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1.
BMC Musculoskelet Disord ; 25(1): 692, 2024 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-39223549

RESUMO

BACKGROUND: The COVID-19 pandemic has led to the broad acceptance of distance education (DE), with university professors and students conducting the teaching-learning process remotely from their homes. The propose of this study to investigate the prevalence of musculoskeletal disorders (MSDs) before and during the COVID-19 pandemic and identify risk factors associated with DE that may contribute to an increased incidence of these disorders among university professors. METHODS: This cross-sectional analytical study took a comparative approach and involved 310 university professors in Iran. Data were gathered using an online questionnaire. Initially, demographic and occupational information of the professors, hours of physical activity, and hours spent using electronic devices were recorded. Participants were then asked to report MSDs in various body areas throughout the previous year and the previous seven days. Finally, MSDs risk factors such as workstation ergonomics during computer, laptop, smartphone, and tablet use, as well as working postures during online teaching or offline content development during the COVID-19 pandemic, were examined. RESULTS: The majority of the participants were male (66.13%), with a PhD (46.77%) and a faculty member position (74.2%). On average, the use of computers and laptops increased by 2.67 h and 2.72 h, respectively, during the pandemic compared to before the pandemic. This increase was statistically significant (P < 0.001). MSDs incidence increased significantly before and during the COVID pandemic was observed in the areas of the neck, shoulders, lower and upper back, arms, forearms, wrists and fingers (P < 0.05). The highest cumulative incidence (Cin) of MSDs was related to the neck (Cin = 24.20%), upper back (Cin = 21.29%), low back (Cin = 18.06%) and fingers (Cin = 16.13%). The prevalence of MSDs during the COVID pandemic was significantly associated with employment status (P = 0.042), work experience (P = 0.016), age (P = 0.027), increase in the use of computers/ laptops (P < 0.001), decrease of the smartphone/tablet distance from the body (P = 0.047), workstation (smartphone-tablet, computer, laptop) (P < 0.05), head position (smartphone-tablet) (P = 0.029), display height (computer/laptop) (P = 0.045) and physical activity (P = 0.006). CONCLUSIONS: It appears that the increased duration of smartphone, computer, and laptop use, combined with decreased physical activity and detrimental changes in ergonomic conditions of workstations during the quarantine period caused by the COVID-19 pandemic, has resulted in a shift from dynamic to static tasks and an increase in the prevalence and incidence of MSDs among university professors.


Assuntos
COVID-19 , Docentes , Doenças Musculoesqueléticas , Doenças Profissionais , Humanos , COVID-19/epidemiologia , COVID-19/prevenção & controle , Masculino , Estudos Transversais , Doenças Musculoesqueléticas/epidemiologia , Feminino , Prevalência , Incidência , Adulto , Irã (Geográfico)/epidemiologia , Fatores de Risco , Doenças Profissionais/epidemiologia , Pessoa de Meia-Idade , Educação a Distância , Ergonomia , Inquéritos e Questionários , SARS-CoV-2 , Universidades , Pandemias , Postura
2.
Stud Health Technol Inform ; 316: 884-888, 2024 Aug 22.
Artigo em Inglês | MEDLINE | ID: mdl-39176935

RESUMO

AIM: To extend reliability of the integrated Tele-Radiological (TRE) and Tele-Pathological (TPE) evaluation of the Renal Graft (RG) of Prometheus Digital Medical Device (pn 2003016) via integration with Machine Organ Perfusion and Tele-Robotics (Stamoulis Rb) in Organ Transplantation. MATERIAL AND METHODS: A sensitivity-specificity analysis by a simulation of the TRE of RG on 15 MR abdominal images by a radiologist and of the TPE of RG by 26 specialists based on 130 human RG images assessing damages and lesions. RESULTS: The integrated analysis of TRE and TPE of RG showed: Sensitivity=96.7%, Specificity=100% and Accuracy=97.6%. Integration of Machine Organ Perfusion based results pattern recognition and AI programming offers deep learning and improves morbidity-mortality and organ viability prognosis. CONCLUSION: The TRE integrated with TPE and AI programming of RG machine organ perfusion based results pattern recognition by AI programming and Deep Learning supported virtual benching is feasible and seems more reliable for instant morbidity-mortality and organ viability prognosis in renal transplant decision support and operational planning.


