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Serafim RS, Bispo LGM, da Silva JMN, da Silva JG. Dimensional assessment of self-reported musculoskeletal symptoms by workers: A multi-case study. Work 2024:WOR230480. [PMID: 38517834 DOI: 10.3233/wor-230480] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/24/2024] Open
Abstract
BACKGROUND Work-related musculoskeletal disorders (WMSD) encompass a range of conditions affecting muscles, tendons, and nerves. Visual diagrams are widely used to identify symptoms and to generate musculoskeletal discomfort metrics. However, there is no consensus on the number of discomfort dimensions that can originate from self-reported musculoskeletal symptoms by individuals. OBJECTIVE This study aimed to test the fit of WMSD symptom models from workers in two samples of different sizes. METHODS A combination of Full-Information Item Factor Analysis (FIFA) and Item Response Theory (IRT) was utilized to analyze and test the models. The study was conducted in two samples of workers (n1 = 6944 and n2 = 420) who had their symptoms identified with the aid of a human body diagram. An analysis was conducted considering each sample's unidimensional and three multidimensional models. RESULTS The unidimensional model (general musculoskeletal discomfort), bi-dimensional model (discomfort in upper and lower body), and tridimensional model (discomfort in the upper limbs, lower limbs, and trunk) showed good values of factor loading and communalities, along with satisfactory item discrimination ability. Regardless of sample size, parameter estimation for IRT and FIFA proceeded without issues, presenting suitable fit parameters. CONCLUSION Three models were valid and reliable for more extensive and smaller samples. However, the tridimensional model was best for generating discomfort scores in body regions. Companies and safety professionals can use these findings to devise strategies to mitigate musculoskeletal pains based on perceived symptom locations.
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Affiliation(s)
- Rômulo Silva Serafim
- Federal University of Alagoas - Campus do Sertão - Delmiro Gouveia, Alagoas, Brazil
| | - Lucas Gomes Miranda Bispo
- Postgraduate Program in Production Engineering, Federal University of Rio Grande do Sul, Rio Grande do Sul, Brazil
| | | | - Joel Gomes da Silva
- Federal University of Alagoas - Campus do Sertão - Delmiro Gouveia, Alagoas, Brazil
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Lucas REC, da Silva LB, de Souza EL, Leite WKDS, da Silva JMN. Influence of environmental variables on students' cognitive performance in indoor higher education environments. Work 2024:WOR220055. [PMID: 38427517 DOI: 10.3233/wor-220055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/03/2024] Open
Abstract
BACKGROUND Educational environments can have environmental conditions that are incompatible with the needs of students, compromising their well-being and affecting their performance. OBJECTIVE To identify the environmental variables that influence the performance of university students and measure this influence through an experiment in indoor environments. METHODS The study applied an experimental methodology for three consecutive days in seven educational environments located in different regions of Brazil, measuring the environ-mental conditions, the students' perception of the environment, and their cognitive performance. The impact of environmental variables and environmental perception on student performance was analyzed using Generalized Linear Models and a Structural Equation Model. RESULTS Students who took the test at air temperatures between 22.4°C and 24.7°C had a 74.20% chance of performing better than those outside this range. Air temperatures between 26.2°C and 29°C were associated with an 86% chance of taking less time to complete the test. High illuminance levels increased the chance of taking longer to answer the test by 41.7%. CONCLUSIONS Three environmental variables (relative humidity, lighting and air temperature) and two perceptual dimensions (light and thermal perception) directly influence student performance.
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Affiliation(s)
| | - Luiz Bueno da Silva
- Department of Production Engineering, Federal University of Paraíba, João Pessoa, Brazil
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da Silva JG, da Silva JMN, Bispo LGM, de Souza DSF, Serafim RS, Torres MGL, Leite WKDS, Vieira EMDA. Construction of a Musculoskeletal Discomfort Scale for the Lower Limbs of Workers: An Analysis Using the Multigroup Item Response Theory. Int J Environ Res Public Health 2023; 20:5307. [PMID: 37047921 PMCID: PMC10094112 DOI: 10.3390/ijerph20075307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/13/2023] [Revised: 03/04/2023] [Accepted: 03/14/2023] [Indexed: 06/19/2023]
Abstract
Musculoskeletal symptoms are a major occupational health problem in workers, and these can affect all professional occupations. Previous studies have proposed metrics capable of evaluating the musculoskeletal discomfort experienced by workers. However, no study has developed a metric that considers professional groups. Thus, this study aimed to develop a scale for musculoskeletal discomfort in the lower limbs to compare self-reported symptoms among education, health, and industry professionals. The sample included 159 teachers, 167 health professionals, and 401 industrial operators who relayed their symptoms using a diagram of the hips, thighs, knees, lower legs, and feet. Factor and multigroup item response theory analyses were used to construct a musculoskeletal discomfort scale consisting of seven levels and to assess and compare the identified symptoms. The results showed that the progressive evolution of discomfort differed for each profession, demonstrating that each context and work environment affects workers differently, which may explain the different patterns of symptom responses among professional groups.
