Active epidemiological surveillance of musculoskeletal disorders in a shoe factory
Open Access
- 1 July 2002
- journal article
- research article
- Published by BMJ in Occupational and Environmental Medicine
- Vol. 59 (7), 452-458
- https://doi.org/10.1136/oem.59.7.452
Abstract
Aims: (1) To evaluate an active method of surveillance of musculoskeletal disorders (MSDs). (2) To compare different criteria for deciding whether or not a work situation could be considered at high risk of MSDs in a large, modern shoe factory. Methods: A total of 253 blue collar workers were interviewed and examined by the same physician in 1996; 191 of them were re-examined in 1997. Risk factors of MSDs were assessed for each worker by standardised job site work analysis. Prevalence and incidence rates of carpal tunnel syndrome, rotator cuff syndrome, and tension neck syndrome were calculated for each of the nine main types of work situation. Different criteria used to assess situations with high risk of MSDs were compared. Results: On the basis of prevalence data, three types of work situation were detected to be at high risk of MSDs: cutting, sewing, and assembly preparation. The three types of work situations identified on the basis of incidence data (sewing preparation, mechanised assembling, and finishing) were different from those identified by prevalence data. At least one recognised risk factor for MSDs was identified for all groups of work situations. The ergonomic risk could be considered as serious for the four types of work situation having the highest ergonomic scores (sewing, assembly preparation, pasting, and cutting). Conclusion: The results of the health surveillance method depend largely on the definition of the criteria used to define the risk of MSDs. The criteria based on incidence data are more valid than those based on prevalence data. Health and risk factor surveillance must be combined to predict the risk of MSDs in the company. However, exposure assessment plays a greater role in determining the priorities for ergonomic intervention.Keywords
This publication has 13 references indexed in Scilit:
- European Criteria Document for Evaluation of the Work-Relatedness of Upper Extremity Musculoskeletal DisordersProceedings of the Human Factors and Ergonomics Society Annual Meeting, 2000
- Current techniques for assessing physical exposure to work-related musculoskeletal risks, with emphasis on posture-based methodsErgonomics, 1999
- Criteria for the health surveillance of workers exposed to repetitive movementsErgonomics, 1998
- Clinical trials among worker populations: the value and significance of anamnestic findings and clinical and instrumental tests for diagnosing work-related musculoskeletal disorders of the upper limbs (WMSDs)Ergonomics, 1998
- Occupational and personal risk factors for carpal tunnel syndrome in industrial workers.Scandinavian Journal of Work, Environment & Health, 1997
- Work-related musculoskeletal disorders: Comparison of data sources for surveillanceAmerican Journal of Industrial Medicine, 1997
- Prevalence of persistent neck and upper limb pain in a historical cohort of sewing machine operatorsAmerican Journal of Industrial Medicine, 1993
- A conceptual model for work-related neck and upper-limb musculoskeletal disorders.Scandinavian Journal of Work, Environment & Health, 1993
- Validation of a surveillance case definition of carpal tunnel syndrome.American Journal of Public Health, 1991
- Disability among female garment workers. A comparison with a national sample.Scandinavian Journal of Work, Environment & Health, 1989