Assuntos
Transplante de Rim , Humanos , Ergonomia , Telemedicina , Robótica , Perfusão , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
3.
Front Public Health ; 12: 1417250, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39171296

RESUMO

Introduction: Surgical-related injuries are frequent, in fact the reported percentage of musculoskeletal disorders in surgeons is between 47% and 87%. These conditions are caused by long periods of standing, incorrect postures, repeated movements, little rest between operations, the lack of integrated operator rooms, the correct number and arrangement of monitors and the use of non-ergonomic instruments. This survey aims to assess the Italian overview both highlighting how prevalent surgical-related injury is in our surgeons and whether there is an operating room ergonomics education program in Italian surgical specialty schools. Methods: An anonymous questionnaire was designed through SurveyMonkey© web application. This survey was composed of 3 different sections concerning the general characteristics of the participants, their surgical background and any training performed, and any injuries or ailments related to the surgical activity. The survey was carried out in the period 1th of December 2022 and the 6th of February 2023. Results: At the close of our survey, 300 responses were collected. Among the participants, the two most represented specialties were Gynecology and Obstetrics (42.3%) and General Surgery (39.7%) and surgeons were mainly employed in the Northern regions of Italy (54.8%). Analyzing the participants' background, 61.7% of the respondents had laparoscopic training during their training and only 53.1% had a pelvic trainer during their residency. In accordance with 98.7% of the respondents, during surgery we have the feeling of being in an uncomfortable position that causes discomfort or muscle pain, and regarding the frequency of these discomforts, the majority of our study population experiences these problems monthly (46.2%), while in 29.6% it is experienced weekly, 12.1% annually and finally 12.1% daily. The surgical approach that is most correlated with these disorders is laparoscopy (62.7%) while the one that causes the least discomfort is robotic surgery (1.4%). These discomforts cause 43.9% of our population to take a break or do short exercises to reduce pain during surgery, and the body areas most affected are the back (61.6%), neck (40.6%) and shoulders (37.8%). Conclusion: Despite this, our survey allows us to highlight some now-known gaps present in the surgical training program of our schools and the lack of protection toward our surgeons during their long career.


Assuntos
Ergonomia , Doenças Musculoesqueléticas , Salas Cirúrgicas , Humanos , Itália , Salas Cirúrgicas/estatística & dados numéricos , Inquéritos e Questionários , Feminino , Masculino , Adulto , Doenças Musculoesqueléticas/prevenção & controle , Pessoa de Meia-Idade , Cirurgiões/educação , Cirurgiões/estatística & dados numéricos , Doenças Profissionais/prevenção & controle , Doenças Profissionais/epidemiologia
4.
Am J Occup Ther ; 78(5)2024 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-39087879

RESUMO

IMPORTANCE: Work-related musculoskeletal disorders (WMSDs) among surgeons are markedly increasing. Several proposed interventions to reduce WMSDs among surgeons have been studied, but few follow an occupational therapy-oriented approach addressing biomechanical, psychophysical, and psychosocial risk factors. OBJECTIVE: To design, implement, and assess the potential of the Comprehensive Operating Room Ergonomics (CORE) program for surgeons, a holistic evidence-based ergonomics and wellness intervention grounded in occupational therapy principles. DESIGN: Mixed-methods pilot study with the quantitative strand embedded in the qualitative strand. SETTING: University-affiliated hospital. PARTICIPANTS: Six laparoscopic surgeons. OUTCOMES AND MEASURES: CORE program outcomes were assessed using qualitative and quantitative data to indicate changes in posture, physical discomfort, sense of wellness, and operating room (OR) ergonomic performance. The Rapid Upper Limb Assessment (RULA) was used to quantify surgeons' WMSD risk level before and after intervention. RESULTS: There were 12 baseline observations (two for each participant), and two or three post-CORE implementation observations. A statistically significant difference, F(1, 6) = 8.57, p = .03, was found between pre- and post-occupational therapy intervention RULA scores. Thematic analysis of surgeon feedback, which was overwhelmingly positive, identified five themes: postural alignment, areas of commonly reported physical pain or discomfort, setup of the OR environment, surgical ergonomics training, and ergonomics in everyday life. CONCLUSIONS AND RELEVANCE: The CORE program effectively decreased ergonomic risk factors to optimize surgeons' occupational performance in the OR. This study demonstrates a potential solution to how occupational therapists can holistically support surgeons and health care providers who are at risk for WMSDs. Plain-Language Summary: By 2025, a surgeon shortage is expected, partly because of the increase in surgeons' work-related musculoskeletal disorders, which affect their health and job continuity. This pilot study shows that the Comprehensive Operating Room Ergonomics program effectively addresses these problems. The study also serves as a framework for occupational therapy professionals to work with health care providers on ergonomics, benefiting population health. Results suggest that this approach could enhance surgeons' work conditions, supporting the American Occupational Therapy Association's Vision 2025 to improve health and quality of life.


