The Effect of Functional Capacity Related Ergonomic Risk Factors on Quality of Life of People with Physical Disability
Abstract
Amaç: Bu çalışma fiziksel
engelli kişilerin ergonomik risk faktörleri ve çalışma kapasitelerini
belirlemek ve ilgili sorunların yaşam kalitesine etkisini ortaya çıkarmak amacı
ile yapılmıştır.
Gereç ve Yöntem: Çalışma 52
fiziksel engelli kişi ile gerçekleştirilmiştir. Olguların demografik
özellikleri, tıbbi ve iş hikayeleri kaydedilmiştir. Ergonomik risk faktörleri
analizi olarak Ovako Çalışma Postürleri Analizi Sistemi (OWAS), Rapid Upper
Limb Assessment (RULA) ve Genel Ergonomik Risk Analizi Kontrol Listesi kullanılmış,
J-TECH Çalışma kapasitesi değerlendirme ünitesinde kas gücü, çimdikleme gücü,
kavrama gücü, kaldırma gücü değerlendirmesi yapılmıştır. SF-36 Sağlık Taraması
ile yaşam kalitesi değerlendirilmiştir. Sonuçlar Spearman korelasyon testi ile
karşılaştırılmıştır.
Sonuçlar: Çalışmaya yaş
ortalaması 37.15± 9.66 olan toplam 12 kadın ve 40 erkek dahil edilmiştir.
Çalışmaya katılan fiziksel engelli kişilerin çoğunluğunun yüksek riskli
postürlerde çalışmakta olduğu, bunun da işle ilgili kas-iskelet sistemi
rahatsızlıklarının oluşumunda risk olduğu belirlenmiştir. Yaşam kalitesi ile
ilgili olarak SF-36 Sağlık Taraması Anketi ile karşılaştırıldığında, özellikle
genel sağlık durumu algılaması ile birçok risk faktörü arasında ilişki olduğu
belirlenmiştir (p< 0.05). Ayrıca,
genel sağlığın aslında fiziksel fonksiyon kadar sosyal fonksiyondan da
etkilendiği belirlenmiştir. Yaşam kalitesinin algılanmasında parmak ucu
kuvveti, kavrama kuvveti, kaldırma kuvveti ve üst ekstremite gücünün önemi de
belirlenmiştir. Gerek ince motor fonksiyon gerekse kavrama gücü ve kaldırma
gücü ile genel sağlık durumu algılaması arasında ilişki bulunmuştur (p<
0.05). Çalışmamıza katılan kişilerin
ince kavramaları ilgilendiren işlerde çalışmaları onların genel sağlık,
fiziksel rol ve enerji/canlılık algılamalarını etkilemiş görülmektedir.
Tartışma: Fiziksel engelli
kişilerin çalışma sırasındaki verimliliklerinin ve memnuniyetlerinin
artırılması yönünde çalışmalar yapmak ve çalışma kapasitesi ile ilgili risk
faktörleri konusunda işverenlerin farkındalığının artırılması önemlidir.
References
- Ahasan, R., Campbell, D., Salmoni, A., Lewko, J. (2001) Ergonomics of living environment for the people with special needs. J Physiol Anthropol Appl Human Sci, 20(3):175-85.
- Akay, D., Dağdeviren, M., Kurt, M. (2003) Çalışma duruşlarının ergonomik analizi. Gazi Üniversitesi, Mühendislik ve Mimarlık Fakültesi Dergisi, 18(3), 73-84.
- Colombini, D., Occhipinti, E. (2006) Preventing upper limb work-related musculoskeletal disorders (UL-WMSDS): New approaches in job (re)design and current trends in standardization. Appl Ergon. 37, 441-450.
- Cotton, A., Schonstein, E., Adams, R. (2006) Use of functional capacity evaluations by rehabilitation providers in NSW. Work, 26, 287-95.
- Duger, T., Uyanık, M., Kayıhan, H., Hazar, G. (1995) Çalışma yerinin ergonomik analizi. Milli Prodüktivite Merkezi Yayınları, No: 570.
- Erbahceci, F., Kayıhan, H., Uyanık, M., Akçay, T., Kırdı, N. (2000) Ankara Mesleki Rehabilitasyon Merkezinde işe yönelik eğitim. Optimal Tıp Dergisi, 13(3), 57-63.
- Escorpizo, R., Finger, M.E., Glassel, A., Gradinger, F., Luckenkemper, M., Cieza, A. (2011) A systematic Review of Functioning in Vocational Rehabilitation Using the International Classification of Functioning, Disability and Health. J Occup Rehabil.
- Gross, D.P. (2004) Measurement properties of performance-based assessment of functional capacity. J Occup Rehabil, 14(3), 165-74.
