Showing 16 results for Intervention
Farshid Ali Arabian, Majid Motamedzade, Rostam Golmohammadi, Abbas Moghim Beigi, Fereshteh Pir Hayati,
Volume 1, Issue 1 (9-2013)
Abstract
Introduction: One of the major problems in hospitals
leading to high prevalence of musculoskeletal disorders among the health staff
is associated with patients handling. This study was aimed to reduce
musculoskeletal disorders using ergonomic intervention among Nahavand
Alimoradian hospital staff.
Material and Methods: This study was conducted in four wards of
160-bed Nahavand Alimoradian hospital. The data collecting tool was Nordic
Musculoskeletal Questionnaire. SPSS software was used for data analysis. The
questionnaire was completed, before and after educational intervention, for 46
employees of the four wards which had the most complaints about musculoskeletal
disorders. Training classes were held
for the target group covering prevention of work-related musculoskeletal
disorders, proper techniques for patient handling and stretching exercises for
low back pain prevention.
Results: The main results tended to be the high
prevalence of musculoskeletal disorders especially in low back, shoulders and
wrists of the employees. Low back pain was the most prevalent disorder among
the personnel. The educational intervention had not significant effect on
lessening the musculoskeletal disorders in hospital staff (p > 0.05).
Conclusion: At
present, regarding enhancements in healthcare procedures, there is an urgent
need to ergonomic intervention in the design of environment, tools and
equipment concurrent with educational intervention.
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Mahtab Azizi, Zeinab Baroony Zadeh, Majid Motamedzade,
Volume 1, Issue 1 (9-2013)
Abstract
Introduction: Musculoskeletal disorders are amongst
dominant occupational injuries and disabilities in developed and developing
countries. The RULA technique is one of the best methods for assessing upper
limbs postures. The purpose of this study was to investigate the working postures
using RULA and ergonomic interventions in the quality control unit of a glass
manufacturing company.
Material and Methods: This interventional study was conducted in
the mirror control workstations of a glass manufacturing company. To assess
workers’ postures, the RULA technique was applied before and after the
intervention. After data analysis, corrective engineering measures were
recommended and implemented in all workstations.
Results: The findings showed that 40% of workers had a
grand score of 7, 40% with a grand score of 6 and 20% with a grand score of 5.
Accordingly, 60% of workstations were in action level of 3 (i.e. investigation
and changes are required soon) and 40% of workstations were in action level of
4 (i. e. investigation and changes are required immediately). After
intervention, 20% of workstations were in action level of 3 and 80% were in
action level of 2.
Conclusion: To
prevent musculoskeletal disorders, increase work efficiency and improve
workforce health, with positive interaction of research team and remarkable
cooperation of company management, engineering interventions were designed and
implemented at all workstations and the risk level was reduced efficiently.
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Ghasem Hesam, Majid Motamedzade, Ghasem Khakbaz, Zahra Moradpour,
Volume 2, Issue 2 (9-2014)
Abstract
Introduction: Musculoskeletal disorders are the most common occupational diseases and injuries. The importance of control and reduction the discomfort to the extent that in many countries, Prevention of work-related musculoskeletal disorders among workers has been considered as one of the national priorities.
Methods: the cross-sectional study was carried out as an intervention in a chicken slaughterhouse. In order to determine the prevalence of musculoskeletal disorders, Cornell questionnaire was used. By identifying the tasks that are very high in musculoskeletal disorders posture evaluate was conducted and then the proportional to risk level tasks, engineering and management measures was performed. Given that most tasks are the kind of manual handling and carrying, were used the KIM methods for evaluating posture before and after of intervention.
Results: The results of the Cornell questionnaire showed that the highest risk level Belongs to the neck, shoulders, back, arms and waist. Also evaluate by the KIM method the highest level of risk was estimated, the task of throwing the box and pick up the ice with the risk level 4 score, that after the intervention, decreased to the 2 score. Improvement obtained for all interventions on the average about 46.37 percent. The McNemar test was also significant difference between the results obtained before and after intervention.
Conclusion: ergonomic problems have undesirable effects on employee health and productivity. This study, engineering and management interventions could significantly reduce the amount of corrective measures to improve working conditions in different parts of the company.
