Ergonomic design and training for preventing work-related musculoskeletal disorders of the upper limb and neck in adults

Hoe, Victor Chee Wai; Urquhart, Donna M.; Kelsall, Helen L; Sim, Malcolm Ross

doi:10.1002/14651858.cd008570.pub2

Cited by 116 publications

(88 citation statements)

References 51 publications

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“…Despite the knowledge on factors associated with work-related MSD, interventions on primary prevention of MSD through modifications of the physical work-related factors, such as through manual handling advise (24) and ergonomic workplace redesign (25), have not shown to be overly successful in preventing MSD. Moreover, while there are numerous preventive measures and strategies (eg, workplace interventions or ergonomic guidelines) in place, the global burden of MSD seems to have increased rather than decreased over the last years (26).…”

Section: Van Der Beek Et Almentioning

confidence: 99%

“…In the previous decades there has been an increase in the number of studies regarding primary prevention of MSD, across a wide range of scientific disciplines, including epidemiology (29), applied physiology (30), biomechanics (31), physical and organizational (macro) ergonomics (25,32), behavioral sciences (33), production engineering (34), organizational management (35), health and business economics (36), and implementation science (37). These disciplines vary largely in their contribution to work-related MSD prevention research, ranging from classic injury surveillance and etiological studies to detailed laboratory studies and animal models exploring injury mechanisms, and studies evaluating interventions and implementation.…”

Section: Van Der Beek Et Almentioning

confidence: 99%

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A research framework for the development and implementation of interventions preventing work-related musculoskeletal disorders

Beek¹,

Dennerlein²,

Huysmans³

et al. 2017

Scand J Work Environ Health

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We are the first to describe a research framework for prevention of work-related musculoskeletal disorders (MSD) in which different research disciplines are linked. This framework can help to improve theories and strengthen the development and implementation of prevention strategies for work-related MSD. Original article Scand J Work Environ Health. 2017;43(6):526-539. doi:10.5271/sjweh.3671 A research framework for the development and implementation of interventions preventing work-related musculoskeletal disorders Objectives Work-related musculoskeletal disorders (MSD) are highly prevalent and put a large burden on (working) society. Primary prevention of work-related MSD focuses often on physical risk factors (such as manual lifting and awkward postures) but has not been too successful in reducing the MSD burden. This may partly be caused by insufficient knowledge of etiological mechanisms and/or a lack of adequately feasible interventions (theory failure and program failure, respectively), possibly due to limited integration of research disciplines. A research framework could link research disciplines thereby strengthening the development and implementation of preventive interventions. Our objective was to define and describe such a framework for multi-disciplinary research on work-related MSD prevention. Affiliation MethodsWe described a framework for MSD prevention research, partly based on frameworks from other research fields (ie, sports injury prevention and public health). ResultsThe framework is composed of a repeated sequence of six steps comprising the assessment of (i) incidence and severity of MSD, (ii) risk factors for MSD, and (iii) underlying mechanisms; and the (iv) development, (v) evaluation, and (vi) implementation of preventive intervention(s). ConclusionsIn the present framework for optimal work-related MSD prevention, research disciplines are linked. This framework can thereby help to improve theories and strengthen the development and implementation of prevention strategies for work-related MSD.

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Section: Van Der Beek Et Almentioning

confidence: 99%

Section: Van Der Beek Et Almentioning

confidence: 99%

A research framework for the development and implementation of interventions preventing work-related musculoskeletal disorders

Beek¹,

Dennerlein²,

Huysmans³

et al. 2017

Scand J Work Environ Health

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“…Linking obesity with complex outcomes such as MSD is challenging. For example, a Cochrane review has shown that upper-limb/neck MSD may not be a single entity (64), subgroups of which may have a different relationship to obesity and require different approaches to prevention and intervention.…”

mentioning

confidence: 99%

Conceptual heuristic models of the interrelationships between obesity and the occupational environment

