본문 바로가기
KERD
논문KCI 등재

Effect of a Workplace-Based Work-Conditioning Program on Management of Work-Related Musculoskeletal Disorders

0

조회

0

다운로드

0

인용

0

참고문헌

주제분류물리치료학

초록

The purpose of this study was to investigate the effects of a workplace-based work-conditioning program (WCP) on the management of work-related musculoskeletal disorders (WRMDs) in an automobile-parts manufacturing company. In total, 1,110 subjects with WRMDs participated in workplace-based WCP emphasizing function-centered management and ergonomics. We investigated the incidence of WRMDs variables (number of persons diagnosed with industrial accident-related WRMDs, number of cases of WRMD) and financial benefits (cost of workers’ compensation insurance and lost work days related to WRMDs) per year before and after WCP. Additionally, we compared self-reported pain intensity and functional disability in subjects with musculoskeletal pain before and after the WCP. Pain intensity was measured using a visual analog scale (VAS), and functional disability was measured by the neck disability index (NDI) and the Oswestry disability Index (ODI). The number of person diagnosed with industrial accident-related WRMDs, the number of cases of WRMD, the cost of workers’ compensation insurance and lost work days related to WRMDs per year decreased by 51%, 37%, 34%, and 47%, respectively, and VAS, NDI, and ODI scores decreased significantly after implementation of WCP (p<.05). Thus, the results of the present study suggest that function-centered, workplace-based WCP was effective in managing WRMDs at an automobile-parts manufacturing company.

Abstract

The purpose of this study was to investigate the effects of a workplace-based work-conditioning program (WCP) on the management of work-related musculoskeletal disorders (WRMDs) in an automobile-parts manufacturing company. In total, 1,110 subjects with WRMDs participated in workplace-based WCP emphasizing function-centered management and ergonomics. We investigated the incidence of WRMDs variables (number of persons diagnosed with industrial accident-related WRMDs, number of cases of WRMD) and financial benefits (cost of workers’ compensation insurance and lost work days related to WRMDs) per year before and after WCP. Additionally, we compared self-reported pain intensity and functional disability in subjects with musculoskeletal pain before and after the WCP. Pain intensity was measured using a visual analog scale (VAS), and functional disability was measured by the neck disability index (NDI) and the Oswestry disability Index (ODI). The number of person diagnosed with industrial accident-related WRMDs, the number of cases of WRMD, the cost of workers’ compensation insurance and lost work days related to WRMDs per year decreased by 51%, 37%, 34%, and 47%, respectively, and VAS, NDI, and ODI scores decreased significantly after implementation of WCP (p<.05). Thus, the results of the present study suggest that function-centered, workplace-based WCP was effective in managing WRMDs at an automobile-parts manufacturing company.

참고문헌 (34)

