Ergonomic Changes Research Articles

Evaluation and control of ergonomics actions in federal public service: the case of FIOCRUZ - RJ

This article presents information about the development of the dissertation. Deals with the production of ergonomic diagnosis in the environments and work processes of an important center of research and development in Public Health, FIOCRUZ. Critically evaluates the performance of a team promoting and facilitating the process of implementing ergonomic changes suggested. Through analysis of documents and statements by some managers and representatives of Human Resources was possible to identify the factors that facilitate and hinder the implementation process, linking them to the organization of the institution and conduct of the agents involved. Finally, it makes a reflection on practice, results and developments involved in the processes of change initiated by the ergonomic actions, proposing its replication along with other institutes of the Civilian Personnel of Federal Public Administration.

Designing the care environment in hospitals and nursing homes: a pilot for a new and reliable method for determining the optimum space to live in and work in

One of the major problems encountered in health care during the process of implementing ergonomic changes is the lack of space. There is often not enough space to work with larger equipment like patient lifters and shower chairs or other medical devices necessary in a preventive program. This leads to undesirable extra physical load for nurses. Therefore it is imperative that in the process of designing the health care environment ergonomic considerations are taken into account. A method to assess the optimum size and shape of the space required is developed and the value of the method is tested in a pilot setting. The pilot is currently underway and the results will be presented on the final poster.

An ergonomic approach to design hand tool for agricultural production

Hand tool mechanisms designed to reduce the risk factors have rarely been studied. In this paper it is analyze trowel firstly designing in CATIA and then its Finite Element Analysis has been carried out by ABAQUS. The main emphasis is on finding stresses by using this software, then removing them by suitable mechanical working on tool & ergonomic change in the design of handle to make it more comfortable. Body part discomfort score and overall discomfort rating experienced by the subjects had also been estimated. During the muscular activity workers physiological responses i.e. energy expenditure rate, oxygen consumption rate and heart rate increases. This increase in physiological responses is related to the type, intensity and duration of work and thus sets limits to the performance of heavy work. In this paper oxygen consumption rate and heart rate was used for physiological cost estimation. These parameters were measured by Computerized Ambulatory Metabolic Measurement System K4b2.

The reality of the women who make our lives easier: experience in a company that assemblies electric motors in Venezuela

intervene a workline throughout ergonomic approach to diminish incidence of Carpal Tunnel Syndrome (CTS). an ergonomic intervention study was developed in workstations with highest index of musculoskeletal disorder (MED) associated to cumulative trauma. The Deparis method, Reba and Ocra check list methods were used, also morbility reviewes. National and international ethics criteria were carried out. workers identified 3 fundamental issues using the Deparis method: repetitive activities, postures adopted and uncomfortable furniture. The analysis of the workstation with Reba and Ocra methods before the changes, evidenciated that 56% of postures adopted were high risk postures, the 44% remaining were medium and low-risk. Following the active pause program (APP), furniture changes and work rhythm decrease, was noted that the risk of suffering MED decreased. The morbility review, drop in consults of musculoskeletal system (MES) related to CTS observed. The APP was well accepted by women, but not initially men. the research show that when the work rhythm decreases, the symptom of MES related to CTS have a remarkable decrease, also that changes in the furniture, generate great ergonomic differences and changes in the work environment are not possible if workers don't empower the tools to make-it.

Supervisors in ergonomic change of meat cutting work

Being a supervisor is an important and lonely occupation. The aim of this study was to identify barriers and opportunities in working conditions for supervisors, being facilitators and implementers of change for meat cutters. Nine supervisors of meat cutters in one large company were interviewed. The semi-structured interviews covered their roles as supervisors, performance of the change process and their own working conditions. Notes were taken and structured in themes. Similarities, differences, plus and minus were identified. There was a nuanced view on the change processes and their effects. The change processes and the decisions were anchored in a democratic process with groups of employees and the union. All were clear on what demands the company had on them. They were secure in a functioning network of peers and their immediate superior. On their own education, most were as a whole satisfied, but in need of more training and talked of lifelong learning. They considered their work demanding and lonely, with a need both to be manager and leader. A shared leadership could mean doing a better job. There is a need for education and training as a manager and leader as well as the opportunity to discuss with peers.