Athena Rafieepour, Elnaz Rafieepour, Marzieh Sadeghian,
Volume 3, Issue 1 (6-2015)
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.
Aram Tirgar, Zahra Aghalari, Fatemeh Salari,
Volume 4, Issue 3 (12-2016)
Abstract
Introduction: Musculoskeletal disorders (MSDs) are inevitable consequences of ergonomic principles neglect. The increasing use of computer by students may result in these disorders. Therefore, the present study was conducted to determine the prevalence of MSDs and evaluate the effectiveness of ergonomics training intervention among university students.
Methods: This interventional and cross-sectional study was performed on a group of medical and paramedical students. Samples were chosen by simple sampling method. In the first stage, data were gathered by means of a self-made measurement and Nordic Musculoskeletal Questionnaire (NMQ). Furthermore, an educational booklet regarding the principles of ergonomics in computer use (educational intervention) was offered to the subjects. In the second stage of the study, the effectiveness of intervention was evaluated using a written exam and a quasi-objective structured clinical examination (quasi-OSCE) test. Data were analyzed by SPSS 15, as well as descriptive and analytical statistical indexes.
Results: From 205 students participated in the first round of the study, the results showed that 62.44% of them (128 persons) reported at least one complain or limitation in their musculoskeletal systems during the past year. Less than 10% of the participants were aware about the considerations of ergonomics principals during computer use. After submission of the educational materials, their awareness about the ergonomics considerations in computer use significantly improved(P<0.001) and more than 95% of them had good or medium performance after the intervention.
Conclusions: The training program was effective on the awareness of ergonomics principles in computer use. However, prevention of musculoskeletal disorders requires complementary measures such as elimination of risk factors and administrative controls.
Rashid Heydari Moghadam, Majid Motamedzade, Mohammad Babamiri, Qhodratolah Roshanayi, Shiva Rastegari Yekta, Eghbal Zandkarimi,
Volume 4, Issue 3 (12-2016)
Abstract
Introduction: Varicose veins in the lower limbs commonly occur in the general population and can negatively affect their quality of life. One of the high-risk jobs is the field hairdressers. The aim of this study was to investigate the effects of ergonomic interventions on quality of life of female hairdressers suffering from diseases in the lower extremities varicose veins.
Methods: The study population was all female hairdressers of Hamadan Mahdieh clinic who were referred for medical examinations. Using simple random sampling method, 70 patients suffering from varicose disease were chosen and were classified to case and control groups. The intervention included an exercise protocol for the cases with varicose disease. The present study was quasi-experimental with pre-test and post-test and participants responded to Aberdeen varicose veins, chronic pain and muscle fatigue questionnaires, which were considered as indicators of quality of working life. Data was analyzed by paired sample t-test using of SPSS 16.
Results: The results showed that ergonomic interventions were effective on the rate of varicose score, pain and swelling score as well as the score of muscle fatigue of left and right lower limbs in the case group. The average scores of varicose veins, pain and swelling, and left and right lower extremity muscle fatigue in the case group decreased respectively 2.66, 2.4, 0.75 and 1.2.
Conclusions: With regard to the impact of exercise protocol on quality of working life in hairdresserd, the use of this protocol is recommended in patients with varicose veins disease.
Sara Dehnavi, Abdollah Vahedi, Majid Motamedzade Torghabe, Abbas Moghimbeigi,
Volume 4, Issue 4 (3-2017)
Abstract
Abstract:
Introduction: Work-related musculoskeletal disorders (WMSDs) occur when the pressure that applied to musculoskeletal tissue is/be more than tissue tolerant capabilities. This study aimed to assess the risk factors cause musculoskeletal disorders associated with manual tasks using ManTRA and conducted ergonomics intervention program(educational- engineering) among workers in the printing industry.
MethodS: In this interventional case-control study, 40 workers who performed manual tasks, ( 20 case group and 20 control group) were chosen and were investigated. Nordic Body Map was used to determine the intensity and position of pain in the Different part of the body. ManTRA method was performed to evaluate cumulative scores in four regions of the body (wrist / hand / arm - shoulder / neck - back - lower limb) for each workers before and after the intervention. Data analysis was done using SPSS.
