Hand-Wrist Disorders in Chainsaw Operators: A Follow-Up Study in a Group of Italian Loggers

Occupational hand and wrist disorders among forestry workers: An exposed-control study to investigate preventive strategies

BACKGROUND: In the arboriculture sector, some activities are still manually performed by forestry workers, which result consequently exposed to a high risk of developing muscle skeletal disorders. The Italian Compensation Authority reported an increase of work-related tendinopathies and carpal tunnel syndrome in loggers, but screening protocols are not available yet. OBJECTIVES: The objectives were: a) to evaluate the prevalence of tendinopathies and carpal tunnel syndrome in a sample of loggers and b) identify a sound screening approach. METHODS: 41 loggers and 41 paired control workers were recruited for a total of 164 hands. The protocol included 1) demographic data; 2) medical history; 3) identification of CTS symptoms through a questionnaire and a hand-chart; 4) upper limbs clinical examination; 5) Raynaud’s diseases questionnaire; 6) wrists ultrasound; 7) NCS of the distal median nerve. RESULTS: The prevalence of tendinopathies was statistically significant only in the non-dominant hand (75, 5% in the exposed group and 53, 6% in the non-exposed group). The prevalence of CTS was 32, 2% in the exposed group and 15, 5% in the non-exposed group. The questionnaire had a sensitivity of 56, 7% and a specificity of 75%. The hand-chart had a sensitivity of 30% and a specificity of 92%. The clinical examination had sensitivity of 30% and specificity of 80%. The ultrasound had a sensitivity of 70% and a specificity of 56%. CONCLUSIONS: Loggers are a population at risk of occupational hand and wrist disorders. The hand-chart could be considered, together with the questionnaire, as the best secondary prevention tool to diagnose CTS.

Assessing the Impact of Work Activities on the Physiological Load in a Sample of Loggers in Sicily (Italy)

Occupational logging activities expose workers to a wide range of risk factors, such as lifting heavy loads, prolonged, awkward positioning of the lower back, repetitive movements, and insufficient work pauses. Body posture has an important impact on the level of physiological load. The present study involved a group of 40 loggers in the province of Enna (Sicily, Italy) with the aim of defining the impact of logging activities on the workers’ physiological strain during the three primary work tasks of felling, delimbing, and bucking. The Zephyr Bioharness measurement system was used to record trunk posture and heart rate data during work tasks. The NASA TLX questionnaire was used to explore workers’ effort perception of the work tasks. Based on our results, the most demanding work task was tree felling, which requires a higher level of cardiac cost and longer periods spent in awkward trunk postures. The perceived physiological workload was consistently underestimated, especially by the more experienced loggers. Lastly, as the weight of the chainsaw increased, the cardiac load increased.

Anthropometrics Parameters of the Adult Population as Ergonomics Modifier for the Chainsaw Handle

In the conditions of Slovakia, forest harvesting is largely carried out by hand-held chainsaws. Working with a chainsaw is one of the most demanding tasks in forestry, both in terms of demands on the operator and compliance with technological and work discipline. The aim of this work is the analysis of selected anthropometric dimensions of the upper limbs of the adult male population and their comparison with parameters and approaches in the design of hand-held controls for manual chainsaws. The research was conducted on a sample of 1629 men aged 18 to 25, in whom six anthropometric dimensions related to the upper limbs were measured, which are important for the sizing of the controls on the chainsaw handles. The results of the anthropometric analysis were compared with the recommended values for the design of hand-held chainsaws. Based on the results obtained, we identified some parameters of the front and rear handles that would need to be resized. Most of the recommended dimensions are in a convenient range. However, to take into account user comfort, we suggest, in some cases, increasing their minimum recommended values.