Skip to main content

Participatory Ergonomics for Return to Work

  • Chapter
Handbook of Return to Work

Part of the book series: Handbooks in Health, Work, and Disability ((SHHDW,volume 1))

Abstract

Work-related musculoskeletal disorders are problematic worldwide as a leading cause of time-loss injury claims and lost productivity in workplaces. Ergonomics is a science and practice to improve work environments. Participatory ergonomics involves people who can plan and control much of their own work activities, and have the necessary knowledge and power to make changes and influence outcomes. Participatory ergonomics interventions are carried out by a team or committee, typically made up of employees, managers, health and safety personnel, and ergonomists. Participatory ergonomics interventions can lead to improved workplace conditions through participation, communication, and group problem-solving, and can have a positive impact on workers’ exposures and health. Participatory ergonomics is a popular approach to reduce and improve workers’ return to work from injuries. Participatory ergonomics return to work interventions have been shown to be effective in various jurisdictions. Recent research on the process of participatory ergonomics has noted that proper support, adequate resources, and communication are key organizational facilitators necessary for effective participatory ergonomics programs. Additional facilitators such as access to the workplace, clearly defined responsibilities, prior approval for solutions, and adherence to timelines are also important for participatory ergonomics return to work success. Participatory ergonomics approaches can result in more tailored interventions, increased team communication, ongoing adaptations, and potentially targeted outcomes. Continued participatory ergonomics research and innovation can lead to better return to work interventions and ultimately less burden on workers and workplaces.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 229.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 299.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 449.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Aas, R. W., Tuntland, H., Holte, K. A., Røe, C., Lund, T., Marklund, S., et al. (2011). Workplace interventions for neck pain in workers (review). Cochrane Database of Systematic Reviews, 4, CD008160.

    PubMed  Google Scholar 

  • Amick, B. C., III, Bigelow, P., & Cole, D. C. (2008). Workplace researcher relationships: Early research strategy and avoiding the data dearth! In E. Tompa, A. Culyer, & R. Dolinski (Eds.), Economic evaluation of interventions for occupational health and safety. Developing good practice (pp. 117–131). Oxford: Oxford University Press.

    Google Scholar 

  • Ammendolia, C., Cassidy, D., Steenstra, I., Soklaridis, S., Boyle, E., Eng, S., et al. (2009). Designing a workplace return-to-work program for occupational low back pain: An intervention mapping approach. BMC Musculoskeletal Disorders, 10(1), 65.

    Article  PubMed Central  PubMed  Google Scholar 

  • Anema, J. R., Steenstra, I. A., Bongers, P. M., de Vet, H. C., Knol, D. L., Loisel, P., et al. (2007). Multidisciplinary rehabilitation for subacute low back pain: Graded activity or workplace intervention or both? A randomized controlled trial. Spine, 32(3), 291–298.

    Article  PubMed  Google Scholar 

  • Anema, J. R., Steenstra, I. A., Urlings, I. J. M., Bongers, P. M., de Vroome, E. M., & van Mechelen, W. (2003). Participatory ergonomics as a return-to-work intervention: A future challenge? American Journal of Industrial Medicine, 44, 273–281.

    Article  PubMed  Google Scholar 

  • Bohr, P., Evanoff, B., & Wolf, L. D. (1997). Implementing participatory ergonomics teams among health care workers. American Journal of Industrial Medicine, 32(3), 190–196.

    Article  PubMed  Google Scholar 

  • Bongers, P. M., Kremer, A. M., & ter Laak, J. (2002). Are psychosocial factors, risk factors for symptoms and signs of the shoulder, elbow, or hand/wrist? A review of the epidemiological literature. American Journal of Industrial Medicine, 41(5), 315–342.

    Article  PubMed  Google Scholar 

  • Bultmann, U., Sherson, D., Olsen, J., Lysbeck Hansen, C., Lund, T., & Kilsgaard, J. (2009). Coordinated and tailored work rehabilitation: A randomized controlled trial with economic evaluation undertaken with workers on sick leave due to musculoskeletal disorders. Journal of Occupational Rehabilitation, 19, 81–93.

    Article  PubMed  Google Scholar 

  • Caroll, C., Rick, J., Pilgrim, H., Cameron, J., & Hillage, J. (2010). Workplace involvement improves return to work rates among employees with back pain on long-term sick leave: A systematic review of the effectiveness and cost-effectiveness of interventions. Disability and Rehabilitation, 32(8), 607–621.

