Low Back Pain Among Residential Carpenters: Ergonomic Evaluation Using OWAS and 2D Compression Estimation

• Autorzy: Gilkey D. P. , Keefe T. J. , Bigelow P. L. , Herron R. E. , Duvall K. , Hautaluoma J. E. , Rosecrance J. S. , Sesek R.
• Języki publikacji: EN

Abstrakty

EN

Occupational low back pain (LBP) remains a leading safety and health challenge. This cross-sectional investigation measured the prevalence of LBP in residential carpenters and investigated ergonomic risk factors. Ninety-four carpenters were investigated for LBP presence and associated risk factors. Ten representative job-tasks were evaluated using the Ovako Working Posture Analysis System (OWAS) and ErgoMaster™ 2D software to measure elements of posture, stress, and risk. Job-tasks were found to differ significantly for total lumbar compression and shear at peak loading (p < .001), ranging from 2 956 to 8 606 N and 802 to 1 974 N respectively. OWAS indicated that slight risk for injury was found in 10 job-tasks while distinct risk was found in 7 of the 10 job-tasks. Seven of the 10 job-tasks exceeded the National Institute for Occupational Safety and Health (NIOSH) action limit of 3 400 N for low back loading. The point prevalence for LBP was 14% while the annual prevalence was 38%.

Słowa kluczowe

EN

low back pain; prevalence; lumbar compression; ergonomic factors

• Wydawca: Taylor & Francis
• Czasopismo: International Journal of Occupational Safety and Ergonomics
• Rocznik: 2007
• Tom: Vol. 13, No. 3
• Strony: 305--321
• Opis fizyczny: Bibliogr. 72 poz., tab.

Twórcy

autor

Gilkey D. P.

• Department of Environmental and Radiological Health Sciences, Colorado State University, Ft. Collins, USA

autor

Keefe T. J.

• Department of Environmental and Radiological Health Sciences, Colorado State University, Ft. Collins, USA

autor

Bigelow P. L.

• Institute for Work and Health, Toronto, Ont., Canada

autor

Herron R. E.

• Department of Environmental and Radiological Health Sciences, Colorado State University, Ft. Collins, USA

autor

Duvall K.

• Department of Environmental and Radiological Health Sciences, Colorado State University, Ft. Collins, USA

autor

Hautaluoma J. E.

• Department of Psychology, Colorado State University, Ft. Collins, USA

autor

Rosecrance J. S.

• Department of Environmental and Radiological Health Sciences, Colorado State University, Ft. Collins, USA

autor

Sesek R.

• Department of Mechanical Engineering, Ergonomics and Safety Program, University of Utah, Salt Lake City, USA