- Gross, D.P., Battie, M.C. (2002) Reliability of Safe Maximum Lifting Determinations of a Functional Capacity Evaluation. Phys Ther, 82(4), 364-371.
- Homa, D.B. (2007) Using the international classification of Functioning, Disability and Helath (ICF) in job placement. Work, 29, 277-286.
- Ijmker, S., Gerrits, E.H.J., Reneman, M.F. (2003) Upper lifting performance of healthy young adults in functional capacity evalutions: A comparison of two protocols. J Occup Rehabil, 13(4), 297-305.
- J_TECH TRACKER Version 5 Software Manual. (2008) J_TECH Medical United States of America.
- Jacobs, K. (1999) Ergonomics for Therapists. Second Edition. Butterworth-Heinemann. United States of America.
- Johnson, V., Jull, G., Soulvis, T., Jimmieson, N.L. (2010) Interactive effects from self-reported physical and psychosocial factors in the workplace on neck pain and disability in female office workers. Ergonomics, 53(4), 502-13.
- Karhu, O., Harkonen, R., Sorvali, P., Vepsalainen, P.. (1981) Observing working postures in industry: Examples of OWAS application. Appl Ergon. 12(1); 13-7.
- Karhu, O., Kansi, P., Kuorinka, I. (1977) Correcting working postures in industry: A practical method for analysis. Appl Ergon. 8(4), 199-201.
- Kaygisiz, 2018. In Occupational Therapy: Therapeutic and Creative Use of Activity. Employment of People with Disabilities and Ergonomic Risk Factors at Workplace. doi: 10.5772/intechopen.76721
- Koçyigit, H., Aydemir, Ö., Fisek, G. Et al. (1999). “Kısa Form-36’nın Türkçe Versiyonunun Güvenilirligi ve Geçerliligi”, İlaç ve Tedavi Dergisi, 12, 102-106.
- Lyth, J.R. (2001) Disability management and functional capacity evaluations: A dynamic resource. Work, 16, 13-22.
- Matheson, L.N., Isernhagen, S.J., Hart, D.L. (2002) Relationships Among Lifting Ability, Grip Force, and Return to Work. Phys Ther, 82(3), 249-256.
- McAtamney, L., Corlett, E.N. (1993) RULA: A survey method for the investigation of work-related upper limb disorders. Appl Ergon. 24(2), 91-99.
- Nevala-Puranen, N., Seuri, M., Simola, A., Elo, J. (1999) Physically disabled at work: need for ergonomic interventions. J Occup Rehabil, 9(4), 215-25.
- NIOSH (1997) Muskuloskeletal disorders and workplace factors. Wahington, DC: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health.
- Pendelton, H.M., Schultz-Krohn, W. (2006) In Occupational Therapy, Practice Skills for Physical Dysfunction. 6th Ed. Ch. 13 Work Evaluation and Work Programs. 264-295.
- Pigini, L., Andrich, G., Liverani, G., Bucciarelli, P, Occhipinti, E. (2010) Designing reasonable accomodation of the workplace: a new metodology based on risk assessment. Disabil Rehabil Assisst Technol, 5(3), 184-198.
- Post, R.B., Van Der Sluis, C.K., Duis, H.J. (2006) Return to work and quality of life in severely injured patients. Disabil Rehabil, 28 (22), 1399-1404.
- Steultjens, E.E.M.J., Dekker, J.J., Bouter LM, et al. (2003) Occupational therapy for multiple sclerosis. Cochrane Database of Systematic Review. Issue 3. doi: 10.1002/14651858.CD003608
- T.C. Başbakanlık Özürlüler İdaresi Başkanlığı. 4. Özürlüler Şurası. (2009) İstihdam. Komisyon Raporları ve Genel Kurul Görüşmeleri. Ankara.
- T.C. Çalışma ve Sosyal Güvenlik Bakanlığı, İş Sağlığı ve Güvenliği Genel Müdürlüğü. (2007) İş Sağlığı ve Güvenliği Dergisi. Yükü Hafiflet. Özel Sayı. Mesleki Kas İskelet Sistemi Hastalıkları. Sayı: 34 Yıl: 7.
- Türkkan, A. (2009) İşe bağlı kas-iskelet sistemi hastalıkları ve sosyoekonomik eşitsizlikler. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 35(2),101-106.
- Ware, J.E.. (2000) SF-36 Health survey update. Spine, 25 (24); 3130-9.
- Wehmann, P.H., Revell, G., Kregel, J., Kreutzer, J.S. (1991) Supported employment: An alternative model for vocational rehabilitation of persons with severe neurologic psychiatric or physical disabililty. Arc Phy Med Rehabil, 72, 101-5.
