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Butera A, Maiorani C, Fantozzi G, Bergamante F, Castaldi M, Grassi R, Leuter C, Scribante A, Nardi GM. Musculoskeletal Disorders in the Clinical Practice of Dental Hygienists and Dentists, Prevention and Awareness among Italian Professionals: Focus on Enlarging Systems. Clin Pract 2024; 14:1898-1910. [PMID: 39311300 PMCID: PMC11417866 DOI: 10.3390/clinpract14050150] [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: 07/24/2024] [Revised: 09/05/2024] [Accepted: 09/10/2024] [Indexed: 09/26/2024] Open
Abstract
(1) Background: Musculoskeletal disorders of the upper limbs are a common medical condition among dental hygienists and dentists, making them a common occupational risk for dental professionals. The purpose of the work was to collect information about the dental professions and their habits to highlight what can be good practices to be carried out to prevent any musculoskeletal disorders. (2) Methods: To identify habits and problems inherent in the professional activity of dental hygienists and dentists, a questionnaire was formulated on the use of enlarging systems. (3) Results: The questionnaire was completed by 241 dental professionals. As for the use of magnifiers, 72.6% of participants use them: among dental hygienists, 67.8% use magnifiers, among dentists, 80.9% use magnifiers; there is a statistically significant difference. There is no statistically significant difference between professions regarding muscle disorders. (4) Conclusions: For a clearer assessment, it would be appropriate to submit the questionnaire to a wider sample of professionals, to define better the correlation between musculoskeletal disorders, work activity and the type of enlarging systems used.
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Affiliation(s)
- Andrea Butera
- Unit of Dental Hygiene, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy;
| | - Carolina Maiorani
- Unit of Dental Hygiene, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy;
| | - Giulia Fantozzi
- Dental Hygienist Freelancer, Via Mazzini 141, 06121 Perugia, Italy;
| | - Francesca Bergamante
- Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy;
| | - Matteo Castaldi
- RDH DHA, ATASIO (Accademia Tecnologie Avanzate nelle Scienze di Igiene Orale), 70121 Bari, Italy;
| | - Roberta Grassi
- Department of Oral Surgery, Tor Vergata University, 00100 Rome, Italy;
| | - Cinzia Leuter
- Medical Statistics and Molecular Epidemiology Unit, Campus Biomedico University of Rome, 00042 Rome, Italy;
| | - Andrea Scribante
- Unit of Dental Hygiene, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy;
- Unit of Orthodontics and Paediatric Dentistry, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, 27100 Pavia, Italy
| | - Gianna Maria Nardi
- Department of Dental and Maxillofacial Sciences, “Sapienza” University of Rome, 00161 Rome, Italy;
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Muñoz-Poblete C, Inostroza J, Carranza-Leiva J. Biomechanical risk factors and subacromial pain provocation in healthy manufacturing workers. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2024:1-7. [PMID: 39028147 DOI: 10.1080/10803548.2024.2371210] [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: 07/20/2024]
Abstract
Objectives. Work-related musculoskeletal disorders (MSDs) of the shoulder may manifest subclinically. By combining risk assessment and clinical instruments, it may be advisable to recognize workers who may develop more complex MSDs early. This study aimed to evaluate the relationship between biomechanical risk factors and subacromial pain provocation in healthy manufacturing workers. Methods. A cross-sectional descriptive observational study was carried out with workers in the furniture manufacturing industry. The occupational repetitive action (OCRA) checklist was applied to detect risk factors and three clinical tests used to detect subacromial tissue reactivity: the supraspinatus test, the painful arc test and the Hawkins-Kennedy test. Results. The positivity of the clinical tests is higher in the supraspinatus test, followed by the Hawkins-Kennedy test, and lowest in the painful arc test, for both the right and left shoulders. No significant associations were found with the overall OCRA checklist index or specific biomechanical factors. Conclusion. The biomechanical risk factors and the provocation of subacromial pain reviewed in this study were not found to be related. Other physical tests that are more sensitive and adapted to workers at risk of developing musculoskeletal shoulder disorders should be explored.
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da Silva Pontes N, Costa de Assis SJ, de Oliveira GS, de Castro Santana R, de Oliveira Nunes RF, Bezerra Rocha EA, de Souza CG, Roncalli AG, Gonçalves Guedes MBO. Social determinants and work-related musculoskeletal disorders in Brazil. PLoS One 2024; 19:e0306840. [PMID: 39008458 PMCID: PMC11249243 DOI: 10.1371/journal.pone.0306840] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Accepted: 06/24/2024] [Indexed: 07/17/2024] Open
Abstract
This study aimed to analyze the prevalence of work-related musculoskeletal disorders (WMSD) and their association with individual and contextual factors in the Brazilian population. This quantitative cross-sectional study used secondary data from the Brazilian National Health Survey from August 2013 to February 2014. The dependent variable included WMSD, and independent variables were analyzed as individual and contextual factors. WMSD was mostly prevalent in females, individuals aged 43 to 59 years, with chronic physical or mental disorders, reporting frequent sleep disorders, and performing integrative and complementary health practices, physical exercise or sports, and heavy physical activity or housework. Regarding contextual factors, high social classes and proportion of individuals with formal work were associated with a high prevalence of WMSD, whereas a high Gini index was associated with a low prevalence. Thus, a high prevalence of WMSD in the Brazilian population was associated with individual and contextual factors, which should be the target of health professionals for actions of promotion, prevention, and intervention at individual or collective care levels.
