Occupational Exposure Clinical Trial
Official title:
Ergonomics Training Program to Novice and Experienced Workers in Poultry Processing Industry: A Quasi-experimental Study
This quasi-experimental study was performed in poultry processing industry. The study aimed to evaluate the benefits of ergonomic training for novice and experienced workers. Sociodemographic and occupational questionnaires were evaluated, musculoskeletal complaints and pain intensity, perceived occupational effort, biomechanical exposure and perception in adopting the training. Complaints in the cervical, wrist and lumbar region were reduced with training, but the intensity of pain was only reduced in the wrist region. There was a reduction in the occupational biomechanical exposure from pre-training, to the post-immediate, and from pre-training to after 2 months for both beginners and experienced. The group of novice workers differed from those with the highest biomechanical exposure reduction in the cutting room tasks. All workers were benefited by ergonomic training in the short and medium term.
The research was submitted to the Local Research Ethics Committee and approved by the number
734.500.
Were included 51 employees from the packing and cutting room sectors. The workers were
allocated to Novato and Experienced workers groups. The inclusion criteria for the Novato
workers group were to be newly hired (1 to 2 days in the company) and not have previous
experience in a poultry processing industry, or butcher's shop. It is to ensure that they did
not have prior knowledge of the activity. In the case of the group of experienced workers.
The exclusion criteria were they worked on the task for more than six months and not be
absent during the study period (scheduled vacations). Workers who had already received
ergonomic training, such as general guidelines and postural adjustments, as well as pregnant
women and people with disabilities were excluded.
Outcomes measure
1. Musculoskeletal Complains and Pain Intensity The Nordic Musculoskeletal Questionnaire
was used to investigate the presence of musculoskeletal symptoms in the last month,
using dichotomous responses (yes or no) The visual analogue pain scale evaluated the
intensity of symptoms indicating "absence of pain" (0) on one side and the opposite side
"unbearable pain" (10 cm) (Carlsson 1982). The QNSO and pain scale were applied in both
groups at the baseline, and after 2 months of the ergonomic training program.
2. Biomechanical Exposure Analysis The analysis of occupational biomechanical exposure
occurred through a Poultry processing Check list (PPChecklist) created for the study.
The PPChecklist evaluation criteria were based on observational methods for
biomechanical exposure analysis, such as the Rapid Upper Limb Assessment (RULA) and
Strain Index and the Checklist for Musculoskeletal Risk Assessment (RARME).
The analyzes of the video tasks of each worker for the application of the PPChecklist
was performed by two independent evaluators (MSD and DPV) with experience in Worker's
Health and Ergonomics. The results obtained with the analysis of the biomechanical
exposure of each segment (cervical, shoulder, forearm, wrist, hand and spine) were added
to obtain a general task risk score for each worker with a variation of the score
between 0 -19 points. The higher the score, the greater the biomechanical exposure of
the workers.
3. Perceived effort and Training Perception The effort perceived by workers in pre-training
was evaluated by Borg scale ranges from zero (rest / effortless perceived) to ten (very,
very heavy / too much, too much effort).
To evaluate the self-perception of the ease / difficulty of following the training guidelines
was created a questionnaire.
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