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Published in Ken Addley, MCQs, MEQs and OSPEs in Occupational Medicine, 2023
Work-related musculoskeletal disorders of the upper limb include a range of painful conditions involving muscles, tendons, joints and nerves. Interventions have been widely studied, but conclusions are hampered by both workplace and intervention heterogeneity leading to many low-quality studies. However, there is now strong evidence that resistance training can help prevent and manage symptoms while stress management training and EMG biofeedback have no impact (moderate evidence). Specific workstation additions have a role, but there is moderate to strong evidence that adjustment alone has no effect.
Work stress induced musculoskeletal disorders in construction
Published in Imriyas Kamardeen, Work Stress Induced Chronic Diseases in Construction, 2021
Musculoskeletal disorders (MSDs) is an umbrella term for injuries or disorders of muscles, nerves, tendons, joints, cartilage and spinal discs in the human body. Work-related musculoskeletal disorders (WMSDs) are conditions in which the work environment and performance of work contribute significantly to the condition and/or the condition is made worse or persists longer due to work (Centers for Disease Control and Prevention 2018). Common types of WMSDs are (Korhan and Memon 2019): cervical vertebrae (symptom: neck pain/stiff neck)rotator cuff tendinitis (symptom: shoulder pain)lower back painarthritis (pain, swelling and inflammation in and around the joints and other body organs)carpal tunnel syndrome (symptoms: numbness, tingling or burning sensation in the palms, fingers and wrists)elbow painknee painhernia.
Safe Patient Handling and Mobility
Published in Amy J. Litterini, Christopher M. Wilson, Physical Activity and Rehabilitation in Life-threatening Illness, 2021
Christopher M. Wilson, Amy J. Litterini
Among occupations, healthcare professionals such as nurses and therapists experience some of the highest rates of work-related musculoskeletal disorders.2–4 Most of these injuries are sustained in the back, neck, and shoulders, but areas such as knees and elbows may also be affected.5 Often this occurs while assisting patient mobility with higher forces than otherwise advisable. Unfortunately, in the culture of some healthcare institutions, protecting healthcare providers from injuries remains a lower priority than expediency or other concerns. In some jurisdictions, institutions, or nations, a significant push for a “minimal lift environment” or “no lift environment” has begun over the past several decades.6 As an example, the Canadian Centre for Occupational Health and Safety defines this as “A no-lift policy would state that all manual handling tasks are to be avoided where ever possible. No-lift policies successfully reduce the risk only if the organization has the infrastructure in place (e.g., technical solutions, lifts, equipment, and administrative commitment) to support the initiative. Training is also necessary for caregivers to recognize the risk in activities, and how to follow appropriate steps to move or transfer a patient safely, including use of a gait belt or transfer belt.”7
Prevalence of musculoskeletal disorders in anesthesiologists in Ismailia Governorate
Published in Egyptian Journal of Anaesthesia, 2023
Eslam Albayadi, Abelrahman Soliman, Wesam F. Alyeddin
Work-related musculoskeletal disorders (WRMSDs) are the most common occupational health problems with variable prevalence worldwide ranging from 43–78% [1], with more than 80% of physicians experiencing pain while on duty [2]. It affects different body parts, with upper limb musculoskeletal disorders reported commonly among anesthetists [3]. However, these figures can be inaccurate due to marked underreporting [4]. WRMSDs are multifactorial and influenced by physical, psychological, social, and personal factors [5]. These disorders result from persistent extreme positions, forcefully repeated maneuvers, and poorly designed instruments [6]. Procedural physicians were found to be at risk of developing WRMSDs as they are prone to long working hours with repeated movements and static nonneutral positions, facing challenges with instrument design [7]. Previous research has focused on stressful lifestyles [8] and sharp injuries at work [9]. Although, WRMSDs lead to decreased productivity, the need for surgical intervention [10], and at times change the entire career [11]. Drawing attention to such a problem is essential to improve work-related circumstances to avoid a possible shortage in manpower [12]. Previous studies in Egypt reported on WRMSDs among physiotherapists, dentists, and pediatric physical therapists [1]. Another study reported on musculoskeletal disorders among nurses [13]. There is no data about the prevalence of WRMSDs among anesthesiologists in Egypt; this study was conducted accordingly.
Occupational ergonomic assessment of MSDs among the artisans working in the Bagh hand block printing industry in Madhya Pradesh, India
Published in International Journal of Occupational Safety and Ergonomics, 2023
Rajat Kamble, Sangeeta Pandit, Avinash Sahu
Much research done on a similar work environment in small-scale industries has shown that workers reported pain in the back, neck, wrist and shoulders due to repetitive work, and frequent bending and twisting of the trunk with awkward postures [2–8]. Work-related musculoskeletal disorders (WMSDs) of the upper limbs, such as the elbow and hand/wrist, are due to exposure to more than one risk factor: repetition, force, heavy lifting, awkward posture and vibration [9]. Exposure to repetitive tasks involving different operations results in cumulative trauma disorders [9,10]. Ergonomic evaluation in India's hand block print sectors has proved occupational health problems among the artisans [11–15]. The Bagh hand block printing technique of Madhya Pradesh has a unique printing method and is different from other states of India. The activity is a manual, high skill-based, intricate process, where the artisans spend their whole working hours at a makeshift workstation (Jugaad) as shown in Figure 1, on the floor with crossed legs sitting in a forward bend slouch posture for the printing activity along with twisting of the trunk to replenish ink on the hand blocks. The activity requires much muscular endurance due to its repetitive nature. Hand block printing does not involve extensive manual labor, but it is a high precision-based, intricate task involving long exposures to awkward sitting postures. Unlike other industries, the artisans working in the Bagh print handicraft sector do not have a proper workstation, resulting in the development of WMSDs affecting productivity.
Sri Lankan migrant worker perceptions of workplace hazard and safety awareness: case of the manufacturing industry in Korea
Published in International Journal of Occupational Safety and Ergonomics, 2022
Rajitha Kawshalya Mailan Arachchige Don, Seung-Cheol Hong
The OSHA recommends that the maximum lifting weight for time should not exceed 50 pounds (22.67 kg) [26]. In this study, 41.6% of the participants answered that they are lifting items 20 kg or above every day more than 10 times a day. Furthermore, performing intensive tasks with the hands may cause a possible hazard to workers [26]. The survey reports that 42.6% of them had to do repetitive movements with hands or wrists for at least 3 h during the day. Every week 32.3% of participants had to perform work tasks they are not familiar with, while 29.7% of them perform unfamiliar work methods daily. Workers interacted with hazardous substances such as chemicals, flammable liquids or gases on a daily or weekly basis, respectively, at the rate of 35.0 and 28.1%. Table 4 shows that 51% of the participants suffer from back pain. Such intensive activities without proper guidance can lead to work-related musculoskeletal disorders (WMSDs). As for the Korea Occupational Safety and Health Agency (KOSHA), WMSD was 70% of the compensated occupational diseases in Korea [30]. KOSHA requires workers to undergo a WMSD test every 3 years but considering the migrants’ visa period, there is a requirement to change the time of the mandatory WMSD test.