ABSTRACT
Analisou-se o perfil sociodemográfico e ocupacional de trabalhadores com lesões por esforços repetitivos (LER) ou disfunções osteomusculares relacionados ao trabalho (DORT) em Piracicaba, São Paulo, avaliando-se a associação desse perfil com a ocorrência de dor, bem como a associação de risco para LER/DORT. Dados de 1.007 prontuários foram submetidos à análise descritiva (p<0,05). A LER/DORT predominou em mulheres, na idade produtiva, com baixo grau de instrução e baixos salários, com função de doméstica, cozinheira, serviços gerais, auxiliar de produção e costureira; a dor predominou no membro superior e estava associada à função, ao gênero feminino, ao baixo grau de instrução e ao estado civil; houve associação de risco entre organização e ergonomia no trabalho e dor no membro superior. A compreensão das relações do trabalhador com o ambiente de trabalho e com o trabalho pode favorecer medidas de vigilância e promoção de saúde.
The socio-demographic and occupational profile of workers with repetitive strain injury (RSIs) or work-related musculoskeletal disorders (WRMSDs) in Piracicaba, São Paulo, Brazil, were analyzed. The association of this profile with the occurrence of pain as well as the risk association for RSI/WRMSD were evaluated. Data from 1,007 medical records underwent descriptive analysis (p<0.05). RSI/WRMSD was predominant in women in their productive age, with low education level and low wages, working mainly in domestic roles, cook, general services, production assistant and seamstress; pain was predominant in the upper limb and it was associated with the function, the female gender, low education level and marital status; there was risk association between organization and workplace ergonomics and pain in upper limb. The understanding of the relationship between the worker, the work environment, and the work may favor surveillance measures and health promotion.
Se analizó el perfil sociodemográfico y laboral de los trabajadores con lesiones por esfuerzo repetitivo (LER) o trastornos musculoesqueléticos de origen laboral (TMOL) en Piracicaba, São Paulo, Brasil, evaluando la asociación de ese perfil con la aparición de dolor, así como la asociación de riesgo de LER/TMOL. Los datos de 1.007 manuales se sometieron a análisis descriptivo (p<0,05). Las LER/TMOL predominaron en las mujeres en edad productiva, con bajo nivel educativo y bajos salarios, que trabajaban principalmente en los roles domésticos, cocinera, servicios generales, asistente de producción y costurera; el dolor predominó en la extremidad superior y se asoció con la función, el género femenino, el bajo nivel de educación y el estado civil; hubo asociación de riesgo entre la organización y la ergonomía en el trabajo y el dolor en la extremidad superior. La comprensión de las relaciones del trabajador con el ambiente de trabajo y con el trabajo puede favorecer las medidas de vigilancia y promoción de la salud.
Subject(s)
Humans , Cumulative Trauma Disorders , Epidemiology , Musculoskeletal Pain , OccupationsABSTRACT
OBJECTIVE: The purpose of this study was to evaluate the immediate effects of a single treatment session of bilateral grade III mobilization of the talocrural joint on the balance of elderly women. METHODS: Thirty-two elderly women (age, 65-80 years) with low physical activity levels completed balance evaluation using baropodometry, the Functional Reach Test and the Timed Up and Go Test, and plantar flexion and dorsiflexion range of motion (ROM), before and immediately after the mobilization (n = 16) or sham (n = 16). Each subject was submitted to a total of twelve 30-second grade III mobilizations, 6 for each ankle, in a single treatment session. RESULTS: No significant difference was found for intragroup and intergroup comparisons in the balance of elderly women during the following evaluations: Functional Reach Test (P = .851), Timed Up and Go Test (P = .653), anteroposterior oscillation with eyes opened (P = .333) and with eyes closed (P = .652), and mediolateral oscillation with eyes opened (P = .486) and with eyes closed (P = .602). In addition, no significant difference was observed in right (P = .881) and left (P = .060) plantar flexion ROM and in right (P = .540) and left (P = .341) dorsiflexion ROM. CONCLUSION: The results of this study suggest that a single session of bilateral grade III mobilization of the talocrural joint does not immediately improve balance and ROM in elderly women with low physical activity levels.
