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DONG Yidan, JIANG Ping, PENG Yu, JIN Xu, JIN Xianning, HUANG Wenchu, ZHANG Zhongbin, WANG Ying, HE Lihua. Study on ergonomic intervention to relieve work-related musculoskeletal disorders among assembly workers in a railway vehicle manufacturing enterprise[J]. Journal of Environmental and Occupational Medicine, 2022, 39(6): 609-616. DOI: 10.11836/JEOM22011
Citation: DONG Yidan, JIANG Ping, PENG Yu, JIN Xu, JIN Xianning, HUANG Wenchu, ZHANG Zhongbin, WANG Ying, HE Lihua. Study on ergonomic intervention to relieve work-related musculoskeletal disorders among assembly workers in a railway vehicle manufacturing enterprise[J]. Journal of Environmental and Occupational Medicine, 2022, 39(6): 609-616. DOI: 10.11836/JEOM22011
shu

Study on ergonomic intervention to relieve work-related musculoskeletal disorders among assembly workers in a railway vehicle manufacturing enterprise

  • 1.

    Department of Occupational and Environmental Health, School of Public Health, Peking University, Beijing 100191, China

  • 2.

    National Center for Occupational Safety and Health, NHC, Beijing 102308, China

  • 3.

    CRRC Changchun Railway Vehicles Co., Ltd., Changchun, Jilin 130062, China

Funds: This study was funded.
More Information
  • Corresponding author:

    HE Lihua,Email:alihe2009@126.com

  • Received Date: January 17, 2022
  • Accepted Date: April 18, 2022
  • Published Date: June 24, 2022
    Graphical Abstract
    • Abstract
  • [Background] Work-related musculoskeletal diseases (WMSDs) occur in a variety of occupational populations. Because of their various discomfort and serious disease burden, they have become an important issue worthy of attention in the field of occupational health. The prevention and control of WMSDs is one of the public health problems to be solved.

    [Objective] To evaluate the intervention effect on WMSDs among assembly workers in a railway vehicle manufacturing enterprise, so as to provide scientific basis for the prevention and control of WMSDs.

    [Methods] A total of 250 assembly workers in a railway vehicle manufacturing enterprise were selected using convenience sampling from August to December 2017. The Chinese Musculoskeletal Questionnaire was used for epidemiological investigation, and the Ergonomic Checkpoints was used for ergonomic inspection and worker interview. According to the above survey results, a six-month intervention plan including stepladder improvement and ergonomics training were implemented in the assembly workshop from September 2018 to February 2019. The intervention effects including the awareness of WMSDs, the exposure level of ergonomic load, and the occurrence of WMSDs symptoms were evaluated with relevant cross-sectional survey results before and after the intervention. The scores of WMSDs symptom intensity, symptom duration, and symptom frequency from low to high were 0-10, 1-4, and 1-5, respectively.

    [Results] After the intervention, the awareness rates of assembly workers on WMSDs types, affected body sites, influencing factors, preventive measures, and symptoms all increased from 52.3%, 51.9%, 25.5%, 19.1%, and 51.5% to 68.5%, 61.3%, 48.1%, 40.9%, and 61.3%, respectively (P<0.05). After the intervention, the proportion of assembly workers who "often" bend their head backwards frequently decreased from 34.6% to 21.8%, the proportion who "often" keep their trunk backward for a long time decreased from 26.6% to 15.0%, and the proportion who "never" raise their arms frequently increased from 3.4% to 9.0% (P<0.05). After the intervention, the scores of WMSDs symptom intensity in neck, shoulders, upper back, low back, elbows, hands/wrists, hips/thighs, knees, and ankles/feet all decreased, and the medians were mostly decreased from 6 to 3 (P<0.05); the scores of WMSDs symptom duration only decreased in neck (P<0.05) and there was no significant difference in the other body sites before and after the intervention; the median scores of WMSDs symptom frequency in low back, hands/wrists, and hips/thighs decreased from 3 to 2 (P<0.05).

