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Biomedical subjects

P W Buckle

Publications and source records attributed to P W Buckle.

9 recordsLinked to original sources
PubMed2002

Epidemiological study to investigate potential interaction between physical and psychosocial factors at work that may increase the risk of symptoms of musculoskeletal disorder of the neck and upper limb.

OBJECTIVES: To investigate potential interactions between physical and psychosocial risk factors in the workplace that may be associated with symptoms of musculoskeletal disorder of the neck and upper limb. METHODS: 891 of 1514 manual handlers, delivery drivers, technicians, customer services computer operators, and general office staff reported on physical and psychosocial working conditions and symptoms of neck and upper limb disorders using a self administered questionnaire (59% return rate). Of the 869 valid questionnaire respondents, 564 workers were classified in to one of four exposure groups: high physical and high psychosocial, high physical and low psychosocial, low physical and high psychosocial, and low physical and low psychosocial. Low physical and low psychosocial was used as an internal reference group. The exposure criteria were derived from the existing epidemiological literature and models for physical and psychosocial work factors. The frequency and amplitude of lifting and the duration spent sitting while experiencing vibration were used as physical exposure criteria. Ordinal values of mental demands, job control, and social support with managers and coworkers were used as psychosocial exposure criteria. RESULTS: In the multivariate analyses, the highest and significant increase in risk was found in the high physical and high psychosocial exposure group for symptoms of hand or wrist and upper limb disorders after adjusting for years at the job, age, and sex. A potential interaction effect was found for the symptoms of the hand or wrist and upper limb disorders but not for the neck symptoms. CONCLUSION: This study showed that workers highly exposed to both physical and psychosocial workplace risk factors were more likely to report symptoms of musculoskeletal disorders than workers highly exposed to one or the other. The results suggest an interaction between physical and psychosocial risk factors in the workplace that increased the risk of reporting symptoms in the upper limbs. Psychosocial risk factors at work were more important when exposure to physical risk factors at work were high than when physical exposure was low. Ergonomic intervention strategies that aim to minimise the risks of work related musculoskeletal disorders of the upper limb should not only focus on physical work factors but also psychosocial work factors.

Adult↗
PubMed1999

Interactions between physical and psychosocial risk factors at work increase the risk of back disorders: an epidemiological approach.

OBJECTIVES: To investigate the possible interactions between physical and psychosocial risk factors at work that may be associated with self reported back disorders. METHODS: 891 of 1514 manual workers, delivery drivers, technicians, customer services computer operators, and general office staff reported risk factors at work and back disorders with a self administered questionnaire (59% return rate). Of the 869 respondents with a valid questionnaire, 638 workers were classified in to one of four exposure groups: high physical and high psychosocial; high physical and low psychosocial; low physical and high psychosocial; and low physical and low psychosocial. Low physical and low psychosocial was used as an internal reference group. The exposure criteria were derived from existing epidemiological publications and models for physical and psychosocial work factors. The frequency and amplitude of lifting and the duration spent sitting while experiencing vibration were used as physical exposure criteria. Ordinal values of mental demands, job control, and social support from managers and coworkers were used as psychosocial exposure criteria. RESULTS: The highest increase in risk was found in the high physical and high psychosocial exposure group for symptoms of back disorders. In the crude and multivariate analyses, a departure from an additive risk model was found for the 7 day prevalence of symptoms of a low back disorder and also for a recurrent back disorder not present before the current job but also experienced in the past 7 days. CONCLUSION: This study suggests that an interaction between physical and psychosocial risk factors at work may exist to increase the risk of self reported back disorders. Ergonomic prevention strategies that aim to minimise the risks of symptoms of work related back disorders should not only focus on physical but also on psychosocial risk factors at work. The greatest benefits are likely to be realised when both physical and psychosocial factors are put right.

Adult↗
PubMed1990

Flight deck design and pilot selection: anthropometric considerations.

Safe and successful operation of flight displays and controls is, in part, dependent on the anthropometric characteristics of the pilots with respect to the design of a particular aircraft. This paper describes the approach required to optimise this fit and provides guidelines for both those responsible for design and those who select pilot recruits. The major results reported are those for a British population, although the aircraft considered (Boeing 737-200, 747, 757 and Lockheed TriStar) are used by airlines throughout the world. The study shows that limitations in design considerably reduce the pool of potential recruits with the appropriate anthropometric characteristics. The selection criteria, based on functional seated eye height, might exclude 73% of the British, 19-65-year-old female population and 13% of the male population.

Adult↗
PubMed1986

Backing out: nurse wastage associated with back pain.

Results from a survey of 1008 National Health Service nurses and nursing auxiliaries leaving their current position are reported. These indicate that 1.3% of nurse leavers are leaving their positions for good solely because of back pain. Further, one nurse leaver in 29 is leaving their position with back pain as a main or contributory cause and 12% of all nurse leavers intending to leave for good cited back pain as either a main or contributory factor. The findings from this survey have implications for Health Authorities in relation to costs and manpower planning, and emphasize the need to provide further education and prompt referral and treatment to prevent long-term back morbidity and wastage, not only for registered nurses but also for nursing auxiliaries and aides.

Adult↗
PubMed1985

Nurses' uniform: an investigation of mobility.

An investigation of the mobility of nurses under three clothing conditions is reported. The need for such a study has arisen as a result of the concern over a possible mismatch between mobility and patient handling requirements. Thirty-seven nurses participated under two of the clothing conditions ('National' dress uniform, Trouser/tunic combination). In addition, ten of these nurses volunteered to provide control data by being measured in a leotard or a swimming costume. Eleven static and sixteen dynamic anthropometric measures were considered. Each nurse was asked to complete a short questionnaire, relating to her subjective attitudes to the uniform and to her own physical state at the time of measurement. Whilst both uniforms imposed restrictions on the shoulder girdle and trunk of up to 10%, the area of greatest concern was the mobility of the hip joint. Hip flexion was reduced by 26% in the dress uniform. The implications of these findings for patient handling procedures are discussed, as are those of the relationship between the environment and the material. Uniform and the nursing image is also considered.

Adult↗
PubMedDate not supplied

Factors influencing occupational back pain in Bedfordshire.

This paper reports on a pilot study of occupational back pain among a sample of 68 men aged 16 to 65 years in the North Bedfordshire Health District, England. In a multidisciplinary appraoch, measurements of 126 variables for each case were made. It was found that driving high mileages was a significant factor affecting both occurrence and location of pain. Certain personality factors were also significant.

Adolescent↗