Effects of physical exercise on musculoskeletal disorders,stress and quality of life in workers

Background. The effect of physical exercise in the workplace (PEW) on health promotion of workers is contradictory. Objective. To evaluate the effects of the PEW in musculoskeletal disorders (MSDs), perception of stress and quality of life in workers. Methods. The participants were divided into two groups: control group (n?=?46) including non-participant workers of the PEW program, and PEW group (n?=?50) including workers who regularly participate in the exercise program. All workers answered the Nordic general questionnaire, the perceived stress scale and the quality-of-life questionnaire. Results. The PEW group reported a lower prevalence of MSDs for the trunk in the last 7 days and 12 months (p?=?0.021 and p?=?0.001, respectively), and for the upper limbs in the last 12 months (p?=?0.001) compared with the control group. The results for the perception of stress and quality of life showed no significant differences between the groups. Conclusion. PEW is a potential method to reduce MSDs in workers, but it was not efficient in reducing stress levels or improving the quality of life of the workers.     

Postural Loading Assessment in Assembly Workers of an Iranian Telecommunication Manufacturing Company

Background. Changes in industries and work practices have coincided with work-related musculoskeletal disorders (MSDs). This study was conducted to determine the prevalence of MSDs and to assess postural loading in assembly workers of an Iranian telecommunication manufacturing company. Methods. Data were collected from 193 randomly selected workers in 4 units of the company. The Nordic musculoskeletal disorders questionnaire and the UBC ergonomic checklist were used as data collection tools. Loading on the upper body assessment (LUBA) was used to assess postural loading. Results. Lower back symptoms were the most prevalent problems among the workers (67.9%). LUBA showed that most assembly workers (94.3%) had experienced considerable and high postural loading (postural load index, PLI > 5). Regression analyses revealed that lighting, rotation, contact stress, repetition, gender and age were factors associated with symptoms. Conclusion. Work-related MSDs occurred at a high rate among workers. Postural loading requires consideration. Any ergonomic intervention should focus on eliminating ergonomic factors associated with symptoms.     

Relationships between certain individual characteristics and occupational accidents

Background. Work accidents and injuries are an occupational health and safety problem. Methods. This cross-sectional study was conducted for 404 frontline workers who were randomly selected from the Arya Sasol Petrochemical Company in Bushehr, Iran, during 2016. A statistical analysis was performed using the χ² test and the logistic regression model with SPSS version 18. Results. The overall occupational accident rate among the participants was found to be 9.2%. Statistically significant differences were observed for body mass index, education, job experience, smoking habit, consumption of sedative pills and presence of sleep disorders. Three factors had significant adjusted odds ratios (ORs): body mass index (OR 2.41, 95% confidence interval [CI] [1.16, 5.04]), education (OR 0.25, 95% CI [0.07, 0.85]) and job experience (OR 0.29, 95% CI [0.15, 0.57]). Conclusions. Preventive programs should be implemented for industrial workers, especially young workers, workers who smoke, overweight workers and workers with psychosomatic disease.     

Comparative assessment of respiratory and other occupational health effects among elementary workers

Objective. This study was conducted to assess hazards faced by elementary workers. Methods. A questionnaire survey and a respiratory function test (spirometry) were carried out on 150 respondents. Results. Major hazards identified related to sharp objects, heavy weight lifting, thermally harsh conditions, working at height, whole body vibration, chemicals, pathogens, increased noise levels and confined space entry. Workers suffered from upper and lower respiratory disorder symptoms, digestive problems, optical and musculoskeletal issues, etc. Spirometric measurement showed obstructive lung disorders to be highest among construction workers (CW) (48%) followed by sanitation workers (SW) (32%) and solid waste pickers (SWP) (28%). Restrictive lung pattern was dominant among SW (56%) followed by SWP (46%) and CW (42%). The observed FEV₁/FVC in diseased SWP, SW and CW ranged from 51 to 96%, from 52 to 98% and from 31 to 99% respectively while observed mean FEV₁ was 2.15, 1.79 and 1.70 L, respectively. Conclusion. The study findings show that occupational exposure can significantly influence respiratory system impairment and contribute to other ailments among elementary workers. The study recommends use of appropriate protective equipment and regular medical examination for early recognition of any health risk so that timely interventions for effective management may be undertaken.     

