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通过计算方法评估腰椎负荷以确认下背部疾病为职业病。

Evaluation of Lumbar Spine Load by Computational Method in Order to Acknowledge Low-back Disorders as Occupational Diseases.

作者信息

Hlávková Jana, Lebeda Tomáš, Tichý Tomáš, Gaďourek Petr, Urban Pavel, Nakládalová Marie, Laštovková Andrea, Fenclová Zdenka, Ridzoň Petr, Ehler Edvard, Richter Milan, Pešáková Lenka, Pelclová Daniela

机构信息

National Institute of Public Health, Prague, Czech Republic.

GETA Centrum, Prague, Czech Republic.

出版信息

Cent Eur J Public Health. 2016 Mar;24(1):58-67. doi: 10.21101/cejph.a4332.

Abstract

AIM

The aim of the study was to develop a computational module for the prediction of compressive force on the L4/L5 disc suitable for use in field settings.

METHOD

The value of compressive force is intended to be used as a proxy measure of the mechanical burden of low-back when performing work activities. The compressive force predicted by the module in a particular worker should be compared with the NIOSH limit value of 3,400 N for the assessment of lumbar spine load during manual lifting tasks. Exceeding the limit will be considered as the fulfilment of "hygienic criterion" that should be met to acknowledge low-back disorder as an occupational disease. To develop the computational module we used the ergonomic software TECNOMATIX Classic Jack taking into account the anthropometric parameters of a worker and ergonomic parameters of his/her work activity.

RESULTS

We calculated compressive forces on the L4/L5 disc in about 1,300 simulated combinations of various factors influencing compressive force. Parameters which turned out to be crucial for the compression of L4/L5 disc were included in the computational algorithm.

CONCLUSION

Our study was primarily aimed at the assessment of lumbar disorders as occupational diseases. Moreover, the study can contribute to the recommendation of preventive measures to decrease health risks in occupations associated with the overload of low-back region. The graphic maps generated by the computational module enable a fast and exact analysis of particular job.

摘要

目的

本研究的目的是开发一种计算模块,用于预测L4/L5椎间盘上的压缩力,适用于现场环境。

方法

压缩力的值旨在用作工作活动期间下背部机械负担的替代指标。模块预测的特定工人的压缩力应与美国国家职业安全与健康研究所(NIOSH)规定的3400N限值进行比较,以评估手动搬运任务期间的腰椎负荷。超过该限值将被视为满足“卫生标准”,若要将下背部疾病认定为职业病,则应满足该标准。为开发该计算模块,我们使用了人体工程学软件TECNOMATIX Classic Jack,同时考虑了工人的人体测量参数及其工作活动的人体工程学参数。

结果

我们在大约1300种影响压缩力的各种因素的模拟组合中计算了L4/L5椎间盘上的压缩力。对L4/L5椎间盘压缩至关重要的参数被纳入计算算法。

结论

我们的研究主要旨在评估作为职业病的腰椎疾病。此外,该研究有助于推荐预防措施,以降低与下背部区域过载相关职业中的健康风险。计算模块生成的图形地图能够对特定工作进行快速准确的分析。

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