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Showing 5 results for Type of Study: Systematic Review
The Impact of Musculoskeletal Disorders and Occupational Risk Factors on the Physical Status of Iranian Healthcare Workers: A Systematic Review
Mehran Maleki Roveshti, Mehdi Raei, Firouz Valipour,
Volume 11, Issue 2 (9-2023)
Abstract
Objectives: Musculoskeletal disorders are an important issue in many healthcare work environments. The aim of this systematic review is to investigate musculoskeletal disorders and occupational risk factors on the physical status of medical staff in Iran.
Methods: In this systematic review, eligible studies from national and international databases, such as PubMed, Embase, Web of Science, Scopus, SID, Magiran and IranMedex from 1390 to 1400 were independently analyzed by two researchers based on the preferred reporting cases of the Guidelines for Systematic Reviews and Meta-Analysis (PRISMA) . MeSH keywords and phrases were used to implement the search strategy.
Results: Of the 360 articles, the full text of 24 articles was finally examined. The results of the study showed that the highest prevalence of musculoskeletal abnormalities and complaints among workers in the last 12 months was related to neck pain (46.01%). Furthermore, among the 24 occupational risk factors identified, prolonged standing (20.83%) and repetitive movements (16.66%) are the most important factors for the occurrence of physical complaints among healthcare workers.
Conclusion: The results of this study can play an important role in strengthening and improving the country's health system in terms of individual, administrative and organizational measures in health centers. In this way, the physical needs, the psychological and ergonomic stresses of the working environment and the health of the treatment staff can be improved.

Investigating the Effectiveness of Safety Interventions to Reduce Traffic Accidents in Pregnant Women: A Systematic Review
Maryam Afshari, Mehdi Kangavari, Farogh Mohammadian, Shahnaz Maleki, Farideh Kazemi,
Volume 11, Issue 2 (9-2023)
Abstract
Objectives: Traffic accidents are one of the leading causes of death among pregnant women. One of the investment for maternal and neonatal health is targeted interventions to increase maternal safety to prevent traffic accidents. Therefore, this study was conducted with the aim of identifying and categorizing different types of safety interventions to reduce traffic accidents among pregnant women.
Methods: The study was a systematic review. Intervention articles were searched from Persian databases, such as Magiran, Iran Medex and SID and English scientific information databases, such as PubMed, Cochrane, Sciencedirect, Embase, Science of Web and Scopus. All identified articles were collected by one person using Endnote software. The full text of the articles was then reviewed by two researchers and the articles that met the entry criteria were identified. Other articles were added to the previous collection of articles using Forward Citation and Backward Citation Reviews. The EPHPP instrument was used to assess the quality of the studies.
Results: The initial search resulted in finding 5329 article abstracts. Finally, two intervention studies were selected for evaluation in this study. One study used an educational/behavioral approach and the other used an engineering/approach. Both studies reported that they had produced significant changes in the desired outcome of seatbelt use in pregnant women. The quality of one study was rated as poor and the other as moderate.
Conclusion: Safety interventions to reduce traffic accidents among pregnant women have been tested only to a very limited extent worldwide. It seems that there is still much room for study in the field of safety interventions to reduce traffic accidents among pregnant women.

Investigation of Posture Assessment Methods in Dentists and Dental Students: A Systematic Review
Seyeydeh Hasti Sadati, Mehdi Asghari, Maedeh Moradi Farahani,
Volume 12, Issue 1 (4-2024)
Abstract
Objectives: Awkward posture is a primary cause of musculoskeletal disorders (MSDs) in the dental profession due to the nature of dental activities. This study aimed to examine both observational and device-assisted posture assessment methods used to study dental professionals as well as the reported prevalence of MSDs among them.
Methods: A search was conducted in Scopus, PubMed, and Google Scholar databases for studies performed from 2000 to 2021 using specified keywords. In total, 31 out of the 541 articles found in the initial search were finally included in this study after the exclusion of ineligible articles, duplicates, conference presentations, systematic reviews, and letters to the editor.
Results: Based on the findings, the neck (58%), back and waist (54.9%), and shoulder and hand (29%) areas had the highest reported pain and disorder. Several posture evaluation methods, namely Rapid Upper Limb Assessment (19.4%), Rapid Entire Body Assessment  (19.4%), Electromyography (EMG, 13.8%), and Quick Exposure Check (QEC, 8.3%), were the most frequently used methods among all 17 methods employed in the studies.
Conclusion: Among the observational methods, the QEC method was the most practical one as it considered the experiences of dentists and various dimensions of dental tasks. Moreover, the EMG method was the most suitable device-assisted method for the assessment of posture in dentists. The use of questionnaires in conjunction with evaluation methods appears to enhance the understanding and effectiveness of posture assessment.

Comprehensive Fall Prevention Strategies in Elderly: A Systematic Review
Neda Ghasemi, Mohamadhossein Nabian, Hossein Fallah, Morteza Ghasemi, Amirmohamad Najafipour,
Volume 12, Issue 3 (12-2024)
Abstract
Objectives: Falls are one of the leading causes of injury in the elderly; therefore, prevention and early intervention seem essential. Given the importance of examining and identifying factors affecting falls and the lack of such studies, it is essential to conduct this research to investigate the factors influencing falls in older adults in developing countries, with an emphasis on safety and ergonomics.
Methods: A review method was used to conduct this study. Articles from 2019 to 2024 were found using the keywords: "Fall risk factor," "Safety," "Elderly," "Fall prevention," "Home safety," and "Urban safety" on PubMed, Science Direct, and Google Scholar websites.
Results: After a total of 1,154 publications were located, 523 were chosen based on their titles, 120 were examined based on their abstracts, and 51 were chosen whose full texts were available in English. Many elements, including psychological, physical, and cognitive characteristics, ergonomic and safety tools, awareness and education, social factors, and urban services, were examined in the publications about falls among the elderly.
Conclusion: The risk factors for falls in the elderly were taken into account in this study by classifying external variables and internal factors, all of which had an impact on falls in the elderly. The results indicate that few studies have simultaneously assessed multiple factors. Therefore, it is recommended that future studies examine multiple factors concurrently, considering the impact of awareness factors.

Ergonomics Situation of School in Iran: A Systematic Review
Roghayeh Esmaili, Ali Askari, Mohsen Poursadeghian,
Volume 12, Issue 3 (12-2024)
Abstract
Objectives: Various factors, including a lack of attention to the adaptation of educational spaces, can significantly impact the quality of education. Consequently, this study aims to comprehensively review and analyze all research conducted on school ergonomics in Iran.
Methods: A bilingual search was conducted in this study utilizing Persian keywords such as "Student," "Elementary, middle or high school," and "Physical, environmental, and general ergonomics," along with their Latin equivalents. This search was performed across databases, including Google Scholar, PubMed, Web of Science, and Scopus, covering the period from the inception of research in Iran until 2024. Subsequently, articles relevant to the topic were collected and examined according to the established criteria.
Results: Among the identified articles, only 30 were recognized as relevant to the study's objectives, focusing on physical, environmental, and general ergonomics. A comparison of these studies revealed an upward trend in musculoskeletal disorders, with many of these issues linked to ergonomic problems in schools, including the mismatch between students' body dimensions and the desks and chairs used, as well as improper carrying of school bags.
Conclusion: The poor ergonomic conditions in Iranian schools have led to an increase in musculoskeletal disorders among students. It is vital to evaluate these schools based on ergonomic standards and implement necessary enhancements. Furthermore, it is important to raise students' awareness about proper task performance and appropriate backpack usage.

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