邮局分拣工慢性肌肉骨骼损伤调查研究

对２７５名邮局分拣工的调查发现，其慢性肌肉骨骼损伤主要涉及手、腕、臂、肩、上背及下背，与对照人群比较，Ｐ〈０．０５，差别显著。另外腱鞘囊肿的检出率达４．７３％ ，明显高于对照人群     

Effects of Manual Handling,Posture, and Whole Body Vibrations on Low-Back Pain

To determine the effect of occupational stress on low-back pain (LBP), a cross-sectional study has been carried out, by interviews, on workers exposed to 3 stresses: manual handling (MH, 82 women and 264 men), whole body vibrations (WBV, 274 men), and static postures (278 women). Anthropometric data, occupational stress, LBP severity and frequency, and a psychological evaluation of these groups were compared to those of a control population of 208 workers (104 men and 104 women).

The results show that 30% of the population had never suffered from LBP. Age and the body mass index of the workers were the parameters most closely associated with LBP. Women involved in MH had higher frequency and severity of LBP than their reference population. Men involved in MH or exposed to WBV had higher frequency of painful episodes than their reference population. Workers exposed to one of the stresses were on sick leave for LBP more often, and for longer periods, than workers in the reference group. The results show that individual factors are often decisive in the onset of LBP. Nevertheless, in the more serious LBP cases, occupational stress is an aggravating factor for LBP and its consequences.     

Amalgam in Dentistry A Health Hazard for Dental Personnel?

In a cross sectional study done in 1993 among dental personnel in Norrbotten, self-reported prevalence of muscular pain, headache, tremor, insomnia, irritation, impaired memory and depression, as well as information regarding different mercury exposures were collected Mercury exposures were determined as “number of amalgam fillings in teeth,” “years in practice,” “insufficient ventilation at work,” “total number of amalgam removed, produced and polished per day,” and “working in dental clinics.” As controls, physicians and nurses from the same geographical area were selected. The correlation between symptoms and different mercury exposures was calculated using logistic regression. The results suggested a higher prevalence of muscular fatigue and tremor for female dental personnel compared to controls Controls reported a lower prevalence of symptoms with increasing number of amalgam fillings in teeth. There was no correlation between the number of amalgam fillings handled per day and symptoms for dental personnel. Male dental personnel associated muscular fatigue headache, impaired memory, and depression with increased handling of amalgam in the clinic’ whereas the female dental personnel associated the same symptoms with the number of amalgam fillings in teeth. The strongest correlation was found between symptoms and insufficient ventilation at dental clinics for dental personnel.     

Low Back Muscle Activity in an Automobile Seat with a Lumbar Massage System

This investigation was conducted to determine the effects of a massaging lumbar support system on low back muscle activity. The apparatus included a luxury-level automobile seat, six 10-mm diameter bipolar surface electrodes, an amplifier, an analog-to-digital conversion board, data acquisition software, and a personal computer. Six experimental conditions, each involving a variation of massage time, were considered. The dependent variable was the change in the root mean square variation of the EMG signal. One minute of lumbar massage every 5 min was found to have a beneficial effect on low back muscle activity (as compared to no massage). This may prove to be an extremely important result in the quest to combat low back pain attributable to automobile seating.     

Low Back Pain Among Residential Carpenters: Ergonomic Evaluation Using OWAS and 2D Compression Estimation

Occupational low back pain (LBP) remains a leading safety and health challenge. This cross-sectional investigation measured the prevalence of LBP in residential carpenters and investigated ergonomic risk factors. Ninety-four carpenters were investigated for LBP presence and associated risk factors. Ten representative job-tasks were evaluated using the Ovako Working Posture Analysis System (OWAS) and ErgoMaster? 2D software to measure elements of posture, stress, and risk. Job-tasks were found to differ significantly for total lumbar compression and shear at peak loading (p < .001), ranging from 2 956 to 8 606 N and 802 to 1 974 N respectively. OWAS indicated that slight risk for injury was found in 10 job-tasks while distinct risk was found in 7 of the 10 job-tasks. Seven of the 10 job-tasks exceeded the National Institute for Occupational Safety and Health (NIOSH) action limit of 3 400 N for low back loading. The point prevalence for LBP was 14% while the annual prevalence was 38%.     

The Impact of Mobile Data Terminal Use on Posture and Low-Back Discomfort When Combined With Simulated Prolonged Driving in Police Cruisers

The introduction of mobile computing within a constrained vehicle environment has led to changes in the task demands of occupational groups such as professional drivers and law enforcement officers. The purpose of this study was to examine how mobile data terminal (MDT) use interacts with prolonged driving to induce postural changes or low-back discomfort. Eighteen participants (9 male, 9 female) completed two 120-min simulated driving sessions. Time-varying lumbar spine and pelvis postures, seat pan interface pressures and ratings of perceived discomfort were recorded at 15-min intervals. The introduction of a computer interface decreased pelvic posterior rotation by an average of 15° with respect to upright standing and increased peak average discomfort in the neck (5.9 mm), left shoulder (6.8 mm), midback (10.9 mm), low back (10.6 mm) and pelvis (11.5 mm) compared to driving alone. The incorporation of mobile computing warrants consideration in the design of vehicle work environments.     

A Comparative Ergonomics Postural Assessment of Potters and Sculptors in the Unorganized Sector in West Bengal,India

Potters and sculptors perform their work in very awkward postures. The purpose of this study was to analyse these postures. The modified Nordic questionnaire was used to analyse musculoskeletal discomfort. Rapid entire body assessment (REBA) and rapid upper limb assessment (RULA) were used to evaluate the subjects’ postures. There were no significant differences between times of discomfort and the group of subjects. However, there were significant differences in discomfort in different body parts. The analysis indicated that various body postures were harmful to the subjects and that there were profound deviations from natural curvature of various body parts due to awkward body postures. Ergonomics intervention was required to improve the quality of life.