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Exosquelettes au travail : impact sur la santé et la sécurité des opérateurs état des connaissances
Ce guide, destiné aux préventeurs, fait un point sur les connaissances actuelles des exosquelettes afin de mettre en évidence les intérêts et les limites de leur usage en matière de prévention des troubles musculosquelettiques (TMS). L'objectif est d'aider à mieux appréhender l'impact des exosquelettes pour accompagner efficacement l'entreprise dans sa démarche d'acquisition et d'intégration d'un exosquelette. Source: http://www.inrs.fr/media.html?refINRS=ED%206311
Ergonomic interventions for preventing work-related musculoskeletal disorders of the upper limb and neck among office workers
Work-related upper limb and neck musculoskeletal disorders (MSDs) are one of the most common occupational disorders worldwide. Studies have shown that the percentage of office workers that suffer from MSDs ranges from 20 to 60 per cent. The direct and indirect costs of work-related upper limb MSDs have been reported to be high in Europe, Australia, and the United States. Although ergonomic interventions are likely to reduce the risk of office workers developing work-related upper limb and neck MSDs, the evidence is unclear. This is an update of a Cochrane Review which was last published in 2012...
Pour quelles raisons la formation aux techniques sécuritaires de manutention ne fonctionne-t-elle pas?
Revue critique de la littérature La formation en manutention fait l'objet de nombreuses demandes de la part des milieux de travail. Or, malgré leur abondante diffusion, ces formations voient leur efficacité remise en cause par cinq méta-analyses publiées entre 2007 et 2014. La consultation de ces revues de la littérature ne permet pas de comprendre les raisons pour lesquelles il en est ainsi puisque les formations recensées – et dont on tente d'évaluer l'efficacité – n'y sont pas décrites, ou alors...
Pratique d’exercices physiques au travail et prévention des TMS
Revue de la littérature Les troubles musculosquelettiques (TMS) sont à l'origine d'une sinistralité très élevée et les entreprises se sentent parfois démunies face à ce problème. La tentation est grande aujourd'hui d'orienter les efforts de prévention vers une approche individuelle. Les entreprises sont très fréquemment sollicitées par des intervenants extérieurs qui leur proposent d'instaurer des programmes d'échauffements, d'étirements, d'exercices de...
Interventions to prevent and reduce the impact of musculoskeletal injuries among nurses
A systematic review Background: Musculoskeletal injuries and musculoskeletal pain are prevalent among nurses compared to many other occupational groups. Objective: To identify interventions that may be effective at reducing the prevalence and impact of musculoskeletal injuries and pain in registered nurses. Results: Twenty studies met criteria for inclusion in the review. Types of interventions reported included: patient lift systems (N?=?8), patient handling training (N?=?3), multi-component interventions (N?=?7), cognitive behavioural therapy (N?=?1), and unstable shoes (N?=?1). Only two studies...
Sit-stand workstations and impact on low back discomfort
A systematic review and meta-analysis Background: Sit-stand workstations are proposed solutions to reduce sedentary time at work. Numerous companies are using them to mitigate health concerns such as musculoskeletal discomfort. Objective: To review the literature on sit-stand workstations and low back discomfort. Method: We conducted a meta-analysis on literature published before 17 November 2016 that addressed the relationship between sit-stand workstations and musculoskeletal discomfort, focusing on the low back. Results: Twelve articles were identified and eight that presented results in means...
The efficacy of interventions for low back pain in nurses
A systematic review OBJECTIVES: To investigate the efficacy of interventions for the prevention and treatment of low back pain in nurses. DESIGN: Systematic review. DATA SOURCES: The review was registered on the PROSPERO database (CRD42015026941) and followed the PRISMA statement guidelines. A two phase approach was used. In phase one, all randomised controlled trials included in the systematic review of Dawson et al. (2007) which reviewed interventions for low back pain in nurses until 2004 were selected. In phase two, relevant randomised controlled trials and cluster randomised controlled trials...