    Article  Google Scholar 

  • Cole, D. C., & Rivilis, I. (2004). Individual factors and musculoskeletal disorders: A framework for their consideration. Journal of Electromyography & Kinesiology, 14, 121–127.

    Article  Google Scholar 

  • Cole, D. C., Theberge, N., Dixon, S. M., Rivilis, I., Neumann, W. P., & Wells, R. (2009). Reflecting on a program of participatory ergonomics interventions: A multiple case study. Work, 34, 161–178.

    PubMed  Google Scholar 

  • de Jong, A. M., & Vink, P. (2000). The adoption of technological innovations for glaziers: Evaluation of a participatory ergonomics approach. International Journal of Industrial Ergonomics, 26(1), 39–46.

    Google Scholar 

  • Driessen, M. T., Proper, K. I., Anema, J. R., Bongers, P. M., & van der Beek, A. J. (2010). Process evaluation of a participatory ergonomics programme to prevent low back pain and neck pain among workers. Implementation Science, 5, 65.

    Article  PubMed Central  PubMed  Google Scholar 

  • Driessen, M. T., Proper, K. I., Anema, J. R., Knol, D. L., Bongers, P. M., & van der Beek, A. J. (2011). The effectiveness of participatory ergonomics to prevent low-back and neck pain–results of a cluster randomized controlled trial. Scandinavian Journal of Work & Health, 37(5), 383–393.

    Article  Google Scholar 

  • Durand, M. J., Vezina, N., Loisel, P., Baril, R., Richard, M. C., & Diallo, B. (2007). Workplace interventions for workers with musculoskeletal disabilities: A descriptive review of content. Journal of Occupational Rehabilitation, 17, 123–136.

    Article  PubMed  Google Scholar 

  • Elden, M. (1986). Sociotechnical systems ideas as public policy in Norway. Empowering participation through worker-managed change. Journal of Applied Behavioral Science, 22, 239–255.

    Article  Google Scholar 

  • Evanoff, B. A., Bohr, P. C., & Wolf, L. D. (1999). Effects of a participatory ergonomics team among hospital orderlies. American Journal of Industrial Medicine, 35(4), 358–365.

    Article  PubMed  Google Scholar 

  • Franche, R. L., Cullen, K., Clarke, J., Irvin, E., Sinclair, S., & Frank, J. (2005). Workplace-based return-to-work interventions: A systematic review of the quantitative literature. Journal of Occupational Rehabilitation, 15, 607–631.

    Article  PubMed  Google Scholar 

  • Hadler, N. M. (2007). Point of view. Spine, 32(3), 299–300.

    Article  Google Scholar 

  • Hagberg, M., Silverstein, B., Wells, R., Smith, M. J., Hendrick, H. W., Carayon, P., et al. (1995). Work related musculoskeletal disorders (WMSDs): A reference book for prevention. London: Taylor & Francis.

    Google Scholar 

  • Haims, M. C., & Carayon, P. (1998). Theory and practice for the implementation of ‘in-house’, continuous improvement participatory ergonomic programs. Applied Ergonomics, 29(6), 461–472.

    Article  PubMed  Google Scholar 

  • Haines, H., & Wilson, J. (1998). Development of a framework for participatory ergonomics, report 174/1998. London: Health & Safety Executive.

    Google Scholar 

  • Haines, H., Wilson, J. R., Vink, P., & Koningsveld, E. (2002). Validating a framework for participatory ergonomics (the PEF). Ergonomics, 45(4), 309–327.

    Article  PubMed  Google Scholar 

  • Hales, T.R., & Bernard, B.P. (1996). Epidemiology of work-related musculoskeletal disorders. Orthopedic Clinics of North America, 27(4), 679–709.

    Google Scholar 

  • Halpern, C. A., & Dawson, K. D. (1997). Design and implementation of a participatory ergonomics program for machine sewing tasks. International Journal of Industrial Ergonomics, 20(6), 429–440.

    Article  Google Scholar 

  • Haslam, R. A. (2002). Targeting ergonomics interventions—learning from health promotion. Applied Ergonomics, 33(3), 241–249.

    Article  PubMed  Google Scholar 

  • Haukka, E., Leino-Arjas, P., Viikari-Juntura, E., Takala, E. P., Malmivaara, A., Hopsu, L., et al. (2008). A randomised controlled trial on whether a participatory ergonomics intervention could prevent musculoskeletal disorders. Occupational and Environmental Medicine, 65(12), 849–856.

