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Health education using the theory of planned behavior to modify ergonomic posture in hospital computer users: a randomized controlled trial. Int Arch Occup Environ Health 2023; 96:167-178. [PMID: 35916932 DOI: 10.1007/s00420-022-01882-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2022] [Accepted: 05/04/2022] [Indexed: 01/11/2023]
Abstract
OBJECTIVE Work-related musculoskeletal disorders are prevalent in those who use computers, and education using ergonomic principles may be helpful to prevent such conditions. The present study sought to identify how an educational intervention based on the theory of planned behavior (TPB) may be effective for adopting healthy ergonomic postures. METHODS A convenience sample of 162 computer users working in a hospital setting in Iran were randomly assigned to intervention or control groups. The intervention group (n = 81) received six weekly educational sessions based on TPB principles, whereas the control group received no intervention during the study period. Both groups were assessed at baseline and 3 months after the intervention using a TPB questionnaire, rapid office strain assessment (ROSA), and Nordic musculoskeletal questionnaire. Data were analyzed using the independent/paired Student's t test, chi-square, and analysis of covariance. RESULTS All TPB constructs in the intervention group improved from baseline to follow-up, indicating considerable progress compared to the control group (p < 0.001). More than 60% of intervention and control groups were categorized as high risk at baseline in terms of ergonomic posture measured by ROSA. This percentage was reduced to 21% for intervention group and increased to 65% in the control group at follow-up. Symptom relief was obtained for wrist/hands, lower back, neck, shoulders and upper back in the intervention group (all p < 0.05). The number of affected areas also significantly decreased in the intervention group compared to the control group three months after the intervention. CONCLUSION Educational programs based on TPB principles may be helpful in correcting ergonomic postures among computer users. Such interventions are recommended for worksite health promotion in that they may prevent the development of musculoskeletal disorders in staff.
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Dabbagh A, Saeidi S, MacDermid JC. Psychometric Properties of the Patient-Reported Outcome Measures for People With Ulnar Nerve Entrapment at the Elbow: A Systematic Review. Phys Ther 2022; 102:6650972. [PMID: 35899759 DOI: 10.1093/ptj/pzac103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/07/2021] [Revised: 02/23/2022] [Accepted: 05/06/2022] [Indexed: 11/14/2022]
Abstract
OBJECTIVE The objective of this study was to systematically review, critically appraise, and synthesize evidence on the measurement properties of patient-reported outcome measures (PROMs) for people with ulnar nerve entrapment at the elbow (UNE). METHODS CINAHL, MEDLINE, Embase, and Scopus were searched for studies reporting on the psychometric properties of the PROMs used to assess pain, disability, and quality of life of people with UNE. Relevant data were extracted based on the Consensus-Based Standards for the Selection of Health Measurement Instruments 2018 checklist. Two authors independently rated the quality and risk of bias of the studies. A qualitative synthesis was performed according to the Consensus-Based Standards for the Selection of Health Measurement Instruments guidelines. The results were categorized based on the identified PROMs, and all the psychometric properties were summarized and presented. RESULTS Eight included studies had a quality score of very good or higher. Among all the included PROMs, the Patient-Rated Ulnar Nerve Evaluation (PRUNE) was comprehensively evaluated in 4 studies and had high reliability, appropriate correlation to the physical component summary score of the 36-Item Short-Form Health Survey (r = -0.68), excellent content (cognitive interviews), structural (factor analysis) and discriminative validities, and high responsiveness. The Disabilities of the Arm, Shoulder and Hand Questionnaire was assessed in 5 studies and had appropriate properties, showing a high correlation with the 8-Item Short-Form Health Survey (r = 0.77) and PRUNE (r = 0.75) and moderate responsiveness. CONCLUSIONS The PRUNE was the most specific to UNE, had the most supporting studies and evidence of excellent reliability, validity, and responsiveness and therefore was the preferred PROM. The Disabilities of the Arm, Shoulder and Hand Questionnaire demonstrated more limited validation across 5 studies and had moderate responsiveness. Information on other included PROMs was limited in terms of psychometric properties. IMPACT This study provides insight into which PROM is potentially more suitable for measuring outcomes related to UNE.
