Musculoskeletal disorders of fishermen in the artisanal and coastal sector.

IF 1.6 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH International Maritime Health Pub Date : 2024-01-01 DOI:10.5603/imh.98470
Omar Laraqui, Christine Roland-Lévy, Tarik Ghailan, Hicham El Bouri, Nadia Manar, Frédéric Deschamps, Chakib El Houssine Laraqui
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Abstract

Background: The aim of this study was to screen for musculoskeletal disorders (MSD) complaints, to analyse the activity and to identify their risk factors.

Materials and methods: This cross-sectional epidemiological study involved 903 men aged > 20 years and with a seniority > 2 years. It included a questionnaire and an ergonomic analysis of the activity. The questionnaire included: socio-demographic and occupational characteristics, health status and life habits, stress and items from the Nordic questionnaire. The observation of work situations required video recordings and the use of three methods: Occupational Safety and Health Administration (OSHA), Rapid Upper Limb Assessment (RULA) and the Gesture Tracking and Assessment Tool (Outil de Repérage et d'Évaluation des Gestes: OREGE).

Results: The prevalence of MSDs was 61.9%. It was significantly higher among deckhands than among other professionals (65.6% vs 27.4%; p < 0.001) and in seasonal workers than in permanent workers (67.8% vs 43.1%; p < 0.001). A positive correlation was noted between MSDs and daily work duration. Stress was an aggravating factor, whereas leisure activities were protective. The prevalence of MSDs was 40.5% (lower back), 40.4% (wrist/hand joints), 34.6% (neck) and 31.7% (shoulders). The ergonomic analysis of the workstation was performed on a deckhand who unloaded the fish crates out of the hold of a trawler. OSHA score = 12 (normal < 5); significant risk of upper limb MSD. RULA total score = 7 (acceptable between 1 and 2); immediate modification. OREGE scores evaluating effort, repetitiveness and joint positions indicate that the actions were not recommended or to be avoided.

Conclusions: The analysis made it possible to evaluate the difficulty of the job and to note a high risk of MSDs requiring ergonomic and organizational improvements.

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个体和沿海渔民的肌肉骨骼疾病。
背景:本研究的目的是筛查肌肉骨骼疾病(MSD)投诉,分析其活动情况,并确定其风险因素:这项横断面流行病学研究涉及 903 名年龄大于 20 岁、工龄大于 2 年的男性。研究内容包括问卷调查和活动的人体工程学分析。问卷内容包括:社会人口学和职业特征、健康状况和生活习惯、压力和北欧问卷中的项目。对工作情况的观察需要进行录像,并使用三种方法:职业安全与健康管理局(OSHA)、快速上肢评估(RULA)和手势跟踪与评估工具(Outil de Repérage et d'Évaluation des Gestes: OREGE):结果:MSD 的发病率为 61.9%。季节性工人的发病率明显高于长期工人(67.8% 对 43.1%;P < 0.001)。MSD与每日工作时间呈正相关。压力是一个加重因素,而休闲活动则是一个保护因素。MSD的发病率分别为40.5%(腰部)、40.4%(腕关节/手关节)、34.6%(颈部)和31.7%(肩部)。工作站人体工程学分析的对象是一名从拖网渔船船舱中卸下鱼箱的甲板水手。OSHA 评分 = 12(正常值 < 5);上肢 MSD 风险很大。RULA 总分 = 7(可接受范围在 1 到 2 之间);立即进行修改。OREGE 对努力程度、重复性和关节位置的评估得分表明,不建议或应避免这些动作:通过分析,可以评估工作的难度,并注意到 MSD 的高风险,需要改进人体工程学和组织结构。
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来源期刊
International Maritime Health
International Maritime Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.90
自引率
13.60%
发文量
37
审稿时长
20 weeks
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