- Wind, H., Gouttebarge, V., Kuijer, P.P.F.M., Sluiter, J.K., Frings-Dresen, M.H.W. (2009) Complementary value of functional capacity evaluation for physicians in assessing the physical work ability of workers with musculoskeletal disorders. Int Arch Occup Environ Health, 82, 435-443
- Zolna, J., Sanford, J., Sabata, D., Goldthwaite, J. (2007) Review of accommodation strategies in the workplace for persons with mobility and dexterity impairments: application to criteria for universal design. Technol Disabil; 19, 189-198
The Effect of Functional Capacity Related Ergonomic Risk Factors on Quality of Life of People with Physical Disability.
Abstract
Purpose: The purpose
of this study was to investigate the ergonomic risk factors and the problems of
functional capacity and their effect on quality of life of people with physical
disability.
Material and
Method: 52 people with physical disability were assessed. Demographical
properties, medical and working history have been obtained. Ergonomic risk
factors have been analyzed with Ovako Working Posture Analysis System (OWAS),
Rapid Upper Limb Assessment (RULA) and General Ergonomic Risk Analysis Checklist.
Muscles strength, pinch strength, grip strength, lifting strength were measured
at J-TECH computerized functional capacity assessment unit. Quality of life was
assessed by SF-36 Health Survey. Results have been correlated by Spearman
correlation test.
Results: 12 women
and 40 men included in the study whose average age is 37.15± 9.66. Most of the participants have been found to
work at high risk postures and this give rise to work-related musculoskeletal
disorders. High risk at work areas has been observed to be related to some
parameters of quality of life. When compared with quality of life which is
investigated by SF-36 Health Survey, general health status perception is found
to be related by many risk factors (p< 0.05). In addition to, general health
perception is found to be affected by social function as much as physical
function. The importance of pinch strength, grip strength, lifting strength and
upper extremity strength in perception of quality of life has been shown.
Relationship has been occurred between fine motor function and also lifting and
grip strength and general health status perception (p< 0.05). The work of
participants including fine motor movements has been found to affect the
perception of general health, physical role and energy/ vitality.
Conclusion: The results show that projects for increasing productivity
and satisfaction of people with physical disability at work should be done and
increasing awareness of the employers about functional capacity related ergonomic
risk factors is important.
References
- Ahasan, R., Campbell, D., Salmoni, A., Lewko, J. (2001) Ergonomics of living environment for the people with special needs. J Physiol Anthropol Appl Human Sci, 20(3):175-85.
- Akay, D., Dağdeviren, M., Kurt, M. (2003) Çalışma duruşlarının ergonomik analizi. Gazi Üniversitesi, Mühendislik ve Mimarlık Fakültesi Dergisi, 18(3), 73-84.
- Colombini, D., Occhipinti, E. (2006) Preventing upper limb work-related musculoskeletal disorders (UL-WMSDS): New approaches in job (re)design and current trends in standardization. Appl Ergon. 37, 441-450.
- Cotton, A., Schonstein, E., Adams, R. (2006) Use of functional capacity evaluations by rehabilitation providers in NSW. Work, 26, 287-95.
- Duger, T., Uyanık, M., Kayıhan, H., Hazar, G. (1995) Çalışma yerinin ergonomik analizi. Milli Prodüktivite Merkezi Yayınları, No: 570.
- Erbahceci, F., Kayıhan, H., Uyanık, M., Akçay, T., Kırdı, N. (2000) Ankara Mesleki Rehabilitasyon Merkezinde işe yönelik eğitim. Optimal Tıp Dergisi, 13(3), 57-63.
- Escorpizo, R., Finger, M.E., Glassel, A., Gradinger, F., Luckenkemper, M., Cieza, A. (2011) A systematic Review of Functioning in Vocational Rehabilitation Using the International Classification of Functioning, Disability and Health. J Occup Rehabil.
- Gross, D.P. (2004) Measurement properties of performance-based assessment of functional capacity. J Occup Rehabil, 14(3), 165-74.
- Gross, D.P., Battie, M.C. (2002) Reliability of Safe Maximum Lifting Determinations of a Functional Capacity Evaluation. Phys Ther, 82(4), 364-371.
- Homa, D.B. (2007) Using the international classification of Functioning, Disability and Helath (ICF) in job placement. Work, 29, 277-286.
- Ijmker, S., Gerrits, E.H.J., Reneman, M.F. (2003) Upper lifting performance of healthy young adults in functional capacity evalutions: A comparison of two protocols. J Occup Rehabil, 13(4), 297-305.
- J_TECH TRACKER Version 5 Software Manual. (2008) J_TECH Medical United States of America.
- Jacobs, K. (1999) Ergonomics for Therapists. Second Edition. Butterworth-Heinemann. United States of America.