    Article  PubMed  Google Scholar 

  • Hignett, S., Wilson, J. R., & Morris, W. (2005). Finding ergonomic solutions—participatory approaches. Occupational Medicine, 55(3), 200–207.

    Article  PubMed  Google Scholar 

  • Institute for Work and Health (IWH). (2009). Reducing MSD hazards: A guide to successful participatory ergonomics programs. Retrieved from http://www.iwh.on.ca/pe-guide.

    Google Scholar 

  • Kristensen, T. S. (2005). Intervention studies in occupational epidemiology. Occupational and Environmental Medicine, 62, 205–210.

    Article  PubMed Central  PubMed  Google Scholar 

  • Kuorinka, I. (1997). Tools and means of implementing participatory ergonomics. International Journal of Industrial Ergonomics, 19(4), 267–270.

    Article  Google Scholar 

  • Laitinen, H., Saari, J., Kivisto, M., & Rasa, P. L. (1997a). Improving physical and psychosocial working conditions through a participatory ergonomic process: A before-after study at an engineering workshop. International Journal of Industrial Ergonomics, 21(1), 35–45.

    Article  Google Scholar 

  • Laitinen, H., Saari, J., & Kuusela, J. (1997b). Initiating an innovative change process for improved working conditions and ergonomics with participation and performance feedback: A case study in an engineering workshop. International Journal of Industrial Ergonomics, 19(4), 299–305.

    Article  Google Scholar 

  • Lambeek, L. C., van Mechelen, W., Knol, D. L., Loisel, P., & Anema, J. R. (2010). Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life. BMJ. 340:c1035.

    Google Scholar 

  • Liker, J. K., Nagamachi, M., & Lifshitz, Y. R. (1989). A comparative analysis of participatory ergonomics programs in U.S. and Japan manufacturing plants. International Journal of Industrial Ergonomics, 3, 185–199.

    Google Scholar 

  • Linnan, L., & Steckler, A. (2002). Process evaluation for public health interventions and research: An overview. In A. Steckler & L. Linnan (Eds.), Process evaluation for public health interventions and research (pp. 1–23). San Francisco, CA: Jossey-Bass.

    Google Scholar 

  • Loisel, P., Abenhaim, L., Durand, P., Esdaile, J. M., Suissa, S., Gosselin, L., et al. (1997). A population based, randomized clinical trial on back pain management. Spine, 22, 2911–2918.

    Article  PubMed  Google Scholar 

  • Loisel, P., Durand, P., Abenhaim, L., Gosselin, L., Simard, R., Turcotte, J., et al. (1994). Management of occupational back pain: The Sherbrooke model. Results of a pilot and feasibility study. Occupational and Environmental Medicine, 51, 597–602.

    Article  PubMed Central  PubMed  Google Scholar 

  • Loisel, P., Gosselin, L., Durand, P., Lemaire, J., Poitras, S., & Abenhaim, L. (2001). Implementation of a participatory ergonomics program in the rehabilitation of workers suffering from subacute back pain. Applied Ergonomics, 32(1), 53–60.

    Article  PubMed  Google Scholar 

  • Marois, E., & Durand, M.-J. (2009). Does participation in interdisciplinary work rehabilitation programme influence return to work obstacles and predictive factors? Disability and Rehabilitation, 31(12), 994–1007.

    Article  PubMed  Google Scholar 

  • Martimo, K.-P., Shiri, R., Miranda, H., Ketola, R., Varonen, H., & Viikari-Juntura, E. (2010). Effectiveness of an ergonomic intervention on the productivity of workers with upper-extremity disorders–a randomized controlled trial. Scandinavian Journal of Work & Health, 36(1), 25–33.

    Article  Google Scholar 

  • Moore, J. S., & Garg, A. (1997). The effectiveness of participatory ergonomics in the red meat packing industry evaluation of a corporation. International Journal of Industrial Ergonomics, 21(1), 47–58.

    Article  Google Scholar 

  • Motamedzade, M., Shahnavaz, H., Kazemnejad, A., Azar, A., & Karimi, H. (2003). The impact of participatory ergonomics on working conditions, quality, and productivity. International Journal of Occupational Safety and Ergonomics, 9(2), 135–147.

    Article  PubMed  Google Scholar 

  • Nagamachi, M. (1995). Requisites and practices of participatory ergonomics. International Journal of Industrial Ergonomics, 15(5), 371–377.