Economic evaluations of ergonomic interventions preventing work-related musculoskeletal disorders
A systematic review of organizational-level interventions Background: Work-related musculoskeletal disorders (WMSD) represent a major public health problem and economic burden to employers, workers and health insurance systems. This systematic review had two objectives: (1) to analyze the cost-benefit results of organizational-level ergonomic workplace-based interventions aimed at preventing WMSD, (2) to explore factors related to the implementation process of these interventions (obstacles and facilitating factors) in order to identify whether economic results may be due to a successful or unsuccessful...
Are work organization interventions effective in preventing or reducing work-related musculoskeletal disorders?
A systematic review of the literature Objectives: We sought to determine whether interventions that target work organization or the psychosocial work environment are effective in preventing or reducing work-related musculoskeletal disorders (WMSD) compared to usual work. Methods: We systematically reviewed the 2000–2015 English and French language scientific literature, including studies evaluating the effectiveness of an organizational or psychosocial work intervention on incidence, prevalence or intensity of work-related musculoskeletal pain or disorders in the neck, shoulders, upper limbs...
Exercise for the Prevention of Low Back Pain
Systematic Review and Meta-Analysis of Controlled Trials The aim of this systematic review and meta-analysis was to assess the effect of exercise in population-based interventions to prevent low back pain (LBP) and associated disability. Comprehensive literature searches were conducted in multiple databases including PubMed, Embase, and Cochrane Library from their inception through June 2017. Thirteen randomized controlled trials and three non-randomized controlled trials qualified for meta-analyses. Exercise alone reduced the risk of LBP by 33% (risk ratio = 0.67, 95% CI: 0.53, 0.85, I2 = 23%...
Human Body Mechanics of Pushing and Pulling: Analyzing the Factors of Task-related Strain on the Musculoskeletal System
The purpose of this review is to name and describe the important factors of musculoskeletal strain originating from pushing and pulling tasks such as cart handling that are commonly found in industrial contexts. A literature database search was performed using the research platform Web of Science. For a study to be included in this review differences in measured or calculated strain had to be investigated with regard to: (1) cart weight/ load; (2) handle position and design; (3) exerted forces; (4) handling task (push and pull); or (5) task experience. Thirteen studies met the inclusion criteria...
Qualitative ergonomics/human factors research in health care
Current state and future directions The objective of this systematic review was to understand the current state of Ergonomics/Human Factors (E/HF) qualitative research in health care and to draw implications for future efforts. This systematic review identified 98 qualitative research papers published between January 2005 and August 2015 in the seven journals endorsed by the International Ergonomics Association with an impact factor over 1.0. The majority of the studies were conducted in hospitals and outpatient clinics, were focused on the work of formal health care professionals, and were classified...
Allied Health Professionals and Work-Related Musculoskeletal Disorders
A Systematic Review Work-related musculoskeletal injuries and disorders (WMSD) are a significant issue in the health care sector. Allied Health professionals (AHP) in this sector are exposed to physical and psychosocial factors associated with increased risk of developing a WMSD. Clarification of relevant hazard and risk factors for AHP is needed to improve understanding and inform WMSD risk management. A systematic analysis of the literature was undertaken to determine prevalence and risk factors for WMSD in AHP. Databases of Ovid MEDLINE, CINAHL (EBSCO), EMBASE and the Cochrane Database of Systematic...
Effectiveness of multifaceted implementation strategies for the implementation of back and neck pain guidelines in health care
A systematic review For the optimal use of clinical guidelines in daily practice, mere distribution of guidelines and materials is not enough, and active implementation is needed. This review investigated the effectiveness of multifaceted implementation strategies compared to minimal, single, or no implementation strategy for the implementation of non-specific low back and/or neck pain guidelines in health care. Source: Suman, A., Dikkers, M. F., Schaafsma, F. G., van Tulder, M. W., & Anema, J. R. (2016). Implementation Science, 11 (1), 126. https://dx.doi.org/10.1186%2Fs13012-016-0482-7
Safety risks associated with physical interactions between patients and caregivers during treatment and care delivery in Home Care settings
A systematic review Objectives: To explore the safety risks associated with physical interactions between patients and caregivers during treatment and care delivery in Home Care settings. Design: Seven-stage framework from the PRISMA statement for research question, eligibility (definition), search, identification of relevant papers from title and abstract, selection and retrieval of papers, appraisal and synthesis. Review methods: The included references (n = 42) were critically appraised using a modified version of Downs and Black checklist and the Mixed Methods Appraisal Tool. Results: The risk...