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Affiliation(s)
- Armaghan Dabbagh
- Department of Health and Rehabilitation Sciences, Faculty of Health Sciences, Western University, London, Ontario, Canada.,Collaborative Program in Musculoskeletal Health Research, Bone and Joint Institute, Western University, London, Ontario, Canada
| | - Sahar Saeidi
- School of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada
| | - Joy C MacDermid
- Collaborative Program in Musculoskeletal Health Research, Bone and Joint Institute, Western University, London, Ontario, Canada.,Department of Physical Therapy, Faculty of Health Sciences, Western University, London, Ontario, Canada.,Roth McFarlane Hand and Upper Limb Centre, St. Joseph's Hospital, London, Ontario, Canada
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Kadri Filho FE, de Lucca SR. Ergonomic and psychosocial risks related to musculoskeletal problems among Brazilian labor judges in telework during the COVID-19 pandemic. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2022; 29:837-846. [PMID: 35658816 DOI: 10.1080/10803548.2022.2085382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
AbstractObjectives. The aim of this study was to evaluate the ergonomic and psychosocial risks in telework and their relationship with musculoskeletal problems in Brazilian labor judges during the COVID-19 pandemic. Methods. A cross-sectional study was conducted with 119 participants. The data were collected through a sociodemographic and occupational questionnaire, from the Brazilian versions of the Maastricht Upper Extremity Questionnaire (MUEQ-Br revised), the Rapid Office Strain Assessment (ROSA-Br) and the Nordic Musculoskeletal Questionnaire (NMQ), added to a numerical pain scale. Results. According to ROSA-Br, 47.06% of the participants showed an outcome where it is considered that there is a need for immediate intervention in the workplace. The results of ROSA-Br and MUEQ-Br revised presented a significant correlation with the intensity of complaints in the neck and shoulders in the last 12 months and in the last seven days. The total score of MUEQ-Br revised presented more important correlations with problems in these body regions and with the intensity of complaints in the upper back, wrists/hands and lower back in both periods. Conclusions. Companies should propose ways to assess the ergonomic and psychosocial risks among their employees in telework as a way to prevent the occurrence of musculoskeletal problems.
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Affiliation(s)
- Fauzi El Kadri Filho
- PhD student at the School of Medical Sciences of the University of Campinas (Unicamp), Brazil
| | - Sérgio Roberto de Lucca
- PhD, professor at the School of Medical Sciences of the University of Campinas (Unicamp), Brazil.
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de Barros FC, Moriguchi CS, Chaves TC, Andrews DM, Sonne M, de Oliveira Sato T. Usefulness of the Rapid Office Strain Assessment (ROSA) tool in detecting differences before and after an ergonomics intervention. BMC Musculoskelet Disord 2022; 23:526. [PMID: 35655178 PMCID: PMC9160176 DOI: 10.1186/s12891-022-05490-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Accepted: 05/30/2022] [Indexed: 11/13/2022] Open
Abstract
Background Most ergonomics studies on office workstations evaluate the effects of an intervention only by subjective measures such as musculoskeletal pain and discomfort. Limited evidence has been provided regarding risk factor reduction in office environments through standardized methods assessments. The Rapid Office Strain Assessment (ROSA) tool can provide an estimation of risk factor exposure for office workers as a means by which the outcome of interventions can be quantified. Purpose The aim of the study was to evaluate if ROSA scores reflect changes in risk factors after an ergonomics intervention among office workers. Methods Office workers (n = 60) were divided into two groups. The experimental group received a workstation intervention and the control group received no intervention. Changes in ROSA scores were compared before and after the intervention in both groups. Results Statistically significant reductions in the ROSA final and section scores occurred after the intervention in the experimental group with (mean reduction of 2.9, 0.8 and 1.6 points for sections A, B and C, respectively). In contrast, no differences were detected in the control group (mean increase of 0.1 point for sections A and C and mean reduction of 0.1 point for Section B). Conclusions These findings show that ROSA scores reflect changes in risk factors after an ergonomics intervention in an office environment. Consequently, this tool can be used for identifying and controlling risk factors among computer workers, before and after interventions.
