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Évaluation des processus : comprendre comment le contexte des entreprises influence le déroulement des premières étapes d’interventions ergonomiques
Bien qu'il soit généralement convenu que les ergonomes adaptent leur intervention au contexte de chaque entreprise, la façon précise dont ils y parviennent et sur quels critères cette adaptation se base sont peu renseignés au plan scientifique. Une évaluation des processus a été réalisée en adoptant un devis d'étude de cas multiple, en vue d'identifier les indicateurs de contexte ayant influencé quatre interventions du courant de l'ergonomie de l'activité, réalisées...
What do Workers do to Reduce Their Sitting Time?
The Relationships of Strategy use and Workplace Support with Desk-Based Workers' Behaviour Changes in a Workplace-Delivered Sitting-Reduction and Activity-Promoting Intervention Objective: To explore workers' sitting-reduction and activity-promoting strategy use following an intervention targeting these changes, and whether strategy use and perceived workplace support impacted on three-month sitting and activity outcomes. Methods: This secondary analysis in desk-based workers (n = 83) utilised data collected on questionnaire-derived strategy use and workplace support, and activPAL3TM-derived...
The impact of workplace ergonomics and neck-specific exercise versus ergonomics and health promotion interventions on office worker productivity
A cluster-randomized trial A 12-week workplace combined ergonomics and neck-specific exercise intervention improves sickness presenteeism and monetized health-related productivity loss among a general population of office workers and longer-term sickness absenteeism for those with neck pain, when compared to ergonomics and health promotion education combined. This study provides employers of office workers sought-after evidence of health-related productivity benefit from such workplace interventions. Source: Pereira, M., Comans, T., Sjøgaard, G., Straker, L., Melloh, M., O'Leary, S....
Economic evaluation of a randomized controlled trial of an intervention to reduce office workers’ sitting time: the "Stand Up Victoria" trial
Multicomponent intervention involving a sit-and-stand desk can reduce sitting time and increase the standing and stepping time during the working hours for office-based workers, and it is likely to promote the cardiovascular fitness. It is cost-effective in the long-term from a societal perspective. This study provides important evidence for policy-makers and workplaces regarding allocation of resources to reduce workplace sitting. Source: Gao, L., Flego, A., Dunstan, D. W., Winkler, E. A., Healy, G. N., Eakin, E. G., ... et Wiesner, G. H. (2018). Scandinavian journal of work, environment &...
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...
Évaluer les interventions de prévention des RPS - TMS
Ce guide pratique accompagne étape par étape les intervenants dans leur démarche d'évaluation. Il propose des apports méthodologiques sur l'évaluation, des exemples illustratifs et une grille regroupant les conséquences potentielles des démarches de prévention des risques psychosociaux (RPS) et trouble musculosquelettiques (TMS). Il est accompagné du " Document d'évaluation de mon intervention " que l'intervenant pourra renseigner au fur et à mesure de sa démarche. La démarche...
Processes, barriers and facilitators to implementation of a participatory ergonomics program among eldercare workers
This study aimed to investigate the processes of a participatory ergonomics program among 594 eldercare workers with emphasis on identified risk factors for low back pain and solutions, and reveal barriers and facilitators for implementation. Sixty-nine per cent of the identified risk factors were physical ergonomic, 24% were organisational and 7% were psychosocial risk factors. Most solutions were organisational (55%), followed by physical (43%) and psychosocial solutions (2%). Internal factors (e.g. team or management) constituted 47% of the barriers and 75% of the facilitators. External factors...
Are work disability prevention interventions effective for the management of neck pain or upper extremity disorders?
A systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration Purpose We conducted a systematic review to critically appraise and synthesize literature on the effectiveness of work disability prevention (WDP) interventions in workers with neck pain, whiplash-associated disorders (WAD), or upper extremity disorders. Methods We searched electronic databases from 1990 to 2012. Random pairs of independent reviewers critically appraised eligible studies using the Scottish Intercollegiate Guidelines Network criteria. Scientifically admissible studies were summarized...
Conservative interventions for treating work-related complaints of the arm, neck or shoulder in adults
Work-related upper limb disorder (WRULD), repetitive strain injury (RSI), occupational overuse syndrome (OOS) and work-related complaints of the arm, neck or shoulder (CANS) are the most frequently used umbrella terms for disorders that develop as a result of repetitive movements, awkward postures and impact of external forces such as those associated with operating vibrating tools. Work-related CANS, which is the term we use in this review, severely hampers the working population. Source : http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD008742.pub2/abstract
The Healthy LifeWorks Project: The Effect of a Comprehensive Workplace Wellness Program on the Prevalence and Severity of Musculoskeletal Disorders in a Canadian Government Department
Objective : The purpose of this study was to determine the effect of a comprehensive workplace wellness program on the prevalence and severity of musculoskeletal disorders in a Canadian government department. Methods : The Healthy LifeWorks program was developed, implemented, and evaluated over a 4-year period. A total of 233 employees completed the Nordic Musculoskeletal Questionnaire before and after the program to determine the prevalence and severity of musculoskeletal disorders. Results : There was an approximately 10% decrease in the 12-month prevalence of musculoskeletal disorders, ranging...
