Development of the Prevent for Work questionnaire (P4Wq) for assessment of musculoskeletal risk in the workplace: part 1—literature review and domains selection (original) (raw)
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American Journal of Industrial Medicine, 2009
Objective This systematic review was designed and conducted in an effort to evaluate the evidence currently available for the many suggested risk factors for work-related musculoskeletal disorders. Methods To identify pertinent literature we searched four electronic databases (Cinahl, Embase, Medline, and The Cochrane Library). The search strategies combined terms for musculoskeletal disorders, work, and risk factors. Only case-control or cohort studies were included. Results A total of 1,761 non-duplicated articles were identified and screened, and 63 studies were reviewed and integrated in this article. The risk factors identified for the development of work-related musculoskeletal disorders were divided and organized according to the affected body part, type of risk factor (biomechanical, psychosocial, or individual) and level of evidence (strong, reasonable, or insufficient evidence). Conclusions Risk factors with at least reasonable evidence of a causal relationship for the development of work-related musculoskeletal disorders include: heavy physical work, smoking, high body mass index, high psychosocial work demands, and the presence of co-morbidities. The most commonly reported biomechanical risk factors with at least reasonable evidence for causing WMSD include excessive repetition, awkward postures, and heavy lifting. Additional high methodological quality studies are needed to further understand and provide stronger evidence of the causal relationship between risk factors and work-related musculoskeletal disorders. The information provided in this article may be useful to healthcare providers, researchers, and ergonomists interested on risk identification and design of interventions to reduce the rates of work-related musculoskeletal disorders.
BMC Musculoskeletal Disorders, 2012
The underlying purpose of this commentary and position paper is to achieve evidence-based recommendations on prevention of work-related musculoskeletal disorders (MSDs). Such prevention can take different forms (primary, secondary and tertiary), occur at different levels (i.e. in a clinical setting, at the workplace, at national level) and involve several types of activities. Members of the Scientific Committee (SC) on MSDs of the International Commission on Occupational Health (ICOH) and other interested scientists and members of the public recently discussed the scientific and clinical future of prevention of (work-related) MSDs during five round-table sessions at two ICOH conferences (in Cape Town, South Africa, in 2009, and in Angers, France, in 2010). Approximately 50 researchers participated in each of the sessions. More specifically, the sessions aimed to discuss new developments since 1996 in measures and classification systems used both in research and in practice, and agree on future needs in the field. The discussion focused on three questions: At what degree of severity does musculoskeletal ill health, and do health problems related to MSDs, in an individual worker or in a group of workers justify preventive action in occupational health? What reliable and valid instruments do we have in research to distinguish 'normal musculoskeletal symptoms' from 'serious musculoskeletal symptoms' in workers? What measures or classification system of musculoskeletal health will we need in the near future to address musculoskeletal health and related work ability? Four new, agreed-upon statements were extrapolated from the discussions: 1. Musculoskeletal discomfort that is at risk of worsening with work activities, and that affects work ability or quality of life, needs to be identified. 2. We need to know our options of actions before identifying workers at risk (providing evidence-based medicine and applying the principle of best practice). 3. Classification systems and measures must include aspects such as the severity, frequency, and intensity of pain, as well as measures of impairment of functioning, which can help in prevention, treatment and prognosis. 4. We need to be aware of economic and/or socio-cultural consequences of classification systems and measures.
Musculoskeletal Disorders: Work-related Risk Factors and Prevention
International Journal of Occupational and Environmental Health, 1996
Work-related. musculoskeletal disorders cause chronic pain and functional impairment, impose heavy costs on society, and reduce productivity. In this position paper from the Scientific Committee for Musculoskeletal Disorders of the ICOH, the. most important riskfactors at work are described. Workrelated musculoskeletal disorders. have high incidences. and prevalences among workers who are exposed to manual handling, repetitive and static work, vibrations, and poor psychological and social conditions. The application of ergonomic principles in the workplace is the best method for prevention. International organizations should develop standards, common •classifications, and. terminologies. Surveillance systems should be further developed nationally and in workplaces, and more effort should be directed to information dissemination, education, and training.
Work (Reading, Mass.), 2012
Despite worldwide attention, musculoskeletal disorders (MSDs) remain a substantial concern at work. To support ergonomists to assess the work-related risk factors for MSDs, several instruments are available. Unfortunately, many of these instruments are not supported by evidence-based exposure criteria for particular MSDs. For effective prevention of MSDs, it is important to know to what extent work-related risk factors are present in the work situation. The Netherlands Center for Occupational Diseases (NCOD) develops evidence-based criteria documents for the assessment of work-related MSDs. The exposure criteria of these documents can be used on a group level to support ergonomists in their assessment of the physical job demands that are associated with work-related MSDs. At the moment the NCOD has exposure criteria for the assessment of 22 work-related MSDs, for instance on the work-relatedness of upper extremity disorders, non-specific low back pain or patellar tendinopathy. The u...