- Johnson, V., Jull, G., Soulvis, T., Jimmieson, N.L. (2010) Interactive effects from self-reported physical and psychosocial factors in the workplace on neck pain and disability in female office workers. Ergonomics, 53(4), 502-13.
- Karhu, O., Harkonen, R., Sorvali, P., Vepsalainen, P.. (1981) Observing working postures in industry: Examples of OWAS application. Appl Ergon. 12(1); 13-7.
- Karhu, O., Kansi, P., Kuorinka, I. (1977) Correcting working postures in industry: A practical method for analysis. Appl Ergon. 8(4), 199-201.
- Kaygisiz, 2018. In Occupational Therapy: Therapeutic and Creative Use of Activity. Employment of People with Disabilities and Ergonomic Risk Factors at Workplace. doi: 10.5772/intechopen.76721
- Koçyigit, H., Aydemir, Ö., Fisek, G. Et al. (1999). “Kısa Form-36’nın Türkçe Versiyonunun Güvenilirligi ve Geçerliligi”, İlaç ve Tedavi Dergisi, 12, 102-106.
- Lyth, J.R. (2001) Disability management and functional capacity evaluations: A dynamic resource. Work, 16, 13-22.
- Matheson, L.N., Isernhagen, S.J., Hart, D.L. (2002) Relationships Among Lifting Ability, Grip Force, and Return to Work. Phys Ther, 82(3), 249-256.
- McAtamney, L., Corlett, E.N. (1993) RULA: A survey method for the investigation of work-related upper limb disorders. Appl Ergon. 24(2), 91-99.
- Nevala-Puranen, N., Seuri, M., Simola, A., Elo, J. (1999) Physically disabled at work: need for ergonomic interventions. J Occup Rehabil, 9(4), 215-25.
- NIOSH (1997) Muskuloskeletal disorders and workplace factors. Wahington, DC: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health.
- Pendelton, H.M., Schultz-Krohn, W. (2006) In Occupational Therapy, Practice Skills for Physical Dysfunction. 6th Ed. Ch. 13 Work Evaluation and Work Programs. 264-295.
- Pigini, L., Andrich, G., Liverani, G., Bucciarelli, P, Occhipinti, E. (2010) Designing reasonable accomodation of the workplace: a new metodology based on risk assessment. Disabil Rehabil Assisst Technol, 5(3), 184-198.
- Post, R.B., Van Der Sluis, C.K., Duis, H.J. (2006) Return to work and quality of life in severely injured patients. Disabil Rehabil, 28 (22), 1399-1404.
- Steultjens, E.E.M.J., Dekker, J.J., Bouter LM, et al. (2003) Occupational therapy for multiple sclerosis. Cochrane Database of Systematic Review. Issue 3. doi: 10.1002/14651858.CD003608
- T.C. Başbakanlık Özürlüler İdaresi Başkanlığı. 4. Özürlüler Şurası. (2009) İstihdam. Komisyon Raporları ve Genel Kurul Görüşmeleri. Ankara.
- T.C. Çalışma ve Sosyal Güvenlik Bakanlığı, İş Sağlığı ve Güvenliği Genel Müdürlüğü. (2007) İş Sağlığı ve Güvenliği Dergisi. Yükü Hafiflet. Özel Sayı. Mesleki Kas İskelet Sistemi Hastalıkları. Sayı: 34 Yıl: 7.
- Türkkan, A. (2009) İşe bağlı kas-iskelet sistemi hastalıkları ve sosyoekonomik eşitsizlikler. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 35(2),101-106.
- Ware, J.E.. (2000) SF-36 Health survey update. Spine, 25 (24); 3130-9.
- Wehmann, P.H., Revell, G., Kregel, J., Kreutzer, J.S. (1991) Supported employment: An alternative model for vocational rehabilitation of persons with severe neurologic psychiatric or physical disabililty. Arc Phy Med Rehabil, 72, 101-5.
- Wind, H., Gouttebarge, V., Kuijer, P.P.F.M., Sluiter, J.K., Frings-Dresen, M.H.W. (2009) Complementary value of functional capacity evaluation for physicians in assessing the physical work ability of workers with musculoskeletal disorders. Int Arch Occup Environ Health, 82, 435-443
- Zolna, J., Sanford, J., Sabata, D., Goldthwaite, J. (2007) Review of accommodation strategies in the workplace for persons with mobility and dexterity impairments: application to criteria for universal design. Technol Disabil; 19, 189-198
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Research Article |
| Authors | |
| Publication Date | September 9, 2020 |
| Published in Issue | Year 2020 Volume: 8 Issue: 2 |
Cite
Journal of Occupational Therapy and Rehabilitation by Hacettepe University, Faculty of Health Sciences is licensed under Attribution-NonCommercial 4.0 International