Interventions pour la prévention des TMS - Mesure de l’exposition aux facteurs de risque et aspects économiques
Les troubles musculo-squelettiques (TMS) au dos et aux membres supérieurs constituent un problème majeur ayant des retombées au point de vue humain, social et économique. Ainsi, au cours des dernières années, plusieurs méthodes d'évaluation de l'exposition aux facteurs de risque (MÉEFR) de TMS ont été proposées par la communauté scientifique afin de soutenir les efforts de prévention. Toutefois, relativement peu d'information existe sur l'utilisation pratique de ces différentes...
The impact of a multifaceted ergonomic intervention program on promoting occupational health in community nurses
Introduction Community nurses are exposed to high physical demands at work resulting in musculoskeletal disorders. The present study examined the short- and long-term benefits of a multifaceted intervention program designed especially for community nurses in Hong Kong. Methods Fifty community nurses working in 4 local hospitals participated in the study. All of them underwent an 8-week intervention program consisting of ergonomic training, daily exercise program, equipment modification, computer workstation assessment and typing training. Results All participants showed significant improvement...
Absenteeism Screening Questionnaire (ASQ): A New Tool for Predicting Long-term Absenteeism Among Workers with Low Back Pain
Introduction : Over the last decades, psychosocial factors were identified by many studies as significant predictive variables in the development of disability related to common low back disorders, which thus contributed to the development of biopsychosocial prevention interventions. Biopsychosocial interventions were supposed to be more effective than usual interventions in improving different outcomes. Unfortunately, most of these interventions show inconclusive results. The use of screening questionnaires was proposed as a solution to improve their efficacy. The aim of this study was to validate...
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...
Actes du 3e congrès francophone sur les troubles musculosquelettiques
Le congrès 2011 est structuré autour de deux thèmes principaux, traversés par des préoccupations telles que l’évaluation des interventions et la spécificité des secteurs et des populations : quelle place accorder aux risques psychosociaux et aux outils pour prévenir les troubles musculosquelettiques (TMS) ? Les liens entre TMS et risques psychosociaux La médiatisation du thème des risques psychosociaux conduit à explorer leurs interactions avec la prévention des TMS. Quelles questions sur l’organisation...
The Ergonomic Program Implementation Continuum (EPIC): Integration of health and safety
A process evaluation in the healthcare sector INTRODUCTION: This article presents a health and safety intervention model and the use of process evaluation to assess a participatory ergonomic intervention. METHOD: The effectiveness of the Ergonomic Program Implementation Continuum (EPIC) was assessed at six healthcare pilot sites in Ontario, Canada. The model provided a framework to demonstrate evaluation findings. RESULTS: Participants reported that EPIC was thorough and identified improvements related to its use. Participants believed the program contributed to advancing an organizational culture...
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...
La formation visant la prise en charge globale des troubles musculo-squelettiques par l’entreprise : une étude exploratoire
Les approches traditionnelles de prévention des troubles musculo-squelettiques (TMS) au travail sont souvent classées en trois niveaux d’action : 1) la prévention primaire; 2) la prévention secondaire et 3) la prévention tertiaire. La prévention primaire vise généralement l’élimination ou le contrôle des risques à la source, agissant ainsi sur les causes plutôt que sur les conséquences des TMS (ex. : modification de l’aménagement pour éliminer une posture contraignante). La prévention...
A Systematic Review of the Effectiveness of Training & Education for the Protection of Workers
Occupational health and safety (OHS) training is an important part of managing workplace hazards and risks. Such training may involve instruction on identifying occupational risks and how to control them, learning about safe workplace practices and how to properly use personal protective equipment. Businesses want to know whether training can meet the goals of decreasing workplace injuries and illness, and whether the cost of training programs can be justified. This systematic review was conducted to determine whether OHS training and education programs have a beneficial effect on workers and firms...
La revue PISTES consacre son dernier numéro aux TMS
Dans la foulée d'une première conférence organisée à Nancy en 2005, se tenait à Montréal, en juin 2008, la 2 e conférence du Groupe de recherche francophone sur les troubles musculo-squelettiques (TMS). Organisée par l'IRSST et parrainée par la Société d'ergonomie de langue française (SELF) et l'Association canadienne d'ergonomie (ACE), cette conférence, De la recherche à l'action, réunissait plus de 250 participants : chercheurs, praticiens et acteurs des milieux...
Manufacturer saves money with participatory ergonomic program
Participatory ergonomic (PE) programs appear to be effective in reducing workers' exposures to risks for musculoskeletal disorders (MSDs), or soft-tissue injuries. Yet little is known about the impact that PE programs have on resources such as staff time. This study was designed to address this gap. PE generally involves a management/worker team who look for ways to reduce health risks through the redesign of processes, tools and equipment. http://www.iwh.on.ca/highlights/manufacturer-saves-money-with-participatory-ergonomic-program
Manual handling risks associated with the care, treatment and transportation of bariatric patients and clients in Australia
The project to address the following research questions: > What are the OHS risks associated with manual handling of bariatric patients to which workers such as nurses, ambulance officers, fire fighters, and those in the funeral industry in Australia are exposed? > What measures (e.g. plans, policies, processes and equipment, supported by adequate training) have been introduced in Australia to reduce or eliminate the risks? > How effective are the above measures? > Where might further intervention be required to control the risk in Australian workplaces? The exploratory research project...

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