Physical Symptoms in Young Adults and Their Use of Different Computers and Mobile Phones

This paper presents the use of new technical equipment by young adults (30 years old or younger), and the physical symptoms they have. The paper then analyses how the symptoms are associated with the use of computers and mobile phones, taking into account the background information. The study is based on a survey of 15000 working-age ( 18-65) Finns. The responses (1563) covering young adults’ physical symptoms were analysed. Altogether 53.3% of all young adults had pretty often or more frequently pain, numbness or aches in the neck and 32.2% had aches in the hip and lower back. Women experienced more pain, numbness or aches in the neck (65.0%) than men (34.5%). The use of different computers at leisure quite often had an association with some symptoms in different parts of the body. In addition, exhaustion at work had associations with some physical symptoms. In the future, it is essential to note ergonomic reasons and exhaustion at work when young adults experience pain, numbness or aches.     

White-collar workers' self-reported physical symptoms associated with using computers

The aim of our work was to study the physical symptoms of upper- and lower-level white-collar workers using a questionnaire. The study was cross-sectional with a questionnaire posted to 15 000 working-age persons. The responses (6121) included 970 upper- and 1150 lower-level white-collar workers. In the upper- and lower-level white-collar worker groups, 45.7 and 56.0%, respectively, had experienced pain, numbness and aches in the neck either pretty often or more frequently. When comparing daily computer users and nonusers, there were significant differences in pain, numbness and aches in the neck or in the shoulders. In addition, age and gender influenced some physical symptoms. In the future, it is essential to take into account that working with computers can be especially associated with physical symptoms in the neck and in the shoulders when workers use computers daily.     

Self-reported wrist and finger symptoms associated with other physical/mental symptoms and use of computers/mobile phones

Recently, computer, mobile phone and Internet use has increased. This study aimed to determine the possible relation between self-reported wrist and finger symptoms (aches, pain or numbness) and using computers/mobile phones, and to analyze how the symptoms are specifically associated with utilizing desktop computers, portable computers or mini-computers and mobile phones. A questionnaire was sent to 15,000 working-age Finns (age 18–65). Via a questionnaire, 723 persons reported wrist and finger symptoms often or more with use. Over 80% use mobile phones daily and less than 30% use desktop computers or the Internet daily at leisure, e.g., over 89.8% quite often or often experienced pain, numbness or aches in the neck, and 61.3% had aches in the hips and the lower back. Only 33.7% connected their symptoms to computer use. In the future, the development of new devices and Internet services should incorporate the ergonomics of the hands and wrists.     

Office ergonomics: deficiencies in computer workstation design.

The objective of this research was to study and identify ergonomic deficiencies in computer workstation design in typical offices. Physical measurements and a questionnaire were used to study 40 workstations. Major ergonomic deficiencies were found in physical design and layout of the workstations, employee postures, work practices, and training. The consequences in terms of user health and other problems were significant. Forty-five percent of the employees used nonadjustable chairs, 48% of computers faced windows, 90% of the employees used computers more than 4 hrs/day, 45% of the employees adopted bent and unsupported back postures, and 20% used office tables for computers. Major problems reported were eyestrain (58%), shoulder pain (45%), back pain (43%), arm pain (35%), wrist pain (30%), and neck pain (30%). These results indicated serious ergonomic deficiencies in office computer workstation design, layout, and usage. Strategies to reduce or eliminate ergonomic deficiencies in computer workstation design were suggested.     

Office Ergonomics: Deficiencies in Computer Workstation Design

The objective of this research was to study and identify ergonomic deficiencies in computer workstation design in typical offices. Physical measurements and a questionnaire were used to study 40 workstations. Major ergonomic deficiencies were found in physical design and layout of the workstations, employee postures, work practices, and training. The consequences in terms of user health and other problems were significant. Forty-five percent of the employees used nonadjustable chairs, 48% of computers faced windows, 90% of the employees used computers more than 4 hrs/day, 45% of the employees adopted bent and unsupported back postures, and 20% used office tables for computers. Major problems reported were eyestrain (58%), shoulder pain (45%), back pain (43%), arm pain (35%), wrist pain (30%), and neck pain (30%). These results indicated serious ergonomic deficiencies in office computer workstation design, layout, and usage. Strategies to reduce or eliminate ergonomic deficiencies in computer workstation design were suggested.     