Assuntos
Ergonomia , Doenças Musculoesqueléticas , Doenças Profissionais , Salas Cirúrgicas , Humanos , Projetos Piloto , Doenças Musculoesqueléticas/prevenção & controle , Doenças Musculoesqueléticas/reabilitação , Doenças Profissionais/prevenção & controle , Masculino , Postura , Feminino , Cirurgiões , Terapia Ocupacional/métodos , Adulto , Pessoa de Meia-Idade
5.
BMC Musculoskelet Disord ; 25(1): 668, 2024 Aug 26.
Artigo em Inglês | MEDLINE | ID: mdl-39187838

RESUMO

BACKGROUND: The elbow is a common site for overuse injuries in golfers. Tendinopathies, such as medial and lateral epicondylitis, are frequently diagnosed in amateur and professional golfers. The aim of our study was to determine the effect of an ergonomic golf grip on forearm muscle activity during the five phases of the golf swing. METHODS: Thirty right-handed golfers with a mean age of 32 years (range, 18-70 years) and a mean handicap of 15 (range, 0-43) performed 10 golf swings with a standard and ergonomic golf grip respectively. The mean and maximum muscle activity of the Musculus (M.) extensor carpi radialis brevis (ECRB), M. flexor carpi ulnaris (FCU), M. pronator teres (PT) and M. biceps brachii (BB) of the lead and trail arms were assessed during the five phases of the golf swing using surface electromyography (EMG). Subgroup analyses were performed regarding sex, playing ability (handicap < 10 vs. ≥10), weekly playing time (≤ 5 h, 5-20 h, > 20 h) and preexisting elbow pain during golfing (VAS < 2 vs. VAS ≥ 2). Significance was set at p < 0.05. RESULTS: An ergonomic golf grip resulted in a reduction in muscle activity in at least one but up to three consecutive phases of the golf swing for the ECRB, FCU and PT of the lead arm and for the PT of the trail arm. Amateurs, a playing time < 20 h per week and golfers without preexisting elbow pain were factors that were associated with greater reductions in muscle activity. CONCLUSION: Forearm muscle activity can be decreased using an ergonomic golf grip, indicating the possible role of an ergonomic golf grip as a preventive measure against overuse syndromes such as medial and lateral epicondylitis. TRIAL REGISTRATION NUMBER: This study was retrospectively registered at the German Clinical Trials Register DRKS-ID: DRKS00033732 (01/03/2024).


Assuntos
Ergonomia , Antebraço , Golfe , Força da Mão , Músculo Esquelético , Humanos , Golfe/fisiologia , Masculino , Adulto , Pessoa de Meia-Idade , Feminino , Adulto Jovem , Adolescente , Estudos Prospectivos , Músculo Esquelético/fisiologia , Antebraço/fisiologia , Força da Mão/fisiologia , Idoso , Eletromiografia
6.
BMC Musculoskelet Disord ; 25(1): 663, 2024 Aug 23.
Artigo em Inglês | MEDLINE | ID: mdl-39180030

RESUMO

INTRODUCTION: Taxi drivers, as professional drivers, encounter numerous ergonomic risk factors related to musculoskeletal disorders (MSDs) because of the demands of their jobs. This study conducted as a systematic review and meta-analysis aimed to explore the prevalence of MSDs among taxi drivers. MATERIALS AND METHODS: The present study followed the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines, and its protocol was registered in the international prospective register of systematic review (PROSPERO) under the code CRD42024509258. Searches were carried out using various databases, such as PubMed, Scopus, Web of Science, Science Direct, SID, ISC, and Google Scholar, with no time restrictions until February 7th, 2024. A random effects model was utilized for meta-analysis, and the I2 index was employed to assess heterogeneity among studies. Lastly, data analysis was conducted using STATA software (version 14). RESULTS: After the initial search, 1606 articles were extracted from the reviewed sources. Following screening, study selection, and quality evaluation, a total of 11 studies were chosen for meta-analysis, involving 5277 taxi drivers. Based on the results of the meta-analysis, the highest prevalence of MSDs among taxi drivers was related to the lower back region (53.87% (95% CI:40.89-66.84, I2= 98.7%, P < 0.001)). Additionally, the prevalence rates of MSDs in different body regions, such as the neck (38.15%), shoulder (34.97%), upper back (18.30%), and knee (14.10%), were also reported. CONCLUSION: Based on the findings of this study, the prevalence of MSDs among taxi drivers is relatively high, and specific risk factors may contribute to the development of these disorders. Therefore, to prevent the occurrence of MSDs among taxi drivers, it is advisable to implement essential measures concerning the development of training programs, ergonomic interventions, and evaluation of the work environment.


