Documents Winkel, Jørgen 6 results

"ObjectivesThis systematic review aimed to identify published observational methods assessing biomechanical exposures in occupational settings and evaluate them with reference to the needs of different users.MethodsWe searched scientific databases and the internet for material from 1965 to September 2008. Methods were included if they were primarily based on the systematic observation of work, the observation target was the human body, and the method was clearly described in the literature. A systematic evaluation procedure was developed to assess concurrent and predictive validity, repeatability, and aspects related to utility. At least two evaluators independently carried out this evaluation.Results We identified 30 eligible observational methods. Of these, 19 had been compared with some other method(s), varying from expert evaluation to data obtained from video recordings or through the use of technical instruments. Generally, the observations showed moderate to good agreement with the corresponding assessments made from video recordings; agreement was the best for large-scale body postures and work actions. Postures of wrist and hand as well as trunk rotation seemed to be more difficult to observe correctly. Intra- and inter-observer repeatability were reported for 7 and 17 methods, respectively, and were judged mostly to be good or moderate.Conclusions With training, observers can reach consistent results on clearly visible body postures and work activities. Many observational tools exist, but none evaluated in this study appeared to be generally superior. When selecting a method, users should define their needs and assess how results will influence decision-making."

"Le département santé et sécurité de l'ETUI et la Confédération européenne des syndicats ont organisé conjointement en octobre 2007 une conférence sur les troubles musculosquelettiques (TMS). La contribution de Jørgen Winkel, de l'université de Göteborg, a provoqué une vive réaction dans l'assistance ; ce spécialiste suédois de l'ergonomie ayant démonté de manière percutante un certain nombre d'idées reçues sur les TMS. Il expose ses idées dans le texte ci-dessous, qu'il a rédigé avec un collègue norvégien. Critiquant certaines "bonnes pratiques" qui mènent à ce qu'il appelle un "piège de l'ergonomie", il propose de nouvelles stratégies pour s'attaquer à l'épidémie. "

"The present cross-sectional study was performed to analyze potential risk factors for upper extremity disorders in two groups of forest machine operators driving harvesting vehicles and performing equal tasks in France (n=18) and Norway (n=19). This comparative design implied similar work tasks, but potentially different external work demands. Previous studies have suggested higher levels of neck and shoulder complaints among Norwegian operators compared to those of the French. This may be related to different external work demands and/or individual motor performance.Surface electromyography (EMG) of the right upper trapezius (RUT) and extensor digitorum (RED) muscles were measured continuously during 1 working day (7.5–8 h per operator) and video of body postures was recorded inside the cabin (1 h per operator). A questionnaire on external work demand factors and psychosocial stressors was used together with the collection of symptom data. A physical examination was performed on all workers. Borg's CR-10 scale of intensity of discomfort/pain was rated four times throughout the test day.The French operators reported less complaint (p<0.01) in the right neck compared to their Norwegian colleagues. Furthermore, the French had on average two to three times longer lunch breaks during 5 work days, less continuous hand intensive use of the control lever with more frequent short breaks during the test day compared to the Norwegian operators. However, the average static load level on the RUT muscle for the whole working day was significantly higher among the French (0.7% EMGmax) in comparison with the Norwegian operators (0.3% EMGmax). No difference was found in number of periods with sustained low-level muscle activity neither in the RUT nor the RED muscle.In conclusion, our results support that the higher prevalence of discomfort/pain among the Norwegian forest machine operators may be related to organizational factors."

"The ETUI Health and Safety Department and the European Trade Union Confederation jointly organised a conference on musculoskeletal disorders (MSDs) in October 2007. The presentation by Jørgen Winkel, of University of Gothenburg, provoked a good deal of audience reaction, in that the Swedish ergonomist effectively demolished a number of received opinions about MSDs. The text below, co-authored with a Norwegian colleague, expands on his ideas. He is critical of certain “good practices” that lead to what he describes as the “ergonomic pitfall” and proposes new strategies for tackling the epidemic."

"This literature review aims to identify occupational musculoskeletal and mental health effects of production system rationalization as well as organizational-level measures that may improve health outcome (“modifiers” in this review). A short review of the effect of ergonomic interventions is included as background and rationalization is discussed as a theoretical concept. Indicator variables for occupational musculoskeletal and mental health and related risk factors are presented. Variables with a generalized format were allowed in the literature searches (e.g., job satisfaction and absenteeism were accepted as risk factor and health indicator, respectively), suitable for the research fields of work sociology, organization science, human resource management (HRM) and economics research.One hundred and sixty-two studies of rationalization effects on health and risk factors and 72 organization-level modifier results were accepted into the final database. Entries were sorted by rationalization strategy and work life sector, and trends in outcome (positive, mixed, no effect, or negative effect on health and risk factors) were determined.Rationalizations have a dominant negative effect on health and risk factors (57% negative, 19% positive); the most negative effects were found for downsizing and restructuring rationalizations in general (71 studies negative, 13 positive) and for the health care sector in particular (36 studies negative, 2 positive). The rationalization strategy High Performance Work System (HPWS) was associated with the highest fraction positive outcome studies (6 of 10 studies). Other rationalization strategies (lean practices, parallel vs. serial production and mechanization level) reported intermediate results, in part dependent on work life sector, but also on the year when studies were carried out. Worker participation, resonant management style, information, support, group autonomy and procedural justice were modifiers with favourable influence on outcome.It is concluded that production system rationalization represents a pervasive work life intervention without a primary occupational health focus. It has considerable and mostly negative influence on worker health, but this can be reduced by attention to modifiers. The results create a basis for new priorities in ergonomic intervention research."