    Article  Google Scholar 

  • National Research Council. (2001). Musculoskeletal disorders in the workplace: Low back and upper extremities. Washington, DC: National Academic Press.

    Google Scholar 

  • Noro, K. (2003). Participatory ergonomics. In W. Karwowski & W. S. Marras (Eds.), Occupational ergonomics: Design and management of work systems. Boca Raton, FL: CRC Press.

    Google Scholar 

  • Noro, K., & Imada, A. S. (1991). Participatory ergonomics. London: Taylor & Francis.

    Google Scholar 

  • Occupational Health and Safety Council of Ontario (OSHCO). (2007). MSD prevention guidelines for Ontario. Retrieved from http://www.iwh.on.ca/msd-tool-kit.

    Google Scholar 

  • Pehkonen, I., Takala, E. P., Ketola, R., Viikari-Juntura, E., Leino-Arjas, P., Hopsu, L., et al. (2009). Evaluation of a participatory ergonomic intervention process in kitchen work. Applied Ergonomics, 40(1), 115–123.

    Article  PubMed  Google Scholar 

  • Reynolds, J. L., Drury, C. G., & Broderick, R. L. (1994). A field methodology for the control of musculoskeletal injuries. Applied Ergonomics, 25(1), 3–16.

    Article  PubMed  Google Scholar 

  • Rivilis, I., Van Eerd, D., Cullen, K., Cole, D. C., Irvin, E., Tyson, J., et al. (2008). Effectiveness of participatory ergonomic interventions on health outcomes: A systematic review. Applied Ergonomics, 39(3), 342–358.

    Article  PubMed  Google Scholar 

  • Rosecrance, J. C., & Cook, T. M. (2000). The use of participatory action research and ergonomics in the prevention of work-related musculoskeletal disorders in the newspaper industry. Applied Occupational & Environmental Hygiene, 15(3), 255–262.

    Article  Google Scholar 

  • Schneider, E., & Irastorza, X. (2010). OSH in figures: Work-related musculoskeletal disorders in the EU—facts and figures (European Agency for Safety and Health at Work (EU-OSHA)). Belgium: Luxembourg.

    Google Scholar 

  • Shaw, W., Hong, Q. N., Pransky, G., & Loisel, P. (2008). A literature review describing the role of return-to-work coordinators in trial programs and interventions designed to prevent workplace disability. Journal of Occupational Rehabilitation, 18(1), 2–15.

    Article  PubMed  Google Scholar 

  • Silverstein, B., & Evanoff, B. (2011). Musculoskeletal disorders. In B. S. Levy, D. H. Wegman, S. L. Baron, & R. K. Sokas (Eds.), Occupational and environmental health: Recognizing and preventing disease and injury. New York, NY: Oxford University Press.

    Google Scholar 

  • Simon, S. I., & Leik, M. (1999). Breaking the safety barrier: Implementing culture change. Professional Safety, 44(3), 20–25.

    Google Scholar 

  • Sluiter, J. K., Rest, K. M., & Frings-Dresen, M. H. W. (2001). Criteria document for evaluating the work-relatedness of upper extremity musculoskeletal disorders. Scandinavian Journal of Work and Environmental Health, 27, 1–102.

    Article  Google Scholar 

  • Steenstra, I. A., Anema, J. R., Bongers, P. M., de Vet, H. C., & van Mechelen, W. (2003). Cost effectiveness of a multi-stage return to work program for workers on sick leave due to low back pain, design of a population based controlled trial. BMC Musculoskeletal Disorders, 4(1), 26.

    Article  PubMed Central  PubMed  Google Scholar 

  • Steenstra, I. A., Knol, D. L., Bongers, P. M., Anema, J. R., van Mechelen, W., & de Vet, H. C. (2009). What works best for whom? An exploratory, subgroup analysis in a randomized, controlled trial on the effectiveness of a workplace intervention in low back pain patients on return to work. Spine, 34(12), 1243–1249.

    Article  PubMed  Google Scholar 

  • Sullivan, T., & Cole, D. C. (2002). Work, health, safety and compensation. In B. S. Bolara & H. Dickenson (Eds.), Health, illness and health care in Canada (3rd ed.). Toronto: Nelson Thomas Learning.

    Google Scholar 

  • Sun, X., Briel, M., Busse, J. W., Akl, E. A., You, J. J., Mejza, F., et al. (2009). Subgroup Analysis of Trials Is Rarely Easy (SATIRE): A study protocol for a systematic review to characterize the analysis, reporting, and claim of subgroup effects in randomized trials. Trials, 10, 101.