大学生使用电脑及受其电磁辐射污染状况的调查

为了解目前高校内大学生拥有个人电脑的情况,以及大学生对其所产生电磁辐射污染的了解程度和受其危害程度,在南开大学本部选取有代表性的学生宿舍楼进行问卷调查.结果显示,大学生中个人电脑的普及率为45.7%,以电磁辐射强度相对大的阴极射线管(Cathod RayTube,CRT)显示器电脑为主,占64.9%;拥有个人电脑的大学生,平均每日使用电脑的时间长;学生使用电脑后出现不良症状(眼疼、头晕等)的比例高,为77.4%,女生对电磁辐射的敏感程度高于男生;随每日使用电脑时间的延长,出现不良症状的人数增加;大学生对电磁辐射的危害有所了解的人数比例为71.9%,但知道防护措施的仅为29.6%,使用防护屏的仅为5.4%.综合调查结果认为,大学生电脑普及率高,使用时间长,且对电脑电磁辐射无应有的防护,大多数大学生在一定程度上已经受到了电磁辐射的影响,大学生受电脑电磁辐射已经成为一个值得关注的新问题.     

Occupationally Oriented Medical Rehabilitation and Hairdressers’ Work Techniques–A one-and-a-half-year follow-up

This study examined changes in work techniques and musculoskeletal symptoms after occupationally oriented medical rehabilitation arranged for 21 hairdressers who were experiencing neck-shoulder or back pain but were still able to work. OWAS (Ovako Working Posture Analysing System) analyses of working postures and questionnaire data were obtained at the beginning of the courses and one and a half years later. The participants worked with their back bent and twisted or their arms at or over shoulder level more seldom (p < .0001) at the end of the follow-up than at the beginning of the rehabilitation. Subjective work-related physical and mental strain had decreased by 45.4% (p < .001) and 27.1% (p < .05), respectively, and subjective neck and back pain by 40.0% (p < .0 1 ) and 45.3% (p < .01). respectively. This’study suggests that occupationally oriented medical rehabilitation can have significant and long-lasting effects on the rehabilitee’s work techniques and subjective well-being.     

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.     

A model for occupational injury risk assessment of musculoskeletal discomfort and their frequencies in computer users

Occupational injuries pose a major problem in workplaces where computers are widely used. Intensive, repetitive and long period computer use results in costly health problems (direct cost), and lost productivity (indirect cost). Yet, the effect of musculoskeletal discomfort and their frequencies associated with the use of computers have not received considerable attention. This paper presents the findings of a risk assessment model through a scientific research to determine the effect of discomfort factors that contribute to musculoskeletal disorders resulting from intensive use of computers in the workplaces. In this context a questionnaire was given to 130 intensive computer users working in the university sector. A list of significant predictor variables for musculoskeletal disorders was developed to assess and analyze workplace ergonomics, worker attitudes and experiences on computer keyboard and mouse. The main focus of the current research is to seek and provide evidence that symptoms of musculoskeletal discomfort and the frequency of these symptoms are significant in the development of work-related musculoskeletal disorders (WRMSDs). This study provides the evidence that, ache and pain are the most common types of discomforts in all body regions. The discomforts were more pronounced at neck, shoulder, upper back, hand/wrist, and lower back regions. The risk factors determined by the risk assessment model were validated through ANOVA of the sEMG records for the control and test groups. The findings indicated that for each test group respondent, the mean musculoskeletal strain experienced differs in time, but the same is not true for the control group.     