    [Conclusion] The six-month intervention of stepladder improvement and ergonomics training among assembly workers in a railway vehicle manufacturing enterprise can improve workers' awareness of WMSDs, and reduce the exposure frequency of awkward postures and the intensity, duration, and frequency of WMSDs symptoms.

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    • References (48)
  • [1]

    徐相蓉, 王生, 余善法, 等. 工作相关肌肉骨骼疾患的行业流行趋势及进展[J]. 中国工业医学杂志, 2016, 29(4): 278-282.

    XU X R, WANG S, YU S F, et al. The industry trends and research progress on work-related musculoskeletal disorders[J]. Chin J Ind Med, 2016, 29(4): 278-282.
    [2]

    European Agency for Safety and Health at Work. Work-related musculoskeletal disorders: prevalence, costs and demographics in the EU[R/OL]. [2021-12-20].https://osha.europa.eu/en/publications/work-related-musculoskeletal-disorders-prevalence-costs-and-demographics-eu/view.
    [3]

    BEVAN S. Economic impact of musculoskeletal disorders (MSDs) on work in Europe[J]. Best Pract Res Clin Rheumatol, 2015, 29(3): 356-373.

    doi: 10.1016/j.berh.2015.08.002
    [4]

    金宪宁, 王生, 张忠彬, 等. 工作相关肌肉骨骼疾患经济负担研究现状[J]. 中国职业医学, 2019, 46(1): 117-120.

    JIN X N, WANG S, ZHANG Z B, et al. Current status of economic burden of work-related musculoskeletal disorders[J]. China Occup Med, 2019, 46(1): 117-120.
    [5]

    健康中国行动推进委员会. 健康中国行动(2019—2030年)[R/OL]. [2021-12-20]. http://www.gov.cn/xinwen/2019-07/15/content_5409694.htm.

    Healthy China Promotion Committee. Healthy China action plan (2019—2030) [R/OL]. [2021-12-20]. http://www.gov.cn/xinwen/2019-07/15/content_5409694.htm.
    [6]

    SZETO G P Y, LAW K Y, LEE E, et al. Multifaceted ergonomic intervention programme for community nurses: pilot study[J]. J Adv Nurs, 2010, 66(5): 1022-1034.

    doi: 10.1111/j.1365-2648.2009.05255.x
    [7]

    ROBERTSON M, AMICK Ⅲ B C, DERANGO K, et al. The effects of an office ergonomics training and chair intervention on worker knowledge, behavior and musculoskeletal risk[J]. Appl Ergon, 2009, 40(1): 124-135.

    doi: 10.1016/j.apergo.2007.12.009
    [8]

    ESMAEILZADEH S, OZCAN E, CAPAN N. Effects of ergonomic intervention on work-related upper extremity musculoskeletal disorders among computer workers: a randomized controlled trial[J]. Int Arch Occup Environ Health, 2014, 87(1): 73-83.

    doi: 10.1007/s00420-012-0838-5
    [9]

    SHIRI R, MARTIMO K P, MIRANDA H, et al. The effect of workplace intervention on pain and sickness absence caused by upper-extremity musculoskeletal disorders[J]. Scand J Work Environ Health, 2011, 37(2): 120-128.

    doi: 10.5271/sjweh.3141
    [10]

    HOE V C W, URQUHART D M, KELSALL H L, et al. Ergonomic design and training for preventing work-related musculoskeletal disorders of the upper limb and neck in adults[J]. Cochrane Database Syst Rev, 2012, 2012(8): CD008570.
    [11]

    COMPER M L C, DENNERLEIN J T, EVANGELISTA G D S, et al. Effectiveness of job rotation for preventing work-related musculoskeletal diseases: a cluster randomised controlled trial[J]. Occup Environ Med, 2017, 74(8): 543-544.
    [12]

    BAYDUR H, ERGÖR A, DEMIRAL Y, et al. Effects of participatory ergonomic intervention on the development of upper extremity musculoskeletal disorders and disability in office employees using a computer[J]. J Occup Health, 2016, 58(3): 297-309.

    doi: 10.1539/joh.16-0003-OA
    [13]