Bibliografia

• 1.Occupational Safety and Health Administration (OSHA). Back injuries—nation’s number one workplace safety problem (Fact Sheet No. OSHA 93-09). Washington, DC, USA: OSHA; 1993. Retrieved July 2, 2007, from: http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=FACT_SHEETS&p_id=146.
• 2.Deyo RA, Weinstein JN. Low back pain. N Engl J Med. 2001;344:363–9.
• 3.National Institute for Occupational Safety and Health. Musculoskeletal disorders and workplace factors (Publication No. 97-141). Cincinnati, OH, USA: Department of Health and Human Services; 1997.
• 4.Kahlil TM, Abdel-Moty EM, Rosomoff RS, Rosomoff HL. Ergonomics in back pain. New York, New York, USA: Van Nostrand Reinhold; 1993.
• 5.Center to Protect Workers’ Rights (CPWR). The construction chart book. Washington, DC, USA: CPWR; 1997.
• 6.Bureau of National Affairs, 1993. Back pain identified as major problem for U.S. workers in NIOSH study of 1988 data. Occupational Safety & Health Reporter. 1993:22;2068–9.
• 7.Guo HR, Tanaka S, Cameron LL, Seligman PJ, Behrens VJ, Ger J, et al. Back pain among workers in the United States: mational estimates and workers at high risk. Am J Ind Med. 1995;28:591–602.
• 8.Guo HR, Tanaka S, Halperin WE, Cameron LL. 1999. Back pain prevalence in the US and estimates of lost workdays. Am J Public Health. 1999;89:1029–35.
• 9.Marras WS. Occupational low back disorder causation and control. Ergonomics. 2000; 43:880–902.
• 10.Bureau of Labor and Statistics. 1998–99 occupational outlook handbook [University Missouri—St. Louis Libraries edition, derived and modified in 1998]. Retrieved July 2, 2007, from: http://www.umsl.edu/services/govdocs/ooh9899/161.htm.
• 11.U.S. Department of Labor (USDL), Bureau of Labor and Statistics (BLS). Workplace injuries and illnesses in 1997 (News, USDL 98-494). Washington, DC, USA: USDL, BLS; 1998. Retrieved July 2, 2007, from: http://www.bls.gov/iif/oshwc/osh/os/osnr0007.pdf.
• 12.Bureau of Labor and Statistics (BLS), U.S. Department of Labor (USDL). Career guide to industries. Washington, DC, USA: USDL, BLS; 2005. Retrieved July 2, 2007, from: http://www.bls.gov/oco/cg/cgs003.htm#nature.
• 13.Bureau of Labor and Statistics (BLS), U.S. Department of Labor (USDL). [The ten occupations with the largest number of cases by case and worker characteristics, 1997]. Retrieved July 2, 2007, from: http://www.bls.gov/iif/oshwc/osh/case/ostb0661.pdf.
• 14.Kisner SM, Fosbroke DE. Injury hazards in the construction industry. J Occup Med. 1994;36:137–43.
• 15.National Institute for Occupational Safety and Health (NIOSH). Construction (Publication No. 97-152). Washington, DC, USA: NIOSH; 1997.
• 16.Robinson CF, Burnett CA. Mortality patterns of US female construction workers by race, 1979–1990. J Occup Med. 1994;36:1228–33.
• 17.Toscano G, Windau J, Drudi D. Using BLS occupational injury and illness classification system as a safety and health management tool. In: Compensation and Working. 1996; (September):34–44.
• 18.Holmstrom EB, Lindell J, Moritz U. Low back and neck/shoulder pain in construction workers: occupational workload and psychosocial risk factors. Part I: relationship to low back pain. Spine. 1992;17:663–71.
• 19.Holmstrom EB, Lindell J, Moritz U. Low back and neck/shoulder pain in construction workers: occupational workload and psychosocial risk factors. Part II: relationship to neck and shoulder pain. Spine. 1992;17:672–7.
• 20.Bhattacharya A, Greathouse L, Warren J, Li Y, Dimov M, Applegate H, et al. An ergonomic walkthrough observation of carpentry tasks: a pilot study. Appl Occup Environ Hyg. 1997;14:278–87.
• 21.Buchholz B, Paquet V, Punnett L, Lee D, Moir S. 1996. Path: a work sampling-based approach to ergonomic analysis for construction and other non-repetitive work. Appl Ergon. 1996;12:177–87.
• 22. Latza U, Kohlmann T, Deck R, Raspe H. Influence of occupational factors on the relation between socioeconomic status and self-reported back pain in population-based sample among German adults with back pain. Spine. 2000;25:1390–7.
