Carnide Filomena, Veloso António, Gamboa Hugo, Caldeira Sandra, Fragoso Isabel
Faculty of Human Kinetics, Technical University of Lisbon, Lisbon, Portugal.
Clin Biomech (Bristol). 2006;21 Suppl 1:S33-8. doi: 10.1016/j.clinbiomech.2005.09.010. Epub 2005 Dec 6.
It is known that work-related musculoskeletal disorders are caused by multifactor operations of various risk factors. Among these, the association of these risk factors with pain symptoms and work-related musculoskeletal disorders have been reported in many studies in all typical manufacturing settings (Bernard, 1997). This study focuses on the automobile industry.
Twenty-nine paint area production workers of an automobile industry plant took part (age 37.7+/-8.2 years; seniority 6.9+/-6.2 years). Musculoskeletal morbidity was assessed through a questionnaire-administered interview and a clinical exam. Each workplace exposure was assessed by the observational rapid upper limb assessment method. The quantification of the workload on shoulders and wrists during the actual work task accomplishment was obtained through surface EMG.
Biomechanical exposure varied significantly between pain symptomatic and asymptomatic workers. It was the only estimator that could predict the risk of occurrence of musculoskeletal symptoms. Multifactor linear analysis showed that some linear and combined anthropometric characteristics could be associated to a higher workload on the shoulders and upper limbs.
The rigid external working conditions for employees with different morphologic characteristics, combined with demanding force application associated with the adoption of awkward postures for long and continuous periods of work time, impose constraints in accomplishment of the paint tasks. Additionally our results suggest that the same work task could present different musculoskeletal mechanical load for people with different anthropometrics.
众所周知,与工作相关的肌肉骨骼疾病是由多种风险因素的综合作用引起的。其中,在所有典型制造环境的许多研究中都报告了这些风险因素与疼痛症状及与工作相关的肌肉骨骼疾病之间的关联(伯纳德,1997年)。本研究聚焦于汽车行业。
一家汽车工厂的29名喷漆车间生产工人参与了研究(年龄37.7±8.2岁;工龄6.9±6.2年)。通过问卷调查访谈和临床检查评估肌肉骨骼发病率。采用观察性快速上肢评估法评估每个工作场所的暴露情况。通过表面肌电图获得实际工作任务完成过程中肩部和手腕的工作量量化数据。
有疼痛症状的工人和无症状的工人之间生物力学暴露存在显著差异。这是唯一能够预测肌肉骨骼症状发生风险的指标。多因素线性分析表明,一些线性和综合的人体测量特征可能与肩部和上肢的更高工作量相关。
对于具有不同形态特征的员工来说,僵化的外部工作条件,再加上长时间持续采用别扭姿势进行工作所需的较大力量,给喷漆任务的完成带来了限制。此外,我们的结果表明,相同的工作任务对于具有不同人体测量特征的人可能呈现出不同的肌肉骨骼机械负荷。