Assuntos
Condução de Veículo , Doenças Musculoesqueléticas , Doenças Profissionais , Humanos , Doenças Musculoesqueléticas/epidemiologia , Doenças Musculoesqueléticas/diagnóstico , Doenças Profissionais/epidemiologia , Condução de Veículo/estatística & dados numéricos , Prevalência , Fatores de Risco , Ergonomia
7.
Front Public Health ; 12: 1345396, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39145177

RESUMO

Background: Alarms are crucial in informing Healthcare Workers (HCWs) about critical patient needs, but unmanaged frequency and noise of alarms can de-sensitize medical staff and compromise patient safety. Alarm fatigue is identified as the major cause of the clinical alarm management problem. It occurs when the medical staff is overwhelmed by the number of clinical alarms. Methods: The survey was conducted online using Google's form-making tools from June to July 2023. There were three parts to the survey used in the study: a socio-demographic metric, the Alarm Fatigue Assessment Questionnaire (AFAQ), and The Pittsburgh Sleep Quality Index (PSQI). A significance level of 0.05 was used in the analysis. Results: The survey included 756 medical professionals from three European countries (Slovakia, the Czech Republic and Poland). The participants in the study were 42 years old on average, and they had 12 years of work experience. 603 out of 756 survey participants had poor sleep quality, 147 had good sleep quality, and 6 did not provide an answer. This study analyzed the alarm fatigue levels of respondents in every country. In the Czech Republic, Poland and Slovakia, a statistically significant association (p = 0.039, p = 0.001, p < 0.001) was found between alarm fatigue and sleep quality in medical staff. Conclusion: Based on our study, alarm fatigue and sleep quality of HCWs are correlated. Therefore, alarm fatigue and sleep hygiene should be monitored.


Assuntos
Ergonomia , Fadiga , Qualidade do Sono , Humanos , Adulto , Polônia , Masculino , Feminino , Inquéritos e Questionários , Alarmes Clínicos/estatística & dados numéricos , Pessoa de Meia-Idade , República Tcheca , Local de Trabalho , Corpo Clínico/estatística & dados numéricos
8.
Artigo em Inglês | MEDLINE | ID: mdl-39200608

RESUMO

The specific period of the start of a new working season and a return to work after the off-season seems to be a critical moment for the musculoskeletal health of seasonal workers. This study aims to identify the difficulties and working conditions encountered by seasonal workers in this particular period of the working season which may increase the risk of work-related musculoskeletal disorders (WMSDs). An in-depth ergonomic work activity study, combined with a multiple case study of eight seasonal workers from a meat processing facility, was conducted. Various interviews (n = 24) and observations of work activity, organization, and production (n = 96 h) were held at different moments (off-season, return to work at the start of the season, and during the season). Critical work situations exposing workers to WMSD risks emerged and highlighted a diversity of difficulties, such as accomplishing work activity involving strong physical strain and a significant and underestimated mental load, and having to rapidly develop new skills or re-learn working strategies after a long off-period. The study findings have implications for developing actions to prevent WMSDs that target working conditions and support a return to work for returning seasonal workers and a start of work for new seasonal workers, and to address work disability in this context.


Assuntos
Doenças Musculoesqueléticas , Doenças Profissionais , Estações do Ano , Humanos , Doenças Musculoesqueléticas/prevenção & controle , Adulto , Masculino , Doenças Profissionais/prevenção & controle , Feminino , Pessoa de Meia-Idade , Indústria de Processamento de Alimentos , Ergonomia
9.
Nurs Open ; 11(7): e2239, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38988218

RESUMO

AIMS: To (a) compare student nurses' health status and levels of ergonomics knowledge and awareness to those of first-year nursing staff and (b) investigate the association between nurses' ergonomic compliance and health status with their educational preparedness. DESIGN: This cohort study compared ergonomics awareness and knowledge, and health status of nurses when they were students and after their first-year working in medical facilities. METHODS: In total, 133 4th-year student nurses completed a survey; 45 of them completed a second survey after working 1 year in a medical facility. Their health status was compared over time using repeated-measures ANOVA. Correlation tests were used to analyse associations between ergonomics knowledge and awareness, health status, demographic variables and educational preparedness. RESULTS: Respondents in both surveys displayed weak knowledge of ergonomic principles significantly associated with increased pain intensity and educational preparedness. PATIENT CONTRIBUTION: Ergonomics training should be expanded during nursing studies and first-year training to prevent long-term health disorders.