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Affiliation(s)
- Fernanda Cabegi de Barros
- Physical Therapy Department, Laboratory of Preventive Physical Therapy and Ergonomics (LAFIPE), Federal University of São Carlos, Rodovia Washington Luís, km 235, Monjolinho, São Carlos, São Paulo, 13565-905, Brazil
| | - Cristiane Shinohara Moriguchi
- Physical Therapy Department, Laboratory of Preventive Physical Therapy and Ergonomics (LAFIPE), Federal University of São Carlos, Rodovia Washington Luís, km 235, Monjolinho, São Carlos, São Paulo, 13565-905, Brazil
| | - Thaís Cristina Chaves
- Physical Therapy Department, Laboratory of Preventive Physical Therapy and Ergonomics (LAFIPE), Federal University of São Carlos, Rodovia Washington Luís, km 235, Monjolinho, São Carlos, São Paulo, 13565-905, Brazil
| | - David M Andrews
- Department of Kinesiology, University of Windsor, Windsor, ON, Canada
| | - Michael Sonne
- Occupational Health Clinics for Ontario Workers Inc, Hamilton, ON, Canada
| | - Tatiana de Oliveira Sato
- Physical Therapy Department, Laboratory of Preventive Physical Therapy and Ergonomics (LAFIPE), Federal University of São Carlos, Rodovia Washington Luís, km 235, Monjolinho, São Carlos, São Paulo, 13565-905, Brazil.
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El Kadri Filho F, Roberto de Lucca S. Telework during the COVID-19 pandemic: Ergonomic and psychosocial risks among Brazilian labor justice workers. Work 2022; 71:395-405. [PMID: 35095002 DOI: 10.3233/wor-210490] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
BACKGROUND The imposition of telework by the COVID-19 pandemic represented a challenge for companies and workers with regard to the management and organization of the workplace at home. OBJECTIVES To evaluate the ergonomic risks, psychosocial factors and musculoskeletal symptoms as well as the relationships between these variables in employees of a Brazilian labor judiciary unit. METHODS A cross-sectional study was carried out with 55 employees who had their workstations evaluated by means of the Rapid Office Strain Assessment (ROSA-Br) and answered a questionnaire of sociodemographic and occupational characterization, the dimensions of workstation and posture of the Maastricht Upper Extremity Questionnaire (MUEQ-Br-revised), the short version of the Job Stress Scale and the Nordic Musculoskeletal Questionnaire (NMQ). RESULTS The workstations evaluations by ROSA-Br and MUEQ-Br-revised showed a strong correlation between themselves and to body posture, but they were not related to the occurrence of musculoskeletal symptoms. Body posture and demands were correlated to each other and with to occurrence of musculoskeletal symptoms. Shoulders, neck and wrists / hands were the most affected body regions. CONCLUSIONS Companies that adopt teleworking for their employees must be aware of working conditions at home, including the workload, and offer adequate support in order to prevent the occurrence of musculoskeletal problems.
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Affiliation(s)
- Fauzi El Kadri Filho
- School of Medical Sciences, Universidade Estadual de Campinas (UNICAMP), São Paulo, Brazil
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Badi H, Mianehsaz E, Tabatabaei M, Kashani M, Rahimi H. Evaluating Musculoskeletal Disorders and Their Ergonomic Risk Factors among Office Workers of a Large Public Hospital in Iran. INTERNATIONAL ARCHIVES OF HEALTH SCIENCES 2022. [DOI: 10.4103/iahs.iahs_68_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Melo JSP, Dibai Filho AV, Oliveira CM, Pinheiro CAB, Rocha DS, Santana GND, Gomes CAFDP, Bassi-Dibai D. Self-Estimated functional inability because of pain questionnaire for workers: a reliability and construct validity study. REVISTA DA ASSOCIACAO MEDICA BRASILEIRA (1992) 2021; 67:1622-1626. [PMID: 34909888 DOI: 10.1590/1806-9282.20210681] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/16/2021] [Accepted: 08/14/2021] [Indexed: 12/15/2022]
Abstract
OBJECTIVE The objective of this study was to investigate the reliability and construct validity of the Self-Estimated Functional Inability because of Pain questionnaire for workers in a sample of Brazilian workers with musculoskeletal pain. METHODS This is a questionnaire validation study. Workers with musculoskeletal pain were included. Besides the Self-Estimated Functional Inability because of Pain questionnaire for workers, we used the following instruments to perform construct validity: the Work Ability Index and the Numerical Pain Rating Scale. A subsample answered the Self-Estimated Functional Inability because of Pain questionnaire for workers in two moments to calculate reliability by means of the intraclass correlation coefficient and internal consistency by means of the Cronbach's alpha. RESULTS A total of 190 Brazilian workers were included. Regarding the construct validity, we observed a correlation with magnitude above 0.50 between the Self-Estimated Functional Inability because of Pain questionnaire for workers and the Numerical Pain Rating Scale, given that these two instruments have similarity in the construct, and correlations above 0.30 between the Self-Estimated Functional Inability because of Pain questionnaire for workers and the domains 2, 3, and 4 of the Work Ability Index. Regarding reliability, we observed adequate reliability (intraclass correlation coefficient=0.864) and internal consistency (Cronbach's alpha=0.807). CONCLUSION The Self-Estimated Functional Inability because of Pain questionnaire for workers is a reliable and valid instrument to be used in Brazilian workers with musculoskeletal pain.