Repeatability of electromyography normalization of the neck and shoulder muscles in symptomatic office workers

Purpose. The purpose of the study was to examine the repeatability of electromyography (EMG) normalization in office workers with neck and shoulder symptoms. Methods. Fifteen female office workers with neck/shoulder symptoms were recruited to participate in two separate days of testing. Maximum voluntary isometric contraction (MVIC) was used for the normalization of EMG data on the following muscles: cervical erector spinae, upper trapezius, lower trapezius and anterior deltoid. Repeatability was calculated using the intra-class correlation (ICC), relative standard error of measurement (%SEM) and relative coefficient of variation (%CV). Results. Peak root mean square (rms) and median frequency (MF) showed good to high repeatability in the UT, AD and CES (ICC?=?0.87–0.95, %SEM=?2.65–9.48, %CV=?0.2–5.9). The repeatability of peak rms was good (ICC?=?0.87, %SEM?=?12.56, %CV?=?3.3) and the MF of the LT was fair (ICC?=?0.76, %SEM?=?5.71, %CV?=?2.9). Conclusion. Peak rms and MF from the MVIC normalization method can be measured with sufficient repeatability in symptomatic office workers.     

Investigation of work-related musculoskeletal disorders among male kitchen workers in South India

Objective. This study aims to quantify the prevalence of work-related musculoskeletal disorders (MSDs) and risks among male kitchen workers in the catering industry. Method. Data were collected with the help of the Nordic musculoskeletal questionnaire and by direct observations. Results. In total, 114 male kitchen workers from various hostels of a college in South India were considered for this study. The average age and mean years of employment of the workers are 26.4 (SD 7.7) and 7.8 respectively. The statistical analysis carried out reveals that 67.5% of male kitchen workers reported MSDs during the past 12 months. The highest prevalence rate has been found in the lower back (65.8%) and shoulder region (62.3%). Among different categories of kitchen work analyzed, it is evident that chief cooks suffer more from MSDs (79.2%) than assistant cooks (74.3%) and kitchen aides (30.0%). Workers in the older group, i.e., ≥41 years, and workers with 6–10 years of experience suffer with higher risk of MSDs, i.e., 93.9% and 87.5%, respectively. Conclusion. The male kitchen workers who participated in this research were found to possess both MSDs and ergonomic hazards.     

Effect of restaurant types on compensation claims for work-related musculoskeletal disorders in France

Objectives. The economic burden of work-related musculoskeletal disorders (WMSDs) is industry specific. The objective was to analyse compensation claims for WMSDs among restaurant workers in France taking into account the type of restaurant. Methods. Data for 2014 were obtained from the French National Health Insurance Fund for Salaried Workers. A chi-square test was used to compare claims, incapacity and lost work day rates in different types of restaurant. Results. Prevalence for WMSDs differed significantly by the type of kitchen: collective restaurant (7.2/1000 workers), traditional restaurant (1.7/1000), and fast food restaurant (1.0/1000). There were more male claimants in traditional restaurant workers (51.0%) than in collective restaurant workers (40.1%) but more female claimants in collective restaurant workers (50.1%) than in traditional restaurant workers (39.4%). Permanent incapacity was significantly more prevalent in collective restaurant workers (49.6%), than in traditional (41.9%) and fast food (8.5%) restaurant workers. In collective restaurant workers, as a percentage, claims, permanent incapacity and lost work days increased with age range or work experience. Conclusions. Prevalence for WMSDs and therefore incapacity and lost work days are different according to the type of restaurant. Preventive strategies should take these differences into consideration.     

Assessment of the effect of welding fumes on welders’ cognitive failure and health-related quality of life

Introduction. This study examined whether cognitive symptoms and health-related quality of life can be affected by welding fume exposure. Method. Participants consisted of welders (n?=?40) and welder assistants (n?=?25) from welding units as the exposed group, and office workers (n?=?44) as the non-exposed group. All participants were studied using ambient air monitoring and two types of questionnaires: the Cognitive Failures Questionnaire (CFQ) and the 36-item Short Form Health Survey (SF-36). Results. Welders and welder assistants were exposed to higher concentrations of all airborne metals than office employees, except for aluminum and chromium (p?p?M (SD)?=?54.84 (17.88)). The relationships between total CFQ score and the measured concentration of nickel at peak work rate was significant for welders. Conclusion. Cognitive symptoms and health-related quality of life were not related to the measures of welding fume exposure and further research should be performed to find other influencing factors.     