Mental Symptoms and the Use of New Technical Equipment

The aim of this paper was to present how mental symptoms are connected to the use of desktop, portable or minicomputers (communicators and hand-held computers), mobile phones, and background information such as age and gender in the Finnish working-age population. The study was carried out as a cross-sectional study by posting a questionnaire to 15 000 working-age (18-65) Finns. The mental symptoms of 6121 respondents were analysed using the model factors age, gender, the use of computers and the use of mobile phones. In all data, the use of desktop computers was related to mental symptoms. However, the results of our data are not highly reliable, because the nonresponse rate was over 50%. Nevertheless, it may be essential to take into account in the future that working with computers can increase workers’ mental symptoms, and it is important to observe their mental health.     

Psychosocial and Ergonomic Factors,and Their Relation to Musculoskeletal Complaints in the Swedish Workforce

A random sample of 1 000 subjects (20–65 years old) from the national population of Sweden received a questionnaire; 70% (n = 695) replied, of whom 532 were occupationally active. Female gender, working with neck and/or body bent forward, arms above shoulders, and precision work tasks were predictors of musculoskeletal symptoms. Neck, shoulder, and upper back symptoms were more common in a strained situation at work (high demands, low control) (adjusted odds ratios [adjOR] 2.76, 2.80, and 2.26, respectively). Among females, neck and shoulder symptoms were more common in an iso-strain situation (high demands, low control and low social support) (adjOR 4.43 and 3.69, respectively), and low back symptoms were more common at low social support combined with a passive work situation (adjOR 3.35). No associations were found between iso-strain model and symptoms among males. In conclusion, iso-strain work situation was associated with neck symptoms among females, even when controlling for ergonomic factors.     

Head and neck injuries in fatal motorcycle collisions as determined by detailed autopsy

Detailed layer-by-layer autopsy of the head and neck was performed on a prospective series of 73 fatally injured motorcyclists in order to identify occult injuries, particularly soft tissue neck injuries such as hemorrhage of vertebral and carotid arteries. The fatal cases were gathered as part of a larger study of 1,082 on-scene in-depth motorcycle crash investigations in Thailand. Detailed neck dissection was done on nearly all fatal cases. Injuries were coded using the 1990 revision of the Abbreviated Injury Scale (AIS 90) and an Injury Severity Score (ISS) was determined for each case. Additional AIS codes are proposed for neck injuries that were often identified during the detailed autopsy procedures, but which are not listed explicitly among existing AIS codes. Helmet use was determined based on analysis of injury patterns and helmet damage with consideration also given to witness statements. Both helmeted and unhelmeted motorcyclists showed a high frequency of occult neck injuries such as hemorrhages in the carotid sheath or surrounding the vertebral arteries, phrenic nerve, or brachial plexus. These soft tissue neck injuries sometimes accompanied more obvious injuries to cervical vertebrae or spinal cord, but about one-third of riders had no obvious injury to suggest the presence of occult neck injury. Twenty-eight motorcyclists had been wearing a helmet at the start of the collision sequence, but only nine helmets remained in place through the entire collision event. Helmeted riders showed more severe somatic (below-the-neck) injuries than unhelmeted riders, suggesting helmeted riders are less likely to die in low-threat accidents with somatic injuries below AIS-3. The most significant finding of this study was the identification of serious internal neck injuries despite the absence of external physical evidence of trauma to the neck. Virtually all riders with significant head injuries showed some of these soft tissue neck injuries. Approximately one-third of the critically injured riders who survived at least a few hours before death showed serious occult soft tissue neck injuries.     

Seat-Belt Use and Related Behaviors Among Young Adults

Seat-belt use among young adults was examined to identify factors associated with nonuse. This research was part of the Dunedin Multidisciplinary Health and Development Study, which is a study of the health, development, and behavior of a birth cohort of young New Zealanders (n = 1037). At age 21 years, 948 (93%) members of this cohort were administered a face-to-face interview where they were asked about seat-belt use (self and friends), reasons for nonuse, and also their involvement in risky driving practices, motor-vehicle traffic crashes, and some thrill-seeking activities. Results showed relatively high front seat-belt use (85–96%) but low rear use (29–47%). Some differences in use were a function of gender and seating location. Generally, users had higher academic qualifications and lower risky driving behavior (males only), but did not differ significantly as far as crash experiences and thrill-seeking activity was concerned. The main reasons for not using a seat belt were forgetfulness/laziness, a perceived low risk of injury, and discomfort. This study provided information about the background and behavior of young adults who do not use seat belts, which could be helpful when designing strategies to promote seat-belt use in this age group.     

