Effects of standing on health care workers

Authors

DOI:

https://doi.org/10.15649/cuidarte.1790

Keywords:

Occupational Health, Standing Position, Lower Extremity, Low Back Pain, Musculoskeletal Pain

Abstract

Introduction: In the health care sector, the execution of standing activities is common; however, it is an issue that receives little attention, despite the negative effects that can be generated in the health of workers. Objective: To analyze the variation of musculoskeletal pain in the lower extremities and lower back, and the variation of volume in the legs in health care workers who perform their activities while standing during a working day. Materials and methods: A cross-sectional study in which the perception of musculoskeletal pain was recorded in the following body segments: lower back and right and left side of the thigh-hip, knee, leg and ankle-foot, and the circumference was measured to calculate the volume of the legs with the Gulick II tape measure in 21 health care sector workers. Recordings and measurements were taken during the first and last hour of an 8-hour workday. Results: In all body segments the perception of musculoskeletal pain and the volume in both legs increased at the end of the working day compared to the beginning. The body segments left thigh-hip, right ankle-foot and the volume in both legs increased significantly. Discussion: The results obtained are similar to studies with experimental designs, with the difference that our study was developed under real conditions without variables control. Conclusions: This study shows how activities in the health care sector executed during prolonged standing times can cause musculoskeletal pain in the lower extremities and lower back in workers, as well as an increase in the legs volume.

How to cite this article: Osorio-Vasco Jonathan. Rodríguez Yordán. Efectos del trabajo de pie en trabajadores del sector sanitario. Revista Cuidarte. 2021;12(3):e1790. http://dx.doi.org/10.15649/cuidarte.1790     

Author Biographies

Jonathan Osorio-Vasco, Universidad de Antioquia

Universidad de Antioquia, Facultad Nacional de Salud Pública, Grupo de Investigación Seguridad y Salud en el Trabajo; Medellín; Colombia.

Yordán Rodríguez Ruíz, Universidad de Antioquia

Universidad de Antioquia, Facultad Nacional de Salud Pública, Grupo de Investigación Seguridad y Salud en el Trabajo; Medellín; Colombia.

References

Halim I, Omar AR, Teknikal U, Jaya HT. A Review on Health Effects Associated With Prolonged. Int J Recent Res Appl Stud. 2011;8(1):14-21. https://www.arpapress.com/Volumes/Vol8Issue1/IJRRAS_8_1_03.pdf

Capodaglio EM. Occupational risk and prolonged standing work in apparel sales assistants. Int J Ind Ergon. 2017;60:53-9. https://doi.org/10.1016/j.ergon.2016.11.010

Chester MR, Rys MJ, Konz SA. Leg swelling, comfort and fatigue when sitting, standing, and sit/standing. Int J Ind Ergon. 2002;29(5):289-96. https://doi.org/10.1016/S0169-8141(01)00069-5

Waters TR, Dick RB. Evidence of health risks associated with prolonged standing at work and intervention effectiveness. Rehabil Nurs. 2015;40(3):148-65. https://doi.org/10.1002/rnj.166

Marr SJ, Quine S. Shoe concerns and foot problems of wearers of safety footwear. Occup Med (Chic Ill). 1993;43(2):73-7. https://doi.org/10.1093/occmed/43.2.73

Coenen P, Parry S, Willenberg L, Shi JW, Romero L, Blackwood DM, et al. Associations of prolonged standing with musculoskeletal symptoms—A systematic review of laboratory studies. Gait Posture. 2017;58:310-8. https://doi.org/10.1016/j.gaitpost.2017.08.024

Antle DM, Vézina N, Messing K, Côté JN. Development of discomfort and vascular and muscular changes during a prolonged standing task. Occup Ergon. 2013;11(1):21-33. https://doi.org/10.3233/OER-130205

O’Neill R. Standing problem. Hazards 91. Agosto de 2005;1. http://www.hazards.org/standing

Coenen P, Willenberg L, Parry S, Shi JW, Romero L, Blackwood DM, et al. Associations of occupational standing with musculoskeletal symptoms: a systematic review with meta-analysis. Br J Sports Med. 2016;1-10. http://bjsm.bmj.com/lookup/doi/10.1136/bjsports-2016-096795

Waters TR, Dick RB. Evidence of Health Risks Associated with Prolonged Standing at Work and Intervention Effectiveness. Rehabil Nurses. 2015;40(3):148-65. https://doi.org/10.1002/rnj.166

Nunes IL, Bush PM. Work-Related Musculoskeletal Disorders Assessment and Prevention. Editor. Ergonomics-A system Approach. 2012. p. 1-31. https://www.intechopen.com/books/ergonomics-a-systems-approach/work-related-musculoskeletal-disorders-assessment-and-prevention

Zander JE, King PM, Ezenwa BN. Influence of flooring conditions on lower leg volume following prolonged standing. Int J Ind Ergon. 2004;34(4):279-88. https://doi.org/10.1016/j.ergon.2004.04.014

Karimi Z, Allahyari T, Azghani MR, Khalkhali H. Influence of unstable footwear on lower leg muscle activity, volume change and subjective discomfort during prolonged standing. Appl Ergon. 2016;53:95-102. http://dx.doi.org/10.1016/j.apergo.2015.09.003

Antle DM, Côté JN. Relationships between lower limb and trunk discomfort and vascular, muscular and kinetic outcomes during stationary standing work. Gait Posture. 2013;37(4):615-9. https://doi.org/10.1016/j.gaitpost.2012.10.004