Assuntos
Ergonomia , Nível de Saúde , Estudantes de Enfermagem , Humanos , Estudantes de Enfermagem/psicologia , Estudantes de Enfermagem/estatística & dados numéricos , Feminino , Masculino , Adulto , Inquéritos e Questionários , Conhecimentos, Atitudes e Prática em Saúde , Estudos de Coortes , Adulto Jovem
10.
Appl Ergon ; 120: 104338, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-38968738

RESUMO

In a previous scoping review, eight categories of interventions in individual work practice were defined. The aim of the present study is to evaluate the relevance and completeness of these eight categories and to increase the clarity of the nomenclature and definitions of each category. An international expert consultation has been carried out for this purpose. Thirty-eight experts from 13 countries participated. Data collection was conducted using a survey design comprising structured questions. Consensus was reached if 75% of the experts answered 'Strongly agree' or 'Agree' on a 5-point Likert scale. For the topic 'Relevance', there was consensus for six of the eight categories (range 78%-86%), the exceptions were the categories: 'Exercising' (72%) and 'Professional manners' (64%). With regard to the topic 'Nomenclature', consensus was reached for six categories and for the topic 'Definition' this was five categories. The present definitions have been improved based on the expert recommendations. With respect to the topic 'Completeness': although a limited number of suggestions were given, this did not lead to one or more categories being added to the existing eight categories. The final 'Nomenclature' for the categories is: 'Variation', 'Professional behaviour', 'Motoric skills', 'Vocational working techniques', 'Physical workplace', 'Physical training', 'Assistive devices and tools' and 'Task content and task organisation'. This expert consultation has provided a solid basis for endorsing the categorisation of interventions in IWP and is an important step in building a framework to develop and evaluate interventions in IWP.


Assuntos
Consenso , Doenças Musculoesqueléticas , Doenças Profissionais , Humanos , Doenças Musculoesqueléticas/prevenção & controle , Doenças Profissionais/prevenção & controle , Inquéritos e Questionários , Terminologia como Assunto , Feminino , Masculino , Local de Trabalho/psicologia , Adulto , Ergonomia/métodos
11.
JMIR Hum Factors ; 11: e55964, 2024 Jul 03.
Artigo em Inglês | MEDLINE | ID: mdl-38959064

RESUMO

BACKGROUND: Artificial intelligence (AI) has the potential to enhance physical activity (PA) interventions. However, human factors (HFs) play a pivotal role in the successful integration of AI into mobile health (mHealth) solutions for promoting PA. Understanding and optimizing the interaction between individuals and AI-driven mHealth apps is essential for achieving the desired outcomes. OBJECTIVE: This study aims to review and describe the current evidence on the HFs in AI-driven digital solutions for increasing PA. METHODS: We conducted a scoping review by searching for publications containing terms related to PA, HFs, and AI in the titles and abstracts across 3 databases-PubMed, Embase, and IEEE Xplore-and Google Scholar. Studies were included if they were primary studies describing an AI-based solution aimed at increasing PA, and results from testing the solution were reported. Studies that did not meet these criteria were excluded. Additionally, we searched the references in the included articles for relevant research. The following data were extracted from included studies and incorporated into a qualitative synthesis: bibliographic information, study characteristics, population, intervention, comparison, outcomes, and AI-related information. The certainty of the evidence in the included studies was evaluated using GRADE (Grading of Recommendations Assessment, Development, and Evaluation). RESULTS: A total of 15 studies published between 2015 and 2023 involving 899 participants aged approximately between 19 and 84 years, 60.7% (546/899) of whom were female participants, were included in this review. The interventions lasted between 2 and 26 weeks in the included studies. Recommender systems were the most commonly used AI technology in digital solutions for PA (10/15 studies), followed by conversational agents (4/15 studies). User acceptability and satisfaction were the HFs most frequently evaluated (5/15 studies each), followed by usability (4/15 studies). Regarding automated data collection for personalization and recommendation, most systems involved fitness trackers (5/15 studies). The certainty of the evidence analysis indicates moderate certainty of the effectiveness of AI-driven digital technologies in increasing PA (eg, number of steps, distance walked, or time spent on PA). Furthermore, AI-driven technology, particularly recommender systems, seems to positively influence changes in PA behavior, although with very low certainty evidence. CONCLUSIONS: Current research highlights the potential of AI-driven technologies to enhance PA, though the evidence remains limited. Longer-term studies are necessary to assess the sustained impact of AI-driven technologies on behavior change and habit formation. While AI-driven digital solutions for PA hold significant promise, further exploration into optimizing AI's impact on PA and effectively integrating AI and HFs is crucial for broader benefits. Thus, the implications for innovation management involve conducting long-term studies, prioritizing diversity, ensuring research quality, focusing on user experience, and understanding the evolving role of AI in PA promotion.


