2012-04-01 12:00 - Messages

Health-related effects of early part-time sick leave due to musculoskeletal disorders

A randomized controlled trial
Objective : Previously we reported that early part-time sick leave enhances return to work (RTW) among employees with musculoskeletal disorders (MSD). This paper assesses the health-related effects of this intervention.
Methods : Patients aged 18–60 years who were unable to perform their regular work due to MSD were randomized to part- or full-time sick leave groups. In the former, workload was reduced by halving working time. Using validated questionnaires, we assessed pain intensity and interference with work and sleep, region-specific disability due to MSD, self-rated general health, health-related quality of life (measured via EuroQol), productivity loss, depression, and sleep disturbance at baseline, 1, 3, 8, 12, and 52 weeks. We analyzed the repeated measures data (171–356 observations) with the generalized estimating equation approach.
Results : The intervention (part-time sick leave) and control (full-time sick leave) groups did not differ with regard to pain intensity, pain interference with work and sleep, region-specific disability, productivity loss, depression, or sleep disturbance. The intervention group reported better self-rated general health (adjusted P=0.07) and health-related quality of life (adjusted P=0.02) than the control group. In subgroup analyses, the intervention was more effective among the patients whose current problem began occurring <6 weeks before baseline and those with ≤30% productivity loss at baseline.
Conclusions : Our findings showed that part-time sick leave did not exacerbate pain-related symptoms and functional disability, but improved self-rated general health and health-related quality of life in the early stage of work disability due to MSD.

Source : Shiri R, Kausto J, Martimo K-P, Kaila-Kangas L, Takala E-P, Viikari-Juntura E. Scand J Work Environ Health. 2012.
http://dx.doi.org/10.5271/sjweh.3301

Long-Term Efficacy of an Ergonomics Program That Includes Patient-Handling Devices on Reducing Musculoskeletal Injuries to Nursing Personnel

Objective: The aim of this study was to evaluate long-term efficacy of an ergonomics program that included patient-handling devices in six long-term care facilities (LTC) and one chronic care hospital (CCH).
Background: Patient handling is recognized as a major source of musculoskeletal disorders (MSDs) among nursing personnel, and several studies have demonstrated effectiveness of patient-handling devices in reducing those MSDs. However, most studies have been conducted in a single facility, for a short period, and/or without a comprehensive ergonomics program.
Method: Patient-handling devices along with a comprehensive ergonomics program was implemented in six LTC facilities and one CCH. Pre- and post-intervention injury data were collected for 38.9 months (range = 29 to 54 months) and 51.2 months (range = 36 to 60 months), respectively.
Results: Postintervention patient-handling injuries decreased by 59.8% (rate ratio [RR] = 0.36, 95% confidence interval [CI] [0.28, 0.49], p < .001), lost workdays by 86.7% (RR = 0.16, 95% CI [0.13, 0.18], p < .001), modified-duty days by 78.8% (RR = 0.25, 95% CI [0.22, 0.28],p < .001), and workers' compensation costs by 90.6% (RR = 0.12, 95% CI [0.09, 0.15], p < .001). Perceived stresses to low back and shoulders among nursing staff were fairly low. A vast majority of patients found the devices comfortable and safe. Longer transfer times with the use of devices was not an issue.
Conclusion: Implementation of patient-handling devices along with a comprehensive program can be effective in reducing MSDs among nursing personnel. Strategies to expand usage of patient-handling devices in most health care settings should be explored.

Source : GARG, Arun, et Jay M. KAPELLUSCH. Human Factors, March 16, 2012.
http://dx.doi.org/10.1177/0018720812438614

Z1004-12 - Workplace ergonomics - A management and implementation standard

This is the first edition of CSA Z1004, Workplace ergonomics - A management and implementation Standard. This Standard sets out requirements and provides guidance for the systematic application of ergonomics to the development, design, use, management, and improvement of work systems through the implementation of an Ergonomics Process. The objective of this Standard is to enable an organization to enhance worker health, safety, and well-being and optimize system performance to prevent occupational injuries, illnesses, and fatalities and/or reduce the severity of harm related to occupational activities and work environments.

Source : http://shop.csa.ca/fr/canada/general-workplace-ergonomics/z1004-12/invt/27032732012/?utm_source=ohs-news-apr12&utm_medium=newsletter&utm_term=z1004-12&utm_content=html-txt-link&utm_campaign=health&utm_language=fr

Work-related injury and ill-health among mountain instructors in the UK

In most industrialised countries, work-related injury and ill-health presents a major burden to society. Musculoskeletal disorders and stress are the most common reported illness types with those working in some industries more at risk than others. This study aimed to understand the occupational health issues of those working as mountain instructors in the outdoor sector within the UK and to identify the cultural norms and behaviours among this unique occupational group which influence health. Semi-structured, telephone interviews were conducted with 20 qualified mountaineers to gain information on work-related injury and ill-health. The majority of interviewees reported a current work-related musculoskeletal problem. Key factors were identified which prevented effective rehabilitation, including; a 'macho' attitude among young instructors, self-imposed extended working hours/days and mismanagement of injuries. Self-employed instructors reported that sick leave after a minor injury or illness was not financially viable. Work-related issues leading to stress were also reported.

Source : McDermott H, Munir F. Safety Sci. 2012; 50(4): 1104-1111.
http://dx.doi.org/10.1016/j.ssci.2011.11.014

Une nouvelle norme pour améliorer les conditions de travail des caissiers et caissières

Afin d'améliorer les conditions de travail des caissiers et caissières, de réduire les risques, une nouvelle norme AFNOR est désormais disponible pour améliorer l'ergonomie des postes de travail.
Tendinites, douleurs dorsales et cervicales, troubles musculo-squelettiques (TMS), stress… sont quelques-unes des nombreuses pathologies qui frappent les caissiers et caissières. Il devenait urgent de s'intéresser au problème.
Ainsi, la nouvelle norme AFNOR NF X35-701 s'applique à l'ergonomie des postes de travail des caissiers et caissières pour lesquels elle définit depuis le 29 mars, les exigences relatives :
•à la conception,
•aux matériels,
•aux espaces de travail.

Source : http://www.preventica.com/actu-enbref-condition-travail-caissiers-caissieres-3020412.php

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