Sala Emma, Bonfiglioli Roberta, Fostinellil Jacopo, Tomasi Cesare, Graziosi Francesca, Violante Francesco S, Apostoli Pietro
Università degli Studi di Brescia, Italy.
G Ital Med Lav Ergon. 2014 Oct-Dec;36(4):260-6.
Risk assessment for upper extremity work related muscoloskeletal disorders by applying six methods of ergonomic: a ten years experience. The objective of this research was to verify and validate the multiple step method suggested by SIMLII guidelines and to compare results obtained by use of these methods: Washington State Standard, OCRA, HAL, RULA, OREGE and STRAIN INDEX.
598 workstations for a total of 1800 analysis by different methods were considered, by adopting the following multiple step procedure: prelinminary evaluation by Washington State method and OCRA checklist in all the working stations, RULA or HAL as first level evaluation, OREGE or SI as second level evaluation.
The preliminary evaluation resulted negative (risk absent) in the 75% of examined work stations and by using checklist OCRA optimal-acceptable condition was found in 58% by HAL in 92% of analysis, by RULA in 100%, by OREGE in 64%; by SI in 70% of examined working positions. We observed similar evaluation of strain among methods and main differences have been observed in posture and frequency assessment.
The preliminary evaluation by State of Washington method appears to be an adequate instrument for identify the working condition at risk. All the adopted methods were in a good agreement in two estreme situations: high risk or absent risk, expecially in absent risk conditions. Level of accordance varied on the basis of their rationale and of the role of their different components so SIML indications about the critical use of biouzechanical methods and about the possible use of more than one of them (considering working chlaracteristics) have been confirmed.
运用六种工效学方法对上肢与工作相关的肌肉骨骼疾病进行风险评估:十年经验。本研究的目的是验证和确认SIMLII指南建议的多步骤方法,并比较使用这些方法所获得的结果:华盛顿州标准、OCRA、HAL、RULA、OREGE和应变指数。
考虑了598个工作站,共进行1800次不同方法的分析,采用以下多步骤程序:在所有工作站采用华盛顿州方法和OCRA检查表进行初步评估,以RULA或HAL作为一级评估,以OREGE或SI作为二级评估。
初步评估显示,75%的被检查工作站结果为阴性(无风险),使用检查表OCRA时,在58%的分析中发现处于最佳可接受状态,使用HAL时为92%,使用RULA时为100%,使用OREGE时为64%;使用SI时在70%的被检查工作岗位中发现处于最佳可接受状态。我们观察到不同方法之间对应变的评估相似,在姿势和频率评估方面存在主要差异。
华盛顿州方法的初步评估似乎是识别有风险工作条件的一种充分工具。所有采用的方法在两种极端情况下达成了良好的一致:高风险或无风险,尤其是在无风险条件下。符合程度因方法的原理及其不同组成部分的作用而异,因此SIML关于生物力学方法关键用途以及(考虑工作特性)可能使用多种方法的指示得到了证实。