Assuntos
Inteligência Artificial , Exercício Físico , Humanos , Exercício Físico/fisiologia , Telemedicina , Ergonomia/métodos , Aplicativos Móveis , Promoção da Saúde/métodos
12.
Sensors (Basel) ; 24(14)2024 Jul 19.
Artigo em Inglês | MEDLINE | ID: mdl-39066078

RESUMO

With the advantages of new technologies and rising demand from customers, it is necessary to improve the manufacturing process. This necessity was recognized by the industry; therefore, the concept of Industry 4.0 has been implemented in various areas of manufacturing and services. The backbone and main aspect of Industry 4.0 is digitalization and the implementation of technologies into processes. While this concept helps manufacturers with the modernization and optimization of many attributes of the processes, Industry 5.0 takes a step further and brings importance to the human factor of industry practice, together with sustainability and resilience. The concept of Industry 5.0 contributes to the idea of creating a sustainable, prosperous, and human-friendly environment within companies. The main focus of the article is to analyze the existing literature regarding what is missing from the successful implementation of human centricity into industry practice, namely in small and medium-sized factories (SMEs). These findings are then presented in the form of requirements and barriers for the implementation of human centricity into SME factories, which can serve as guidelines for implementing human-centered manufacturing using axiomatic design theory in SMEs, which can serve as a roadmap for practitioners.


Assuntos
Ergonomia , Humanos , Ergonomia/métodos , Indústrias
13.
Sensors (Basel) ; 24(14)2024 Jul 22.
Artigo em Inglês | MEDLINE | ID: mdl-39066146

RESUMO

Chronic spinal pain (CSP) is a prevalent condition, and prolonged sitting at work can contribute to it. Ergonomic factors like this can cause changes in motor variability. Variability analysis is a useful method to measure changes in motor performance over time. When performing the same task multiple times, different performance patterns can be observed. This variability is intrinsic to all biological systems and is noticeable in human movement. This study aims to examine whether changes in movement variability and complexity during real-time office work are influenced by CSP. The hypothesis is that individuals with and without pain will have different responses to office work tasks. Six office workers without pain and ten with CSP participated in this study. Participant's trunk movements were recorded during work for an entire week. Linear and nonlinear measures of trunk kinematic displacement were used to assess movement variability and complexity. A mixed ANOVA was utilized to compare changes in movement variability and complexity between the two groups. The effects indicate that pain-free participants showed more complex and less predictable trunk movements with a lower degree of structure and variability when compared to the participants suffering from CSP. The differences were particularly noticeable in fine movements.


Assuntos
Dor Crônica , Movimento , Postura Sentada , Humanos , Masculino , Adulto , Dor Crônica/fisiopatologia , Feminino , Fenômenos Biomecânicos/fisiologia , Movimento/fisiologia , Pessoa de Meia-Idade , Ergonomia/métodos , Postura/fisiologia , Dor nas Costas/fisiopatologia
14.
BMJ Open ; 14(7): e079070, 2024 Jul 23.
Artigo em Inglês | MEDLINE | ID: mdl-39043591

RESUMO

OBJECTIVES: To explore how people perceive three different forms of advice for acute low back pain (LBP). DESIGN: Content analysis of qualitative data collected in a three-arm randomised experiment. PARTICIPANTS: 2200 participants with acute LBP (ie, pain duration for ≤6 weeks) were randomly assigned to receive three types of advice: guideline advice and guideline advice with the addition of either brief pain science or ergonomics messages. PRIMARY AND SECONDARY OUTCOMES: After receiving the advice, participants answered two questions: 'If your health professional gave you this advice, how would it make you feel?' and 'If your health professional gave you this advice, what treatments (if any) do you think you would need?' Two researchers coded responses using deductive content analysis. RESULTS: We analysed 4400 free-text responses from 2200 participants. There were little to no differences in participants' feelings, thoughts and expectations after receiving three types of advice for acute LBP. Participants most commonly expressed feeling positive about the advice (38%-35%), reassured (23%-22%) and empowered (10%-8%). Some expressed being unhappy or being frustrated with the advice (4%-3%). Participants most commonly thought they needed no treatment apart from staying active, followed by exercise and medication. CONCLUSIONS: Guideline advice with or without the addition of brief pain science or ergonomics messages generated positive feelings, reassurance or a sense of empowerment in many people with acute LBP, with no difference between types of advice. TRIAL REGISTRATION NUMBER: ACTRN12623000364673.