Results: Data analysis showed that mean intensity of pain in the control group before and after intervention in the various regions of the body such as head /neck (p=0.012), right shoulder/arm (p=0.012), left shoulder/arm(p=0.043), back (p=0.003), right hand / wrist (p=0.028), left hand / wrist (p=0.027), right knee/ hip (p=0.005), left knee/ hip (p=0.005), right leg (p=0.012) & left leg(p=0.028) were significant.Cumulative score was also significant in the body regions such as arm/wrist /hand (p=0.001) and shoulder /neck (p=0.001) before and after the interventional program.
Conclusion: On the basis of the findings of this study, it could be noted that the ergonomic interventional program was effective to reduce the intensity of pain in the various regions of the body and risk factors causing cumulative damage in the workplace.
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Majid Motamedzade, Asghar Payoon, Rashid Heydari Moghaddam3, Javad Fradmal, Mohammad Babamiri, Payam Heydari,
Volume 5, Issue 1 (6-2017)
Abstract
Introduction: Muscle-skeletal disorders are one of the most common job-related disorders in industrial workplaces due to different reasons. The current study performed an ergonomic assessment using the key indicator index (KIM) in order to reduce injuries in the bottle-making salon of one of the detergent-producing industries of Qazvin province.
Methods: This study was an interventional study and consisted of 25 workers and was done in a bottle-making salon of one of the detergent-producing industries, during year 2016. For data collection, the Cornell questionnaire and key indicator index assessment method were used before and after the ergonomic interventions. Data was analyzed by descriptive analytical tests using the SPSS 16 software.
Results: According to the results, in the bottle production task (risk score: 4), the risk score decreased significantly by redesign (risk score: 2). Also, regarding the bottle's material, supply task that workers used to do it by manual material handling (risk score: 3), by redesign, risk score decreased significantly (risk score: 1).
Conclusions: In this study, musculoskeletal disorders decreased meaningfully by workstation ergonomic redesign after 5 months from the intervention.
Esmaeel Khanmohammadi, Farhad Tabatabai Ghomsheh, Reza Osqueizadeh,
Volume 5, Issue 2 (9-2017)
Abstract
Introduction: Different studies around the world have shown that Work-Related Musculoskeletal Disorders (WMSDs) are the causes of lost time, absenteeism, and disability. The purpose of this study was to investigate the prevalence rate of musculoskeletal disorders (WMSDs) and to evaluate their ergonomic risk factors and determine the effect of ergonomic intervention on awkward postures among workers of Saipa Diesel Truck manufacturing plants.
Methods: This interventional study (Before-after) was conducted on 130 workers of 2 largest truck-manufacturing plants in Iran. The prevalence rate of MSDs and ergonomic risk factors was assessed by valid and reliable translated Body Map Questionnaire (BM) and Quick Exposure Check (QEC) method, respectively.
Results: According to Body Map results, 87.5% of participants had MSDs at least in one of their eleven body regions during the previous year, before study. The highest prevalence rate of MSDs was observed in lower back (51.5%) and foot area (18.5%). Chi square test revealed that the prevalence rate of MSDs was higher among those with higher QEC risk level (P < 0.001). Results also indicated the significant effect of ergonomic interventions on reducing the prevalence rate of MSDs and QEC risk level (P < 0.001).
Conclusions: This study showed that the prevalence rate of MSDs and QEC risk levels among workers was significantly high. Therefore, it can be mentioned that the need for early ergonomic interventions is felt in all industrial units of these truck-manufacturing plants.
Rashid Heidari Moghaddam, Mohammad Babamiri, Majid Motamedzade, Maryam Farhadian, Kamal Ebrahimi,
Volume 5, Issue 4 (3-2018)
Abstract
Background: The working station has a major impact on the musculoskeletal disorders, therefore a considerable attention to working station staff is of importance. The aim of this study was to investigate the effect of working station on musculoskeletal disorders among administrative staff.