Physical Rehabilitation With Ergonomic Intervention of Currently Working Keyboard Operators With Nonspecific/Type II Work-Related Upper Limb Disorder: A Prospective Study

Povlsen B. Physical rehabilitation with ergonomic intervention of currently working keyboard operators with nonspecific/type II work-related upper limb disorder: a prospective study. Objective To evaluate the effect of a physical training program in combination with ergonomic changes in a group of keyboard operators with nonspecific/type II work-related upper limb disorder (WRULD). Design Prospective study. Setting Hospital department. Participants Pain-free controls (n=6) and currently working patients with WRULD (n=17) were included. Interventions Participants were taught how to self-rehabilitate according to a previously published physical exercise program, in addition the patients requested maximal ergonomic assistance from their employer according to British law. Main Outcomes Measures Pain at rest and after a standardized functional typing test, before and after rehabilitation, with recording of endurance and calculation of typing speed during the tests. Statistical evaluation: Student t test, paired, and 2-tailed. Results After the rehabilitation program, the patients as a group had significantly less pain both at rest ( P=.009) and after the typing test ( P<.001). The typing endurance improved significantly ( P=.027) and became similar to the healthy control group ( P =.09). The typing speed improved significantly in the patient group after rehabilitation ( P=.032) and became similar to the normal control group ( P=.058). Conclusions Currently working keyboard operators with nonspecific/type II WRULD can benefit significantly from a combination of an individualized self-administered physical rehabilitation program and ergonomic work place improvements. Randomized control studies are needed to further investigate the long-term effect of this encouraging finding.

A Bold Step Toward 2012

A Bold Step Toward 2012

Contextual factors affecting task distribution in two participatory ergonomic interventions: a qualitative study

This article provides an analysis of the evolution of the division of labour in participatory ergonomics (PE) programmes in two worksites. The analysis is based on interviews and field observations in the worksites. In both settings there was meaningful participation by both worker and management members of ergonomic change teams (ECTs) in the hazard assessment and solution identification stages, but as the teams moved to the implementation stage, worker representatives were marginalised and the participatory nature of the programmes was severely curtailed. The removal of workers from the process was the outcome of the interplay among the type of activities pursued in the implementation stage, the skills and knowledge required to carry out those activities, and workers’ limited influence in the organisational hierarchies. Findings highlight the salience of the social context in which participatory programmes are located and the importance of examining participatory programmes as they evolve over time. Statement of Relevance: This article contributes to a growing literature on the process and implementation of PE programmes. The article's focus on social and organisational factors that affect the division of labour and attention to the evolution of involvement over time extend current understandings of participation in ergonomics programmes.

Participatory ergonomics: Development of an employee assessment questionnaire

Despite being essential to the success of participatory ergonomics (PEs) programs, there are currently no known quantitative measures that capture the employees’ perspective of PE program effectiveness. The present study addresses this need through the development of the Employee Perceptions of Participatory Ergonomics Questionnaire (EPPEQ). The questionnaire is designed to assess five key components that are based on a review of the available literature: Employee Involvement, Knowledge Base, Managerial Support, Employee Support, and Strain related to ergonomic changes. In Phase 1, a sample of employees and ergonomists working at a manufacturing plant was used to develop and test an initial set of items. In Phase 2, data was collected from a nation-wide sample of employees representing a wide range of jobs and organizations to cross-validate the results from Phase 1. Phase 2 results indicate that the five EPPEQ subscales demonstrate sound convergent validity and are also correlated with traditional indicators of PE program success. Implications and uses of the EPPEQ are discussed.

Gaining Organizational Buy In: Lessons Learned from Fifty Ergonomists

Change is an inevitable part of organizational health and survival. Yet, the process of implementing change can be problematic. This presentation will introduce a novel framework for implementing organizational change and focus on a major theme of the process– gaining organizational buy-in. Fifty in-depth interviews were conducted with professionals who had experience implementing ergonomic change processes in organizations nationally and internationally. The majority of participants were members of, or recommended by, the Macroergonomics Technical Group of the Human Factors and Ergonomics Society. Qualitative data from the interviews were analyzed with the help of the software program NVivo. At the end of the presentation, the audience will be familiar with best practices and lessons learned to gain organizational buy-in for implementing an ergonomics change process.

Prevalence, risk factors and preventive strategies in work‐related musculoskeletal disorders among Israeli physical therapists

Although physical therapists (PTs) have extensive knowledge of body mechanisms and injury prevention, work-related musculoskeletal disorders (WRMD) are quite common in this population. The purposes of this study were: to determine the prevalence and impact of WRMD among Israeli PTs; to investigate WRMD risk factors and to identify preventive strategies used by PTs; and to compare the risk of injuries in two professional settings: rehabilitation centres (RCs) and outpatient clinics (OPCs). A validated, modified Cromie questionnaire, translated into Hebrew, was distributed to the PTs at their workplaces. The relationship between WRMD symptoms and professional settings was analysed by Pearson chi-square. The risk models were developed by logistic regression. One hundred and twelve PTs working in OPCs and RCs who defined themselves as healthy individuals were the subjects of this study. Lifetime prevalence of WRMD was 83%. The highest prevalence of WRMD was in the lower back area (80%). Rehabilitation treatment was associated with an increased risk of lower back (odds ratio [OR] = 1.05) and shoulder symptoms (OR = 1.04); manual treatment was associated with an increased risk of wrist/thumb symptoms (OR = 1.11). Work in RCs was associated with an increased prevalence of lower back/shoulder symptoms, whereas work in OPCs was associated with an increased prevalence of thumb/wrist symptoms. PT's used different strategies to reduce risk of WRMD, including altering practice technique. The respondents recommended administrative and ergonomic changes in the workplace. Workplace-specific interventions to reduce WRMD in PTs should be developed and tested in future studies.

