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.     

The psychological impact of traffic injuries sustained in a road crash by bicyclists: A prospective study

Objective: The objective of this study was to investigate the psychological impact of traffic injuries in bicyclists (cyclists) in comparison to car occupants who also sustained traffic injuries. Factors predictive of elevated psychological distress were also investigated.

Methods: An inception cohort prospective design was used. Participants included cyclists aged ≥17 years (mean age 41.7 years) who sustained a physical injury (n = 238) assessed within 28 days of the crash, following medical examination by a registered health care practitioner. Injury included musculoskeletal and soft tissue injuries and minor/moderate traumatic brain injury (TBI), excluding severe TBI, spinal cord injury, and severe multiple fractures. Assessment also occurred 6 months postinjury. Telephone-administered interviews assessed a suite of measures including sociodemographic, preinjury health and injury factors. Psychological impact was measured by pain catastrophization, trauma-related distress, and general psychological distress. The psychological health of the cyclists was compared to that of the car occupants (n = 234; mean age 43.1 years). A mixed model repeated measures analysis, adjusted for confounding factors, was used to determine differences between groups and regression analyses were used to determine contributors to psychological health in the cyclists 6 months postinjury.

Results: Cyclists had significantly better psychological health (e.g., lower pain catastrophizing, lower rates of probable posttraumatic stress disorder [PTSD], and lower general distress levels) compared to car occupants at baseline and 6 months postinjury. Factors predictive of cyclists' psychological distress included younger age, greater perceived danger of death, poorer preinjury health, and greater amount of time in hospital after the injury.

Conclusions: These data provide insight into how cyclists perceive and adjust to their traffic injuries compared to drivers and passengers who sustain traffic injuries, as well as direction for preventing the development of severe psychological injury. Future research should examine the utility of predictors of psychological health to improve recovery.     

Measuring limitations in activities of daily living: a population-based validation of a short questionnaire

Purpose. A newly developed questionnaire assessing limitations in activity of daily living (LADL–Q) that should improve assessment of LADL is tested in a large population-based validation study. Methods. This survey was paper-based. Overall, 16,634 individuals who were representative of the working population in the German-speaking part of Switzerland participated in the study. Item analysis was used the final version of the LADL–Q to four items per subscale that correspond to potential problems in three body regions (back and neck, upper extremities, lower extremities). Analysis included tests for reliability, internal consistency, dimensionality and convergent validity. Results. Test–retest reliability coefficients after 2 weeks ranged from 0.82 to 0.99 (Mdn?=?0.87), with no item having a coefficient below 0.60. The median item-total coefficients ranged between moderate and good. Correlation coefficients between LADL–Q subscales and three validated clinical instruments (Western Ontario and McMaster Universities osteoarthritis index, shoulder pain disability index, Oswestry) ranged from 0.63 to 0.81. In structural equation modeling the three subscales were significantly related with two important outcomes in occupational rehabilitation: self-reported general health and daily task performance. Conclusion. The new LADL–Q is a brief, reliable and valid tool for assessment of LADL in studies on musculoskeletal health.     

Musculoskeletal Symptoms in Two Plants in the Electrical Sector

The study consisted of describing, using a questionnaire, the musculoskeletal symptoms in two industries in the electrical sector. The questionnaire was distributed to more than 600 workers in the two industries. The questionnaire described four types of variables: usual population data (age, gender, experience, etc.), certain work variables, the regions of the body affected in the past 12 months and in the past 7 days, and the severity of the symptoms. Ten variables were used to provide a symptom severity index. In the two plants, the women reported more frequent and more serious problems than the men and the least experienced workers were the most affected. In Plant 1, the questionnaire pinpointed two work sectors, whereas in Plant 2, the problems were found not to be concentrated in a few sectors, but distributed among different jobs throughout the entire plant.     

缝纫工慢性肌肉骨骼损伤的调查

缝纫流水线作业工人的慢性肌肉骨骼损伤十分普遍，且涉及面广，如手、腕、肘、臂、肩、颈、背及下肢，其症状与对照人群比，有显著差异。这与他们的工作紧张、工作时间率过多、工中休息时间过少、坐椅过高、工作台面过高及过度低头、向前弯腰等因素有关     

缝纫工腰椎X线检查改变与下背痛的初步调查

５７名缝纫流水线作业工人和３１名缝纫作业辅工的腰椎Ｘ线检查发现，有腰椎改变者分别为８０．７０％ 和７４．１９％ 。其中以骨质增生最多，其次为脊柱侧弯。骨质增生与年龄，工龄有关。下背痛与骨质增生间未见相关关系     

机械加工工人慢性肌肉骨骼损伤的调查研究

机械加工作业十分普遍，通过对１４０名机加工工人的调查，发现手、腕、臂、肩、颈和上背的疼痛及腕、上臂和上背的压痛与对照人群比，Ｐ＜ ０．０５差异明显，下背酸痛虽较对照人群高，但无统计学意义。这可能与机械加工时需取低头、颈前弯、上背前倾体位及勿需常弯腰等因素有关     

A Multilevel Approach to Manual Lifting in Manufacturing Industries

Musculoskeletal injuries are often the consequences of wrong postural configurations used during Manual Materials Handling (MMH). This eventually leads to a large payout of worker’s compensation and loss of production time. A simulated study of back injury risks has been carried out on seven selected manufacturing industries to identify and evaluate harmful working postures. For each MMH task, Ovako Working Posture Analyzing System (OWAS) codes have been identified with the help of motion study pictures. Also, Chaffin's biomechanical model was used to calculate L5/S1 load compression values on the spine during MMH activities. The multilevel approach adopted was a combination of OWAS and Chaffin’s biomechanical model. The application of a digitizer enabled us to identify the coordinates and it made a subsequent evaluation of the angles of each body link possible.     

Work conditions in agriculture as risk factors of spinal pain in postmenopausal women

The aim of the study was to evaluate the risk factors for spinal pain in Polish postmenopausal women working in agriculture. The study included 1751 randomly selected postmenopausal women aged 45–65?years. The women were exposed to hazardous work conditions, in particular the use of force and heavy lifting, often more than 10?kg and with frequency of at least once a day. Two-thirds of them suffered from spinal pain, mostly in the lumbar spine and less frequently in the cervical and thoracic spine. The prevalence of spinal pain depended on exposure to health risks associated with overwork, early onset of menopause and increasing age. The prevalence of pain in the lumbar spine correlated positively with higher frequency of heavy lifting and using excessive force during agricultural work. The severity of spinal pain correlates positively with the age of pain onset and negatively with level of education.