Knowledge,attitudes and practices of occupational risks in Colombian taxi drivers

Objective. The objective of this study was to learn about the health and safety strategies in a sample of taxi drivers in Bucaramanga, Colombia. Methods. A cross-sectional study was conducted among 138 taxi drivers. A survey was used to identify the socio-demographic and working characteristics, knowledge, attitudes and practices according to their occupational risk. Results. Eighty-five percent of the workers labored 9–15?h/day. Of those who suffered accidents, 27% were not affiliated to an occupational risk administrator (p = 0.028). Of the workers who had a work-related accident, 58% considered that the use of a cell phone while driving would not always reduce their attention, 50% always used their seat belt and 7% took active breaks and wore their seat belt (p = 0.01). Conclusions. Within this group of taxi drivers, having or believing to possess knowledge regarding an occupational risk did not ensure that they had a safe attitude or safe working practices.     

Symptoms and musculoskeletal diseases in hospital nurses and in a group of university employees: a cross-sectional study

Background. Most studies have shown that nurses have a higher risk of developing musculoskeletal symptoms compared with other occupational groups. Aim. A cross-sectional study was performed to gain more insight into the prevalence rates of musculoskeletal disorders (MSDs) in nurses. Methods. The presence of musculoskeletal symptoms was revealed by personal interviews in a sample of 177 hospital nurses and in a reference group of 185 university employees. Musculoskeletal diseases were based on radiological examinations in all subjects. Results. Lower back pain (61% vs 42.2%) was the most frequently reported symptom, followed by neck pain (48.6% vs 38.4%) and shoulder pain (36.7% vs 25.9%), with a significantly higher prevalence in nurses. Women had about a 2-fold risk of upper limb region and neck pain compared with men. The most common abnormal findings on radiological examinations were disc herniations (n?=?40). Conclusions. Nurses showed a significantly higher risk of MSDs. Prevalence rates in nurses increased significantly with age. Musculoskeletal symptoms were also common in university employees. This suggests the need for effective intervention strategies involving workers’ active participation, in order to improve the process and organization of work and promote a positive psychosocial work environment.     

Anthropometric hand dimensions in a population of Iranian male workers in 2012

Background. The mismatch between the hand size of workers and the size of industrial instruments is a growing concern; it can lead to various musculoskeletal complications. Currently, there are few reliable studies available to address this concern in Iran. This study was conducted to measure 30 upper-extremity parameters in a group of Iranian industrial workers. Methods. This study is a cross-sectional study on 529 workers. The study population was randomly selected from male Iranian industrial workers who were referred to the Yazd hospital occupational medicine clinic for surveillance evaluations. Results. The M (SD) age of the participants was 30.13 (8.29) years. Statistical analysis was performed using the mean, standard deviation and 5th, 50th and 90th percentiles for each measured hand dimension. A considerable number of dimensions were significantly different between the measurements of right and left hands in each examinee. The results showed significant differences between Iranian hand size and that of other populations. Conclusion. This study provided a valuable databank of hand dimensions in a population of Iranian male workers. These data can be used by manufacturers in designing high-quality hand-tools and industrial gloves, taking into consideration Iranian worker characteristics.     

Epidemiological and biomechanical evaluation of airline baggage handling

Objectives. Musculoskeletal disorders (MSDs) are prevalent among airline baggage handlers due to manual materials handling. In this study, the Nordic musculoskeletal questionnaire (NMQ), the revised National Institute for Occupational Safety and Health (NIOSH) lifting equation, and the University of Michigan 3D Static Strength Prediction Program? (3DSSPP) were used to analyze MSDs among baggage handlers. Methods. The NMQ was filled out by 209 baggage handlers and 46 arbitrarily selected baggage handlers were evaluated using the NIOSH method and 3DSSPP. Results. The obtained results showed that the most common MSDs occurred in the lower back region. The next risky regions included knees, neck, and upper back, respectively. The NIOSH results confirmed that the subjects lifted loads heavier than the permitted limit and their lifting postures were inappropriate. The results of the 3DSSPP also indicated that compression forces exceeded the NIOSH limit in these awkward postures. Conclusions. Relying on this study, holding compulsory ergonomic lifting training courses could be proposed for workers and regulations adjusting an upper limit for maximum baggage weight must be also enacted in order to improve occupational health and prevent the prevalence of increasing MSDs.     