    林莉, 杜潇, 朱明灿. 基于职业生涯规划的轨道交通装备制造企业人才培养体系构建[J]. 城市轨道交通研究, 2012, 15(11): 32-36.

    doi: 10.3969/j.issn.1007-869X.2012.11.008

    LIN L, DU X, ZHU M C. Talent training system of rail transit equipment manufactures based on career planning[J]. Urban Mass Transit, 2012, 15(11): 32-36.

    doi: 10.3969/j.issn.1007-869X.2012.11.008
    [14]

    王忠旭, 王伟, 贾宁, 等. 汽车制造男性作业工人多部位肌肉骨骼损伤的横断面研究[J]. 环境与职业医学, 2017, 34(1): 8-14.

    WANG Z X, WANG W, JIA N, et al. Cross-sectional study of multisite musculoskeletal disorders among male auto manufacture workers[J]. J Environ Occup Med, 2017, 34(1): 8-14.
    [15]

    金宪宁, 娜扎开提·买买提, 王世娟, 等. 某轨道客车制造企业作业人员多部位工作相关肌肉骨骼疾患影响因素分析[J]. 中国职业医学, 2019, 46(2): 144-151.

    JIN X N, MAMAT N, WANG S J, et al. Analyzing the influencing factors of multisite work-related musculoskeletal disorders among workers in a railway vehicle manufacturing enterprise[J]. China Occup Med, 2019, 46(2): 144-151.
    [16]

    ASSUNÇÃO A, MONIZ-PEREIRA V, FUJÃO C, et al. Predictive factors of short-term related musculoskeletal pain in the automotive industry[J]. Int J Environ Res Public Health, 2021, 18(24): 13062.

    doi: 10.3390/ijerph182413062
    [17]

    刘凤英. 潮汕地区教师群体工作相关肌肉骨骼疾患的干预研究[D]. 汕头: 汕头大学, 2011.

    LIU F Y. Intervention research on work-related musculoskeletal disorders among teachers in Chaoshan region[D]. Shantou: Shantou University, 2011.
    [18]

    董一丹, 娜扎开提·买买提, 王富江, 等. 中国肌肉骨骼疾患问卷编制与验证——附调查问卷[J]. 中国职业医学, 2020, 47(1): 8-18.

    DONG Y D, MAMAT N, WANG F J, et al. Establishment and verification of the Chinese Musculoskeletal Questionnaire—the questionnaire is attached in the attachment[J]. China Occup Med, 2020, 47(1): 8-18.
    [19]

    International Labour Office, International Ergonomics Association. Ergonomic checkpoints[R]. Geneva: International Labour Office, 2010.
    [20]

    KARASEK R, BRISSON C, KAWAKAMI N, et al. The Job Content Questionnaire (JCQ): An instrument for internationally comparative assessments of psychosocial job characteristics[J]. J Occup Health Psychol, 1998, 3(4): 322-355.

    doi: 10.1037/1076-8998.3.4.322
    [21]

    CRAWFORD J O. The Nordic musculoskeletal questionnaire[J]. Occup Med, 2007, 57(4): 300-301.

    doi: 10.1093/occmed/kqm036
    [22]

    BOONSTRA A M, SCHIPHORST PREUPER H R, RENEMAN M F, et al. Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain[J]. Int J Rehabil Res, 2008, 31(2): 165-169.

    doi: 10.1097/MRR.0b013e3282fc0f93
    [23]

    秦东亮, 王生, 张忠彬, 等. 工作相关肌肉骨骼疾患判别标准研究进展[J]. 中国职业医学, 2017, 44(3): 362-364,370.

    QIN D L, WANG S, ZHANG Z B, et al. Research advance on diagnostic criteria of work-related musculoskeletal disorders[J]. China Occup Med, 2017, 44(3): 362-364,370.
    [24]

    成人体重判定: WS/T 428—2013[S]. 北京: 中国标准出版社, 2013.

    Criteria of weight for adults: WS/T 428—2013[S]. Beijing: China Standard Press, 2013.
    [25]

    曹磊, 王忠旭, 贾宁, 等. 汽车制造工人肌肉骨骼疾患及不良工效学因素的调查与分析[J]. 中国工业医学杂志, 2020, 33(3): 206-210.

