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Published in: BMC Musculoskeletal Disorders 1/2014

Open Access 01-12-2014 | Study protocol

The effectiveness of job rotation to prevent work-related musculoskeletal disorders: protocol of a cluster randomized clinical trial

Authors: Maria Luiza Caires Comper, Rosimeire Simprini Padula

Published in: BMC Musculoskeletal Disorders | Issue 1/2014

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Abstract

Background

Job rotation has often been used in situations where the level of exposure cannot be reduced due to the characteristics of the job or through physical measures. However, the effectiveness of the job rotation strategy at preventing musculoskeletal complaints lacks adequate scientific data.

Methods/Design

A cluster randomized controlled trial will be used to investigate the effectiveness of job rotation to prevent musculoskeletal disorders in industrial workers. The randomized cluster was based in characteristics of production sectors. A total cluster will be 4 sectors, and 957 workers will be recruited from a textile industry and randomly allocated into intervention or control groups. Both groups will receive training on ergonomics guidelines. In addition, the intervention group will perform job rotation, switching between tasks with low, moderate, and high risk for musculoskeletal complaints. The primary outcome will be the number of working hours lost due to sick leave by musculoskeletal injuries recorded in employee administrative data bases. Secondary outcomes measured via survey include: body parts with musculoskeletal pain, the intensity of this pain, physical workload, fatigue, general health status, physical activity level, and work productivity. Secondary outcome measures will be assessed at baseline and after 3, 6, 9, and 12 months. The cost-effectiveness analysis will be performed from the societal and company perspective.

Discussion

Prevention of work-related musculoskeletal disorders is beneficial for workers, employers, and society. The results of this study will provide new information about the effectiveness of job rotation as a strategy to reduce work-related musculoskeletal disorders.

