Status of the Musculoskeletal Disorders among Repairmen: Using Quick Exposure Assessment method

Document Type : Original Research

Authors
Occupational Health and Safety Engineering, Faculty of Medical Sciences, Tarbiat Modares University.
Abstract
Aims: Pain and discomfort caused by Work-related Musculoskeletal Disorders (WMSDs) are one of the most common health problems that are common in almost all jobs worldwide. Considering the importance of early prevention and treatment of these disorders, the purpose of this research is to investigate the prevalence of WMSDs and their risk factors among repair workers by using the Quick Exposure Check (QEC).

Method and Materials: In this descriptive-analytical study, 50 auto repairers in Sabzevar city were selected by the census method. The Nordic questionnaire was used to determine the prevalence of WMSDs, and the QEC posture assessment method was used to determine the risk level of suffering from these disorders.

Findings: According to the results of the Nordic questionnaire, 58% (N=29) of the studied subjects had pain and discomfort in at least one of the nine areas of the musculoskeletal system during the last 12 months. The highest rate was reported in the waist (46%, N=23), knee (34%, N=17), and shoulder (16%, N=8) regions. Furthermore, 84% (N=42) of people were in the 3rd and 4th priority level of corrective action based on the QEC method.

Conclusion: This study showed that skeletal-muscular disorders have the highest prevalence in the waist and knee areas. This means that paying attention to the risk factors of disorders related to these areas and removing them from the work environment can be an effective measure in improving work conditions and preventing these complications.