    CAO L, WANG Z X, JIA N, et al. Investigation and analysis of musculoskeletal disorders and adverse ergonomic factors automobile workers[J]. Chin J Ind Med, 2020, 33(3): 206-210.
    [26]

    康伏梅, 单永乐, 冯斌, 等. 某汽车总装车间工人多部位肌肉骨骼疾患调查及影响因素分析[J]. 中华劳动卫生职业病杂志, 2021, 39(1): 40-43.

    doi: 10.3760/cma.j.cn121094-20191114-00528

    KANG F M, SHAN Y L, FENG B, et al. An investigation of musculoskeletal disorders at multiple sites and related influencing factors among workers in an automobile assembly shop[J]. Chin J Ind Hyg Occup Dis, 2021, 39(1): 40-43.

    doi: 10.3760/cma.j.cn121094-20191114-00528
    [27]

    王会宁, 王忠旭, 秦汝莉, 等. 汽车装配工人肌肉骨骼疾患的不良工效学因素[J]. 中国工业医学杂志, 2016, 29(4): 266-270.

    WANG H N, WANG Z X, QIN R L, et al. Analysis of the harmful ergonomics factors of musculoskeletal disorders among automobile assembly workers[J]. Chin J Ind Med, 2016, 29(4): 266-270.
    [28]

    DA COSTA B R, VIEIRA E R. Risk factors for work-related musculoskeletal disorders: a systematic review of recent longitudinal studies[J]. Am J Ind Med, 2010, 53(3): 285-323.
    [29]

    秦东亮, 金宪宁, 王世娟, 等. 作业人员姿势负荷评价信效度分析及与肌肉骨骼疾患关系[J]. 北京大学学报(医学版), 2018, 50(3): 488-494.

    QIN D L, JIN X N, WANG S J, et al. Research on the reliability and validity of postural workload assessment method and the relation to work-related musculoskeletal disorders of workers[J]. J Pek Univ (Health Sci), 2018, 50(3): 488-494.
    [30]

    秦东亮, 王菁菁, 金宪宁, 等. 某轨道客车制造企业工人心理负荷对其工作相关肌肉骨骼疾患的影响[J]. 中国职业医学, 2018, 45(3): 285-289.

    QIN D L, WANG J J, JIN X N, et al. Effects of mental workload on work-related musculoskeletal disorders in railway vehicle manufacturing workers[J]. China Occup Med, 2018, 45(3): 285-289.
    [31]

    吴家兵. 某汽车制造厂工人肌肉骨骼疾患调查及危险因素分析[D]. 武汉: 华中科技大学, 2013.

    WU J B. Survey and analysis on risk factors of musculoskeletal disorders among automobile manufacturing workers[D]. Wuhan: Huazhong University of Science and Technology, 2013.
    [32]

    CONSTANTINO COLEDAM D H, JÚNIOR R P, RIBEIRO E A G, et al. Factors associated with musculoskeletal disorders and disability in elementary teachers: a cross-sectional study[J]. J Bodyw Mov Ther, 2019, 23(3): 658-665.

    doi: 10.1016/j.jbmt.2018.05.009
    [33]

    GANGOPADHYAY S, GHOSH T, DAS T, et al. Effect of working posture on occurence of musculoskeletal disorders among the sand core making workers of West Bengal[J]. Cent Eur J Public Health, 2010, 18(1): 38-42.

    doi: 10.21101/cejph.a3503
    [34]

    ANDERSON C K, CHAFFIN D B, HERRIN G D. A study of lumbosacral orientation under varied static loads[J]. Spine, 1986, 11(5): 456-462.

    doi: 10.1097/00007632-198606000-00012
    [35]

    BONGERS P M, DE WINTER C R, KOMPIER M A, et al. Psychosocial factors at work and musculoskeletal disease[J]. Scand J Work Environ Health, 1993, 19(5): 297-312.

    doi: 10.5271/sjweh.1470
    [36]