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Affiliation(s)
- Joel Gomes da Silva
- Production Engineering Course, Backland Campus, Federal University of Alagoas, Delmiro Gouveia 57480-000, AL, Brazil
| | - Jonhatan Magno Norte da Silva
- Production Engineering Course, Backland Campus, Federal University of Alagoas, Delmiro Gouveia 57480-000, AL, Brazil
| | - Lucas Gomes Miranda Bispo
- Department of Production and Transport Engineering, Federal University of Rio Grande do Sul, Porto Alegre 90010-190, RS, Brazil
| | | | - Rômulo Silva Serafim
- Production Engineering Course, Backland Campus, Federal University of Alagoas, Delmiro Gouveia 57480-000, AL, Brazil
| | - Manoel Gerônimo Lino Torres
- Production Engineering Course, Backland Campus, Federal University of Alagoas, Delmiro Gouveia 57480-000, AL, Brazil
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Barbosa ADS, Bueno da Silva L, Morioka SN, da Silva JMN, de Souza VF. Integrated management systems and organizational performance: a multidimensional perspective. Total Quality Management & Business Excellence 2023. [DOI: 10.1080/14783363.2023.2181153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/08/2023]
Affiliation(s)
- Anrafel de Souza Barbosa
- Departamento de Pós-graduação em Engenharia de Produção e Sistemas, Universidade Federal da Paraíba, João Pessoa, Brazil
| | - Luiz Bueno da Silva
- Departamento de Pós-graduação em Engenharia de Produção e Sistemas, Universidade Federal da Paraíba, João Pessoa, Brazil
| | - Sandra Naomi Morioka
- Departamento de Pós-graduação em Engenharia de Produção e Sistemas, Universidade Federal da Paraíba, João Pessoa, Brazil
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de Araújo Vieira EM, da Silva JMN, Leite WKDS, Lucas REC, da Silva LB. Team Workload and Performance of Healthcare Workers with Musculoskeletal Symptoms. Int J Environ Res Public Health 2022; 20:742. [PMID: 36613063 PMCID: PMC9819703 DOI: 10.3390/ijerph20010742] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/22/2022] [Revised: 12/26/2022] [Accepted: 12/27/2022] [Indexed: 06/17/2023]
Abstract
In healthcare professionals, musculoskeletal complaints are the most frequent health disorders with the greatest potential for productivity losses. The teamwork developed by these professionals can be a coping strategy, but it can also be one more demand for the maintenance of performance. For this reason, this research aimed to investigate the relationship between team workload and performance in healthcare workers with different intensities of musculoskeletal symptoms. A survey was conducted with health professionals from 24 institutions of the Brazilian public health system, recruited by stratified probability sampling. Through non-hierarchical cluster analysis, the sample was allocated into three groups based on the intensity of musculoskeletal symptoms. We analyzed the approximation between the variables of "team workload" and "performance" of the groups formed in the previous phase through multiple correspondence analysis. In the group with higher musculoskeletal symptom scores, there was lower performance and a worse team workload. As the intensity of symptoms decreased, team workload and performance became closer variables in a two-dimensional space, indicating that the relationship between team workload and performance is improved in situations of low musculoskeletal symptom intensity.
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Affiliation(s)
| | | | | | | | - Luiz Bueno da Silva
- Production Engineering Department, Universidade Federal da Paraíba, João Pessoa 58051-900, Brazil
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Silva OFD, da Silva JMN, Silva LKD, Lima TDFM, Bornia AC, Souza LAHD, Leite WKDS, Vieira EMDA. Do men and women have different musculoskeletal symptoms at the same musculoskeletal discomfort level? Ergonomics 2022; 65:1486-1508. [PMID: 35695086 DOI: 10.1080/00140139.2022.2088854] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/16/2021] [Accepted: 06/06/2022] [Indexed: 06/15/2023]
Abstract
Owing to biological and social factors, illness-related musculoskeletal symptoms tend to vary between men and women. However, in the past, conceptualised discomfort metrics were applied uniformly to both genders. This study aimed to develop a scale to measure musculoskeletal discomfort that compares the symptoms between men and women. The scale aimed to determine the gender-based response patterns related to symptoms. A total of 707 men and 1302 women reported their symptoms on a body map. Factor analysis and item response theory were used to differentiate the identified symptoms in the construction of a musculoskeletal discomfort scale. Differences in work exposure appeared to explain the symptom patterns between men and women. The scale had eight levels, and it was found that at the same level of discomfort, men and women reported symptoms in different body regions.Practitioner summary: On this discomfort scale, the response patterns of men and women were categorised into eight levels. Symptoms differed by gender at the same musculoskeletal discomfort level. This is in contrast to previous studies in which scales were devised without considering differences between the genders.Abbreviations: WMSDs: work-related musculoskeletal disorders; BMI: body mass index; FA: factor analysis; IRT: item response theory; KMO: Kaiser-Meyer-Olkin; BST: Bartlett's test of sphericity; F: factor loading; h2: communality; α: Cronbach's alpha; ωt: McDonald's omega; ai: parameters of discrimination of the items; bik: parameters of difficulty of response categories; θj: latent trait; RMSEA: root mean square error of approximation; CFI: comparative fit index; TLI: Tucker-Lewis index; odu: musculoskeletal discomfort units; RA: rarely; OF: often; AL: always.