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Affiliation(s)
| | | | | | | | | | - Emannuel Alcides Bezerra Rocha
- Faculty of Health Sciences of Trairi, Santa Cruz, Federal University of Rio Grande do Norte, Rio Grande do Norte, Brazil
| | - Clécio G. de Souza
- Faculty of Health Sciences of Trairi, Santa Cruz, Federal University of Rio Grande do Norte, Rio Grande do Norte, Brazil
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Abebaw T, Destaw B, Yenealem DG, Tesfaye AH, Melaku C, Mamaye Y, Bezie AE, Abere G. Work-related musculoskeletal disorders: prevalence, associated factors, and impact on quality of life among kitchen workers in hospitality industry, Bahir Dar City, Northwest Ethiopia, 2023. Front Public Health 2024; 12:1358867. [PMID: 38807998 PMCID: PMC11130429 DOI: 10.3389/fpubh.2024.1358867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Accepted: 04/18/2024] [Indexed: 05/30/2024] Open
Abstract
Introduction Work-related musculoskeletal disorders (WMSDs) are considered major public health problems globally, deteriorating the quality of life of workers in various occupations. Kitchen work is reported as among the occupations most prone to these maladies. Nevertheless, prevalence of WMSDs, contributing factors, and impacts on the quality of life of hospitality industry kitchen workers are insufficiently documented in Ethiopia. Therefore, this study aimed to assess the prevalence of WMSDs, their associated factors, and impact on the quality of life of hospitality industry kitchen workers in Bahir Dar city, Ethiopia. Methods An institution-based, cross-sectional study was conducted from 17 April to 17 May 2023. A total of 422 participants were included using a simple random sampling technique. WMSDs were evaluated using an interviewer-administered Nordic standardized questionnaire. The short form-36 questionnaire was used to assess quality of life. The data were collected using the Kobo tool box. SPSS version 26 software was used to perform both bivariable and multivariable binary logistic regression analyses. Independent t-tests were used to show the impact of WMSDs on quality of life scales across groups with and without WMSD symptoms. Result In this study, the response rate was 98.34% (n = 415). The 1-year prevalence of WMSDs among kitchen workers was 82.7% [95% CI: (79.1, 86.3)]. Age group between 30 and 39 years [AOR: 2.81; 95% CI: (1.46-5.41)], job dissatisfaction [AOR: 2.45; 95% CI: (1.34-4.45)], anxiety [AOR: 2.26; 95% CI: (1.12-4.52)], prolonged standing [AOR: 3.81; 95% CI: (1.58-9.17)], and arm overreaching [AOR: 2.43; 95% CI: (1.34-4.41)] were significantly associated factors with work-related musculoskeletal disorders. Work-related musculoskeletal disorders had a significant impact on all quality of life dimensions, in which the mean SF-36 scores of participants with WMSDs were lower than those of their non-WMSD counterparts. Conclusion This study revealed that the prevalence of WMSDs was relatively high. Age between 30 and 39 years, job dissatisfaction, anxiety, prolonged standing, and arm overreaching were identified as significant determinants of WMSDs among kitchen workers in hospitality industries. The presence of one or multiple WMSDs, in turn, is associated with worse quality of life dimensions of individuals.
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Affiliation(s)
- Tadiwos Abebaw
- Department of Occupational Health and Safety, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Bikes Destaw
- Department of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Dawit Getachew Yenealem
- Department of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Amensisa Hailu Tesfaye
- Department of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Christian Melaku
- Department of Occupational Health and Safety, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Yimer Mamaye
- Department of Occupational Health and Safety, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Anmut Endalkachew Bezie
- Department of Occupational Health and Safety, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Giziew Abere
- Department of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
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Russo F, Di Tecco C, Russo S, Petrucci G, Vadalà G, Denaro V, Iavicoli S. Importance of an Integrated Assessment of Functional Disability and Work Ability in Workers Affected by Low Back Pain. Saf Health Work 2024; 15:66-72. [PMID: 38496286 PMCID: PMC10944144 DOI: 10.1016/j.shaw.2023.11.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Revised: 11/03/2023] [Accepted: 11/05/2023] [Indexed: 03/19/2024] Open
Abstract
Background This study examines the relationship between functional disability and work ability in workers affected by low back pain (LBP) through an analysis of correlations between the Oswestry Disability Index (ODI) and Work Ability Index (WAI). The role of personal and work factors on functional disability/work ability levels has also been studied. LBP is the most common musculoskeletal problem and a major disabling health problem worldwide. Its etiology is multifactorial. Multidisciplinary approaches may help reduce the burden of pain and disability and improve job continuity and reintegration at work. Methods A cohort of 264 patients affected by LBP from an Italian outpatient clinic were included in a clinical diagnostic/therapeutic trial aiming at rehabilitation and return to work through an integrated investigation protocol. Data were collected during the first medical examination using anamnestic and clinical tools. The final sample is composed of 252 patients, 57.1% man, 44.0 % blue collars, 46.4% with the high school degree, 45.6% married. Results WAI and ODI reported a negative and fair correlation (r = -0.454; p = .000). Workers with acute LBP symptoms have a higher probability of severe disability than those with chronic LBP symptoms. White collars without depressive symptoms reported higher work ability - even in chronic disability conditions-than those with depressive symptoms. Conclusion The study found that ODI and WAI have a convergent validity and this suggests that the two tools measure capture distinctive aspects of disability related to personal, environmental, and occupational characteristics. The most important and modifiable prognostic factors found for ODI and WAI were depressive symptoms, workday absence, and intensity of back pain. The study also found a mild association between age and ODI. The study's findings highlight the importance of using a multidisciplinary approach to manage and prevent disability due to LBP.