Trial registration

NCT01979731, November 3, 2013
Appendix
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Literature
1.
go back to reference Eklöf M, Hagberg M: Are simple feedback interventions involving workplace data associated with better working environment and health? A cluster randomized controlled study among Swedish VDU workers. Appl Ergon. 2006, 37 (2): 201-210. 10.1016/j.apergo.2005.04.003.CrossRefPubMed Eklöf M, Hagberg M: Are simple feedback interventions involving workplace data associated with better working environment and health? A cluster randomized controlled study among Swedish VDU workers. Appl Ergon. 2006, 37 (2): 201-210. 10.1016/j.apergo.2005.04.003.CrossRefPubMed
2.
go back to reference Mathiassen SE: Diversity and variation in biomechanical exposure: what is it, and why would we like to know?. Appl Ergon. 2006, 37 (4): 419-427. 10.1016/j.apergo.2006.04.006.CrossRefPubMed Mathiassen SE: Diversity and variation in biomechanical exposure: what is it, and why would we like to know?. Appl Ergon. 2006, 37 (4): 419-427. 10.1016/j.apergo.2006.04.006.CrossRefPubMed
3.
go back to reference Sato Tde O, Coury HJ: Evaluation of musculoskeletal health outcomes in the context of job rotation and multifunctional jobs. Appl Ergon. 2009, 40 (4): 707-712. 10.1016/j.apergo.2008.06.005.CrossRefPubMed Sato Tde O, Coury HJ: Evaluation of musculoskeletal health outcomes in the context of job rotation and multifunctional jobs. Appl Ergon. 2009, 40 (4): 707-712. 10.1016/j.apergo.2008.06.005.CrossRefPubMed
4.
go back to reference Keir PJ, Sanei K, Holmes MWR: Task rotation effects on upper extremity and back muscle activity. Appl Ergon. 2011, 42 (6): 814-819. 10.1016/j.apergo.2011.01.006.CrossRefPubMed Keir PJ, Sanei K, Holmes MWR: Task rotation effects on upper extremity and back muscle activity. Appl Ergon. 2011, 42 (6): 814-819. 10.1016/j.apergo.2011.01.006.CrossRefPubMed
5.
go back to reference Rissen D, Melin B, Sandsjo L, Dohns I, Lundberg U: Psychophysiological stress reactions, trapezius muscle activity and neck and shoulder pain among female cashiers before and after introduction of job rotation. Work Stress. 2002, 16 (2): 127-137. 10.1080/02678370210141530.CrossRef Rissen D, Melin B, Sandsjo L, Dohns I, Lundberg U: Psychophysiological stress reactions, trapezius muscle activity and neck and shoulder pain among female cashiers before and after introduction of job rotation. Work Stress. 2002, 16 (2): 127-137. 10.1080/02678370210141530.CrossRef
6.
go back to reference Ho WH, Chang CS, Shih YL, Liang RD: Effects of job rotation and role stress among nurses on job satisfaction and organizational commitment. BMC Health Serv Res. 2009, 9: 8-10.1186/1472-6963-9-8.CrossRefPubMedPubMedCentral Ho WH, Chang CS, Shih YL, Liang RD: Effects of job rotation and role stress among nurses on job satisfaction and organizational commitment. BMC Health Serv Res. 2009, 9: 8-10.1186/1472-6963-9-8.CrossRefPubMedPubMedCentral
7.
go back to reference Hinnen U, Laubli T, Guggenbuhl U, Krueger H: Design of check-out systems including laser scanners for sitting work posture. Scand J Work Environ Health. 1992, 18 (3): 186-194. 10.5271/sjweh.1589.CrossRefPubMed Hinnen U, Laubli T, Guggenbuhl U, Krueger H: Design of check-out systems including laser scanners for sitting work posture. Scand J Work Environ Health. 1992, 18 (3): 186-194. 10.5271/sjweh.1589.CrossRefPubMed
8.
go back to reference Kuijer PP, Visser B, Kemper HC: Job rotation as a factor in reducing physical workload at a refuse collecting department. Ergonomics. 1999, 42 (9): 1167-1178. 10.1080/001401399185054.CrossRefPubMed Kuijer PP, Visser B, Kemper HC: Job rotation as a factor in reducing physical workload at a refuse collecting department. Ergonomics. 1999, 42 (9): 1167-1178. 10.1080/001401399185054.CrossRefPubMed
9.
go back to reference Kuijer PP, van der Beek AJ, Van Dieen JH, Visser B, Frings-Dresen MH: Effect of job rotation on need for recovery, musculoskeletal complaints, and sick leave due to musculoskeletal complaints: a prospective study among refuse collectors. Am J Ind Med. 2005, 47 (5): 394-402. 10.1002/ajim.20159.CrossRefPubMed Kuijer PP, van der Beek AJ, Van Dieen JH, Visser B, Frings-Dresen MH: Effect of job rotation on need for recovery, musculoskeletal complaints, and sick leave due to musculoskeletal complaints: a prospective study among refuse collectors. Am J Ind Med. 2005, 47 (5): 394-402. 10.1002/ajim.20159.CrossRefPubMed
