکلتی-عضلانی در افراد مورد مطالعه 0/81% بدست آمد. 38% افراد در سطح ریسک 2 و 62% نیز در سطح ریسک 3 RULA قرار گرفتند.
    نتیجه گیری
    علی رغم پایین بودن میانگین سنی و سابقه شغلی افراد مورد مطالعه، شیوع اختلالات اسکلتی-عضلانی بالا بوده و ارتباط سطح ریسک ارزیابی شده با روش RULA و میزان شیوع اختلالات نشان داد که در افراد دارای شیوع MSDs سطح ریسک ابتلا به این اختلالات بالاتر از افراد فاقد شیوع MSDs می باشد.
    کلید واژگان: اختلالات اسکلتی, عضلانی (MSDs), RULA, ریسک ارگونومیک اختلالات اسکلتی, عضلانی, کارخانه چینی سازی
    Abdollah Gholami, Ahmadreza Soltanzadeh, Roghayeh Abedini, Marzieh Sahranavard
    Introduction
    Musculoskeletal disorders have been devoted high percentage of occupational injuries and it is one of the leading causes of absence from work and disability. In this study we aimed to determine prevalence of musculoskeletal disorders and their risk factors and to evaluate exposure of musculoskeletal disorders risk factors by Rapid Upper Limb Assessment (RULA) Technique in a porclean manufacturing factory in south Khorasan province.
    Materials And Methods
    This cross-sectional study was conducted among 100 selected female workers from the decoration unit of the porclean manufacturing factory. Data were collected using demographical and Nordic Musculoskeletal Disorders Questionnaire (NMQ) and RULA form. Statistical analyses were performed by chi-square and t tests and using SPSS، version 16. The level of significance was set at <5%.
    Results
    The mean of age and job tenure in subjects were 28. 6±14. 09 and 2. 53±1. 63 years، respectively. Prevalence rate of MSDs was 81. 0%. 38. 0% of individuals were at risk level 2 and also 62. 0% at risk level 3 of RULA.
    Conclusion
    Despite that means of age and job tenure were low، but prevalence of MSDs was high among workers. Assessment of MSDs and RULA risk level relationship indicated that MSDs risk level in exposed subjects were higher than non-exposed individuals.
    Keywords: Musculoskeletal disorders (MSDs), RULA, Musculoskeletal disorders risk, porclean manufacturing factory
  • نرمین حسن زاده رنگی، علی اصغر فرشاد*، مجید معتمدزاده، یحیی خسروی، سکینه ورمزیار
    مقدمه
    اختلالات اسکلتی عضلانی (MSDs) علت اصلی آسیب ها و ناتوانایی های مرتبط با کار در کشورهای توسعه یافته و در حال توسعه صنعتی هستند. مطالعاتی محدودی وجود دادند که به طور همزمان اثر تعاملی بین ویژگی های فردی، شغلی و محیط کار را بر MSDs بررسی کرده باشند.
    مواد و روش ها
    در این مطالعه داده های گردآوری شده از پرسشنامه نوردیک و QEC به منظور بررسی رابطه میان میزان شیوع و شدت MSDs با ویژگی های فردی، کاری و محیط کار با استفاده از یک مدل رگرسیون لجستیک مورد تجزیه و تحلیل قرار گرفت.
    نتایج
    بیش از نیمی از شرکت کنندگان (6/61 درصد) اظهار داشتند که در شش ماه گذشته از شکل خاصی از ناراحتی های ناشی از MSDs رنج برده اند. نتایج نشان داد ریسک فاکتورهایی نظیر استرس در کار، نحوه خوابیدن، کم تحرکی و پوسچر نقش مهمی در شیوع و شدت MSDs داشته اند.
    بحث: با توجه به یافته های مطالعه، تاثیر یک ریسک فاکتور همواره در تعامل با سایر ریسک فاکتورها بوده و توسط مداخله-گرهای مختلفی تعدیل می گردد. برنامه های مداخله ای ارگونومی مشارکتی، مداخله ایستگاه کار، مداخله ارگو استرس و مداخله سبک زندگی به منظور کاهش شیوع و شدت MSDs پیشنهاد می شود.
    کلید واژگان: اختلالات اسکلتی عضلانی, عامل خطر, تحلیل رگرسیون, رویکرد ارگونومی مشارکتی
    Narmin Hassanzadeh, Rangi, Ali, Asghar Farshad *, Majid Motamenzadeh, Yahya Khosravi, Sakineh Varmazyar
    Introduction
    Musculoskeletal disorders (MSDs) are the main causes of work related injuries and disabilities in developed as well as developing countries. Few studies have considered different interactive effects of individual and work-related factors on MSDs، simultaneously. Methods and Materials: Data were gathered by Nordic questionnaire and Quick Exposure Check (QEC) method; and were analyzed using logistic regression model in order to study the correlation between the prevalence and intensity of MSDs and individual and work-related factors.
    Results
    More than half of all participants (61. 6%) reported suffering from one form of MSDs during the past 6 months. Results showed that risk factors such as work stress، sleeping position، lifestyle and poor posture had an important role in the prevalence and intensity of MSDs.
    Discussion
    The effect of a risk factor is constantly in interaction with other risk factors، and is modified by other factors. Participatory ergonomic intervention programs، work station intervention، ergo stress intervention and life-style interventions were suggested in order to decrease the prevalence and intensity of MSDs.
    Keywords: Musculoskeletal disorders (MSDs), Risk factors, Regression analysis, Participatory ergonomic approach
  • Ahmad Soltanzadeh
    Introduction
    Manual material handling is identified as one of the musculoskeletal disorders risk factors. The aims of this study were to evaluate lifting activities by NIOSH equation and MAC method and the correlation of these two methods. Methods and Materials: This cross-sectional study was conducted in a rubber industry. Studied subjects were 136 male workers selected from various sections by proportional-to size sampling method. Data were collected using demographic and Nordic Musculoskeletal Disorders Questionnaire (NMQ). Lifting activities were evaluated by NIOSH equation and MAC method. Statistical analyses were performed using SPSS, version 16 and some tests such as Independent sample t test, Chi-square (χ2) and Bland-Atman test. The level of significance was set at <5%.
    Results
    The means of age and job tenure in subjects were 33.31±6.48 and 9.77±6.17 years, respectively. Prevalence of MSDs was 77.2%. The results revealed significant association between MSDs risk level evaluated by NIOSH and MAC methods and musculoskeletal disorders occurrence. The correlation of the two lifting activity evaluation methods was significant (p<0.05).
    Conclusions
    Based on the findings of the present study, the evaluated risk level by the two evaluation methods and prevalence of MSDshad significant relationship. The correlation result indicated that MAC method can be used interchangeably with NIOSH equation for ergonomic evaluation of lifting activities.
    Keywords: Musculoskeletal disorders (MSDs), Ergonomic evaluation of lifting activity, NIOSH equation, MAC, MSDs risk
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