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Affiliation(s)
- Fabrizio Russo
- Research Unit of Orthopaedic and Trauma Surgery, Campus Bio-Medico University Hospital Foundation, Rome, Italy
- Research Unit of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, Rome, Italy
| | - Cristina Di Tecco
- Italian Workers' Compensation Authority (INAIL), Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Rome, Italy
| | - Simone Russo
- Italian Workers' Compensation Authority (INAIL), Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Rome, Italy
| | - Giorgia Petrucci
- Research Unit of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, Rome, Italy
| | - Gianluca Vadalà
- Research Unit of Orthopaedic and Trauma Surgery, Campus Bio-Medico University Hospital Foundation, Rome, Italy
- Research Unit of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, Rome, Italy
| | - Vincenzo Denaro
- Research Unit of Orthopaedic and Trauma Surgery, Campus Bio-Medico University Hospital Foundation, Rome, Italy
- Research Unit of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, Rome, Italy
| | - Sergio Iavicoli
- Ministry of Health, Directorate for Communication and International Affairs, Rome, Italy
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Altundaş Hatman E, Öngel FS, Yavuz ME, Gülenç N. Work-related diseases and risk factors associated with work-related musculoskeletal disorders among unionized metal industry workers: a cross-sectional study. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2024; 30:194-204. [PMID: 37968843 DOI: 10.1080/10803548.2023.2284538] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Indexed: 11/17/2023]
Abstract
Objectives. This study aimed to determine the prevalence of work-related diseases (WRDs) and work-related musculoskeletal disorders (WR-MSDs), as well as investigate WR-MSD-associated risk factors, among metal industry workers in Turkey. Methods. The cross-sectional study was conducted with 1374 members of the Birleşik Metal İş Union from 121 companies. Data were collected using a self-administered 30-item questionnaire. Results. The survey response rate was 81.4% (1374/1686). Almost one out of every six workers (14.8%) stated that they had been diagnosed with a WRD, 3.6% reported that they had been diagnosed with an occupational disease and 38.6% of them indicated that they had suffered an occupational accident (OA) at least once. The prevalence of WR-MSDs was 10.7%, of work-related lung diseases was 1.8% and of occupational hearing loss was 0.6%. Quitting smoking, smoking, OA, heavy lifting, time pressure and working in the automotive industry were all associated with WR-MSDs. Conclusions. Interventions aimed at reducing musculoskeletal disorders (MSDs) should focus on smoking cessation, training workers in proper techniques and equipment for lifting and pushing/pulling heavy loads, preventing OAs and injuries, and reducing the time pressure in the workplace in the metal industry.
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Affiliation(s)
- Elif Altundaş Hatman
- Department of Occupational Medicine, Istanbul Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, Turkey
| | - Ferit Serkan Öngel
- Department of Public Administration, Gaziantep University İslahiye Faculty of Economics and Administrative Sciences, Turkey
| | - Melike Erkoç Yavuz
- Department of Public Health, Bahcesehir University Medical School, Turkey
| | - Nuran Gülenç
- Department of Occupational Health and Safety, Birleşik Metal İş Union, Turkey
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Zhang H, Jia N, Ran R, Chen F, Li X, Cao L, Deng H, Yang D, Wang Z, Liu Y, Chen J, Fang X, Liu Y, Shen B. Epidemiological study of multi-site WMSDs in the footwear industry in China. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2024; 30:56-63. [PMID: 36516459 DOI: 10.1080/10803548.2022.2159174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Objectives. This study aimed to identify the prevalence of multi-site work-related musculoskeletal disorders (WMSDs) in Chinese footwear industry workers from 2018 to 2020 and explore the possible influencing factors of WMSDs. Methods. 7106 subjects from 26 large shoe factories in China were investigated using the epidemiological cross-sectional survey method by using the Nordic musculoskeletal questionnaire (NMQ). Results. The total prevalence of WMSDs in the study subjects was 36.8% (2616/7106). Among them, the prevalence of multi-site WMSDs was 26.1% (1858/7106). The proportion of multi-site WMSDs involving two sites was the largest (31.38%). In addition, the results showed that the risk factors of multi-site WMSDs were gender, marital status, long current job experience, poor health, poor working posture, etc. Conclusions. The prevalence of WMSDs was high in the Chinese footwear industry. Based on the results, therefore, it seems necessary to improve work posture, work organization and workenvironment to prevent WMSDs.