Keywords

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1. Buckle PW, Devereux JJ. The nature of work-related neck and upper limb musculoskeletal disorders. Applied ergonomics. 2002;33(3):207-17.
2. Da Costa BR, Vieira ER. Risk factors for work‐related musculoskeletal disorders: a systematic review of recent longitudinal studies. American journal of industrial medicine. 2010;53(3):285-323.
3. Widanarko B, Legg S, Devereux J, Stevenson M. The combined effect of physical, psychosocial/organisational and/or environmental risk factors on the presence of work-related musculoskeletal symptoms and its consequences. Applied ergonomics. 2014;45(6):1610-21.
4. Dianat I, Kord M, Yahyazade P, Karimi MA, Stedmon AW. Association of individual and work-related risk factors with musculoskeletal symptoms among Iranian sewing machine operators. Applied ergonomics. 2015;51:180-8.
5. Balogh I, Örbaek P, Ohlsson K, Nordander C, Unge J, Winkel J, et al. Self-assessed and directly measured occupational physical activities—influence of musculoskeletal complaints, age and gender. Applied ergonomics. 2004;35(1):49-56.
6. Asghari E, Dianat I, Abdollahzadeh F, Mohammadi F, Asghari P, Jafarabadi MA, et al. Musculoskeletal pain in operating room nurses: Associations with quality of work life, working posture, socio-demographic and job characteristics. International Journal of Industrial Ergonomics. 2019;72:330-7.
7. Westgaard R, Winkel J. Ergonomic intervention research for improved musculoskeletal health: a critical review. International journal of industrial ergonomics. 1997;20(6):463-500.
8. David GC. Ergonomic methods for assessing exposure to risk factors for work-related musculoskeletal disorders. Occupational medicine. 2005;55(3):190-9.
9. Devereux J, Vlachonikolis I, Buckle P. Epidemiological study to investigate potential interaction between physical and psychosocial factors at work that may increase the risk of symptoms of musculoskeletal disorder of the neck and upper limb. Occupational and environmental medicine. 2002;59(4):269-77.
10. Kumar R. Ergonomic evaluation and design of tools in cleaning occupation: Luleå tekniska universitet; 2006.
11. KANGAR LH, Malekzadeh S, Alizadeh K, Shamshiri B, Zareei S. The Prevalence of Musculoskeletal Causes of Disability Retirement among Air Force Personnel during 1371-1382. 2006.
12. Eatough EM, Way JD, Chang C-H. Understanding the link between psychosocial work stressors and work-related musculoskeletal complaints. Applied ergonomics. 2012;43(3):554-63.
13. Sancini A, Capozzella A, Caciar T, Tomei F, Nardone N, Scala B, et al. Risk of upper extremity biomechanical overload in automotive facility. Biomedical and Environmental Sciences. 2013;26(1):70-5.
14. Parno A, Sayehmiri K, Mokarami H, Parno M, Azrah K, Ebrahimi MH, et al. The prevalence of work-related musculoskeletal disorders in the lower limbs among Iranian workers: a meta-analysis study. Iran Occupational Health. 2016;13(5):49-59.
15. Ghamari F, Mohammad BA, Tajik R. Ergonomic assessment of working postures in Arak bakery workers by the OWAS method. Journal of School of Public Health & Institute of Public Health Research. 2009;7(1).
16. Genaidy A, Al-Shedi A, Karwowski W. Postural stress analysis in industry. Applied ergonomics. 1994;25(2):77-87.
17. Sharafi N, Gharibi F, Khoubi J. Prevalence of musculoskeletal disorders and its relation to working posture in Sanandaj hand-woven carpet weavers. Scientific Journal of Kurdistan University of Medical Sciences. 2014;19(4).
18. Li G, Buckle P. Current techniques for assessing physical exposure to work-related musculoskeletal risks, with emphasis on posture-based methods. Ergonomics. 1999;42(5):674-95.
19. AAR S A. The impact of ergonomic intervention on individual health and corporate prosperity in a telecommunications environment. Ergonomics. 1994;37(10):1679-96.
20. Cheng AS, So PC. Development of the Chinese version of the Quick Exposure Check (CQEC). Work. 2014;48(4):503-10.
21. Takala E-P, Pehkonen I, Forsman M, Hansson G-Å, Mathiassen SE, Neumann WP, et al. Systematic evaluation of observational methods assessing biomechanical exposures at work. Scandinavian journal of work, environment & health. 2010:3-24.
22. David G, Woods V, Li G, Buckle P. The development of the Quick Exposure Check (QEC) for assessing exposure to risk factors for work-related musculoskeletal disorders. Applied ergonomics. 2008;39(1):57-69.
23. Park H-S, Kim J, Roh H-L, Namkoong S. Analysis of the risk factors of musculoskeletal disease among dentists induced by work posture. Journal of physical therapy science. 2015;27(12):3651-4.
24. Shafeei A, Mokhtarinia HR, Maleki-Ghahfarokhi A, Piri L. Cross-cultural adaptation, validity, and reliability of the Persian version of the Orebro Musculoskeletal Pain Screening Questionnaire. Asian spine journal. 2017;11(4):520.
25. Anuurad E, Shiwaku K, Nogi A, Kitajima K, Enkhmaa B, Shimono K, et al. The new BMI criteria for asians by the regional office for the western pacific region of WHO are suitable for screening of overweight to prevent metabolic syndrome in elder Japanese workers. Journal of occupational health. 2003;45(6):335-43.
26. Mokhtarinia H, Shafiee A, Pashmdarfard M. Translation and localization of the Extended Nordic Musculoskeletal Questionnaire and the evaluation of the face validity and test-retest reliability of its Persian version. Iranian journal of ergonomics. 2015;3(3):21-9.
27. Jamshidi HR, Daneshmandi H, Haghayegh A. Survey prevalence of musculoskeletal disorders and risk assessment in paddy workers in marvdasht in 2013. J Neyshabur Univ Med Sci. 2015;3(1):57-65.
28. Li G, Buckle P. Evaluating change in exposure to risk for musculoskeletal disorders: A practical tool: Health and Safety Executive; 1999.
29. Kim-Fine S, Woolley SM, Weaver AL, Killian JM, Gebhart JB. Work-related musculoskeletal disorders among vaginal surgeons. International urogynecology journal. 2013;24:1191-200.
30. Khudhir KM, Saleh KK, Qadir MS, Mahmood KA, Ariffin AA. Association between work-relate musculoskeletal disorder and ergonomic risk factors among nursing professionals in ranya and qaladiza districts. Kurdistan journal of applied research. 2017;2(2):65-70.
31. Akrouf Q, Crawford J, Al Shatti A, Kamel M. Musculoskeletal disorders among bank office workers in Kuwait. EMHJ-Eastern Mediterranean Health Journal, 16 (1), 94-100, 2010. 2010.
32. Rahmani R, Shahnavazi S, Fazli B, Ghasemi F. Ergonomic risk assessment of musculoskeletal disorders in a cement factory workers using QEC technique. Pajouhan Scientific Journal. 2020;18(2):64-72.
33. Nur NM, Dawal SZ, Dahari M, editors. The prevalence of work related musculoskeletal disorders among workers performing industrial repetitive tasks in the automotive manufacturing companies. Proceedings of the 2014 international conference on industrial engineering and operations management Bali, Indonesia; 2014.
34. AR A, Yazdani A, KS H, MY A. Association between awkward posture and musculoskeletal disorders (MSD) among assembly line workers in an automotive industry. Malaysian Journal of Medicine and Health Sciences. 2014:23-8.
35. Ghasemkhani M, Aten S, Azam K. Musculoskeletal Symptoms Among Automobile Assembly Line VVorkers. Journal of Applied Sciences. 2006;6(1):35-9.
36. Abedini R, Choubineh AR, Soltanzadeh A, Ghiasvand R, Haghighi MK. Ergonomic evaluation of exposure to musculoskeletal disorders risk factors by Quick Exposure Check (QEC) technique in a metal structure manufacturing factory. Jundishapur Journal of Health Sciences. 2012;4(2):13-20.