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Effectiveness of ergonomics training in decreasing the risk of musculoskeletal disorders based on rapid upper limb assessment among computer operators
Athena Rafieepour, Elnaz Rafieepour, Marzieh Sadeghian,
Volume 3, Issue 1 (Journal of Ergonomics 2015)
Abstract
 

Introduction: Musculoskeletal disorders are one of the leading problems among computer users. They have attracted increasing attention over years and different solutions have been proposed for their resolution. This study evaluated the effects of ergonomic training on reducing the risk of musculoskeletal disorders in computer users.

Materials and Methods: This study was conducted among the office workers of a university. A total of 110 computer operators were randomly selected and allocated to intervention and control groups. The intervention group was trained about the ergonomic principles of working with computers. Nordic Musculoskeletal Questionnaire (NMQ) was used to investigate the prevalence of musculoskeletal disorders. Moreover, rapid upper limb assessment (RULA) was applied to determine the risk of musculoskeletal disorders before and six months after training. Data was analyzed using independent and paired t-test.

Results: The highest frequency of musculoskeletal disorders was seen in the back (55.4%) and neck (54.5%). In addition, risk assessment before the intervention suggested 31% of the participants to be high-risk. After the training program, significantly lower risk was detected in the intervention group. No such a significant difference was present in the control group.

Conclusion: The results of this study showed that corrective actions can reduce the risk of work-related musculoskeletal disorders (WMSDs). They can thus be implemented to enhance the effectiveness of ergonomic measures.

     
Comparison of the Risk of Musculoskeletal Disorders among Normal and Students with Hearing Abnormalities in Ilam City
Iraj Alimohammadi, Shahram Vosoughi, Jamileh Abolghasemi, Athena Rafieepour, Seyed Hosein Tabatabaei, Batool Delshadi,
Volume 10, Issue 2 (Iranian Journal of Ergonomics 2022)
Abstract
Objectives: Inappropriate sitting posture on bench can contribute to pain and musculoskeletal disorders in students. Hearing and vision disabilities may be the cause of inappropriate sitting postures among students. Therefore, the aim of the present study was to compare the risk of musculoskeletal disorders in normal and students with hearing abnormalities in Ilam city.
Methods: Twenty students with hearing abnormalities (case) and 40 students with normal hearing (control) from primary schools in Ilam city of both genders were randomly included in the study. The worst recorded sitting posture of students on the bench was evaluated by the RULA method. Digimizer software was used to survey the body angles of the students while sitting on the bench. The used for analyzing the obtained data in 95% confidence interval.
Results: The results of posture evaluation showed that there was a significant difference in rula scores between case and control groups (P = 0.001). Deviation from the natural angles of the body in the case groups was more than the control group (P < 0.001), which has a direct and significant relationship with the increased risk of musculoskeletal disorders.
Conclusion: Musculoskeletal disorders possibility incidence were more common in students with hearing abnormalities compared to typical students which was due to an increase in deviation from the natural angles of the body and inappropriate postures. Given the limitation of the sample size, the present study recommends further research with the same goal and encourages interventional studies to correct the posture of hard of hearing students.

Investigating the Relationship between Working Ability and the Prevalence of Musculoskeletal Disorders During COVID-19 Pandemic in in the Staff of Saveh Comprehensive Urban and Rural Health Service Centers
Maryam Rafiee, Farhad Tabatabai Ghomsheh, Reza Osquei Zadeh, Mohsen Vahedi, Hadi Mahmoodi Sharafe,
Volume 10, Issue 3 (Iranian Journal of Ergonomics 2022)
Abstract
Objectives: Health workers are the frontline of the fight against Coronavirus. During the Pandemic, these jobs, which had a lot of referrals, were under high work pressure, that can increase the chances of suffering from musculoskeletal disorders and affect their working ability. Therefore, this study aimed to determine the relationship between work ability and the prevalence of musculoskeletal disorders in the staff of Saveh's comprehensive urban and rural health service centers during the Corona Pandemic in 2022.
Methods: In this cross-sectional study, 197 employees of comprehensive urban and rural health service centers in Saveh city were randomly selected. The prevalence of musculoskeletal disorders and working ability were evaluated by the developed Nordic questionnaire and WAI (Work Ability Index), respectively. Data analysis was done using Pearson correlation coefficient tests and Two-way logistic regression.
Results: The average working ability of employees was equal to 34.86 ± 7.61. The most common areas involved in musculoskeletal disorders were the back (63%), neck (30%) and knees (17.8%) with the frequency of 125, 63 and 39 people, respectively. The index of working ability on musculoskeletal disorders in hip and thigh, hand and wrist, neck and back areas was significant (P ≤ 0.05). Also, the working ability was lower in cases with a history of corona virus infection (P = 0.001).
Conclusion: Considering the effect of working ability on the prevalence of musculoskeletal disorders, it is suggested that during the COVID-19 epidemic, identification of factors affecting the reduction of work ability and the implementation of ergonomic interventions should be prioritized.

Investigating the Relationship of Work-related Stress and Work Fatigue with the Prevalence of Skeletal-muscular Disorders in Pre-hospital Emergency Staff in Saveh in 2023
Esmaeil Hani, Maryam Rafiee, Tahereh Eskandari,
Volume 11, Issue 3 (Iranian Journal of Ergonomics 2023)
Abstract
Objectives: Pre-hospital emergency workers who are responsible for providing essential pre-hospital medical services are exposed to physical and mental disorders. Since musculoskeletal disorders can be affected by work-related stress and fatigue, the present study aimed to assess the relationship of work-related stress and fatigue with the prevalence of musculoskeletal disorders in pre-hospital emergency workers in Saveh.
Methods: This descriptive-analytical cross-sectional study was conducted in 2023. A total of 88 personnel of urban and road pre-hospital emergency centers in Saveh were included in the study by the census method. Data collection tools were the Health and Safety Executive (HSE), Multidimensional Fatigue Inventory (MFI-20, and Nordic Musculoskeletal Questionnaire. Data were analyzed in SPSS software (version 22) using independent t-tests, analysis of variance, Poisson regression, and Pearson correlation coefficients.
Results: The most common areas involved in musculoskeletal disorders were back (34.1%; n=30), neck (19.3%; n=17), and upper back (19.3%; n=17). Moreover, mean scores of work-related stress and work fatigue were 113.52±4.09 and 62.95±5.06, respectively. Musculoskeletal disorders showed a significant relationship with marital status, workplace, age, work experience, and number of working hours (P≤0.05). Nonetheless, there was no significant relationship between work-related stress and work fatigue (P=0.28), musculoskeletal disorders and work-related stress (P=0.93), as well as musculoskeletal disorders and work fatigue (P=0.44).
Conclusion: The prevalence of skeletal-muscular disorders was relatively high, and considering that these disorders are more frequently observed in married people and those who work on the road, training should be provided to these workers according to their place of work. The risk of developing skeletal-muscular disorders increases with age and work experience. Therefore, it is necessary to take precautions in this regard. Furthermore, since skeletal-muscular disorders increase with an increase in working hours, it is necessary to adjust working hours and avoid long shifts.

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