Meijsen P, Knibbe HJJ. Prolonged Standing in the OR: A Dutch Research Study. AORN J. 2007;86(3). https://doi.org/10.1016/j.aorn.2007.08.007

Organización Mundial de la Salud (OMS). Trastornos musculoesqueléticos. Febrero 8 de 2021. [Citado 1 de abril 2021]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/musculoskeletal-conditions

Trouvin A, Perrot S. New concepts of pain. Best Pract Res Clin Rheumatol [Internet]. 2019;33(3):1–10. Available from: https://doi.org/10.1016/j.berh.2019.04.007

International Association for the Study of Pain (IASP). IASP Terminology - Pain. 2017. [Citado 2 de abril de 2021]. Disponible en: https://www.iasp-pain.org/terminology?navItemNumber=576#Pain

Sousa A, Tavares JMRS, Macedo R, Rodrigues AM, Santos R. Influence of wearing an unstable shoe on thigh and leg muscle activity and venous response in upright standing. Appl Ergon. 2012;43(5):933-9. http://dx.doi.org/10.1016/j.apergo.2012.01.001

Vieira ER, Brunt DENIS. Does wearing unstable shoes reduce low back pain and disability in nurses? A randomized controlled pilot study. Clin Rehabil. 2015;30(2):167-73. https://doi.org/10.1177/0269215515576812

Balasubramanian V, Adalarasu K, Regulapati R. Comparing dynamic and stationary standing postures in an assembly task. Int J Ind Ergon. 2009;39(5):649-54. http://dx.doi.org/10.1016/j.ergon.2008.10.017

Straker LM. Body Discomfort: Assessment tools. Karwowski, W.; Marras W, editor. Occupational Ergonomics: Engineering and Administrative Controls. Londres CRC; 2005. p. 26-40. https://www.routledge.com/Occupational-Ergonomics-Engineering-and-Administrative-Controls/Karwowski-Marras/p/book/9780367395292

Labs K-H, Tschoepl M, Gamba G, Aschwanden M, Jaeger KA. The reliability of leg circumference assessment: a comparison of spring tape measurements and optoelectronic volumetry. Vasc Med. 2000;5(2):69-74. https://doi.org/10.1177/1358836X0000500202

Ribeiro T, Serranheira F, Loureiro H. Work related musculoskeletal disorders in primary health care nurses. Appl Nurs Res. 2017;33:72-7. http://dx.doi.org/10.1016/j.apnr.2016.09.003

Omokhodion FO, Umar US, Ogunnowo BE. Prevalence of low back pain among staff in a rural hospital in Nigeria. Occup Med (Chic Ill). 2000;50(2):107-10. https://doi.org/10.1093/occmed/50.2.107

López Pabón L, Osorio Vasco J. Desarrollo inicial de herramienta para valorar el nivel de riesgo en trabajo de pie [Tesis de Especialización]. Universidad de Antioquia; 2016. http://hdl.handle.net/10495/5537

Revill SI, Robinson JO, Rosen M, Hogg MIJ. The reliability of a linear analogue for evaluating pain. Anaesthesia. 1976;31(9):1191-8. https://doi.org/10.1111/j.1365-2044.1976.tb11971.x

International Organization for Standardization (ISO). Technical Specification ISO / TS Ergonomics guidelines for the optimization of musculoskeletal workload. Vol. 2014. 2014. https://www.iso.org/standard/63231.html

Country Technology Inc. Gulick II Plus Tape Measure (Model 67019 ). 1999 [citado 15 de agosto de 2020]. Disponible en: https://www.fitnessmart.com/collections/gulick-ii-tape-measures-calibrated-for-accuracy-and-repeatability/products/gulick-ii-plus-tape-measure?variant=29123527047

Lin YH, Chen CY, Cho MH. Influence of shoe/floor conditions on lower leg circumference and subjective discomfort during prolonged standing. Appl Ergon. 2012;43(5):965-70. http://dx.doi.org/10.1016/j.apergo.2012.01.006

Mayrovitz H, Sims N, Macdonald J. Assessment of limb volume by manual and automated methods in patients with limb edema or lymphedema. Adv Ski Wound Care. 2000;13(6):272-6. https://pubmed.ncbi.nlm.nih.gov/12669673/

Lin YH, Chen CY, Cho MH. Effectiveness of leg movement in reducing leg swelling and discomfort in lower extremities. Appl Ergon. 2012;43(6):1033-7. https://doi.org/10.1016/j.apergo.2012.03.002

Antle DM, Vézina N, Côté JN. Comparing standing posture and use of a sit-stand stool: Analysis of vascular, muscular and discomfort outcomes during simulated industrial work. Int J Ind Ergon. 2015;45:98–106. https://doi.org/10.1016/j.ergon.2014.12.009

Antle DM, Cormier L, Findlay M, Miller LL, Côté JN. Lower limb blood flow and mean arterial pressure during standing and seated work: Implications for workplace posture recommendations. Prev Med Reports. 2018;10:117–22. https://doi.org/10.1016/j.pmedr.2018.02.016

Published

2021-08-20

How to Cite

1.
Osorio-Vasco J, Rodríguez Ruíz Y. Effects of standing on health care workers . Revista Cuidarte [Internet]. 2021 Aug. 20 [cited 2024 Dec. 21];12(3). Available from: https://revistas.udes.edu.co/cuidarte/article/view/1790

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