Assuntos
Dor Lombar , Pesquisa Qualitativa , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem , Dor Aguda/psicologia , Dor Aguda/terapia , Ergonomia , Dor Lombar/terapia , Dor Lombar/psicologia
15.
Sci Rep ; 14(1): 16319, 2024 07 15.
Artigo em Inglês | MEDLINE | ID: mdl-39009718

RESUMO

One of the most vital parameters to achieve sustainability in any field is encompassing the Occupational Health and Safety (OHS) of the workers. In mining industry where heavy earth moving machineries are largely employed, ergonomic hazards turn out to be significant OHS hazards causing Musculoskeletal Disorders (MSDs) in the operators. Nevertheless, the Indian mining industry lacks a comprehensive technique of OHS risk assessment, especially for ergonomic hazards that cause MSDs. This research appraises ergonomic hazards and develops Fuzzy Musculoskeletal-disorders Index (FMI) model to evaluate ergonomic-related MSDs. Work process and work tool ergonomic risk factors were identified through literature review and directives recommended by experts. Work posture was evaluated using RULA. The data-collecting approach was implemented using participatory ergonomic and design science principles. The FMI results show average MSDs score of 3.69, indicating high to extremely high risk. Surface plots show that combined work tool and work process was the most sensitive factors to MSDs risk compared to other two combinations. A two-sample t-test validated the FMI. The findings should help safety experts and managers develop effective OHS management plans and programmes for the sustainability of Indian mining industry.


Assuntos
Ergonomia , Lógica Fuzzy , Mineração , Doenças Musculoesqueléticas , Saúde Ocupacional , Humanos , Ergonomia/métodos , Doenças Musculoesqueléticas/prevenção & controle , Doenças Musculoesqueléticas/etiologia , Doenças Musculoesqueléticas/epidemiologia , Medição de Risco , Índia/epidemiologia , Doenças Profissionais/prevenção & controle , Doenças Profissionais/epidemiologia , Doenças Profissionais/etiologia , Fatores de Risco , Masculino , Adulto
16.
Clinics (Sao Paulo) ; 79: 100439, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38996722

RESUMO

This document presents the ergonomic assessments carried out by Spanish surgeons on the materials used within an operating room. With the objective of disseminating and raising awareness of the importance of ergonomics, this working group has compiled information from a previously conducted survey on musculoskeletal disorders associated with surgical work from the year 2022, obtaining feedback from 131 surgeons from 17 distinct specialties. A noteworthy 80.2 % of surveyed surgeons reported having experienced forced postures during surgery, and 96.9 % believe that their physical discomfort is a result of the posture adopted during operations. Such postures can result in the development of pathologies and may have a direct impact on work performance and even in extreme cases, it can lead to sick leave or early retirement. By providing their insights on electronic devices, surgical furniture, and instrumentation, surgeons can help identify areas for improvement in the practice of their profession.


Assuntos
Ergonomia , Doenças Musculoesqueléticas , Doenças Profissionais , Salas Cirúrgicas , Postura , Humanos , Doenças Musculoesqueléticas/prevenção & controle , Doenças Musculoesqueléticas/etiologia , Doenças Profissionais/prevenção & controle , Doenças Profissionais/etiologia , Postura/fisiologia , Cirurgiões , Inquéritos e Questionários , Espanha
17.
Artigo em Inglês | MEDLINE | ID: mdl-39063500

RESUMO

As a natural experiment or "stress test" on the rapidly shifting work environment from office to home during and after the COVID-19 pandemic, staff wellbeing has been considered as the most critical issue in organizational change management. Following an overview of the relevant literature and recent official statistics, this essay aims to (i) address the major considerations and challenges in light of the transformation and re-design of the mode of work in the new normal and (ii) inform practical decisions for overall staff wellbeing under post-pandemic work-from-home (WFH) conditions with recommendations. For the sake of both staff healthiness and safety, as well as organizational competitiveness, senior management should take reasonable steps to enhance occupational safety in their WFH policy in line with practical recommendations on five areas, namely, (i) ergonomics, (ii) stress and anxiety management, (iii) workplace boundaries, (iv) work-family conflicts, and (v) other factors regarding a negative work atmosphere (e.g., loneliness attack, burnout, and workplace violence) particularly on virtual platforms. With the suggested evidence-based practices on WFH initiatives, senior management could make a difference in optimizing the overall workplace wellbeing of staff after the pandemic.