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Affiliation(s)
- Huadong Zhang
- Chongqing Center for Disease Control and Prevention, China
| | - Ning Jia
- National Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, China
| | - Ruihong Ran
- Chongqing Center for Disease Control and Prevention, China
| | - Fengqiong Chen
- Chongqing Center for Disease Control and Prevention, China
| | - Xiaoping Li
- Chongqing Center for Disease Control and Prevention, China
| | - Lei Cao
- Chongqing Center for Disease Control and Prevention, China
| | - Huaxin Deng
- Chongqing Center for Disease Control and Prevention, China
| | - Di Yang
- Chongqing Center for Disease Control and Prevention, China
| | - Zhongxu Wang
- National Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, China
| | - Yimin Liu
- Guangzhou Twelfth People's Hospital Affiliated to Guangzhou Medical University, China
| | - Jianchao Chen
- Fujian Province Occupational Disease and Chemical Poisoning Prevention and Control Center, China
| | - Xinglin Fang
- Zhejiang Provincial Center for Disease Control and Prevention, China
| | - Yongquan Liu
- Institute of Occupational Medicine of Jiangxi, China
| | - Bo Shen
- Fuzhou Municipal Occupational Disease and Chemical Poisoning Prevention and Control Center, China
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Jeong S, Lee BH. The moderating effect of work-related musculoskeletal disorders in relation to occupational stress and health-related quality of life of construction workers: a cross-sectional research. BMC Musculoskelet Disord 2024; 25:147. [PMID: 38365755 PMCID: PMC10874026 DOI: 10.1186/s12891-024-07216-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/07/2023] [Accepted: 01/19/2024] [Indexed: 02/18/2024] Open
Abstract
BACKGROUND This study aimed to investigate work-related musculoskeletal disorders (WMSDs), occupational stress, and health-related quality of life (HRQoL); identify the factors that affect HRQoL; and investigate the moderating effects of WMSDs on occupational stress and HRQoL. METHODS The participants were construction workers who had worked in the construction industry for over three months. A total of 178 construction workers voluntarily participated and anonymously completed the musculoskeletal symptoms questionnaire, the Korean Occupational Stress Scale, short-form 36. The moderation effect of WMSDs on occupational stress and HRQoL were analyzed by Haye's Process Macro Model. RESULTS The results of the study showed that 96 subjects (53.9%) had WMSDs, and the most common pain site was the lower back (33.3%). The group with WMSDs had higher occupational stress than did the group without WMSDs (p < 0.01). Compared with the group without WMSDs, the group with WMSDs displayed significant differences in HRQoL (p < 0.001). Furthermore, the factor affecting HRQoL was WMSDs (p < 0.001). In the impact of occupational stress on HRQoL, WMSDs had a significant moderating effect (p < 0.001). CONCLUSION The results of this study indicate that construction workers' WMSDs significantly impact occupational stress and HRQoL, and WMSDs have a significant moderating effect on the relationship between occupational stress and HRQoL. Therefore, to improve the HRQoL of workers in the construction industry, it is necessary to develop methods to reduce occupational stress and prevent and treat WMSDs.
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Affiliation(s)
- Soo Jeong
- Department of Physical Therapy, Chung-Ang University Hospital, Seoul, Republic of Korea
| | - Byoung-Hee Lee
- Department of Physical Therapy, Sahmyook University, Hwarang-Ro, Nowon-Gu, 815, Seoul, Republic of Korea.
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Su JM, Chang JH, Indrayani NLD, Wang CJ. Machine learning approach to determine the decision rules in ergonomic assessment of working posture in sewing machine operators. JOURNAL OF SAFETY RESEARCH 2023; 87:15-26. [PMID: 38081690 DOI: 10.1016/j.jsr.2023.08.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/01/2022] [Revised: 04/10/2023] [Accepted: 08/10/2023] [Indexed: 12/18/2023]
Abstract
INTRODUCTION There are some inherent problems with the use of observation methods in the ergonomic assessment of working posture, namely the stability and precision of the measurements. This study aims to use a machine learning (ML) approach to avoid the subjectivity bias of observational methods in ergonomic assessments and further identify risk patterns for work-related musculoskeletal disorders (WMSDs) among sewing machine operators. METHODS We proposed a decision tree analysis scheme for ergonomic assessment in working postures (DTAS-EAWP). First, DTAS-EAWP used computer vision-based technology to detect the body movement angles from the on-site working videos to generate a dataset of risk scores through the criteria of Rapid Entire Body Assessment (REBA) for sewing machine operators. Second, data mining techniques (WEKA) using the C4.5 algorithm were used to construct a representative decision tree (RDT) with paths of various risk levels, and attribute importance analysis was performed to determine the critical body segments for WMSDs. RESULTS DTAS-EAWP was able to recognize 11,211 samples of continuous working postures in sewing machine operation and calculate the corresponding final REBA scores. A total of 13 decision rules were constructed in the RDT, with over 95% prediction accuracy and 83% path coverage, to depict the possible risk tendency in the working postures. Through RDT and attribute importance analysis, it was identified that the lower arm and the upper arms exhibited as critical segments that significantly increased the risk levels for WMSDs. CONCLUSIONS This study demonstrates that ML approach with computer vision-based estimation and DT analysis are feasible for comprehensively exploring the decision rules in ergonomic assessment of working postures for risk prediction of WMSDs in sewing machine operators. PRACTICAL APPLICATIONS This DTAS-EAWP can be applied in manufacturing industries to automatically analyze working postures and identify risk patterns of WMSDs, leading to the development of effectively preventive interventions.