The cut-off point for tympanic temperature as a heat strain index for evaluation of outdoor workers: a field study

Objectives. The aims of this study were (a) to assess the agreement coefficient between tympanic temperatures and the most popular and valid heat stress index, wet bulb globe temperature (WBGT), in outdoor environments; (b) to determine a cut-off point for tympanic temperature as a heat strain index for evaluation of outdoor workers. Methods. 1452 measurements of WBGT index and tympanic temperature were recorded for outdoor workers from nine different climatic regions. Consistency of the WBGT and tympanic temperature were tested. The cut-off point for tympanic temperature in outdoor environments regarding WBGT evaluation was suggested based on obtained sensitivity and specificity from a receiver operating characteristic curve. Results. The results showed that there were numerous situations in which WBGT exceeded the reference value, whilst the measured values of tympanic temperature rarely reached a permissible value for core temperature (38?°C). Therefore, appropriate consistency of results between the heat stress and strain indices was not achieved. Conclusion. The criterion of tympanic temperature equaling 37?°C was suggested as a cut-off point for tympanic temperature as a heat strain index for outdoor environment evaluation.     

Estimation of Aerobic Capacity and Determination of Its Associated Factors Among Male Workers of Industrial Sector of Iran

Introduction. The aim of this study was to estimate maximal aerobic capacity (V_O2max), to determine its associated factors among workers of industrial sector of Iran and to develop a regression equation for subjects’ V_O2max. Methods. In this study, 500 healthy male workers employed in Shiraz industries participated voluntarily. The subjects’ V_O2max was assessed with the ergocycle test according to the Åstrand protocol. Required data was collected with a questionnaire covering demographic details (i.e., age, job tenure, marital status, education, nature of work, shift work, smoking and weekly exercises). Results. The subject’s mean V_O2max was 2.69 ± 0.263 L/min. The results showed that there was an association between V_O2max and age, BMI, hours of exercise and smoking, but there was no association between V_O2max and height, weight, nature of work and working schedule. On the basis of the results, regression equations were developed to estimate V_O2max. Conclusion. Final regression equation developed in this study may be used to estimate V_O2max reliably without the need to use other laboratory instruments for aerobic measurement.     

Health impact and noise exposure assessment in the cricket bat industry of Kashmir,India

Aim. The aim of the present study was to identify and evaluate predominant noise sources in the cricket bat industry of Kashmir, India. Methods. Sound levels were measured at operator’s ear level in the working zone of the workers of seven cricket bat factories. The impact assessment was made through personal interviews with each worker separately during their period of rest. Results. On average, 62.5% of the workers reported difficulty in hearing and 24.1% of the workers have become patients for hypertension. Only 58.1% of the workers complained of headache due to high noise level. Conclusions. The workers engaged in the cricket bat industry of Kashmir are exposed to high noise levels. It is suggested that personal protective equipment like ear plugs and ear muffs be used by these workers as a protection against this hazard.     

Psychosocial and ergonomic survey of office and field jobs in a utility company

Introduction. The effect of different kinds of work on the psychosocial assessment of workers under the same management and organizational environment is investigated. Methods. A voluntary assessment in a utility company was carried out using the short version of the Copenhagen psychosocial questionnaire (CoPsoQ) on two occasions, 1.5 years apart. Initially, 25 office workers (11 men and 14 women) participated, while 14 of those workers (8 women and 6 men) participated in the second assessment together with 32 field workers. The sewage, water treatment and maintenance workers, totaling 32 men, also participated in a field ergonomics assessment using the Washington State Department of Labor and Industries field work ergonomic checklist. Results. The longitudinal outlook was fairly stable, with sustained severe scores in many CoPsoQ subscales and intensification of severity of workers’ control over work and esteem for men. A significantly higher esteem score resulted for field rather than office workers. Workers subjected to foul odors showed similar severity of psychosocial factors. Discussion. For most psychosocial dimensions, the organizational design and management system in place, as well as the overall cultural environment in which it operates, create a much stronger and more decisive impact than job-specific factors.     