• 23.Li KW. Improving postures in construction work. Ergonomics and Design. 2000;(Fall):11–16.
• 24.Schneider S, Griffin M, Chowhurry. Ergonomic exposures of construction workers: an analysis of the U.S. Department of Labor Employment and Training Administration databases on job demands. Appl Occup Environ Hyg. 1998;13:238–41.
• 25.Schneider S, Susi P. Ergonomics and construction: a review of potential hazards in new construction. Am Ind Hyg Assoc J. 1994;55:635–49.
• 26.Stubs DA. Trunk stresses in construction and other industrial workers. Spine. 1981;6:83–88.
• 27.Xu Y, Bach E, Orhede E. Occupation and risk for the occurrence of low-back pain (LBP) in Danish employees. Occup Med (Lond). 1996;46:131–6.
• 28.Karhu O, Kansi P, Kuorinka I. Correcting working postures in industry: a practical method for analysis. Appl Ergon. 1977;84:199–201.
• 29.Kivi P, Mattila M. Analysis and improvement of work postures in the building industry: application of the computerized OWAS method. Appl Ergon. 1991;22:43–8.
• 30.Mattila M, Karwowski W, Vikki M. Analysis of working postures in hammering tasks on building construction sites using the computerized OWAS method. Appl Ergon. 1993;24:405–12.
• 31.Scott GB, Lambe NR. Working practices in a perchary system, using the OVAKO working posture analysis system (OWAS). Appl Ergon. 1996;27:281–4.
• 32.Doormaal MT, Driessen AP, Landeweerd JA, Drost MR. Physical workload of ambulance assistants. Ergonomics. 1995;38:361–76.
• 33.Engles JA, Landeweerd JA, Kant Y. An OWAS-based analysis of nurses’ working posture. Ergonomics. 1994;37:909–19.
• 34.Wright EJ, Haslam RA. 1999. Manual handling risks and controls in a soft drinks distribution center. Appl Ergon. 1999;30:311–8.
• 35.Andrews DM, Wells NRP. Accuracy and repeatability of low back spine compression force estimates from self report of body posture during load handling. Int J Ind Ergon. 1996;18:251–60.
• 36.Lavender SA, Oleske DM, Nicholson L, Andersson GB, Hahn J. Comparison of five methods used to determine low back disorder risk in manufacturing environment. Spine. 1999;24:1441–8.
• 37.Marras WS, Granata KP, Davis KG. Variability in spine loading model of performance. Clin Biomech (Bristol, Avon). 1999:14:505–14.
• 38.Marras, WS, Ferguson SA, Gupta P, Bose S, Parnianpour M, Kim J, et al. The quantification of low back disorders using motion measures. Spine. 1999;24:2091–100.
• 39.Mirka G, Kelaher DP, Nay DT, Lawrence BM. Continuous assessment of back stress (CABS): a new method to quantify low back stress in jobs with variable biomechanical demands. Hum Factors. 2000;42:209–25.
• 40.Neumann WP, Wells RP, Norman RW, Andrews DM, Frank J, Shannon HS, et al. Comparison of four peak spinal loading measurement methods and their association with low-back pain. Scand J Work Environ Health. 1999;25:404–9.
• 41.Schultz AB, Andersson GBJ. Analysis of loads on the lumbar spine. Spine. 1981;6:76–82.
• 42.Waters TR, Putz-Anderson V, Garg A, Fine LJ. Revised NIOSH equation for the design and evaluation of manual lifting tasks. Ergonomics. 1993;36:749–76.
• 43.Straker LM, Stevenson MG, Twomey LT, Smith LM. 1997. A comparison of risk assessment of a single and combination manual material handling tasks: biomechanical measures. Ergonomics. 1997;40:708–28.
• 44.Norman R, Wells R, Neumann W, Frank J, Shannon H, Kerr M. A comparison of peak vs. cumulative physical work exposure risk factors on the reporting of low back pain in the automotive industry. Clin Biomech (Bristol, Avon). 1998;13:561–73.
• 45.Gilkey DP, Bigelow PL, Herron RE, Greenstein S, Chadwick BR, Fowler JK. The HomeSafe pilot program: a novel approach to injury prevention in residential construction. Work (Reading, Mass.). 1998;10:167–80.
• 46.Karhu O, Harkonen R, Sorvali P, Vepsalainen P. Observing working postures in industry: examples of OWAS application. Appl Ergon. 1981;12:13–7.