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Affiliation(s)
- Jun-Ming Su
- Department of Information and Learning Technology, National University of Tainan, 33, Sec. 2, Shu-Lin St., 700301 Tainan, Taiwan
| | - Jer-Hao Chang
- Department of Occupational Therapy and Institute of Allied Health Science, College of Medicine, National Cheng Kung University, No.1, University Road, 701401 Tainan, Taiwan
| | - Ni Luh Dwi Indrayani
- Department of Nursing, College of Medicine, National Cheng Kung University, No.1, University Road, 701401 Tainan, Taiwan
| | - Chi-Jane Wang
- Department of Nursing, College of Medicine, National Cheng Kung University, No.1, University Road, 701401 Tainan, Taiwan.
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Hosseini ZS, Tavafian SS, Ahmadi O, Maghbouli R. Predictive factors of ergonomic behaviors based on social cognitive theory among women workers on assembly lines: application of Bayesian networks. BMC Musculoskelet Disord 2023; 24:924. [PMID: 38037001 PMCID: PMC10687989 DOI: 10.1186/s12891-023-07021-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/16/2023] [Accepted: 11/06/2023] [Indexed: 12/02/2023] Open
Abstract
BACKGROUND This study focuses on identifying the key factors associated with ergonomic behaviors (ERBE) among women workers on assembly lines (WwAL) to prevent musculoskeletal disorders (MSDs) caused by repetitive motions and unfavorable body postures. To achieve this objective, this study employed Bayesian networks (BN) analysis based on social cognitive theory (SCT). METHODS A cross-sectional study was conducted to examine the predictive factors of ERBE among 250 WwAL from six different industries located in Neyshabur, a city in northeastern Iran. The study used a two-stage cluster sampling method for participant selection and self-report questionnaires to collect data on demographic characteristics, variables associated with SCT, ERBE, and the standard Nordic questionnaire. The collected data were analyzed using Netica and SPSS version 21, which involved statistical analyses such as independent t-tests, Pearson correlation, and ANOVA tests at a significance level of p < 0.05. BN analysis was conducted to identify the important factors that impact ERBE. RESULTS The majority of individuals reported experiencing chronic pain in their back, neck, and shoulder areas. Engaging in physical activity, consuming dairy products, and attaining a higher level of education were found to be significantly associated with the adoption of ERBE p < 0.05. Among the various SCT constructs, observational learning, intention, and social support demonstrated the highest levels of sensitivity towards ERBE, with scores of 4.08, 3.82, and 3.57, respectively. However, it is worth noting that all SCT constructs exhibited a certain degree of sensitivity towards ERBE. CONCLUSIONS The research findings demonstrate that all constructs within SCT are effective in identifying factors associated with ERBE among WwAL. The study also highlights the importance of considering education levels and variables related to healthy lifestyles when promoting ERBE in this specific population.
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Affiliation(s)
- Zakieh Sadat Hosseini
- Department of Health Education, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
| | - Sedigheh Sadat Tavafian
- Department of Health Education, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
| | - Omran Ahmadi
- Department of Occupational Health, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
| | - Reza Maghbouli
- School of Medicine, Hasheminejad Hospital, Iran University of Medical Sciences, Tehran, Iran.
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Yang Y, Lai X, Li C, Yang Y, Gu S, Hou W, Zhai L, Zhu Y. Focus on the impact of social factors and lifestyle on the disease burden of low back pain: findings from the global burden of disease study 2019. BMC Musculoskelet Disord 2023; 24:679. [PMID: 37633880 PMCID: PMC10464198 DOI: 10.1186/s12891-023-06772-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/23/2023] [Accepted: 08/02/2023] [Indexed: 08/28/2023] Open
Abstract
BACKGROUND Low back pain (LBP) is one of the leading causes of disability worldwide. Differences in social backgrounds and lifestyles in various regions and countries may contribute to the discrepancies in the disease burden of LBP. METHODS Based on the GBD 2019, we collected and analyzed numbers and age-standardized rates (ASR) of LBP disability-adjusted life years (DALYs). Temporal trends in ASR were also analyzed using estimated annual percentage change (EAPC). The Age-period-cohort (APC) model was used to estimate age, period and cohort trends in DALYs of LBP. An autoregressive integrated moving average (ARIMA) model was used to forecast DALYs of LBP trends from 2020 to 2035. RESULTS The DALYs due to LBP increased from 1990 to 2019. The APC model showed that the risk of DALYs for global LBP increased with age and year and that the risk of DALYs was lower in the later-born cohort than in the earlier-born cohort. The main risk factors which GBD estimates were available for DALYs of LBP include smoking, occupational ergonomic factors and high BMI. It is expected that DALYs of LBP will continue to rise until 2035. CONCLUSION From 1990 to 2019, the global disease burden of LBP remained high. It is necessary to pay attention to the influence of social factors and lifestyle on LBP. Focusing on the impact of social factors as well as lifestyle on the prognosis of LBP and targeting interventions may further reduce the disease burden of LBP.