    SONNENTAG S, ZIJLSTRA F R H. Job characteristics and off-job activities as predictors of need for recovery, well-being, and fatigue[J]. J Appl Psychol, 2006, 91(2): 330-350.

    doi: 10.1037/0021-9010.91.2.330
    [37]

    STERUD T, TYNES T. Work-related psychosocial and mechanical risk factors for low back pain: a 3-year follow-up study of the general working population in Norway[J]. Occup Environ Med, 2013, 70(5): 296-302.

    doi: 10.1136/oemed-2012-101116
    [38]

    MEHRPARVAR A H, HEYDARI M, MIRMOHAMMADI S J, et al. Ergonomic intervention, workplace exercises and musculoskeletal complaints: a comparative study[J]. Med J Islam Repub Iran, 2014, 28: 69.
    [39]

    刘伟达, 王忠旭. 肌肉骨骼损伤及其工效学[J]. 环境与职业医学, 2008, 25(6): 605-608.

    doi: 10.3969/j.issn.1006-3617.2008.06.027

    LIU W D, WANG Z X. Musculoskeletal disorders and ergonomics[J]. J Environ Occup Med, 2008, 25(6): 605-608.

    doi: 10.3969/j.issn.1006-3617.2008.06.027
    [40]

    AMICK III B C, ROBERTSON M M, DERANGO K, et al. Effect of office ergonomics intervention on reducing musculoskeletal symptoms[J]. Spine, 2003, 28(24): 2706-2711.

    doi: 10.1097/01.BRS.0000099740.87791.F7
    [41]

    郑盼, 李丽萍, 徐光兴, 等. 煤矿工人工作相关肌肉骨骼疾患的干预效果评估[J]. 人类工效学, 2013, 19(2): 19-22.

    doi: 10.3969/j.issn.1006－8309.2013.02.005

    ZHENG P, LI L P, XU G X, et al. The evaluation of intervention effect on coal miners WMSDs[J]. Chin J Ergon, 2013, 19(2): 19-22.

    doi: 10.3969/j.issn.1006－8309.2013.02.005
    [42]

    MIRMOHAMMADI S J, MEHRPARVAR A H, OLIA M B, et al. Effects of training intervention on non-ergonomic positions among video display terminals (VDT) users[J]. Work, 2012, 42(3): 429-433.

    doi: 10.3233/WOR-2012-1400
    [43]

    DANESHMANDI H, KEE D, KAMALINIA M, et al. An ergonomic intervention to relieve musculoskeletal symptoms of assembly line workers at an electronic parts manufacturer in Iran[J]. Work, 2018, 61(4): 515-521.
    [44]

    韩春花, 姜萍, 卢晶. 健康教育对护士工作相关肌肉骨骼疾患的干预效果研究[J]. 中国现代医生, 2021, 59(28): 177-179,183.

    HAN C H, JIANG P, LU J. Study on the intervention effect of health education on nurses' work-re-lated musculoskeletal disorders[J]. China Mod Doctor, 2021, 59(28): 177-179,183.
    [45]

    MEKHORA K, LISTON C B, NANTHAVANIJ S, et al. The effect of ergonomic intervention on discomfort in computer users with tension neck syndrome[J]. Int J Ind Ergonom, 2000, 26(3): 367-379.

    doi: 10.1016/S0169-8141(00)00012-3
    [46]

    ROBERTSON M M, O'NEILL M J. Reducing musculoskeletal discomfort: effects of an office ergonomics workplace and training intervention[J]. Int J Occup Saf Ergon, 2003, 9(4): 491-502.

    doi: 10.1080/10803548.2003.11076585
    [47]

    GALINSKY T, SWANSON N, SAUTER S, et al. Supplementary breaks and stretching exercises for data entry operators: a follow‐up field study[J]. Am J Ind Med, 2007, 50(7): 519-527.

    doi: 10.1002/ajim.20472
    [48]

    ROBERTSON M M. Health and performance consequences of office ergonomic interventions among computer workers[M]//DAINOFF M J. Ergonomics and Health Aspects of Work with Computers. Berlin: Springer, 2007: 135-143.
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