Sedentary Work
Summary of the Literature Review Evidence on an Emergent Work Health and Safety Issue Overall exposure to sedentary behaviour (especially prolonged, unbroken sitting time) is associated with a range of poor health outcomes, including musculoskeletal problems, cardiovascular disease, diabetes, obesity, some cancers and premature mortality. The majority of these associations remain even after allowing for the impact of physical inactivity, thereby highlighting that sedentary behaviour and physical inactivity need to be considered as separate health hazards. While most of the evidence to date relates...
Motor control exercise for chronic non-specific low-back pain
Non-specific low back pain (LBP) is a common condition. It is reported to be a major health and socioeconomic problem associated with work absenteeism, disability and high costs for patients and society. Exercise is a modestly effective treatment for chronic LBP. However, current evidence suggests that no single form of exercise is superior to another. Among the most commonly used exercise interventions is motor control exercise (MCE). MCE intervention focuses on the activation of the deep trunk muscles and targets the restoration of control and co-ordination of these muscles, progressing to more...
Ergonomic design and training for preventing work-related musculoskeletal disorders of the upper limb and neck in adults
Work-related musculoskeletal disorders of the upper limb and neck are one of the most common occupational disorders around the world. It is likely that addressing ergonomic factors, such as the design of workplace equipment or the environment, or both, as well as training workers in ergonomic principles may reduce the risk of workers developing these musculoskeletal disorders. This Cochrane review presents what we know from research about the effect of workplace ergonomic interventions for preventing work-related musculoskeletal disorders of the upper limb and neck. We included 13 studies involving...
Individual participant data meta-analysis of mechanical workplace risk factors and low back pain
Objectives. We used individual participant data from multiple studies to conduct a comprehensive meta-analysis of mechanical exposures in the workplace and low back pain. Methods. We conducted a systematic literature search and contacted an author of each study to request their individual participant data. Because outcome definitions and exposure measures were not uniform across studies, we conducted 2 substudies: (1) to identify sets of outcome definitions that could be combined in a meta-analysis and (2) to develop methods to translate mechanical exposure onto a common metric. We used generalized...
A systematic review and meta-analysis of efficacy, cost-effectiveness, and safety of selected complementary and alternative medicine for neck and low-back pain
Background. Back pain is a common problem and a major cause of disability and health care utilization. Purpose. To evaluate the efficacy, harms, and costs of the most common CAM treatments (acupuncture, massage, spinal manipulation, and mobilization) for neck/low-back pain. Data Sources. Records without language restriction from various databases up to February 2010. Data Extraction. The efficacy outcomes of interest were pain intensity and disability. Data Synthesis. Reports of 147 randomized trials and 5 nonrandomized studies were included. CAM treatments were more effective in reducing pain...
Exercises to reduce musculoskeletal discomfort for people doing a range of static and repetitive work
Previous research has recognised exercise as an intervention that may be effective in reducing the occurrence of musculoskeletal disorders (MSDs) amongst the workforce. The aims of this work are to undertake a brief review of literature to identify suggested exercises and any evidence of their benefit with the intention to compile a set of exercises that may be appropriate for inclusion in a leaflet or other publication. Exercices to reduce musculoskeletal discomfort for people doing a range of static and repetitive work. Christine Leah, Health and Safety Laboratory. HSE, 2011. 26 p. (RR743 Research...
L’intervention ergonomique participative pour prévenir les TMS
Ce qu'en dit la littérature francophone Une recension d'écrits sur la littérature francophone portant sur les interventions participatives visant la prévention des TMS a été réalisée. Cette étude est originale dans la mesure où elle déborde le cadre des recherches bibliographiques classiques et couvre en partie la littérature grise que l'on ne trouve pas dans les bases de données habituelles. Une recherche bibliographique sur les documents francophones des bases de données suivantes a été...

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