Methods: 30 administrative staff participated in this analytical descriptive study. Data was collected using Nordic Musculoskeletal Disorders Questionnaire (NMQ) in ergonomic design intervention of three working stations (sitting, standing-and-sitting, standing) before and after of intervention. Moreover, a t-test and multiple regression were used to analyze the data.
Results: The average (standard deviation) of the age and work record of 30 participating employees were 44.3 (5) and 20 (5) years, respectively. There was a significant correlation between the type of working station before and after the intervention, with the expression of musculoskeletal disorders (P=0.02). There was also a significant relationship between variables of musculoskeletal disorders in the shoulders, necks, waist and hands at different working stations. However, there was a significant relationship between age, work experience and BMI index with musculoskeletal disorders.
Conclusion: According to the results of this survey the best working station is a sitting-and-standing. Therefore, by changing the type of working stations, musculoskeletal discomfort of the employees will be reduced appropriately.
Fatemeh Hashempour, Naser Sadra Abarghouei,
Volume 5, Issue 4 (3-2018)
Abstract
Background: The design and manufacturing process in electronic companies is the most time consuming work behind computers. Because of the high prevalence of musculoskeletal disorders in computer users, researchers need to identify risk factors and ergonomic problems and ways to reduce them.
Methods: This study was a descriptive-analytical study and was conducted as an intervention in Behpajooh engineering company in Isfahan. Statistical sampling was done by global sampling (31 people). The Nordic questionnaire and the Rapid Office Strain Assessment (ROSA) were used to evaluate the risk factors of ergonomics. Data analysis was performed by using McNemar and Wilcoxon's non-parametric tests and using SPSS software.
Results: The results of the Nordic questionnaire, before ergonomic intervention, the frequency of problems in elbow is zero, in waist, upper back, neck and shoulders is 45-38%. Evaluation of Ergonomic Risk Factors derived from the Rapid Office Strain Assessment before intervention showed 35.5% (11 people) at low risk, 38.7% (12 people) in the warning zone and 25.8% (8 people) in the area requiring ergonomic intervention. Statistical analysis of ergonomic interventions showed that the number of people in the area of warning and necessity are less than the number of people before intervention.
Conclusion: The most musculoskeletal disorders were reported in the neck, lower back, upper back and shoulders. Statistical results after ergonomic intervention indicate a decrease in these disorders. The results led to the understanding that the risks in electronic companies could be reduced by ergonomic interventions. Implementation of ergonomic interventions based on engineering, management and educational proceeding can be effective in reducing musculoskeletal disorders.
Mahshid Bahrami, Mansoureh Sadeghi, Alireza Dehdashti, Meysam Karami,
Volume 6, Issue 2 (9-2018)
Abstract
Introduction: working with computer for long duration, static condition, and poor posture may lead to musculoskeletal disorders. The aim of this study was to assess an educational and ergonomic intervention on improving work procedure among computer users in office work in 2016.
Materials & Methods: This descriptive-analytic study was carried out on 28 employees of administrative staff of Damghan Velayat Hospital. In order to determine the level of ergonomic risk, the physical status of patients was evaluated before and 6 months after intervention using ROSA method. The ergonomic principles were also used to increase the staff’s awareness. Finally, one-way analysis of variance and independent t-test were used to analyze the statistical data.
Results: Prior to the implementation of the educational intervention program, the most important risk factors were in the neck (P=0.009), elbows (P=0.019) and shoulders (P=0.031), respectively. After the intervention, this level of risk was reduced in the organs, which was a significant change. There were also other variables; age (P=0.028), gender (P=0.015), BMI (P=0.040), education level (P=0.047) and job experience (P=0.025). They had a significant effect on the final score of ROSA.
Conclusion: The results indicated the prevalence of musculoskeletal disorders and ergonomic risk level by ROSA method which requires ergonomic intervention in the design of the environment, tools and equipment along with educational intervention.
Anooshirvan Safari, Shahnaz Tabatabaei, Mahnaz Sareme,
Volume 9, Issue 1 (4-2021)
Abstract
Background and Objectives: In the automotive industry, assemblers are at the risk of job stress. There is relationship between job stress and work ability index, and job stress can impact on work ability index negatively. Therefore, this study investigates the effect of ergonomic job stress intervention (Ergo-JSI) on the work ability index and job stress of assemblers in an auto parts factory.
