Occupational kneeling and squatting are well-documented risk factors for knee disorders. A method using 3 wireless accelerometers to detect and discriminate kneeling and squatting during work were developed based on data from a semi-standardised laboratory protocol. The method was tested for validity under free-living working conditions. The developed method showed high sensitivity (88-99%) and specificity (98-99%) for detection of kneeling and squatting during the semi-standardised laboratory conditions. During free-living working conditions, kneeling showed very high sensitivity (94%) and specificity (99%), while squatting results were non-conclusive due to limited duration of squatting during the free-living working conditions. This method shows great promise for long-term technical measurement of kneeling and squatting during normal working conditions using wireless accelerometers. The method opens up possibilities for using technical measurements to provide valid exposure assessments and intervention evaluations of kneeling and squatting, as well as increased feasibility for technical measurements in large cohort studies. Quantification of kneeling and squatting during work is important for prevention, but limited by either imprecise or costly methods. This study developed and validated an inexpensive wireless accelerometer-based measurement method that can be used by practitioners and researchers for long-term measurements of kneeling and squatting during free-living working conditions.
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http://dx.doi.org/10.1080/00140139.2020.1734668 | DOI Listing |
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
December 2024
Department of Orthopedics, the Fourth Medical Center of Chinese PLA General Hospital, Beijing, 100048, P. R. China.
Objective: To compare the mid- and long-term effectiveness of patellar resurfacing versus non-resurfacing in primary total knee arthroplasty (TKA).
Methods: Twenty-six patients who underwent bilateral TKA between March 2013 and September 2015 were selected as the study subjects. One side was randomly chosen for patellar resurfacing (resurfacing group), and the other side was not (control group).
Scand J Work Environ Health
December 2024
Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Objectives: The aim was to develop a gender-specific European job exposure matrix (EuroJEM) for occupational physical workload and study its predictive validity for musculoskeletal pain in four European cohorts.
Methods: National, gender-specific JEM from Finland, France, Norway and Sweden, based on self-reported exposure information, were evaluated for similarities in exposures, exposure definitions, and occupational coding. The EuroJEM harmonized five exposures: heavy lifting, faster breathing due to heavy workload, kneeling/squatting, forward bent posture, and working with hands above shoulder level.
Musculoskeletal Care
December 2024
Department of Primary Health Care and General Practice, University of Otago, Wellington, New Zealand.
Background: Many outcome measures used in lower-limb osteoarthritis (OA) present ceiling effects. This compromises the ability of those measures to accurately assess people with higher levels of physical function. Understanding of the difficulty and importance of physical activities would enable the inclusion of challenging and meaningful activities in new outcome measures.
View Article and Find Full Text PDFMedicine (Baltimore)
October 2024
Department of Physical Therapy, College of Health and Welfare, Sahmyook University, Seoul, Republic of Korea.
Kneeling and half-kneeling training are common positions used in physical therapy. however, research on lower extremity muscle activity is lacking compared to the ergonomic aspects and trunk muscle activity. The purpose of this study is to investigate the effects on lower extremity muscle activity during squats in kneeling and half-kneeling positions.
View Article and Find Full Text PDFBMJ Open
October 2024
Department of Public Health, Yonsei University Graduate School, Seoul, Republic of Korea
Objectives: To investigate the association between subelements of physical job demands and cognitive impairment risk in middle-aged and older workers in Korea.
Design: Longitudinal study using eight waves (2006-2020) of the Korean Longitudinal Study of Aging.
Setting: Nationally representative sample of the Korean population aged 45 years and older.
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