Injury by design: A thematic networks and system dynamics analysis of work-related musculoskeletal disorders in tram drivers

Application of the Person-Environment-Occupation-Performance Model: A Scoping Review

The Person-Environment-Occupation-Performance (PEOP) Model is one of several occupation-based models in occupational therapy. The model describes the transactional nature of person, environment, and occupation factors that support performance (doing), participation (engagement), and well-being (health and quality of life). The purpose of this study was to explore the extent and nature of evidence on the PEOP Model. We used a scoping review to identify and analyze journal articles that used the PEOP Model as a framework for study. The PRISMA extension for scoping reviews (PRISMA-ScR) criteria were used to develop the research methods. We found 109 articles that adopted the PEOP Model as an organizing framework. The studies reviewed represent the breadth of occupational therapy practice and the transactional nature of person, environment, occupation, and performance in the PEOP Model. The PEOP Model is a useful international framework for research and practice across populations, conditions, life circumstances, settings, and areas of practice.

Hierarchical clustering analysis of musculoskeletal stress factors and their risk level in cardboard manufacturing: research from PLIBEL

OBJECTIVE

A hierarchical cluster analysis for the cardboard manufacturing industry was developed with the aim of identifying similarities between workstations in terms of musculoskeletal stress factors (MSFs) and their impact on workers' bodies.

METHODS

The hierarchical clustering analysis was conducted using data from 44 workstations, which included 6 body part divisions and 51 stress factors as variables with 36 answer options. Firstly, the content of the dataset was defined. Secondly, the data were agglomerated and classified into 3 clusters using Ward's method based on the presence or absence of stress factors. Finally, the multivariable matrix was reduced to 2 factors: the x-axis representing the risk level of the workstation, and the y-axis representing the impact on the workers' health.

RESULTS

The study found that workers' knees were the most affected body parts, with 47 cases. The resulting work-related musculoskeletal disorders included tendinitis, arthralgia, chondromalacia, and gonarthrosis. The MSF with the most significant impact on the body's health was fatiguing work that involves repeated jumps, prolonged squatting, or kneeling, present in cluster 1 and cluster 3. Moreover, two of the most common MSFs associated with repeated work positions were identified: a mild forward flexion of the back (63 cases) in combination with one leg being used more often to support the body (56 cases).

CONCLUSIONS

It was possible to identify the main work-related musculoskeletal disorders and the associated stress factors for the cardboard manufacturing industry by using hierarchical cluster classification and analysis, enabling the classification of risk levels and the impact on body health for each workstation.

'Just Right' job design: A conceptual framework for sustainable work in rail driving using the Goldilocks Work Paradigm

Excessive physical demand at work has traditionally been connected with adverse health outcomes, but excessive sitting is now also being recognised as an occupational hazard and emerging work-related risk. Traditional preventive occupational health and ergonomics programs are useful but limited through reliance on individual behaviour change and time-diversion from productive work. A new 'Goldilocks Work Paradigm' aims to optimise health and productivity by using movements of productive tasks. Using rail driving as a specific case of a highly sedentary and inflexible working environment, we construct a conceptual framework for designing better jobs, arguing that a theoretical amalgamation of the new Goldilocks Work Paradigm with System Thinking, Participatory Ergonomics, and a Risk Management Framework, is needed, for establishing a unified, strategic approach-a 'just right' job design model. We extend this by outlining a practical process of designing better jobs with tools that can be used to achieve it.

Ergonomic Risk Assessment of Aluminum Form Workers’ Musculoskeletal Disorder at Construction Workstations Using Simulation

This study analyzes an existing scenario of musculoskeletal disorder (MSD) associated with the ergonomic hazard of the aluminum formwork workstation and its workers. Aluminum form-workers have increasing evidence of MSDs from repetitive tasks such as the adjustment, alignment of pins, pulling, pushing, and installation of panels, because of the cumulative exposure to ergonomic risks. Existing research indicates that this is due to insufficient expertise, form-worker awareness, and a complex construction plan. Using the Tecnomatix process simulate, this study aims to identify awkward postures during the process of lifting, assembling, and installing formwork to quantify MSDs and assess the ergonomic risk of aluminum form-workers and provide simple solutions. This simulation method makes use of input data from a random sample of 92 participants retrieved from four construction sites. The Rapid Upper Limb Assessment (RULA), Ovako Working Analysis System (OWAS) scores, and Energy Expenditure Rate (EER) for three identified awkward cases were determined to be unsatisfactory, unsafe, and acceptable with suggested alternatives. The ergonomic scores correspond to various bodily stresses, allowing workers to better understand which body parts experience major stress when performing manual jobs. The suggested integrated preventive ergonomics system reduces MSDs and improves how people interact with their surroundings.