Focal Dystonia in Musicians: Phenomenology, Pathophysiology, Triggering Factors, and Treatment

Musician's dystonia is a task-specific movement disorder that manifests itself as a loss of voluntary motor control in extensively trained movements. Approximately 1% of all professional musicians develop musician's dystonia, and in many cases, the disorder terminates the careers of affected musicians. The pathophysiology of the disorder is not completely clarified. Findings include 1) reduced inhibition at different levels of the central nervous system, 2) maladaptive plasticity and altered sensory perception, and 3) alterations in sensorimotor integration. Epidemiological data demonstrate a higher risk for those musicians who play instruments requiring maximal fine-motor skills. For instruments where workload differs across hands, focal dystonia appears more often in the more intensely used hand. In psychological studies, musicians with dystonia have more anxiety and perfectionist tendencies than healthy musicians. These findings strengthen the assumption that behavioral factors may be involved in the etiology of musician's dystonia. Preliminary findings also suggest a genetic contribution to focal task-specific dystonia with phenotypic variations including musician's dystonia. Treatment options include pharmacological interventions, such as trihexyphenidyl or botulinum toxin-A, as well as retraining programs and ergonomic changes in the instrument. Patient-tailored treatment strategies may significantly improve the situation of musicians with focal dystonia. Positive results after retraining and unmonitored technical exercises underline the benefit of an active involvement of patients in the treatment process. Only a minority of musicians, however, return to normal motor control using the currently available therapies.

Ergonomic and behavioral interventions as the primary treatment for work-related lateral epicondylitis

Work-related injuries (WRI) are costly to employers and the United States government due to missed days at work and medical expenses. This case report documents the results of using ergonomic and behavioral changes to address a client's symptoms due to a WRI. The client worked as an administrative assistant at a small, private medical college and presented with lateral epicondylitis. She received ergonomic and behavioral interventions to treat her injury that included modification to her work environment and education on modifying behaviors that would decrease stress and excessive work. The client reported decreased headaches with improved lighting and increased tolerance to typing with the addition of a keyboard tray, but not elimination of her chief complaints with the tray, floor mat, and behavioral changes. Some interventions that occurred at the client's desk resulted in decreased secondary symptoms. No improvements in the primary symptoms were found.

Effect of a participatory ergonomics intervention on psychosocial factors at work in a randomised controlled trial

ObjectivesTo study the effect of a participatory ergonomics intervention on psychosocial factors among kitchen workers.DesignA cluster randomised controlled trial.SettingFour cities in Finland, 2002–2005.Participants504 workers in 119 municipal kitchens.InterventionKitchens were randomised...

Sustaining Management Commitment to Workplace Health Programs:

This article investigates management commitment to workplace health and safety through an analysis of the implementation of participatory ergonomic (PE) interventions in three worksites. The PE programs were established to address the burden of work-related musculoskeletal disorders. Drawing upon interview and observational data, the analysis examines the evolution of managerial support for PE programs over time and in the context of pressures internal and external to the worksites. Ergonomic Change Teams in all three sites experienced problems establishing authority to act as change agents and in accessing employee time to carry out their activities. Resolution of these problems was heavily contingent on the commitment of senior management, and the efforts of individual management personnel to intervene in support of the PE program. Our findings highlight that “management” is not a monolithic entity and managerial structures are often marked by divisions in priorities, including health and safety.

Reflecting on a program of participatory ergonomics interventions: A multiple case study

Evaluations of participative ergonomics (PE) interventions have reported mixed results, potentially due to both program and theory deficits. In a multiple case study of four worksites in different companies using a quasi-experimental approach, we examined process, implementation, and effects. The process evaluation was based upon fieldwork and interviews with approximately 90 persons. Implemented changes were documented by PE teams and intensity judged by the research team. The effect evaluation was performed using questionnaire-based measures (physical effort, influence, pain and potential confounders) among cohorts present both before and after the changes (N=258). Ergonomic change teams (ECTs) faced challenges securing employees' time, varying management commitment and significant production pressures. Nevertheless they actively introduced between 10 and 21 changes over 10-20 months of activity. Limited intensity of exposure reduction was observed, resulting in no discernible effects on physical effort or pain among the employees. Potential reasons that may account for limited effects and lessons for workplace parties, practitioners, and intervention researchers are discussed.

