RESUMEN
The objective of this prospective cohort study was to evaluate if peak or cumulative musculoskeletal discomfort may predict future low-back, neck or shoulder pain among symptom-free workers. At baseline, discomfort per body region was rated on a 10-point scale six times during a working day. Questionnaires on pain were sent out three times during follow-up. Peak discomfort was defined as a discomfort level of 2 at least once during a day; cumulative discomfort was defined as the sum of discomfort during the day. Reference workers reported a rating of zero at each measurement. Peak discomfort was a predictor of low-back pain (relative risk (RR) 1.79), neck pain (RR 2.56), right or left shoulder pain (RR 1.91 and 1.90). Cumulative discomfort predicted neck pain (RR 2.35), right or left shoulder pain (RR 2.45 and 1.64). These results suggest that both peak and cumulative discomfort could predict future musculoskeletal pain.
Asunto(s)
Ergonomía , Dolor de la Región Lumbar/etiología , Enfermedades Musculoesqueléticas/etiología , Dolor de Cuello/etiología , Exposición Profesional/efectos adversos , Dolor de Hombro/etiología , Lugar de Trabajo/psicología , Indicadores de Salud , Encuestas Epidemiológicas , Humanos , Postura , Estudios Prospectivos , Riesgo , Factores de Riesgo , Encuestas y CuestionariosRESUMEN
The objective of the present study was to compare energetic workload, perceived exertion, perceived discomfort, safety, and mechanical load at lower limb joints among window cleaners during usage of extension ladders with 30 and 35 cm rung separation. Eleven healthy male professional window cleaners of short and tall stature participated in this study. No significant differences between 30 and 35 cm rung separation were observed for the energetic workload. Results concerning the perceived exertion, discomfort, and safety indicate that 35 cm rung separation is preferred. Based on the mechanical load at the hip, knee, and ankle during ascending and descending the ladder, 30 cm rung separation is preferable to 35 cm rung separation. It is advised to climb ladders with the knees inside the side rails of the ladder, but this seems only possible with 35 cm rung separation. Findings of the presents study suggest that overall, a 35 cm rung separation is marginally favourable while using extension ladders.