Evaluation of local muscular load in female stitchers of car coating
1^st Part: the use of a modified Nordic Questionnaire

Czech version

Authors: R. Šišová ¹; T. Záborský ²; M. Marušiaková ²; V. Jakušová ¹; H. Hudečková ¹
Authors‘ workplace: Ústav verejného zdravotníctva JLF UK Martin, Univerzita Komenského, Bratislava vedúca prof. MUDr. Henrieta Hudečková, PhD., MPH ¹; Regionálny úrad verejného zdravotníctva, Martin, vedúca úradu MUDr. Mgr. Tatiana Červeňová, MPH, MHA ²
Published in: Pracov. Lék., 70, 2018, No. 1-2, s. 12-17.
Category: Original Papers

Overview

Introduction:

the diseases of supportive-locomotion apparatus in relation to work have been on the increase. It is therefore necessary to deal increasingly with physical load in addition to other factors of working environment. The study investigated the effects of local muscular load in workers employed in stitching car coating in responders in a company in the Zilina region by means of subjective and objective methods. In view of the complexity of the work the authors divided the study in two separate parts.

Groups and methods:

The cohort was composed of 62 workers (60 women and two men) in the occupation of stitcher in a factory for car coating production. A modified Nordic Questionnaire was used to obtain information about the incidence of difficulties associated with the supportive-locomotion apparatus, which was used for evaluation of the effects of local muscular load.

Results:

In a group of 62 employees, 27 respondents (43.5%) had to visit the doctor for problems in a certain part of the body. The most often affected part of the body proved to be the area of neck, hands, wrist and upper part of spine. Most visits to the doctor were recorded in relation to pains in the spine area and most rare were the causes related to the pain of elbows, hips, thighs and knees. The work includes repetitive flexion-extension movements of the wrist at high frequency. Almost 43% of the respondents mentioned insufficient quality of the working tools.

Conclusion:

Based on the obtained results it has become obvious that increased attention must be paid also to subjective evaluation of local muscular strength in the female stitchers of car coatings within the framework of a complex evaluation obtained by objective methods of measurement of the physical load at work. It will make possible to better specify preventive measures, which limit the incidence of diseases of the supportive-locomotion apparatus.

Keywords:

62 respondents – automotive industry – repetitive movements of upper extremities – time picture – carpal tunnel syndrome

Sources

1. Buchancová, J. et al. Pracovné lekárstvo a toxikológia. Martin: Osveta, 2003, 1132 s. ISBN 80-806-311-31.

2. Buchancová, J., Legáth, Ľ., Hudečková, H., Švihrová, V., Murajda, L. Retrospektívna trendová štúdia chorôb z povolania a posúdenie kapacít pracovného lekárstva na Slovensku. Interná medicína, 2008, 8, 12, s. 639–645.

3. Buchancová, J., Švihrová, V., Hudečková, H., Zelník, Š., Záborský, T. Analýza profesionálnych ochorení na Slovensku za roky 2005 až 2014 aj z aspektu kategórií rizikových prác. Pracovní lékařství, 2016, 68, 1–2, s. 23–32.

4. Health and Safety Executive: Work – related Musculoskeletal Disorders (WRMSDs) Statistics in Great Britain [on line]. c 2017 [2018-01-11]. Dostupný z www: http://www.hse.gov.uk/statistics/causdis/musculoskeletal/msd.pdf>

5. Hlávková, J., Valečková, A. Ergonomické checklisty a nové metody práce při hodnocení ergonomických rizik. Praha: Státní zdravotní ústav, 2007, 91 s. ISBN 978-80-7071-289- 4.

6. Horng, Y. S., Hsieh, S. F., Tu, Y. K., Lin, M. C., Horng, Y. S., Wang, J. D. The comparative effectiveness of tendon and nerve gliding exercises in patients with carpal tunnel syndrome: a randomized trial. Am. J. Physic. Med. & Rehab., 2011, 90, 6, s. 435–442.

7. Howse, J. Painful Disorders Focus of International Repetitive Strain Injury (RSI) Awareness Day [on line]. c 2017 [2018-01-11]. Dostupné z www: https://www.canada.ca/en/centre-occupational-health-safety/news/2017/02/painful_disordersfocusofinternationalrepetitivestraininjuryrsiaw.html?wbdisable=true>

8. Kuorinka I. et al. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Applied Ergonomics, 1987, 18, s. 233–237.

9. Magee, D. J, Zachazewski, J. E., Quillen, W. S., Manske, R. C. Pathology and Intervention in Musculoskeletal Rehabilitation. 2016, s. 938–1004. ISBN 978-0-323-31072-7.

10. Mojkin, V. J. Optimalizacija trudovoj dějatělnosti pri rabotach svjazannych s lokaljnymi myšečnymi nagruzkami. Gigiena truda i profzabol., 1984, 6, p. 57.

11. Národné centrum zdravotníckych informácií. Choroby z povolania alebo ohrozenia chorobou z povolania v SR 2016. In Edícia zdravotnícka štatistika, 2017.

12. Oleár, V., Hrušková, M., Buchancová, J. Analýza výskytu chorôb z povolania na Slovensku v desaťročí 2004–2013 z pohľadu verejného zdravotníctva. Slovenský lekár, 2014, 34, 39, s. 175–182.

13. Pelclová, D. et al. Nemoci z povolání a intoxikace. Praha: Karolinum, 2006, 207s. ISBN 80-246-1183-X.

14. Regionálny úrad verejného zdravotníctva Martin. Výročná správa o činnosti v RÚVZ Martin rok 2016 [on line]. c 2016 [2017-02-19]. Dostupné z www: http://www.ruvzmartin.sk/>

15. Stave, G. M., Wald, P. H. Psychical and biological hazards of the workplace. 2017, 608 s. ISBN 978-1-118-92860-8.

16. US Bureau of Labor statistics: Occupational Injuries and Illnesses Requiring Days Away From Work [on line]. c 2016 [2017-09-21]. Dostupný z www: https://www.bls.gov/news.release/osh2.nr0.htm>

17. Van Wely, P. Design and Disease. Applied ergonomics, 1970, 5, p. 262–269.

18. Zimmermann, C. L., Hatiar, K., Cook, T. M. A comparison of work – related musculoskeletal disorders among operating engineers. United States and Slovakia. Central European J Occup Environ Med, 1998, 4, s. 232–246.