Assuntos
COVID-19 , Saúde Ocupacional , Local de Trabalho , COVID-19/epidemiologia , COVID-19/prevenção & controle , COVID-19/psicologia , Humanos , Local de Trabalho/psicologia , SARS-CoV-2 , Teletrabalho , Pandemias , Ergonomia
18.
Artigo em Inglês | MEDLINE | ID: mdl-39063517

RESUMO

Home office (HO) stands out as one of the most promising and popular forms of teleworking, especially after the COVID-19 pandemic. Therefore, many companies want to implement or maintain this working method, given its numerous advantages. However, there are adverse effects that are mainly related to physical and mental health. This article presents ergonomic analyses of HOs in neighborhoods considered heat islands. Temperature levels, extreme low-frequency non-ionizing radiation (ELF-NIR), illuminance, physical layout characteristics, and physiological parameters of teleworkers were measured. The results reveal that 92% of these professionals work 6 to 8 h daily with an ambient temperature between 25 and 30 °C, illumination levels in the range 11.20-290 Lux, and ELF-NIR > 0.4 µT. The majority of teleworkers are overweight (BMI > 24.9), and some of them have blood pressure higher than average values (129 mmHg for systolic and 84 mmHg for diastolic) in addition to a reduction in the number of red blood cells and hematocrits. Symptoms such as burning sensation, dryness, tired eyes, redness, itching, and photophobia (light sensitivity) show a 68.95% similarity. These HOs do not meet the required ergonomic and health standards.


Assuntos
COVID-19 , Ergonomia , Teletrabalho , Brasil , Humanos , Adulto , Masculino , Feminino , Pessoa de Meia-Idade , SARS-CoV-2
19.
Int J Occup Saf Ergon ; 30(3): 946-967, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39031049

RESUMO

Most occupational hazardous agents in workplaces should be evaluated and controlled. Different methods exist for identifying, evaluating and controlling these agents, such as numerical simulation tools. Numerical simulations can help experts to improve occupational health. Due to the importance and abilities of numerical simulations, this study divided occupational hazardous agents into 10 subgroups. These subgroups included air pollution, ventilation, respiratory airways, noise and vibration, lighting, radiation, ergonomics, fire and explosion, risk assessment and personal protective equipment. Recent research studies in each subgroup were then reviewed, and the codes and software used in simulations were determined. The results show that Fluent software and k-ϵ turbulence models are the most used in occupational health studies simulations. Today, different codes and software have been developed for simulation, and we suggest their use in occupational health studies.


Assuntos
Exposição Ocupacional , Saúde Ocupacional , Humanos , Exposição Ocupacional/prevenção & controle , Medição de Risco/métodos , Simulação por Computador , Software , Equipamento de Proteção Individual , Ventilação , Vibração , Substâncias Perigosas , Ergonomia , Iluminação , Incêndios , Explosões , Ruído Ocupacional
20.
BMC Oral Health ; 24(1): 757, 2024 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-38956565

RESUMO

OBJECTIVE: To assess the effect of the toothbrush handle on video-observed toothbrushing behaviour and toothbrushing effectiveness. METHODS: This is a randomized counterbalanced cross-over study. N = 50 university students and employees brushed their teeth at two occasions, one week apart, using either a commercial ergonomically designed manual toothbrush (MT) or Brushalyze V1 (BV1), a manual toothbrush with a thick cylindrical handle without any specific ergonomic features. Brushing behaviour was video-analysed. Plaque was assessed at the second occasion immediately after brushing. Participants also rated their self-perceived oral cleanliness and directly compared the two brushes regarding their handling and compared them to the brushed they used at home. RESULTS: The study participants found the BV1 significantly more cumbersome than the M1 or their brush at home. (p < 0.05). However, correlation analyses revealed a strong consistency of brushing behavior with the two brushes (0.71 < r < 0.91). Means differed only slightly (all d < 0.36). These differences became statistically significant only for the brushing time at inner surfaces (d = 0.31 p = 0.03) and horizontal movements at inner surfaces (d = 0.35, p = 0.02). Plaque levels at the gingival margins did not differ while slightly more plaque persisted at the more coronal aspects of the crown after brushing with BV1 (d = 0.592; p 0.042). DISCUSSION: The results of the study indicate that the brushing handle does not play a major role in brushing behavior or brushing effectiveness.


Assuntos
Estudos Cross-Over , Escovação Dentária , Humanos , Escovação Dentária/instrumentação , Masculino , Feminino , Adulto , Adulto Jovem , Desenho de Equipamento , Placa Dentária , Gravação em Vídeo , Hábitos , Índice de Placa Dentária , Ergonomia , Pessoa de Meia-Idade , Dispositivos para o Cuidado Bucal Domiciliar , Higiene Bucal , Fatores de Tempo
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