Jeong Seungsu, Kim Gowun, Park Hee-Won, Baek Sora
Department of Rehabilitation Medicine, Kangwon National University Hospital, Kangwon National University College of Medicine, Chuncheon, Korea.
Center for Farmers' Safety and Health, Kangwon National University Hospital, Chuncheon, Korea.
Ann Rehabil Med. 2023 Dec;47(6):468-482. doi: 10.5535/arm.23055. Epub 2023 Nov 20.
To establish the lower limits of normative values of the physical work capacity for Korean farmers in healthy working individual.
We developed a comprehensive set of physical work capacity evaluation items that encompass common farming tasks. These items include measurements of trunk flexion/extension angles, strength (hand grip, trunk flexion/extension, leg/back lifting, and pushing/pulling), and positional tolerances. We calculated the normative values for the items and defined the normal range in 124 healthy volunteers aged 20-79 years. We calculated the intraclass correlation coefficient (ICC) to validate the test-retest reliability of the measurements protocol.
The normal values for each measurement item were as follows: trunk flexion and extension angle (65.3°±11.6° and 29.6°±6.6°), dominant hand grip strength (32.2±10.5 kgf), trunk flexion and extension strength (288.4±119.0 N and 297.3±129.9 N), leg and back lifting strength (452.9±233.5 N and 349.2±166.7 N), pushing and pulling strength (214.7±75.1 N and 221.7±63.3 N), and positional tolerance time (squat: 76.8±9.0 seconds, front: 73.8±7.7 seconds, twist: 82.2±8.8 seconds, upward: 71.9±11.3 seconds). Regarding test-retest reliability, all strength measurements demonstrated excellent absolute agreement (ICC, 0.91-0.96). However, positional tolerance showed poor-to-moderate absolute agreement (ICC, 0.37-0.58).
We conducted measurements of muscle strength and positional tolerance in healthy participants of various ages, focusing on tasks commonly performed by Korean farmers. The outcomes hold significant value as they offer a pertinent instrument for assessing the appropriateness of workers, thereby carrying implications for rehabilitation objectives, legal evaluations, and work capacity assessments within the agricultural domain.
确定健康工作个体中韩国农民体力工作能力的规范值下限。
我们制定了一套全面的体力工作能力评估项目,涵盖常见的农业任务。这些项目包括躯干屈伸角度、力量(握力、躯干屈伸、腿部/背部提起以及推/拉)和姿势耐受性的测量。我们计算了这些项目的规范值,并在124名年龄在20 - 79岁的健康志愿者中确定了正常范围。我们计算了组内相关系数(ICC)以验证测量方案的重测信度。
各测量项目的正常值如下:躯干屈伸角度(65.3°±11.6°和29.6°±6.6°)、优势手握力(32.2±10.5千克力)、躯干屈伸力量(288.4±119.0牛和297.3±129.9牛)、腿部和背部提起力量(452.9±233.5牛和349.2±166.7牛)、推和拉力量(214.7±75.1牛和221.7±63.3牛)以及姿势耐受时间(蹲:76.8±9.0秒,前:73.8±7.7秒,扭转:82.2±8.8秒,向上:71.9±11.3秒)。关于重测信度,所有力量测量均显示出极好的绝对一致性(ICC,0.91 - 0.96)。然而,姿势耐受性显示出较差到中等的绝对一致性(ICC,0.37 - 0.58)。
我们对不同年龄的健康参与者进行了肌肉力量和姿势耐受性测量,重点关注韩国农民常见的任务。这些结果具有重要价值,因为它们为评估工人的适宜性提供了相关工具,从而对农业领域的康复目标、法律评估和工作能力评估具有启示意义。