A cross-country comparison of short- and long-term effects of an ergonomic intervention on musculoskeletal discomfort, eyestrain and psychosocial stress in VDT operators: selected aspects of the international project.

Three groups of data entry female visual display terminal (VDT) workers from Norway (n = 30), Poland (n = 33) and the USA (n = 29) were compared. Before intervention, the Norwegian group reported more neck pain compared with the Polish group. The Polish group reported less shoulder pain than both the U.S. and the Norwegian groups. The clinical examination documented fewer symptoms and signs of musculoskeletal illness among the Polish participants compared with the Norwegian and the U.S. groups. After intervention, the Norwegian group reported a reduction in neck pain while the U.S. group reported a reduction in shoulder pain. The Polish group reported an increase in neck, shoulder and forearm pain at follow-up compared to after intervention. The Polish group recorded higher flexion of the upper arm at follow-up parallel with an increase of pain in the upper part of the body. Visual discomfort showed variable results in the 3 countries.     

Psychosocial and Individual Characteristics and Musculoskeletal Complaints Among Clinical Laboratory Workers

Musculoskeletal disorders (MSDs) are an important health problem among healthcare workers, including clinical laboratory ones. The aim of the present study was to investigate the prevalence of MSDs and individual and psychosocial risk factors among clinical laboratory workers. A cross-sectional study was carried out among 156 workers of 30 clinical laboratories in 3 towns of Iran. The Nordic questionnaire with individual and psychosocial risk factors was used to collect data. Multiple logistic regression analysis was performed. The prevalence of reported MSDs among the study population was 72.4% in the past 12 months. The most prevalent MSDs were pain in the lower back and neck; 42.7% and 33.3%, respectively. Significant relations were found between MSDs and age, gender, heavy work at home and job control (p < .05). MSDs among laboratory workers were high and associated with age, gender, heavy work at home and job control. More research into measuring these factors and workplace physical demands is suggested.     

Prevalence of low back pain in three occupational groups in Shanghai, People's Republic of China

PROBLEM: Low back pain (LBP) is one of the most prevalent work-related conditions affecting employed populations in developed countries, yet little is known about this condition among the world's largest, single-nation labor force: The People's Republic of China. METHOD: This is a cross-sectional study of the prevalence of low back pain (LBP) among garment workers, battery/kiln workers, and teachers in Shanghai, People's Republic of China. Data were collected by personal interview and physical examination at six work sites. The overall response rate was 78%. RESULTS: The overall (N=383) self-reported annual prevalence of LBP symptoms lasting 24 hours or more was 50%. Garment workers had a higher annual prevalence of LBP (74%) than teachers (40%), prevalence ratio (PR=1.9, 95% CI=1.4-2.4). DISCUSSION: The overall annual prevalence of self-reported LBP (50%) was higher than that reported among 50 other Chinese employed study populations (30%). Healthy worker effects may have limited the conclusions from this cross-sectional study. SUMMARY: These results suggest that LBP is a prevalent condition in Chinese workers and that more work should be done to estimate its impact on the Chinese workforce. The findings for garment workers were consistent with increased risk of LBP among persons doing work in fixed, sedentary postures.     