A randomised controlled trial on whether a participatory ergonomics intervention could prevent musculoskeletal disorders

Objectives:To examine the efficacy of a participatory ergonomics intervention in preventing musculoskeletal disorders among kitchen workers. Participatory ergonomics is commonly recommended to reduce musculoskeletal disorders, but evidence for its effectiveness...

Evaluation of a participatory ergonomic intervention process in kitchen work

We evaluated a participatory ergonomic intervention process applied in 59 municipal kitchens. In groups of three to five kitchens, the workers participated in eight workshops, and generated and evaluated solutions to optimize musculoskeletal load in their work. An ergonomist initiated and supported the process. By the end, 402 changes were implemented. Evaluative data were collected using research diaries, questionnaires, and focus group interviews. The intervention model proved feasible and the participatory approach was mostly experienced as motivating. The workers’ knowledge and awareness of ergonomics increased, which improved their ability to tackle ergonomic problems by themselves. The changes in ergonomics were perceived to decrease physical load and improve musculoskeletal health. As hindering factors for implementation, lack of time and motivation, and insufficient financial resources were mentioned. In addition, the workers expressed a wish for more support from the management, technical staff, and ergonomists.

Evaluation of Spinal Internal Loads and Lumbar Curvature under Holding Static Load at Different Trunk and Knee Positions

A study was performed to investigate how different trunk and knee positions while holding static loads affect the lumbar curvature and internal loads on the lumbar spine at L4-L5. Ten healthy male subjects participated in this study. Two inclinometers were used to evaluate the curvature of lumbar spine, lordosis, while a 3D static biomechanical model was used to predict the spinal compression and shear forces at L4-L5. Eighteen static tasks while holding three level of load (0, 10 and 20 kg), two levels of knee position (45 and 180 degrees of flexion) and three levels of trunk position (neutral, 15 and 30 degree of flexion) were simulated for 10 healthy male subjects. The results of this study revealed that the lordosis of lumbar spine changed to kyphosis with increasing weight of load from 0 to 20 kg in trunk flexion position (p<0.05), but in squatting position (45 degrees knee full flexion) the higher load did not affect the curvature. The results of this study suggested, at a more flexed trunk and standing position with higher loads both external moment and internal loads increased significantly at L4-L5 level but with 45 knee flexion external moment and compression force increased and shear force decreased significantly (p < 0.05). Subjects made more effort to maintain stability of the body in squat position. The highest external moment and compression force were computed at flexed knee and trunk position with highest loads. Hence holding weight in this position must be avoided by implementing ergonomic change to the workplace.

Focal dystonia in musicians: From phenomenology to therapy

Background: Musician’s dystonia is a task-specific movement disorder which manifests itself as a loss of voluntary motor control in extensively trained movements. In many cases, the disorder terminates the careers of affected musicians. Approximately 1% of all professional musicians are affected. Etiology and Pathophysiology: The pathophysiology of the disorder is still unclear. Findings include (a) reduced inhibition in different levels of the central nervous system, (b) maladaptive plasticity, e.g. in the somatosensory cortex and in the basal ganglia, and (c) alterations in sensorimotor processing. Epidemiological data demonstrated a higher risk for those musicians who play instruments requiring maximal fine-motor skills. For instruments where workload differs across hands, focal dystonia appears more often in the more intensely used hand. In psychological studies, musicians with dystonia had more perfectionist tendencies than healthy musicians. These findings strengthen the assumption that behavioral factors may be involved in the etiology of musician’s dystonia. Hereditary factors may play a greater role than previously assumed. Preliminary findings suggest a genetic contribution to focal task-specific dystonia with phenotypic variations including musician’s dystonia. Treatment: Treatment options for musician’s dystonia include pharmacological interventions such as administration of Trihexyphenidyl or Botulinum Toxin-A as well as retraining programs and ergonomic changes in the instrument. A long-term follow-up study was performed in 144 patients with musician’s dystonia. The outcome was revealed on average 8.4 years after onset of symptoms. Outcome was assessed by patients’ subjective rating of cumulative treatment response and response to individual therapies. Seventy-seven patients (54%) reported an alleviation of symptoms: 33% of the patients with Trihexyphenidyl, 49% with Botulinum Toxin, 50% with pedagogical retraining, 56% with unmonitored technical exercises, and 63% with ergonomic changes. In embouchure dystonia, only 15% of patients reported improvement. The results demonstrate that the situation of musicians with focal hand dystonia may be significantly improved. Positive results after retraining and unmonitored technical exercises underline the benefit of an active involvement of patients in the treatment process. Only exceptionally, however, can musicians with focal dystonia return to normal motor control using the currently available therapies.