Assessment of work-related musculoskeletal disorders and work posture amongst the hospital workers in a tertiary care hospital of Chennai

GJagath Janani, P. Thirunavukkarasu, SJawahar Rajarathnam, K. Chitrarasu, R. Shanmugapriya
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Abstract

Background: The prevalence of work-related musculoskeletal disorders (WRMSDs) ranges from 10% to 60% in an organisation. This study was undertaken to estimate the prevalence pattern of WRMSDs and the relation of musculoskeletal (MSK) pain/discomfort complaints with posture amongst hospital workers. Materials and Methods: This is a cross-sectional study done amongst hospital housekeeping workers in a tertiary care hospital. Physical parameters, assessment of musculoskeletal pain by the Nordic MSK Questionnaire and Cornell MSK Questionnaire and analysis of posture using Ovako Working Posture Assessment System (OWAS) which identifies posture of back, arms, legs and weight of the load handled during work. Results: The prevalence of WRMSDs in the past 12 months was 198 (87.2%) and in the past 7 days was 155 (63.8%). Maximum MSK pain was reported in knee (136, 59.9%). Multiple sites of pain (3 or more) were also seen in 146 (64.3%) workers. The most common posture associated with pain was walking (100%). Pain did not prevent from doing the work and slightly interfered with their ability. Number of years of work experience had a significant relation to the pain score. Conclusion: Although the majority of the study population fell in the OWAS-second category which has no immediate concern at present, may progress to the third and fourth categories if proper posture correction is not done. If the preventive MSK rehabilitation measures are taken at the earliest, it can help prevent the progression to cumulative trauma disorders.
评估钦奈一家三级护理医院中与工作有关的肌肉骨骼疾病和医院工作人员的工作姿势
背景:与工作有关的肌肉骨骼疾病(WRMSDs)在一个组织中的发病率从 10%到 60%不等。本研究旨在估算与工作相关的肌肉骨骼疾病的流行模式,以及医院工作人员的肌肉骨骼(MSK)疼痛/不适投诉与姿势的关系。材料和方法:这是一项横断面研究,研究对象是一家三甲医院的内勤人员。通过北欧 MSK 问卷和康奈尔 MSK 问卷对物理参数、肌肉骨骼疼痛进行评估,并使用 Ovako 工作姿势评估系统(OWAS)对工作姿势进行分析,该系统可识别工作期间背部、手臂、腿部的姿势和所处理负荷的重量。结果:在过去的 12 个月中,有 198 人(87.2%)出现过腰椎间盘突出症,在过去的 7 天中,有 155 人(63.8%)出现过腰椎间盘突出症。报告最多的 MSK 疼痛部位是膝关节(136 例,占 59.9%)。146名工人(64.3%)的疼痛部位为多个(3个或3个以上)。与疼痛有关的最常见姿势是行走(100%)。疼痛并不妨碍他们工作,只是稍微影响了他们的工作能力。工作年限与疼痛评分有显著关系。结论虽然研究对象中的大多数人属于 OWAS 第二类,目前无需立即关注,但如果不进行适当的姿势矫正,可能会发展到第三和第四类。如果能尽早采取预防性的 MSK 康复措施,将有助于防止累积性创伤疾病的发展。
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