Parameters influencing AIS 1 neck injury outcome in frontal impacts

In order to gain more knowledge of the neck injury scenario in frontal impacts, a statistical study of parameters influencing incidences of AIS 1 neck injuries was performed. The data set consisted of 616 occupants in Volvo cars. Information regarding the crash, the safety systems, occupant characteristics (including prior neck problems), behavior and sitting posture at the time of impact, and neck symptoms (including duration) was collected and analyzed. Occupant characteristics (mainly gender, weight, and age), kinematics (head impacts) and behavior at the time of impact were identified as the most prominent parameter areas with regard to AIS 1 neck injury outcome. Specifically, women had a significantly higher AIS 1 neck injury rate as compared to men, occupants under the age of 50 had a significantly higher AIS 1 neck injury rate as compared to those above 50 and occupants weighing less than 65 kg have a significantly higher AIS 1 neck injury rate than heavier occupants. Drivers stating that they impacted their head against a frontal interior structure had a significantly higher AIS 1 neck injury rate than those without head impact. Also, occupants who stated they had tensed their neck muscles at the time of impact, had a significantly higher AIS 1 neck injury rate as compared to occupants who did not. Occupant activities, such as tightly gripping the steering wheel or straightening their arms showed a significantly increased AIS 1 neck injury rate, indicating that occupant behavior at time of impact could be influential with respect to AIS 1 neck injury outcome. Also, occupants reporting prior neck problems had a higher rate of persistent symptoms (>1 year) but no difference with respect to passing symptoms (<3 months) as compared to those without prior neck problems. Additionally, there was no distinct pattern for the duration of neck symptoms.     

Effects of prolonged microscopic work on neck and back strain amongst male ENT clinicians and the benefits of a prototype postural support chair

Musculoskeletal pain is a common occupational hazard experienced by surgeons. Ear, nose and throat (ENT) surgeons are predisposed to neck and back pain due to regular prolonged microscopic work. We conducted a prospective pilot study to investigate the effects of sustained microscopic work on the neck and back, its correlation to surgical experience and to assess the benefits of a prototype postural support chair (PSC) amongst 10 male, ENT clinicians. We used a subjective measure of time to fatigue and pain for the neck and back as well as objective readings from a surface electromyogram (sEMG). We found that an increase in surgical experience correlated with the time taken to experience fatigue and pain in the neck and back. This was corroborated by our sEMG findings. The PSC significantly delayed the sensations in the neck and also eliminated the difference seen amongst the varying seniority of clinicians.     

Epidemiology of musculoskeletal symptoms among Korean hospital nurses.

We investigated the epidemiology of musculoskeletal symptoms (MSS) among a complete cross-section of 330 nurses from a large Korean hospital, by means of a questionnaire survey (response rate: 97.9%). The prevalence of MSS at any body site was 93.6%, with symptoms most commonly reported at the shoulder (74.5%), lower back (72.4%), neck (62.7%), lower legs (52.1%) and hand/wrist (46.7%). Logistic regression indicated that nurses who undertook manual handling of patients were 7.2 times as likely to report MSS (OR 7.2, 95%CI 1.2-42.3, P = .0275), while nurses suffering from periodic depression experienced a 3.3-fold MSS risk (OR 3.3, 95%CI 1.3-8.3, P = .0104). Overall, our study suggests that Korean nurses incur a very high MSS burden when compared internationally. A greater commitment is needed to improve physical conditions, occupational tasks and psychosocial work issues among nurses in this country.     

Physical Strain and Work Ergonomics in Farmers with Disabilities

In agriculture, occupational injuries are common, and several of them lead to permanent physical disability. The objective of this case study was to assess the strain and the ergonomic needs of four farmers (aged 34–49 years) with physical disabilities. A maximal bicycle ergometer test or an arm-crank test was done to assess their maximal heart rate (HR _max) and maximal oxygen consumption (V0_2max). The strain at work was analyzed by measuring heart rate (HR), muscle activity (EMG), and the rating of perceived exertion (RPE). The farmers were interviewed as to possible and impossible work tasks and the ergonomic redesign measures taken to improve the work environment. The work tasks performed were mainly light or moderate work for the cardiorespiratory system according to mean HR (88-102 beats/min), the percentage of HR range (17–31% HRR), and the relative V0₂ (22–46% V0_2max). The mean activity of the trapezius muscles was 0.4-9% of the maximal voluntary contraction (%MVC). All the participants had work tasks they were unable to perform. They had made ergonomie redesign changes mainly to the tractor. This case study showed that some agricultural work tasks were possible for farmers with physical disabilities and that the physical strain associated with these tasks was mainly light or moderate.