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Affiliation(s)
- Yao Yang
- The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou University, Zhengzhou, Henan, 450000, China
- Academy of Medical Sciences, Zhengzhou University, Zhengzhou, Henan, 450000, China
| | - Xigui Lai
- School of Exercise and Health, Shanghai University of Sport, Shanghai, 200438, China
| | - Conghui Li
- The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou University, Zhengzhou, Henan, 450000, China
- Academy of Medical Sciences, Zhengzhou University, Zhengzhou, Henan, 450000, China
| | - Yujie Yang
- School of Rehabilitation Sciences and Engineering, University of Health and Rehabilitation Sciences, Qingdao, 266071, Shandong, China
| | - Shanshan Gu
- Department of Physical Therapy, University of Toronto, Toronto, ON, Canada
| | - Weiqian Hou
- The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou University, Zhengzhou, Henan, 450000, China
- Academy of Medical Sciences, Zhengzhou University, Zhengzhou, Henan, 450000, China
| | - Liwen Zhai
- The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou University, Zhengzhou, Henan, 450000, China
- Academy of Medical Sciences, Zhengzhou University, Zhengzhou, Henan, 450000, China
| | - Yi Zhu
- The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou University, Zhengzhou, Henan, 450000, China.
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12
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Ambrosio L, Vadalà G, Russo F, Donnici L, Petrucci G, Tecco CD, Iavicoli S, Papalia R, Denaro V. The Effect of Transitioning to Remote Working in Patients Affected by Chronic Low Back Pain: A Cross-Sectional Study. Neurospine 2023; 20:692-700. [PMID: 37401088 PMCID: PMC10323341 DOI: 10.14245/ns.2346510.255] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2023] [Accepted: 05/20/2023] [Indexed: 07/05/2023] Open
Abstract
OBJECTIVE To assess the effect of transitioning to remote working during the coronavirus disease 2019 pandemic in a population of adults affected by chronic low back pain (cLBP). METHODS An online questionnaire was sent by email to teleworkers affected by cLBP. Demographic data, remote working features and tasks, and LBP burden were analyzed. The psychological burden of remote working was evaluated with the World Health Organization Five Well-Being Index and the Patient Health Questionnaire-2. LBP severity was evaluated using a visual analogue scale. LBP-related disability was assessed using the Oswestry Disability Index. The effect of LBP on working capacity was examined with the Occupational Role Questionnaire. Independent risk factors related to LBP worsening were identified using a multivariate logistic regression model. RESULTS During remote working, LBP severity was significantly higher compared to previous in-person working (p < 0.0001), as well as average weekly work hours (p < 0.001). Furthermore, the risk of LBP worsening was associated with higher depression scores (odds ratio [OR], 1.38; 95% confidence interval [CI], 1.00-1.91; p = 0.048), increased stress levels (OR: 3.00, 95% CI: 1.04-8.65; p = 0.042), and being divorced (OR: 4.28, 95% CI: 1.27-14.47; p = 0.019). Conversely, living with others (OR: 0.24, 95% CI: 0.07-0.81; p = 0.021), and reporting unchanged stress levels (OR: 0.22, 95% CI: 0.08-0.65; p = 0.006) were associated with a lower risk of LBP worsening. CONCLUSION Our findings highlight key factors to consider for improving remote workers' physical and mental wellbeing and decrease their LBP burden.
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Affiliation(s)
- Luca Ambrosio
- Operative Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Italy
- Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Italy
| | - Gianluca Vadalà
- Operative Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Italy
- Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Italy
| | - Fabrizio Russo
- Operative Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Italy
- Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Italy
| | - Leonardo Donnici
- Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Italy
| | - Giorgia Petrucci
- Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Italy
| | - Cristina Di Tecco
- Department of Medicine, Epidemiology, Occupational and Environmental Hygiene - Italian Workers’ Compensation Authority (INAIL), Monte Porzio Catone, Italy
| | - Sergio Iavicoli
- Directorate-General for Communication and European and International Relations, Italian Ministry of Health, Italy
| | - Rocco Papalia
- Operative Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Italy
- Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Italy
| | - Vincenzo Denaro
- Operative Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Italy
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13
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Hassani M, Kabiesz P, Hesampour R, Ezbarami SM, Bartnicka J. Prevalence of musculoskeletal disorders, working conditions, and related risk factors in the meat processing industry: Comparative analysis of Iran-Poland. Work 2023; 74:309-325. [PMID: 36245353 DOI: 10.3233/wor-211362] [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: 01/15/2023] Open
Abstract
BACKGROUND Activities performed by people in the meat processing industry are very repetitive, time-consuming, dangerous, and require long-term downtime during a shift (forced-static position). OBJECTIVES This study aims to assess the prevalence of musculoskeletal disorders and working conditions among Polish and Iranian workers to fill this research gap. METHODS A comparative analysis of the prevalence of musculoskeletal disorders (MSDs) in developed and developing countries was conducted. After selecting the target factories, data was collected using Nordic and Mental Stress Questionnaires and 3DSSPP software with the participation of 110 meat processing workers, including 55 Iranian and 55 Polish. RESULTS This study showed nearly the same prevalence of MSDs among male Iranian and Polish workers, especially in elbow, wrist/hand, upper back, hip/thigh, and ankle/foot. The overall prevalence of MSDs was relatively high and connected to the lower back (38%, 64%), knee (40%, 24%), neck (24%, 42%), and upper back (24%, 34.5%), among Iranian and Polish workers, respectively. Assessment of logistic regression disclosed that the workplace is considerably associated with the elbow and the ankle/foot musculoskeletal pain, with 2.34 and 3.81 times more likely for the production room, respectively, among Iranian workers. CONCLUSION Age, gender, type of occupation, work experience, smoking, insufficient physical activity, workplace, working postures, and stress level all affected the likelihood of MSDs happening in various body regions in both countries, implying that both individual and work-related (both physical and psychosocial) aspects should be taken into consideration when evaluating and managing such complaints in this workforce.