Pandalai¹,

Schulte²,

Miller³

2013

Scand J Work Environ Health

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Pandalai SP, Schulte PA, Miller DB. Conceptual heuristic models of the interrelationships between obesity and the occupational environment. Scand J Work Environ Health. 2013;39(3):221-232. doi:10.5271/sjweh.3363 Objective Research and interventions targeting the relationship between work, its attendant occupational hazards, and obesity are evolving but merit further consideration in the public health arena. In this discussion paper, conceptual heuristic models are described examining the role of obesity as both a risk factor and health outcome in the occupational setting.Methods PubMed was searched using specific criteria from 2000 and onwards for evidence to support conceptual models in which obesity serves as a risk factor for occupational disease or an outcome of occupational exposures. Nine models are presented: four where obesity is a risk factor and five where it is an adverse effect.Results A broad range of work-related health effects are associated with obesity including musculoskeletal disorders, asthma, liver disease, and cardiovascular disease, among others. Obesity can be associated with occupational hazards such as shift work, sedentary work, job stress, and exposure to some chemicals. Conclusion Identification of combinations of risk factors pertinent to obesity in the occupational environmentwill provide important guidance for research and prevention.Key terms cardiovascular disease; diet; endocrine disruptor; intervention study; metabolism; musculoskeletal disease; occupational health; physical activity; risk assessment.1 National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, OH, USA.Correspondence to: Sudha P Pandalai, MD, PhD, National Institute for Occupational Safety and Health Centers for Disease Control and Prevention, 4676 Columbia Parkway, Cincinnati, OH 45226, Obesity is increasing worldwide with the 2009-2010 prevalence among US adults surpassing one-third (1, 2). Obesity is associated with genetic, behavioral, occupational, and environmental factors (3-5) and has significant economic impact (6). It is also associated with various health problems including musculoskeletal disorders (MSD), asthma, liver disease, and cardiovascular disease (CVD) (7-10). Moreover, neurohormonal and endocrine pathway disruption has been associated with obesity (11,12). Work factors, including sedentary work and taskrelated biomechanics, have been reported as risks for obesity (13)(14)(15). Variables such as irregular work hours/ sleep schedules, job stress, workplace absenteeism, and reduced productivity also contribute (16)(17)(18)(19).Although the related literature is growing, obesity in the occupational environment requires more study, for example, regarding low-wage workers and genes or other factors (20,21). Body mass index (BMI), a measure of obesity, varies by population, race, gender, and socioeconomic class (22)(23)(24). Genetics may account for ≥40% of the variation in BMI (25), but such estimates can depend on the variability of environ...

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“…A systematic review of participatory ergonomics interventions in a variety of sectors by Rivilis et al (2008) found only partial to moderate evidence for its effectiveness in reducing self-reported symptoms and workers' compensations claims. More recently, Hoe et al (2012) reported on the evidence for the effectiveness of ergonomics interventions in the prevention of work-related musculoskeletal disorders in a range of industrial sectors.…”

Section: Introductionmentioning

confidence: 99%

A long-term evaluation of the stage of change approach and compensable injury outcomes – a cluster-randomised trial

et al. 2016

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This study investigated the long-term injury outcomes for workers in companies from a range of industries which had been randomly allocated to receive ergonomics interventions tailored according to the stage of change (SOC) approach or standard ergonomics advice. Differences in compensable injury outcomes between the groups were analysed using logistic regression models. Questionnaire results from face-to-face interviews to assess musculoskeletal pain and discomfort (MSPD), job satisfaction and other factors were also analysed. Although not significant at the 0.05 level, after adjusting for workgroup clustering, workers in receipt of tailored advice were 55% (OR = 0.45, 95% CI = 0.19-1.08) less likely to report a compensable injury than those in receipt of standard ergonomics advice. Workload, job satisfaction and MSPD were significantly correlated with injury outcomes. The observed outcomes support the potential value of the SOC approach, as well as highlighting the need to consider workload, job satisfaction and MSPD when planning injury prevention programmes. Practitioner Summary: This study investigated compensable injury outcomes for workers who had received ergonomics advice tailored according to the stage of change (SOC) approach compared with standard ergonomics advice. The results support the potential value of the SOC approach and highlight the need to consider workload, job satisfaction and musculoskeletal pain and discomfort when planning injury prevention interventions.

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Ergonomic design and training for preventing work-related musculoskeletal disorders of the upper limb and neck in adults

Abstract: Ergonomic design and training for preventing work-related musculoskeletal disorders of the upper limb and neck in adults.

Cited by 116 publications

References 51 publications

A research framework for the development and implementation of interventions preventing work-related musculoskeletal disorders

A research framework for the development and implementation of interventions preventing work-related musculoskeletal disorders

Conceptual heuristic models of the interrelationships between obesity and the occupational environment

A long-term evaluation of the stage of change approach and compensable injury outcomes – a cluster-randomised trial

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