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Affiliation(s)
| | | | | | | | - Antonio Cezar Bornia
- Federal University of Santa Catarina, St. Engenheiro Agronômico Andrei Cristian Ferreira, Santa Catarina, Brazil
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Lima da Silva I, Machado de Souza ER, Karine Dias Silva L, Claudino da Silva AT, Norte da Silva JM. Effects of multiple risk factors on upper limb musculoskeletal disorders among workers in inner Brazil. Work 2022; 72:885-900. [DOI: 10.3233/wor-210752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND: The literature discussing musculoskeletal diseases of inner northeastern workers is scarce, although 67,559 cases were reported in Brazil between 2007 and 2016. OBJECTIVE: This study aimed to evaluate the effect of multiple risk factors that influence the symptoms of work-related musculoskeletal disorders (WMSDs) in wrists, elbows, and shoulders in workers from four different economic sectors. METHODS: A sample included 420 workers from the inner regions of the Brazilian states of Alagoas and Bahia. The Nordic Musculoskeletal Questionnaire was used to capture pain symptoms on both sides of the body (left and right). Sociodemographic variables, items from the biomechanical exposure and organizational conditional, in addition to other questionnaires (JCQ, COPSOQ II, ERI) were used to assess the characteristics and occupational risks of the respondents. Ordinal logistic regression model was using to identify the relationship between symptoms and factors. RESULTS: This study highlights the psychosocial, biomechanical, occupational, and sociodemographic variables contributed to development of WMSDs. Use of hand-vibrating tool increased the likelihood of symptoms manifesting on the body. On the other hand, high job control and high job insecurity reduced the likelihood of developing symptoms. On the other hand, high job control and job satisfaction reduced the likelihood of developing symptoms. Factors such as age, curved spine, high job insecurity and excessive commitment contributed to the development of WMSDs only on one side of the body. CONCLUSIONS: The development of WMSDs is multifactorial. Sociodemographic, occupational, biomechanical, and psychosocial factors may commonly contribute to WMSD manifesting only on one side of the body more than on both sides.
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Leite WKDS, Araújo AJDS, da Silva LB, de Souza EL, Silva JMND, Bolis I, Silva MPDOE, Neves RDF, Colaço GA. Sickness absence from work in the footwear industry: A longitudinal study. Work 2022; 72:431-451. [DOI: 10.3233/wor-205312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND: Studies on illness in the footwear industry have prioritized specific work sectors and diseases. OBJECTIVES: To analyze the main factors related to sickness absence and the indicators of illness in terms of recurrence and workdays lost among workers at a footwear company, ranging from storage of raw material to distribution of the final product. METHODS: A total of 9072 cases of absence from work were investigated in shoe production units from 2014 to 2017. Univariate models estimated the risk of bodily dysfunction (physiological and psychological) and the severity of recurrence and work days lost. RESULTS: (1) Most production units and work sectors were related to one or more affected bodily functions; (2) Neuromusculoskeletal and movement-related functions and the work sectors of prefabrication; cutting, assembly and finishing; and quality inspection of the final product required a longer recovery time before return to work and had a greater recurrence of leave; and (3) Women seemed to be more affected than men in terms of the reappearance of symptoms. CONCLUSIONS: Illness differs according to occupational sectors. The production sectors present more serious situations due to physical overload, intense rhythm and concentration, monotony and low autonomy.