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Affiliation(s)
- Mehrdad Hassani
- Department of Biosystems Engineering, Faculty of Agriculture, University of Tabriz, Tabriz, Iran
| | - Patrycja Kabiesz
- Department of Organization and Management, Silesian University of Technology, Gliwice, Poland
| | - Reza Hesampour
- Department of Agricultural Machinery and Mechanization, Ramin University of Agriculture and Natural Resources, Mollasani, Iran
| | - Sahebeh Mirzaei Ezbarami
- Department of Biomedical Engineering, Islamic Azad University Science and Research Branch, Tehran, Iran
| | - Joanna Bartnicka
- Department of Organization and Management, Silesian University of Technology, Gliwice, Poland
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14
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Ambrosio L, Vadalà G, Russo F, Pascarella G, De Salvatore S, Papalia GF, Ruggiero A, Di Folco M, Carassiti M, Papalia R, Denaro V. Interventional Minimally Invasive Treatments for Chronic Low Back Pain Caused by Lumbar Facet Joint Syndrome: A Systematic Review. Global Spine J 2022; 13:1163-1179. [PMID: 36458366 DOI: 10.1177/21925682221142264] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
STUDY DESIGN Systematic review. OBJECTIVE To investigate the efficacy of nonsurgical interventional treatments for chronic low back pain (LBP) caused by facet joint syndrome (FJS). METHODS A systematic review of the literature was conducted to identify studies that compared interventional treatments for LBP due to FJS among them, with usual care or sham procedures. Studies were evaluated for pain, physical function, disability, quality of life and employment status. The RoB-2 and MINORS tools were utilized to assess the risk of bias in included studies. RESULTS Eighteen studies published between January 2000 and December 2021 were included (1496 patients, mean age: 54.31 years old). Intraarticular (IA) facet joint (FJ) injection of hyaluronic acid (HA) did not show significant difference compared to IA corticosteroids (CCS) in terms of pain and satisfaction. FJ denervation using radiofrequency (RF) displayed slightly superior or similar outcomes compared to IA CCS, physical therapy, or sham procedure. IA CCS showed better outcomes when combined with oral diclofenac compared to IA CCS or oral diclofenac alone but was not superior to IA local anesthetic and Sarapin. IA platelet-rich plasma (PRP) led to an improvement of pain, disability and satisfaction in the long term compared to IA CCS. CONCLUSION FJS is a common cause of LBP that can be managed with several different strategies, including nonsurgical minimally invasive approaches such as IA HA, CCS, PRP and FJ denervation. However, available evidence showed mixed results, with overall little short-term or no benefits on pain, disability, and other investigated outcomes.
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Affiliation(s)
- Luca Ambrosio
- Operative Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.,Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, 9317Università Campus Bio-Medico di Roma, Rome, Italy
| | - Gianluca Vadalà
- Operative Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.,Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, 9317Università Campus Bio-Medico di Roma, Rome, Italy
| | - Fabrizio Russo
- Operative Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.,Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, 9317Università Campus Bio-Medico di Roma, Rome, Italy
| | - Giuseppe Pascarella
- Unit of Anesthesia, Intensive Care and Pain Management, Department of Medicine, 9317Campus Bio-Medico University Hospital Foundation, Rome, Italy
| | - Sergio De Salvatore
- Operative Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.,Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, 9317Università Campus Bio-Medico di Roma, Rome, Italy
| | - Giuseppe F Papalia
- Operative Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.,Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, 9317Università Campus Bio-Medico di Roma, Rome, Italy
| | - Alessandro Ruggiero
- Unit of Anesthesia, Intensive Care and Pain Management, Department of Medicine, 9317Campus Bio-Medico University Hospital Foundation, Rome, Italy
| | - Marta Di Folco
- Unit of Anesthesia, Intensive Care and Pain Management, Department of Medicine, 9317Campus Bio-Medico University Hospital Foundation, Rome, Italy
| | - Massimiliano Carassiti
- Unit of Anesthesia, Intensive Care and Pain Management, Department of Medicine, 9317Campus Bio-Medico University Hospital Foundation, Rome, Italy
| | - Rocco Papalia
- Operative Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.,Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, 9317Università Campus Bio-Medico di Roma, Rome, Italy
| | - Vincenzo Denaro
- Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, 9317Università Campus Bio-Medico di Roma, Rome, Italy
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15
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Kumar Banga H, Kumar R, Kalra P. Ergonomics evaluation of lawn mower operator’s working posture using JACK software and kinect interface. Work 2022; 72:497-510. [DOI: 10.3233/wor-210713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND: Nowadays, real-time motion tracking devices are widely used for ergonomic assessment of several manual quotidian activities. The real-time tracking of human activities makes it easier to observe the exposure of work-related musculoskeletal disorders (WMSDs) in the human body. OBJECTIVE: This study aims to determine the suitability of a real-time motion tracking device (Kinect v1 interfaced with a commercial ergonomic assessment software, JACK) for real-time ergonomic evaluation of the strenuous operation of the manual lawn mower. METHOD: The lawn mower operators perform various strenuous activities while operating the manual lawn mower for long intervals of time, which causes WMSDs in the entire body of the operators. These working operators’ activities have been captured using Kinect v1 interfaced with JACK, to address the ergonomic issues responsible for the whole-body WMSDs. The forces acting on the lower back, Rapid Upper Limb Assessment score and static strength have been predicted using JACK. RESULTS: This study proves the exposure of the operators towards the whole-body WMSDs while operating the manual lawn mower. CONCLUSION: The findings provide a quick and straightforward approach for performing the real-time ergonomic evaluation of any operation, which can help the industrial staff estimate the risk of level WMSDs.