Methods: It was an interventional study with pre- and post-test design in the assembly section of an auto parts factory. The sample group included 80 persons who were working in this section and they were selected totally. The interventional Ergonomics-based on Job Stress Program was performed for eight weeks. Job stress questionnaires (BJSQ), work ability index (WAI), ergonomic check points (ECP), and stress prevention in the workplace (International Labor Organization) were used as research tools.
Results: The ergonomic job stress intervention (Ergo-JSI) was found to be significant on the work ability index (P <0.001). The level of work ability index was increased by 16.25% for workers (P = 0.01). Furthermore, the job stress was decreased significantly (P <0.05). The quantitative changes in the level of job stress towards reduction were based on the BJSQ criteria A (51.25%) and criteria B (27.5%); these differences were found to be significant (P <0.001).
Conclusion: Individual and organizational approaches which used for the interventional Ergonomic based on Job Stress Management Program has been effective on the decreasing of job stress and the increasing of work ability index of assemblers. Therefore, this Participatory Ergonomics Program which has an integrated approach can be improved the mental health of staff.
Fereshteh Hosseini, Mehrnaz Haghighi, Seifollah Gharib,
Volume 10, Issue 4 (3-2023)
Abstract
Objectives: Effectiveness assessment of multifaceted long-term ergonomics interventions in an automotive company Introduction: Prevention of musculoskeletal disorders requires evaluation and improvement of work situations using ergonomic posture assessment methods. The purpose of this study was to determine the effectiveness of multifaceted and long-term ergonomic interventions in a developing automobile manufacturing company using the Rapid Office Strain Assessment (ROSA) method.
Methods: A long-term multifaceted intervention study was conducted on 70 office employees of an automotive engineering service company in three stages from 2016 to 2022. Interventions were carried out according to the scores obtained in the sub-areas of the ROSA method including chair, mouse and keyboard, telephone, and monitor. The interventions included technical-engineering and educational interventions. Finally, descriptive statistics and paired t-tests, Pearson correlation coefficient and multiple linear regression were used to analyze the data.
Results: The average score of ROSA in 2016 was 5.9 with a standard deviation of 0.66, while the average score of ROSA in 2022 was 3.85 with a standard deviation of 1.19. There was a statistically significant difference between the final score of ROSA in 2016 and 2022 (P < 0.001). Statistical tests showed that only the technical-engineering intervention had a significant effect on the ROSA final score.
Conclusion: The results of the present study have shown a favorable reduction in the final risk level of the physical condition of the employees during work due to the improvement of the physical condition as a result of the technical-engineering intervention along with the educational intervention in accordance with the components of the ROSA method.
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.
Mohammad Sadegh Sohrabi,
Volume 12, Issue 1 (4-2024)
Abstract
Objectives: In the last decade in Iran, the highest prevalence of musculoskeletal pain and discomfort among office workers has been reported in the neck, back, and shoulder areas. The present study aimed to assess the impact of ergonomic interventions in knowledge-based companies on musculoskeletal disorders, work-related stress, and quality of work life.
Methods: In this quasi-randomized controlled trial study, the participants, including 311 office workers, received ergonomic interventions at both individual and managerial levels.
Results: The implementation of individual ergonomic training interventions significantly reduced disorders in the neck, right and left shoulders, right forearm, and right wrist. Social support also demonstrated a significant increase in all three intervention groups. The interventions had a significant impact on the quality of working life. The changes in the mean quality of working life for the second and third groups in the first month of growth were significant and then continued similar to the trend of the control group.
Conclusion: The implementation of individual ergonomic training interventions significantly reduced musculoskeletal disorders in the neck, shoulders, and upper limbs. Nonetheless, management training interventions did not affect the musculoskeletal disorders of employees. Furthermore, concurrent implementation of individual ergonomics and management interventions exerted a more pronounced effect on the reduction of disorders. The implementation of management educational interventions and combined interventions led to a marked increase in the level of control experienced by participants, while both types of social support interventions also increased. The implementation of a multi-component ergonomics intervention program was demonstrated to enhance the impact of interventions on employees' health and productivity.