10.
go back to reference Frazer MB, Norman RW, Wells RP, Neumann PW: The effects of job rotation on the risk of reporting low back pain. Ergonomics. 2003, 46 (9): 904-919. 10.1080/001401303000090161.CrossRefPubMed Frazer MB, Norman RW, Wells RP, Neumann PW: The effects of job rotation on the risk of reporting low back pain. Ergonomics. 2003, 46 (9): 904-919. 10.1080/001401303000090161.CrossRefPubMed
11.
go back to reference Asensio-Cuesta S, Diego-Mas JA, Cremades-Oliver LV, González-Cruz MC: A method to design job rotation schedules to prevent work-related musculoskeletal disorders in repetitive work. Int J Prod Res. 2012, 50 (25): 7467-7478.CrossRef Asensio-Cuesta S, Diego-Mas JA, Cremades-Oliver LV, González-Cruz MC: A method to design job rotation schedules to prevent work-related musculoskeletal disorders in repetitive work. Int J Prod Res. 2012, 50 (25): 7467-7478.CrossRef
12.
go back to reference Michalos G, Makris S, Rentzos L, Chyssolouris G: Dynamic job rotation for workload balancing in human based assembly systems. CIRP J Mfg Sci Tech. 2010, 2 (3): 153-160. 10.1016/j.cirpj.2010.03.009.CrossRef Michalos G, Makris S, Rentzos L, Chyssolouris G: Dynamic job rotation for workload balancing in human based assembly systems. CIRP J Mfg Sci Tech. 2010, 2 (3): 153-160. 10.1016/j.cirpj.2010.03.009.CrossRef
13.
go back to reference Azisi N, Zolfaghari S, Liang M: Modeling job rotation in manufacturing systems: The study of employee’s boredom and skill variations. Int J Prod Econ. 2010, 123 (1): 69-85. 10.1016/j.ijpe.2009.07.010.CrossRef Azisi N, Zolfaghari S, Liang M: Modeling job rotation in manufacturing systems: The study of employee’s boredom and skill variations. Int J Prod Econ. 2010, 123 (1): 69-85. 10.1016/j.ijpe.2009.07.010.CrossRef
14.
go back to reference Aptel M, Cail F, Gerling A, Louis O: Proposal of parameters to implement a workstation rotation system to protect against MSDs. Int J Ind Ergon. 2008, 38 (11–12): 900-909.CrossRef Aptel M, Cail F, Gerling A, Louis O: Proposal of parameters to implement a workstation rotation system to protect against MSDs. Int J Ind Ergon. 2008, 38 (11–12): 900-909.CrossRef
15.
go back to reference Mahmud N, Kenny DT, Md Zein R, Hassan SN: Ergonomic training reduces musculoskeletal disorders among office workers: results from the 6-month follow-up. Malays J Med Sci. 2011, 18 (2): 16-26.PubMedPubMedCentral Mahmud N, Kenny DT, Md Zein R, Hassan SN: Ergonomic training reduces musculoskeletal disorders among office workers: results from the 6-month follow-up. Malays J Med Sci. 2011, 18 (2): 16-26.PubMedPubMedCentral
16.
go back to reference Comper MLC, Costa LOP, Padula RS: Quick Exposure Check (QEC): a cross-cultural adaptation into Brazilian-Portuguese. Work. 2012, 41 (supl): 2056-2059.PubMed Comper MLC, Costa LOP, Padula RS: Quick Exposure Check (QEC): a cross-cultural adaptation into Brazilian-Portuguese. Work. 2012, 41 (supl): 2056-2059.PubMed
17.
go back to reference Comper ML, Costa LO, Padula RS: Clinimetric properties of the Brazilian-Portuguese version of the Quick Exposure Check (QEC). Braz J Phys Ther. 2012, 16 (6): 487-494. 10.1590/S1413-35552012005000049.CrossRef Comper ML, Costa LO, Padula RS: Clinimetric properties of the Brazilian-Portuguese version of the Quick Exposure Check (QEC). Braz J Phys Ther. 2012, 16 (6): 487-494. 10.1590/S1413-35552012005000049.CrossRef
18.
go back to reference Lamarão AM, Costa LCM, Comper MLC, Padula RS: Translation, cross-cultural adaptation to Brazilian-Portuguese and reproducibility analysis of the method rapid entire body assessment - reba. Braz J Phys Ther. 2014, in press Lamarão AM, Costa LCM, Comper MLC, Padula RS: Translation, cross-cultural adaptation to Brazilian-Portuguese and reproducibility analysis of the method rapid entire body assessment - reba. Braz J Phys Ther. 2014, in press
19.
go back to reference Filus R, Okimoto ML: O efeito do tempo de rodízios entre postos de trabalho nos indicadores de fadiga muscular – o ácido lático. 2006, Curitiba- PR: 14° Congresso Brasileiro de Ergonomia Filus R, Okimoto ML: O efeito do tempo de rodízios entre postos de trabalho nos indicadores de fadiga muscular – o ácido lático. 2006, Curitiba- PR: 14° Congresso Brasileiro de Ergonomia
20.