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Affiliation(s)
- Harish Kumar Banga
- Fashion and Lifestyle Accessory Design Department, National Institute of Fashion Technology, Mumbai, India
| | - Raj Kumar
- Department of Production and Industrial Engineering, Punjab Engineering College, Chandigarh, India
| | - Parveen Kalra
- Department of Production and Industrial Engineering, Punjab Engineering College, Chandigarh, India
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Papalia GF, Petrucci G, Russo F, Ambrosio L, Vadalà G, Iavicoli S, Papalia R, Denaro V. COVID-19 Pandemic Increases the Impact of Low Back Pain: A Systematic Review and Metanalysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19084599. [PMID: 35457462 PMCID: PMC9027663 DOI: 10.3390/ijerph19084599] [Citation(s) in RCA: 27] [Impact Index Per Article: 13.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Revised: 03/31/2022] [Accepted: 04/09/2022] [Indexed: 11/16/2022]
Abstract
In March 2019, the World Health Organization (WHO) recognized the COVID-19 pandemic as a global issue. To reduce the spread of this disease, health safety pathways were implemented worldwide. These extraordinary measures changed people's lifestyles, e.g., by being forced to isolate, and in many cases, to work remotely from home. Low back pain (LBP), the most common cause of disability worldwide, is often a symptom of COVID-19. Moreover, it is often associated with different lifestyle features (type of job, physical activity, body weight). Therefore, the purpose of this systematic review and meta-analysis was to estimate the effect of the COVID-19 lockdown on LBP intensity and prevalence compared with LBP rates before the pandemic. A systematic search was performed on Scopus, PubMed, and Cochrane Central. Overall, eight studies with 2365 patients were included in the analysis. We used the Joanna Briggs Institute (JBI) critical appraisal tool to evaluate the risk of bias: six studies (75%) were at moderate risk of bias and two studies (25%) were at low risk of bias. These studies showed an increase in both the prevalence and intensity of LBP during the COVID-19 lockdown.
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Affiliation(s)
- Giuseppe Francesco Papalia
- Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy; (G.P.); (L.A.); (G.V.); (R.P.); (V.D.)
- Correspondence: (G.F.P.); (F.R.)
| | - Giorgia Petrucci
- Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy; (G.P.); (L.A.); (G.V.); (R.P.); (V.D.)
| | - Fabrizio Russo
- Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy; (G.P.); (L.A.); (G.V.); (R.P.); (V.D.)
- Correspondence: (G.F.P.); (F.R.)
| | - Luca Ambrosio
- Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy; (G.P.); (L.A.); (G.V.); (R.P.); (V.D.)
| | - Gianluca Vadalà
- Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy; (G.P.); (L.A.); (G.V.); (R.P.); (V.D.)
| | - Sergio Iavicoli
- Directorate of Communication and International Affairs, Ministry of Health, 00144 Rome, Italy;
| | - Rocco Papalia
- Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy; (G.P.); (L.A.); (G.V.); (R.P.); (V.D.)
| | - Vincenzo Denaro
- Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy; (G.P.); (L.A.); (G.V.); (R.P.); (V.D.)
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17
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The Effects of Workplace Interventions on Low Back Pain in Workers: A Systematic Review and Meta-Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182312614. [PMID: 34886343 PMCID: PMC8657220 DOI: 10.3390/ijerph182312614] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/15/2021] [Revised: 11/19/2021] [Accepted: 11/23/2021] [Indexed: 01/08/2023]
Abstract
This systematic review and meta-analysis aimed to analyze the effects of workplace interventions (WI) on clinical outcomes related to low back pain (LBP) in a worker population, and to assess socio-economic parameters as participants on sick leave, days of sick leave, and return to work following WI. A systematic literature search was performed to select randomized clinical trials that investigated the effectiveness of WI on return to work, sick leave, and working capacity of workers affected by nonspecific LBP. Fourteen articles were included in the review and meta-analysis. The meta-analysis showed improvements in pain (p = 0.004), disability (p = 0.0008), fear-avoidance for psychical activity (p = 0.004), and quality of life (p = 0.001 for physical scale and p = 0.03 for mental scale) for patients who underwent WI compared to controls. Moreover, the pain reduction following WI was statistically significant in the healthcare workers’ group (p = 0.005), but not in the other workers’ group. The participants on sick leave and the number of days of sick leave decreased in the WI group without statistical significance (p = 0.85 and p = 0.10, respectively). Finally, LBP recurrence was significantly reduced in the WI group (p = 0.006). WI led to a significant improvement of clinical outcomes in a workers’ population affected by LBP.
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