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Health surveillance under adverse ergonomics conditions – validity of a screening method adapted for the occupational health service

Artikel i vetenskaplig tidskrift
Författare D. Jonker
Ewa Gustafsson
B. Rolander
I. Arvidsson
C. Nordander
Publicerad i Ergonomics
Volym 58
Nummer/häfte 9
Sidor 1519-1528
ISSN 0014-0139
Publiceringsår 2015
Publicerad vid Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa, enheten för arbets-och miljömedicin
Sidor 1519-1528
Språk en
Länkar dx.doi.org/10.1080/00140139.2015.10...
Ämnesord HECO, neck/shoulder, OHS, physical examination, upper extremities, upper limb
Ämneskategorier Miljömedicin och yrkesmedicin

Sammanfattning

A new health surveillance protocol for work-related upper-extremity musculoskeletal disorders has been validated by comparing the results with a reference protocol. The studied protocol, Health Surveillance in Adverse Ergonomics Conditions (HECO), is a new version of the reference protocol modified for application in the Occupational Health Service (OHS). The HECO protocol contains both a screening part and a diagnosing part. Sixty-three employees were examined. The screening in HECO did not miss any diagnosis found when using the reference protocol, but in comparison to the reference protocol considerable time savings could be achieved. Fair to good agreement between the protocols was obtained for one or more diagnoses in neck/shoulders (86%, k = 0.62) and elbow/hands (84%, k = 0.49). Therefore, the results obtained using the HECO protocol can be compared with a reference material collected with the reference protocol, and thus provide information of the magnitude of disorders in an examined work group. Practitioner Summary: The HECO protocol is a relatively simple physical examination protocol for identification of musculoskeletal disorders in the neck and upper extremities. The protocol is a reliable and cost-effective tool for the OHS to use for occupational health surveillance in order to detect workplaces at high risk for developing musculoskeletal disorders. © 2015 The Author(s). Published by Taylor & Francis.

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