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农业相关肌肉骨骼疾病:印度农民的人体工程学风险评估及其预防。

Work-related musculoskeletal disorders in agriculture: Ergonomics risk assessment and its prevention among Indian farmers.

机构信息

Department Of Physiology, South Calcutta Girls' College University of Calcutta, 72 Sarat Bose Road, Kolkata-700025, India. Emails:

出版信息

Work. 2023;76(1):225-241. doi: 10.3233/WOR-220246.

DOI:10.3233/WOR-220246
PMID:36806533
Abstract

BACKGROUND

Indian farmers have musculoskeletal disorders as agriculture is a physically demanding occupation.

OBJECTIVES

The main aim of this study is to identify ergonomic and psychosocial risk factors associated with musculoskeletal disorders (MSDs) among different groups of farmers. The other objective is to investigate how MSDs affect farmers' daily lives and interfere with their activities.

METHODS

Farmers were evaluated for the repetitiveness of work and MSDs using the standard Nordic questionnaire, ergonomic assessment tool (REBA), and ART tool.

RESULTS

Low back portions were the most affected body parts, followed by the knees (OR = 0.352; 95% CI = 0.280-0.598), shoulder (OR = 0.657; 95% CI = 0.405-1.066), neck (OR = 0.510; 95% CI = 0.350-0.743), ankle or foot (OR = 0.815; 95% CI = 0.556-1.196), and upper back region (OR = 0.681; 95% CI = 0.463-1.002). The REBA method found that most of the postures in farming are very dangerous. The ART tool showed that most of the activities are repetitive. Working long hours (90%) and monotony at work (87.5%) are the main psychosocial factors, followed by pressure to finish within a given timeframe (71.4%) and injuries related to MSDs.

CONCLUSION

Farmers suffer from musculoskeletal disorders in various body parts (lower back, knee, neck, shoulder, and upper back) due to squatting, stooping, and other constrained working postures during agricultural activities. rolonged working hours, repetitive movements, and MMH are ergonomic risk factors forFurthermore, p MSDs.

摘要

背景

印度农民患有肌肉骨骼疾病,因为农业是一项体力要求很高的职业。

目的

本研究的主要目的是确定与不同农民群体的肌肉骨骼疾病(MSD)相关的人体工程学和心理社会风险因素。另一个目的是调查 MSD 如何影响农民的日常生活并干扰他们的活动。

方法

使用标准北欧问卷、人体工程学评估工具(REBA)和 ART 工具评估农民的工作重复性和 MSD。

结果

受影响最严重的身体部位是下背部,其次是膝盖(OR=0.352;95%CI=0.280-0.598)、肩膀(OR=0.657;95%CI=0.405-1.066)、颈部(OR=0.510;95%CI=0.350-0.743)、脚踝或脚(OR=0.815;95%CI=0.556-1.196)和上背部(OR=0.681;95%CI=0.463-1.002)。REBA 方法发现,农业中的大多数姿势都非常危险。ART 工具显示,大多数活动都是重复的。长时间工作(90%)和工作单调(87.5%)是主要的心理社会因素,其次是在给定时间内完成工作的压力(71.4%)和与 MSD 相关的伤害。

结论

农民在农业活动中由于蹲伏、弯腰等受限的工作姿势而患有各种身体部位(下背部、膝盖、颈部、肩部和上背部)的肌肉骨骼疾病。长时间工作、重复动作和 MMH 是 MSD 的人体工程学风险因素。

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