    Article  PubMed Central  PubMed  Google Scholar 

  • Van Beurden, K. M., Vermeulen, S. J., Anema, J. R., & van der Beek, A. J. (2012). A participatory return-to-work program for temporary agency workers and unemployed workers sick-listed due to musculoskeletal disorders: A process evaluation alongside a randomized controlled trial. Journal of Occupational Rehabilitation, 22, 127–140.

    Article  PubMed Central  PubMed  Google Scholar 

  • Van Eerd, D., Beaton, D. E., Cole, D. C., Lucas, J., Hogg-Johnson, S., & Bombardier, C. (2003). Classification systems for upper-limb musculoskeletal disorders in workers: a review of the literature. Journal of Clinical Epidemiology, 56(10), 925–936.

    Article  PubMed  Google Scholar 

  • Van Eerd, D., Cole, D. C., Irvin, E., Mahood, Q., Keown, K., Theberge, N., et al. (2010). Process and implementation of participatory ergonomic interventions: A systematic review. Ergonomics, 53(10), 1153–1166.

    Article  PubMed  Google Scholar 

  • Van Oostrom, S. H., van Mechelen, W., Terluin, B., de Vet, H. C., & Anema, J. R. (2009). A participatory workplace intervention for employees with distress and lost time: A feasibility evaluation within a randomized controlled trial. Journal of Occupational Rehabilitation, 19(2), 212–222.

    Article  PubMed  Google Scholar 

  • Vermeulen, S. J., Anema, J. R., Schellart, A. J. M., Knol, D. L., van Mechelen, W., & van der Beek, A. J. (2011). A participatory return-to-work intervention for temporary agency workers and unemployed workers sick-listed due to musculoskeletal disorders: Results of a randomized controlled trial. Journal of Occupational Rehabilitation, 21, 313–324.

    Article  PubMed Central  PubMed  Google Scholar 

  • Wells, R., Laing, A., & Cole, D. C. (2009). Characterizing the intensity of interventions for the prevention of musculoskeletal disorders by mechanical exposure reductions. Work, 34(2), 179–193.

    PubMed  Google Scholar 

  • Wells, R., Norman, R., Frazer, M., & Laing, A. (2000). University of Waterloo ergonomics program implementation blueprint. Retrieved from http://www.ergonomics.uwaterloo.ca/bprint.html.

    Google Scholar 

  • Westgaard, R. H. (1999). Effects of physical and mental stressors on muscle pain. Scandinavian Journal of Work, Environment and Health, 25(S4), 19–24.

    PubMed  Google Scholar 

  • Williams, R. M., Westmorland, M. G., Lin, C. A., Schmuck, G., & Creen, M. (2007). Effectiveness of workplace rehabilitation interventions in the treatment of work-related low back pain: A systematic review. Disability and Rehabilitation, 29(8), 607–624.

    Article  PubMed  Google Scholar 

  • Wilson, J. R., & Haines, H. M. (1997). Participatory ergonomics. In G. Salvendy (Ed.), Handbook of human factors and ergonomics (pp. 490–513). New York, NY: Wiley.

    Google Scholar 

  • Workers’ Compensation Board of Nova Scotia. (2009). Annual report 2009. Retrieved from http://www.wcb.ns.ca/app/DocRepository/5/About/Review/Reports/WCB_AR_2009_final2.pdf/.

    Google Scholar 

  • Workplace Safety and Insurance Board (WSIB). (2009). Statistical supplement to the 2009 annual report. Retrieved from http://www.wsib.on.ca/wsib/wsibobj.nsf/LookupFiles/DownloadableFile2009Statistics/$File/StatSupp09.pdf/.

    Google Scholar 

  • WorkSafeBC. (2009). WorkSafeBC statistics 2009. Retrieved from http://www.worksafebc.com/publications/reports/statistics_reports/assets/pdf/stats2009.pdf/.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Dwayne Van Eerd .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer Science+Business Media New York

About this chapter

Cite this chapter

Van Eerd, D., Cole, D.C., Steenstra, I.A. (2016). Participatory Ergonomics for Return to Work. In: Schultz, I., Gatchel, R. (eds) Handbook of Return to Work. Handbooks in Health, Work, and Disability, vol 1. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7627-7_16

Download citation

Publish with us

Policies and ethics