  1. Beissner KL, "Factors related to successful work hardening ouftcomes", Phys Ther., 76(11), pp.1188~1201 (1996)
  2. Bijur PE, "Reliability of the visual analog scale for measurement of acute pain", Acad Emerg Med., 8(12), pp.1153~1157 (2001)
  3. Bovim G, "Neck pain in the general population", Spine, 19(12), pp.1307~1309 (1994)
  4. Breitenseher MJ, "MRI of unfused lumbar segments after spondylodesis", J Comput Assist Tomogr., 20(4), pp.583~587 (1996)
  5. Bunn WB, "Impact of a musculoskeletal disability management program on medical costs and productivity in a large manufacturing company", Am J Manag Care., 12, pp.S27~S32 (2006)
  6. Choi EJ, "Economic analysis of work-related musculoskeletal disorders in Korean shipbuilding", M.S, pp.2003
  7. Cole K, "Physical demand levels in individuals completing a sports performance-based work conditioning", hardening program after lumbar fusion, 2009, pp.9(1), 39~46
  8. da Costa BR, "Stretching to reduce work-related musculoskeletal disorders: A systematic review", J Rehabil Med., 40(5), pp.321~328 (2008)
  9. Davidson M, "Rasch analysis of three versions of the Oswestry Disability Questionnaire", Man Ther., 13(3), pp.222~231 (2008)
  10. Davidson M, "A comparison of five low back disability questionnaires: Reliability and responsiveness", Phys Ther., 82(1), pp.8~24 (2002)
  11. Deeney C, "Work related psychosocial risks and musculoskeletal disorders: Potential risk factors, causation and evaluation methods", Work, 34(2), pp.239~248 (2009)
  12. Edwards BC, "A physical approach to the rehabilitation of patients disabled by chronic low back pain", Med J Aust., 156(3), pp.167~172 (1992)
  13. Fairbank JC, "The Oswestry Disability Index", Spine, 25(22), pp.2940~2952 (2000)
  14. Fairbank JC, "The Oswestry low back pain disability questionnaire", Physiotherapy, 66(8), pp.271~273 (1980)
  15. Faucett J, "A test of two training interventions to prevent work-related musculoskeletal disorders of the upper extremity", Appl Ergon., 33(4), pp.337~347 (2002)
  16. Franklin GM, "Outcome of lumbar fusion in Washington State workers' compensation", Spine, 17(17), pp.1897~1903 (1994)
  17. Fritz JM, "Identifying psychosocial variables in patients with acute work-related low back pain: The importance of fear-avoidance beliefs", Phys Ther., 82(10), pp.973~983 (2002)
  18. Fritz JM, "A comparison of a modified Oswestry Low Back Pain Disability Questionnaire and the Quebec Back Pain Disability Scale", Phys Ther., 81(2), pp.776~788 (2001)
  19. Gay RE, "Comparison of the Neck Disability Index and the Neck Bournemouth Questionnaire in a sample of patients with chronic uncomplicated neck pain", J Manipulative Physiol Ther., 30(4), pp.259~262 (2007)
  20. Hart DL, "Association between clinician-assessed lifting ability and workplace tolerance and patient self-reported pain and disability following work conditioning", Work, 28(2), pp.111~119 (2007)
  21. Jensen MP, "Comparative reliability and validity of chronic pain intensity measures", Pain, 83(2), pp.157~162 (1999)
  22. 김철홍, "비제조업종의 근골격계질환 예방관리 매뉴얼 개발*", 대한인간공학회지, 28(1), pp.29~36 (2009), 대한인간공학회
  23. Kool J, "Function-centered rehabilitation increases work days in patients with nonacute nonspecific low back pain: 1-Year results from a randomized controlled trial", Arch Phys Med Rehabil., 88(9), pp.1089~1094 (2007)
  24. Kool JP, "Increasing days at work using function-centered rehabilitation in nonacute nonspecific low back pain: A randomized controlled trial", Arch Phys Med Rehabil., 86(5), pp.857~864 (2005)
  25. Mayer TG, "A prospective two-year study of functional restoration in industrial low back injury. An objective assessment procedure", JAMA, 258(13), pp.1763~1767 (1987)
  26. Mitchell RI, "Results of a multicenter trial using an intensive active exercise program for the treatment of acute soft tissue and back injuries", Spine, 15(6), pp.514~521 (1990)
  27. Morken T, "Effects of a training program to improve musculoskeletal health among industrial workers-effects of supervisors role in the intervention", Int J Ind Ergon., 30(2), pp.115~127 (2002)
  28. Oland G, "A trial of modern rehabilitation for chronic low-back pain and disability. Vocational outcome and effect of pain", Spine, 16(4), pp.457~459 (1991)
  29. O'Sullivan SB, "Physical Rehabilitation 5th ed" (2006), F.A. Davis, Co
  30. Rainville J, "Exploration of physicians' recommendations for activities in chronic low back pain", Spine, 25(17), pp.2210~2220 (2000)
  31. Rempel DM, "Work-related cumulative trauma disorders of the upper extremity", JAMA, 267(6), pp.838~842 (1992)
  32. Roh SS, "A study of return to work in work-related musculoskeletal diseases by approved Korea labor walfare corporation", M.S, pp.2005
  33. Vernon H, "The Neck Disability Index: A study of reliability and validity", J Manipulative Physiol Ther., 14(7), pp.409~415 (1991)
  34. Weir R, "Interventions for disability management", Clin J Pain., 17(4), pp.128~132 (2001)

관련 논문AI추천

Change in Musculoskeletal Pain in Patients With Work-Related Musculoskeletal Disorder After Tailored Rehabilitation Education: A One-Year Follow-Up Survey강보람, 김미정, 김태곤, 박시복, 이규훈, 이동훈, 정승호, 최승용, 한승훈대한재활의학회 · Annals of Rehabilitation Medicine2015 · 제39권 제5호작업장 유해요인조사에 기반한 인체공학적 중재가 작업 관련성 근골격계 질환의 증상에 미치는 효과: 체계적 문헌고찰 및 메타분석김가은, 조정영한국직업건강간호학회 · 한국직업건강간호학회지2020 · 제29권 제4호The Effects of Lumbar Stabilization Exercise on Pain-related Functions of Industrial Workers with Chronic Low Back Pain and Lumbar Instability고대식, 정대인한국디지털정책학회 · 디지털융복합연구2017 · 제15권 제5호일부 농업인에서의 근골격계 질환 관리 프로그램의 효과권순찬, 류현철, 이경숙, 이수진, 인희교한국농촌의학.지역보건학회 · 농촌의학.지역보건2008 · 제33권 제1호Responsiveness Comparisons of Self-Report Versus Therapist-Scored Functional Capacity for Workers With Low Back Pain박소연, choi bongsam한국전문물리치료학회 · 한국전문물리치료학회지2012 · 제19권 제3호업무상 근골격계질환 산업재해판정자에 대한 현황 분석김경하, 석민현, 황라일한국직업건강간호학회 · 한국직업건강간호학회지2013 · 제22권 제2호

이 간행물의 다른 논문 (10건)