Application of mindfulness-based stress reduction to a stress management intervention in a study of a mining sector company

Purpose. The aim of this article was to check whether mindfulness-based stress reduction (MBSR) is an effective intervention in reducing work-related stress in the case of workers in a copper mine. Methods. Sixty six employees were randomized to the experimental group (32 participants) or to the control group (34 participants). Work-related stress was measured using the job content questionnaire (JCQ) and mental health was measured using the general health questionnaire (GHQ-28) Experimental manipulation was 40-h MBSR training. Results. Multivariate repeated-measures analysis of variance revealed a significant increase of JCQ decision latitude (F?=?17.36, p?<?0.001) and social support (supervisor F?=?9.00, p?<?0.004; coworker F?=?5.61, p?<?0.020), and a significant decrease in GHQ-28 anxiety (F?=?5.28, p?<?0.079) and depression (F?=?3.95, p?<?0.048) due to the intervention. Conclusions. The study confirms that MBSR can be effective in reducing stress resulting from the external risk (and/or imagined fear) of losing one’s health or life. The use of MBSR could be recommended in health and safety activities in difficult and dangerous work conditions, such as mining, to promote workers’ well-being.     

Combined Effects of Physical Demands and Shift Working on Low Back Disorders Among Nursing Personnel

The aim of this study was to investigate the synergistic effects of physical demands and shift working on low back disorders (LBDs) among nursing personnel. The study used 2 questionnaires: a self-administered questionnaire composed of parts of Nordic musculoskeletal questionnaire to assess LBDs and job content questionnaire to assess physical demands. The participants were divided into 4 groups: from group 1 (low physical demands day workers) to group 4 (high physical demands shift workers). In regression analysis, high physical demands were associated with the prevalence of LBDs independently (OR 4.4, 95% CI [2.40, 8.00] and p < .05), but there was no association between shift working and LBDs (p > .05). Odds ratio in high physical demands shift workers was 9.33 compared to the reference group (p < .001). Calculated synergistic index was 7.37. Simultaneous impacts of shift working and high physical demands may increase the prevalence of LBDs among nursing personnel.     

Health Risk Assessment of Occupational Exposure to a Magnetic Field From Magnetic Resonance Imaging Devices

Health care staff who operate magnetic resonance imaging (MRI) devices are exposed to a static magnetic field of significant spatial heterogenity always produced by MRI magnets during the whole shift. They can also be exposed to pulses of a time-varying magnetic field (gradient field) present only during patients’ examinations. The level of the workers’ exposure depends both on the type of the magnet and on the ergonomic design of each MRI device.

The paper presents methods used for measuring and assessing workers’ exposure. It also discusses the results of inspection measurements carried out next to approximately 20 MRI devices of approximately 0.2–2.0 T. The presented characteristic and overview of the variability of workers’ exposure to a variety of MRI devices supports the need for data on monitoring occupational exposure to MRI. International exposure assessment standards and guidelines (International Commission on Non-Ionizing Radiation Protection [ICNIRP], Institute of Electrical and Electronics Engineers [IEEE], American Conference of Governmental and Industrial Hygienists [ACGIH], European Commission directive), and those established in Poland are also compared.     

Effects of customized foot orthoses on manufacturing workers in the metal industry

This 8-week study evaluates the effects of customized foot orthoses on work-related musculoskeletal disorders (WMSDs) of metal industry workers. These WMSDs were evaluated applying the Nordic musculoskeletal questionnaire (NMQ) at three different times (start, 4th week and 8th week) and additional questions were also formulated to obtain information about adaptation, fatigue, comfort and possible improvements. According to the NMQ results, statistical significance was found in the improvements after 4?weeks (p?<?0.05 in two areas, p?<?0.01 in three areas, p?<?0.001 in two areas and no significance in the other two) and after 8?weeks (p?<?0.01 in three areas, p?<?0.001 in four areas and no significance in the other two). The additional questions indicated fatigue reduction (both in general and in lower extremity), comfort level increase (after the adaptation period) and good acceptance, according to workers’ answers, suggesting customized orthoses can be effective in reducing and preventing WMSDs in several body regions.