Assessment of Work Related Musculoskeletal Disorders in Manufacturing Industry
Journal of Ergonomics, 2018
Results of study show that experience workers having more reported pain in upper body parts due to poor work station design. This study is focused on measuring the Risks for WMSDs (Work related musculoskeletal disorders) among workers in a manufacturing company, by applying ergonomic tools like QEC (quick exposure checklist), RULA (rapid upper limb assessment) scores and Nordic questionnaire. A cross-sectional study was conducted among workers aged between 18 to 45 years with a total number of 48 workers selected through random sampling with in the duration of 12 weeks. Validated version of QEC, RULA score sheet and Nordic questionnaire was used to measure the risk level and number of reported pain in body parts among workers. The results showed that the mean score of QEC and RULA was 73.6 and 4.6 respectively. However, results showed that experienced workers reported more pain in different body parts, indicating more chances of WMSDs among them. 79% workers of total sample had reported pain in different parts of body according to Nordic questionnaire, out of which 86% workers had pain in upper part and 14% had pain in lower part of the body that was also verified from QEC and RULA score sheet.
ERIN: A practical tool for assessing work-related musculoskeletal disorders
Occupational Ergonomics, 2013
Background: The number of work-related musculoskeletal disorders (WMSDs) has been increasing in industrially developing countries. Fortunately, it is possible to prevent these injuries through ergonomic assessment and job redesign. Objective: This paper presents a practical tool for non-experts in assessing exposure to risk factors for WMSDs. Methods: Evaluación del Riesgo Idividual (Individual Risk Assessment) (ERIN) is based on available ergonomic tools, epidemiological evidence and the joint International Ergonomics Association-World Health Organization project for developing WMSD risk management in developing countries. Results: ERIN focuses primarily on physical workplace factors but also includes the workers' assessment. A scoring system has been proposed to indicate the level of intervention required to reduce the risk of injury. Preliminary tests show that ERIN is easy and quick to use, but further work is needed to establish its reliability and validity. A worksheet has...
Spring 2023
Basic aim of this systematic review paper is to overview the ergonomics risk factors associated with jobs and enumerate the associations between risk factors such as organizational, psychosocial, biomechanical, hard physical job risk factor and work-related musculoskeletal problems. PRISMA methodology for paper selection is adopted and selects 103 papers from springer and Elsevier, published during 2001 to 2021. Books and review papers are excluded from the review. Ergonomics risk factors of MPD issues such as palm pain, hand-wrist pain, arm pain, shoulder stretching and pain, neck pain, lower back pain, back bent, knee pain and foot pain among the workers of various industries. Out of 103 studies, link between WMPD and biomechanical risk factors is 30%, with psychosocial risk factors is 30%, with organizational risk factors is 26% and with physical job is 14%. As review indicates the association of ergonomic risk factors with work related MPD. There must be ergonomic interventions ...
International Journal of Medical Science and Public Health, 2017
overnight rest. These types of jobs are often those involving activities such as repetitive and forceful exertions; frequent, heavy, or overhead lifts; awkward work positions; or use of vibrating equipment. [1] One of the most prevalent types of work-related injuries is musculoskeletal disorders. Work-related musculoskeletal disorders (WRMDs) result in persistent pain, loss of functional capacity, and work disability, but their initial diagnosis is difficult because they are mainly based on complaints of pain and other symptoms. [2] Therefore, further studies are needed to analyze the association between subjective descriptions and objective findings. [3] The traumatic injuries of the muscles, tendons, and nerves due to accidents are not considered to be WRMDs or are considered separately. Work activities which are Background: Work-related musculoskeletal disorders (WRMDs) are a group of painful disorders of muscles, tendons, and nerves. Carpal tunnel syndrome, tendonitis, thoracic outlet syndrome, and tension neck syndrome are examples. Fascination with technology, overly ambitious business expectation, and neglected human factor risks can have serious effects on manufacturers, suppliers, and service enterprises. As India is one of the largest and growing hubs in the world of manufacture industry, there is a great need to identify such problem. In this study, we identified such problems and discussed it. Objectives: The aim of this study is to gather data to identify jobs or work conditions that are most problematic, using sources such as injury and illness logs, medical records, and job analyses. Materials and Methods: Data collection was done by personal interview, history and physical examinations, specific symptoms questionnaire, and rapid upper limb assessment (RULA) survey for WRMDs. Results: In our study, we found that prevalence of neck pain was highest followed by back pain in general. Most participants had complained that pain only aggravated when they continue work without taking rest. On examination, the presence of cervical spine tenderness was highest, followed by hand joints and lumbar spine tenderness. In admin and skilled participants, RULA score was up to 4 (satisfactory and modification required), but in unskilled participants, RULA was up to 7 (not satisfactory and immediate changes may require). Conclusion: Work activities which are frequent and repetitive or activities with awkward postures cause these disorders which may be painful during work or at rest. Most WRMD affects the hands, wrists, elbows, neck, and shoulders.