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Affiliation(s)
- Josane Soares Pinto Melo
- Universidade Ceuma, Postgraduate Program in Programs Management and Health Services - São Luís (MA), Brazil
| | - Almir Vieira Dibai Filho
- Universidade Federal do Maranhão, Postgraduate Program in Physical Education - São Luís (MA), Brazil
| | | | | | | | | | | | - Daniela Bassi-Dibai
- Universidade Ceuma, Postgraduate Program in Programs Management and Health Services - São Luís (MA), Brazil
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Kahya E. Assessment of musculoskeletal disorders among employees working office workplaces in the manufacturing sector. Work 2021; 69:1103-1113. [PMID: 34219701 DOI: 10.3233/wor-213539] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND The number of studies investigating the relationship between office employees and the development of musculoskeletal disorders (MSDs) is limited. Only a few focused on assessing workplace ergonomics of office employees. OBJECTIVE This study aims to investigate the risk of MSDs and associated factors in the office workplaces of a large-size manufacturing company. METHODS Data were gathered from 208 office employees from a manufacturing company via Rapid Office Strain Assessment (ROSA) and Cornell questionnaire. The collected data were analyzed to examine the relationship between ergonomic risk levels and MSDs reported by the office staff. RESULTS The mean ROSA final score is 3.52 (std. dev. = 0.71), chair section is 3.30, monitor and telephone section is 2.18, and mouse and keyboard section is 2.69. Thirty-nine of 208 (18.8%) office workplaces are at risk. The most important factor to raise the risk level is found to be the height and depth of the chair. The Cornell questionnaire results highlight that the highest discomfort severity is related to the neck (32.26%), lower back (23.23%) and upper back (22.26%). The discomforts in the neck (r = 0.362), upper back (r = 0.404) and lower back (r = 0.368) are moderately and positively correlated according to the final ROSA score. The results indicate that the highest risked departments are Accounting, Sub Industry, Production Planning, and Manufacturing Management. CONCLUSION The parameters associated with the chair section should be considered a priority for reducing and eliminating MSDs among office employees.
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Gondim Teixeira PA, Leplat C, Lombard C, Rauch A, Germain E, Waled AA, Jendoubi S, Bonarelli C, Padoin P, Simon L, Gillet R, Blum A. Alternative PACS interface devices are well-accepted and may reduce radiologist’s musculoskeletal discomfort as compared to keyboard-mouse-recording device. Eur Radiol 2020; 30:5200-5208. [DOI: 10.1007/s00330-020-06851-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2020] [Revised: 03/10/2020] [Accepted: 03/31/2020] [Indexed: 10/24/2022]
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Pinheiro CAB, Fidelis-de-Paula-Gomes CA, Barros VDS, Melo JSP, Bassi-Dibai D, Dibai-Filho AV. Self-Estimated Functional Inability because of Pain questionnaire for Brazilian workers with musculoskeletal pain: face and content validity. FISIOTERAPIA E PESQUISA 2020. [DOI: 10.1590/1809-2950/19031027032020] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Our study aimed to perform the face and content validity of Self-Estimated Functional Inability because of Pain (SEFIP) for workers, here called the SEFIP-work questionnaire. This is a questionnaire validity study. Our group previously translated and adapted the original version of the SEFIP, which was developed to investigate musculoskeletal pain and dysfunction to be applied to dancers (SEFIP-dance). However, due to the broad scope of the SEFIP-dance, we made changes and adaptations in the Brazilian Portuguese version of the SEFIP-dance to allow its use in workers. Therefore, face and content validity were performed for the development of the SEFIP-work based on opinions of committee of occupational disease and rehabilitation experts. After face and content validity, this SEFIP-work version was applied to 30 working individuals with musculoskeletal pain. The participants were native Brazilian Portuguese speakers aged 18 years and older. Thus, three changes were made to the questionnaire. All participants understood the SEFIP-work items and alternatives. The average total SEFIP-work score was 6.59 (SD=3.66), with the item “parte inferior das costas” (lower back) being the most marked (n=28; 93.33%), with an average score of 1.18 (SD=0.73). In conclusion, the Brazilian Portuguese version of SEFIP-work presents an acceptable level of understanding by workers in the investigation of musculoskeletal pain or discomfort.
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