• 47.Tampere University of Technology. Win OWAS—software for OWAS analysis. Tampere, Finland: Tampere University of Technology; 1992.
• 48.Kant I, Notermans JHV, Botm PJH. Observations of working postures in garage using Ovako working posture analysis system (OWAS) and consequent work load recommendations. Ergonomics. 1984;33:199–201.
• 49.Mattila M, Vikki M, Tiilikainen I. A computerized OWAS analysis of work postures in the papermill industry. In: Mattila M, Karwowski W, editors. Computer applications in ergonomics, occupational safety and health. Amsterdam, The Netherlands: North-Holland; 1992. p. 365–72.
• 50.NexGen Ergonomics. ErgoMaster™ operations manual. Pointe Claire, Montreal, Que., Canada: Nexgen Ergonomics; 2001.
• 51.Neter J, Wasserman W, Whitmore G. Applied statistics. Boston, MA, USA: Allyn and Bacon; 1993.
• 52.SAS. SAS/STAT® user’s guide version 8 (Vol. 1, 2, 3). Cary, NC, USA: SAS Institute; 1999.
• 53.SPSS. SPSS® Base 10.0 user’s guide. Chicago, IL, USA: SPSS; 1999.
• 54.SPSS. SPSS® advanced models 10.0 user’s guide. Chicago, IL, USA: SPSS; 1999.
• 55.Marras WS. Biomechanics of the human body. In Salvendy G, editor. Handbook of human factors and ergonomics. New York, NY, USA: Wiley Interscience; 1997. p. 233–67.
• 56.Andersson GBJ. The epidemiology of spinal disorders. In: Frymoyer JW, editor. The adult spine: principles and practices. 2nd ed. Philadelphia, PA, USA: Lippincott Raven Publishers; 1997. p. 93–217.
• 57.Zwerling C, Miller ER, Lynch CF, Torner J. Injuries among construction workers in rural Iowa: emergency surveillance. J Occup Environ Med. 1996;38:698–704.
• 58.Marras WS, Lavender SA, Leurgans SE, Rajula SL, Allread WG, Fathallah FA, et al. The role of dynamic three-dimensional trunk motion in occupationally-related low back disorders. Spine. 1993;18:617–28.
• 59.Marras WS, Lavender SA, Leurgans SE, Fathallah FA, Ferguson SA, Allread WG. Biomechanical risk factors for occupationally related low back disorders. Ergonomics. 1995;38:377–410.
• 60.Bigelow PL, Greenstein S, Keefe TJ, Gilkey DP. Development of an onsite, behavior-based safety audit for the residential construction industry. Work (Reading, Mass.). 1998;11:11–20.
• 61.Bigelow PL, Gilkey DP, Greenstein S, Kirsch MP. Evaluation of HomeSafe: an injury and illness prevention program in residential construction. Work (Reading, Mass.). 1998;11:21–33.
• 62.Heacock H, Koehoorn M, Tan J. 1996. Applying epidemiological principles to ergonomics: a checklist for incorporating sound design and interpretation of studies. Appl Ergon. 1996;28:165–72.
• 63.Sorock GS, Courtney TK. Epidemiologic concerns for ergonomists: illustrations from the musculoskeletal disorder literature. Ergonomics. 1996;39:562–78.
• 64.Burdorf A, Sorock G. Positive and negative evidence of risk factors for back disorders. Scand J Work Environ Health. 1997;23:243–56.
• 65.Davis KG, Heaney CA. The relationship between psychosocial work characteristics and low back pain: underlying methodological issues. Clin Biomech (Bristol, Avon). 2000;15:389–406.
• 66.Viikari-Juntaura E, Rauas S, Martikainen R, Kuosma E, Riihimaki H, Takala E, et al., Validity of self-reported physical work load in epidemiological studies of musculoskeletal disorders. Scand J Work Environ Health. 1996;22:251–9.
• 67.Rossi PH, Freeman HE, Wright SR. Evaluation: a systemic approach. Beverly Hills, CA, USA: Sage; 1979.
• 68.Bouter LM, van Tulder MW, Koes BW. Methodological issues in low back pain research in primary care. Spine. 1998;23:2014–20.
• 69.Gilkey DP, Williams HA. The IME Guide Book. Ft. Collins, CO, USA: D&H; 1998.
• 70.Miettinen OS, Caro JJ. Medical research on a complaint: orientation and priorities. Ann Med. 1989;21:399–401.
• 71.Kelsey JL, White AA. 1980. Epidemiology and impact of low-back pain. Spine. 1980;5:133–42.
• 72.Kelsey JL, Golden AL. Occupational and workplace factors associated with low back pain. In: Deyo RA, editor. Occupational back pain: spine, state of the art reviews. Philadelphia, PA, USA: Hanley & Belfus; 1987. p. 7–31.