Risk assessment of musculoskeletal disorders in the field of orthotics prosthetics with RULA and REBA methods

  • Rina Fitriana Rahmawati Poltekkes Kemenkes Jakarta I
  • Deby Eka Supadma Poltekkes Kemenkes Jakarta I
Keywords: Muskuloskeletal Injuries, Prosthetist-Orthotist, REBA, RULA

Abstract

Background: PT X,company served custom-made prosthesis orthosis (PO). It has revealed that significant number of PO at PT X operate in non-ergonomic work environments with awkward postures during their work.
Objective: This study aims to evaluate PO working posture in connection with their workstations with primary goal of addressing question
Methods: Descriptive observational design with cross-sectional approach using total sampling. Research variables are musculoskeletal complaints; were assessed with Nordic Body Questionnare, and work postures; analized with RULA and REBA.
Results: Rectification, assembly, grinding, cutting thermoplast sheets, chipping positive cast, and separating plastic from positive cast are workstations which have been identified as significant contributors to musculoskeletal injuries. All activities in those areas are done in standing position.
Conclusion: In all activities, PO typically maintain standing posture for extended durations. This has led to development of musculoskeletal injuries required appropriate treatment. It is recommended to improve PO positions during working and enhance their workstations accordingly

 

Author Biographies

Rina Fitriana Rahmawati, Poltekkes Kemenkes Jakarta I

Jalan Wijaya Kusuma Raya 48, Cilandak Barat, Jakarta Selatan 12430, Indonesia

Deby Eka Supadma, Poltekkes Kemenkes Jakarta I

Jalan Wijaya Kusuma Raya 48, Cilandak Barat, Jakarta Selatan 12430, Indonesia

References

Salmani Nodooshan H, Koohi Booshehri S, Daneshmandi H, Choobineh AR. Ergonomic workplace assessment in orthotic and prosthetic workshops. Work. 2016 Jan 1;55(2):463-70.

Anderson S, Stuckey R, Oakman J. Work-related musculoskeletal injuries in prosthetists and orthotists in Australia. International Journal of Occupational Safety and Ergonomics. 2018 Oct 8.

Prasetyo D, Bur N. Determinan Keluhan Musculoskeletal Disorders Pada Pekerja Pengelasan Di PT. Industri Kapal Indonesia (Persero) Makassar. Window of Public Health Journal. 2023 Apr 30;4(2):324-32.

Anderson S, Stuckey R, Oakman JR. Prosthetists’ and orthotists’ experience of their work and workspace–characterising the physical and organisational environment: focus group findings. Prosthetics and orthotics international. 2016 Dec;40(6):703-12.

Deeney C, O'Sullivan L. Work related psychosocial risks and musculoskeletal disorders: potential risk factors, causation and evaluation methods. Work. 2009 Jan 1;34(2):239-48.

McAtamney L, Corlett N. Rapid upper limb assessment (RULA). InHandbook of human factors and ergonomics methods 2004 Aug 30 (pp. 86-96). CRC Press.

Hignett S. Dan McAtamney Lynn.(1999). Rapid Entire Body Assessment (REBA). Jounal Applied Ergonomics. 2000;31:201-5

Adiyanto O, Mohamad E, Jaafar R, Ma’ruf F, Faishal M, Anggraeni A. Application of Nordic Body Map and Rapid Upper Limb Assessment for Assessing Work-related Musculoskeletal Disorders: A case study in Small and Medium Enterprises. International Journal of Integrated Engineering. 2022 Jun 21;14(4):10-9.

Adiyattiparambil SF. Hazardous Exposures of Prosthetic and Orthotic Workshop. RGUHS Journal of Allied Health Sciences. 2022;2(2).

Anderson S, Weale V, Stuckey R, Oakman J. Work-related musculoskeletal pain in prosthetists and orthotists: a comparison between Australia and other countries. Prosthetics and Orthotics International. 2021 Dec 1;45(6):538-43.

Ansari NA, Sheikh MJ. Evaluation of work Posture by RULA and REBA: A Case Study. IOSR Journal of Mechanical and Civil Engineering. 2014 Aug;11(4):18-23.

Ayvaz Ö, Özyıldırım BA, İşsever H, Öztan G, Atak M, Özel S. Ergonomic risk assessment of working postures of nurses working in a medical faculty hospital with REBA and RULA methods. Science Progress. 2023 Oct;106(4):00368504231216540.

Carayon P, Wust K, Hose BZ, Salwei ME. Human factors and ergonomics in health care. Handbook of human factors and ergonomics. 2021 Sep 15:1417-37.

Chin J, Iridiastadi H, Shu-Chiang L, Persada SF. Workload analysis by using nordic body map, Borg RPE and NIOSH manual lifting equation analyses: a case study in sheet metal industry. InJournal of Physics: Conference Series 2019 Dec 1 (Vol. 1424, No. 1, p. 012047). IOP Publishing.

Ganer N. Work related Musculoskeletal disorders among healthcare professional and their preventive measure: a report. Ijsrset. 2016;2(4):693-8.

Harkins CS, McGarry A, Buis A. Provision of prosthetic and orthotic services in low-income countries: A review of the literature. Prosthetics and Orthotics International. 2013 Oct;37(5):353-61.

Hignett S, Wilson JR, Morris W. Finding ergonomic solutions—participatory approaches. Occupational medicine. 2005 May 1;55(3):200-7.

Jacquier-Bret J, Gorce P. Prevalence of Body Area Work-Related Musculoskeletal Disorders among Healthcare Professionals: A Systematic Review. International Journal of Environmental Research and Public Health. 2023 Jan 2;20(1):841.

Keebler JR, Rosen MA, Sittig DF, Thomas E, Salas E. Human factors and ergonomics in healthcare: Industry demands and a path forward. Human Factors. 2022 Feb;64(1):250-8.

Kee D. Comparison of OWAS, RULA and REBA for assessing potential work-related musculoskeletal disorders. International Journal of Industrial Ergonomics. 2021 May 1;83:103140.

Mgibantaka AS. AN ERGONOMICS STUDY OF ORTHOTICS AND PROSTHETICS WORKSHOPS IN THE EASTERN CAPE OF SOUTH AFRICA.

Rahmawati RF, Suzianti A. Identifying Hazards and Risk Assessment in Hazardous Process of Making Prosthesis and Orthosis. InProceedings of the 3rd Asia Pacific Conference on Research in Industrial and Systems Engineering 2020 Jun 16 (pp. 164-168).

Sanjog J, Patel T, Karmakar S. Occupational ergonomics research and applied contextual design implementation for an industrial shop-floor workstation. International Journal of Industrial Ergonomics. 2019 Jul 1;72:188-98.

Widana IK, Sumetri NW, Sutapa IK, Suryasa W. Anthropometric measures for better cardiovascular and musculoskeletal health. Computer Applications in Engineering Education. 2021 May;29(3):550-61.

Published
2024-04-30
How to Cite
1.
Rahmawati RF, Supadma DE. Risk assessment of musculoskeletal disorders in the field of orthotics prosthetics with RULA and REBA methods. Media ilmu kesehatan [Internet]. 2024Apr.30 [cited 2024May20];13(1):95-103. Available from: https://ejournal.unjaya.ac.id/index.php/mik/article/view/1352