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Affiliation(s)
| | | | - Luiz Bueno da Silva
- Department of Production Engineering, Federal University of Paraíba, João Pessoa, Paraíba, Brazil
| | - Erivaldo Lopes de Souza
- Department of Production Engineering, Federal University of Paraíba, João Pessoa, Paraíba, Brazil
| | | | - Ivan Bolis
- Postgraduate Program in Social Psychology, Federal University of Paraíba, João Pessoa, Paraíba, Brazil
| | | | - Robson da Fonseca Neves
- Postgraduate Program in Physical Therapy, Federal University of Paraíba, João Pessoa, Paraíba, Brazil
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Silva JMND, Dantas DAC, da Silva LB, Melo IESD, Correia LMADM. Assessment of the influence of psychosocial factors on musculoskeletal disorder symptom intensity. Work 2021; 71:187-200. [PMID: 34924412 DOI: 10.3233/wor-205113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Previous studies have observed that psychosocial factors are associated with an increase in work-related musculoskeletal disorders (WMSDs) in European countries. However, the influence of psychosocial factors on the WMSD symptoms has not been studied in detail. Additionally, working conditions differ between developing and developed countries. OBJECTIVE In this study, the influence of psychosocial factors on WMSD symptoms among men and women in the footwear industry in northeastern Brazil is investigated. METHODS A questionnaire survey was conducted to evaluate workers' perceptions of psychosocial factors and WMSD symptoms. The influence of psychosocial factors on WMSD symptom trends was observed through ordinal logistic regression models. RESULTS It was found that different psychosocial factors are related to WMSD symptom intensification. Factors such as "job insecurity" and "low social support," which are not associated with the worsening of WMSD symptoms in developed countries, showed a noticeable influence in the sample analyzed. CONCLUSION These findings may be associated with differences in working conditions and economic problems in developing countries, suggesting that some psychosocial factors have a different effect on workers' perceptions in developing countries.
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Affiliation(s)
| | | | - Luiz Bueno da Silva
- Federal University of Paraíba, ProductionEngineering Department, University City, João Pessoa, Paraíba, Brazil
| | - Igor Eduardo Santos de Melo
- Federal University ofPernambuco, Postgraduate Program in Production Engineering, University City, Refice, Pernambuco, Brazil
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Miranda Bispo LG, Norte da Silva JM, Bolis I, Karla Dos Santos Leite W, Marama de Araujo Vieira E, Colaço GA, Lopes de Souza E, Gontijo LA, Bueno da Silva L. Effects of a worksite physical activities program among men and women: An interventional study in a footwear industry. Appl Ergon 2020; 84:103005. [PMID: 31765918 DOI: 10.1016/j.apergo.2019.103005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/27/2019] [Revised: 11/14/2019] [Accepted: 11/15/2019] [Indexed: 06/10/2023]
Abstract
The study aims to assess the association between various levels of engagement in a worksite physical activities program and variables related to musculoskeletal symptoms, psychophysiological well-being, difficulty to perform tasks, willingness to work, and interpersonal relationships, among men and women in a footwear industry. This program involved 1113 workers. Data were analysed using an ordinal logistic regression model. In women, an increase in the frequency of participation in the worksite physical activities program was associated with less musculoskeletal pain (OR = 3.12; 2.07-4.71), better relationships among colleagues (OR = 2.83; 1.67-4.81), and a higher level of psychophysiological well-being (OR = 1.98; 1.06-3.70). In men, an increase in the frequency participation in the worksite physical activities program was associated with less difficulty in performing occupational tasks (OR = 0.49; 0.27-0.87). Thus, the association between occupational exercises and studied variables differed between genders.
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Affiliation(s)
- Lucas Gomes Miranda Bispo
- Department of Industrial Engineering, Federal University of Alagoas, Delmiro Gouveia, Alagoas, Brazil
| | | | - Ivan Bolis
- Department of Psychology, Federal University of Paraíba, João Pessoa, Paraíba, Brazil.
| | | | | | - Geraldo Alves Colaço
- Department of Industrial Engineering, Estácio de Sá School, Salvador, Bahia, Brazil
| | - Erivaldo Lopes de Souza
- Department of Industrial Engineering, Federal University of Paraíba, João Pessoa, Paraíba, Brazil
| | - Leila Amaral Gontijo
- Department of Industrial Engineering, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - Luiz Bueno da Silva
- Department of Industrial Engineering, Federal University of Paraíba, João Pessoa, Paraíba, Brazil
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Leite WKDS, Araújo AJDS, Norte da Silva JM, Gontijo LA, Vieira EMDA, Lopes de Souza E, Colaço GA, Bueno da Silva L. Risk factors for work-related musculoskeletal disorders among workers in the footwear industry: a cross-sectional study. International Journal of Occupational Safety and Ergonomics 2019; 27:393-409. [DOI: 10.1080/10803548.2019.1579966] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
| | | | | | - Leila Amaral Gontijo
- Department of Production Engineering, Federal University of Santa Catarina, Brazil
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