go back to reference Barros EN, Alexandre NM: Cross-cultural adaptation of the Nordic musculoskeletal questionnaire. Int Nurs Rev. 2003, 50 (2): 101-108. 10.1046/j.1466-7657.2003.00188.x.CrossRefPubMed Barros EN, Alexandre NM: Cross-cultural adaptation of the Nordic musculoskeletal questionnaire. Int Nurs Rev. 2003, 50 (2): 101-108. 10.1046/j.1466-7657.2003.00188.x.CrossRefPubMed
21.
go back to reference Farrar JT, Young JP, LaMoreaux L, Werth JL, Poole RM: Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale. Pain. 2001, 94 (2): 149-158. 10.1016/S0304-3959(01)00349-9.CrossRefPubMed Farrar JT, Young JP, LaMoreaux L, Werth JL, Poole RM: Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale. Pain. 2001, 94 (2): 149-158. 10.1016/S0304-3959(01)00349-9.CrossRefPubMed
22.
go back to reference Shiri R, Martimo KP, Miranda H, Ketola R, Kaila-Kangas L, Liira H, Karppinen J, Viikari-Juntura E: The effect of workplace intervention on pain and sickness absence caused by upper-extremity musculoskeletal disorders. Scand J Work Environ Health. 2011, 37 (2): 120-128. 10.5271/sjweh.3141.CrossRefPubMed Shiri R, Martimo KP, Miranda H, Ketola R, Kaila-Kangas L, Liira H, Karppinen J, Viikari-Juntura E: The effect of workplace intervention on pain and sickness absence caused by upper-extremity musculoskeletal disorders. Scand J Work Environ Health. 2011, 37 (2): 120-128. 10.5271/sjweh.3141.CrossRefPubMed
23.
go back to reference van Oostrom SH, Driessen MT, de Vet HC, Franche RL, Schonstein E, Loisel P, Van Mechelen W, Anema JR: Workplace interventions for preventing work disability. Cochrane Database Syst Rev. 2009, CD006955-2 van Oostrom SH, Driessen MT, de Vet HC, Franche RL, Schonstein E, Loisel P, Van Mechelen W, Anema JR: Workplace interventions for preventing work disability. Cochrane Database Syst Rev. 2009, CD006955-2
24.
go back to reference Coluci M, Alexandre N, Rosecrance J: Reliability and validity of an ergonomics-related Job Factors Questionnaire. Int J Ind Ergon. 2009, 39 (6): 995-1001. 10.1016/j.ergon.2009.08.011.CrossRef Coluci M, Alexandre N, Rosecrance J: Reliability and validity of an ergonomics-related Job Factors Questionnaire. Int J Ind Ergon. 2009, 39 (6): 995-1001. 10.1016/j.ergon.2009.08.011.CrossRef
25.
go back to reference Moriguchi CS, Alem MER, Veldhoven MV, Coury HJCG: Cultural adaptation and psychometric properties of Brazilian need for recovery scale. Rev Saude Publica. 2010, 44 (1): 131-139. 10.1590/S0034-89102010000100014.CrossRefPubMed Moriguchi CS, Alem MER, Veldhoven MV, Coury HJCG: Cultural adaptation and psychometric properties of Brazilian need for recovery scale. Rev Saude Publica. 2010, 44 (1): 131-139. 10.1590/S0034-89102010000100014.CrossRefPubMed
26.
go back to reference Fleck MP, Louzada S, Xavier M, Chachamovich E, Vieira G, Santos L, Pinzon V: Aplicação da versão em português do instrumento abreviado de avaliação da qualidade de vida "WHOQOL-bref”. Rev Saude Publica. 2000, 34 (2): 178-183. 10.1590/S0034-89102000000200012.CrossRefPubMed Fleck MP, Louzada S, Xavier M, Chachamovich E, Vieira G, Santos L, Pinzon V: Aplicação da versão em português do instrumento abreviado de avaliação da qualidade de vida "WHOQOL-bref”. Rev Saude Publica. 2000, 34 (2): 178-183. 10.1590/S0034-89102000000200012.CrossRefPubMed
27.
go back to reference Kessler RC, Barber C, Beck A, Berglund P, Cleary PD, McKenas D, Pronk N, Simon G, Stang P, Üstün TU, Wang P: The world health organization health and work performance questionnaire (HPQ). J Occup Environ Med. 2003, 45 (2): 156-174. 10.1097/01.jom.0000052967.43131.51.CrossRefPubMed Kessler RC, Barber C, Beck A, Berglund P, Cleary PD, McKenas D, Pronk N, Simon G, Stang P, Üstün TU, Wang P: The world health organization health and work performance questionnaire (HPQ). J Occup Environ Med. 2003, 45 (2): 156-174. 10.1097/01.jom.0000052967.43131.51.CrossRefPubMed
28.
go back to reference Lahiri S, Markkanen P, Levenstein C: The cost effectiveness of occupational health interventions: preventing occupational back pain. Am J Ind Med. 2005, 48 (6): 515-529. 10.1002/ajim.20193.CrossRefPubMed Lahiri S, Markkanen P, Levenstein C: The cost effectiveness of occupational health interventions: preventing occupational back pain. Am J Ind Med. 2005, 48 (6): 515-529. 10.1002/ajim.20193.CrossRefPubMed
29.
go back to reference Drummond MF, Richardson WS, O'Brien BJ, Levine M, Heyland D: Users' guides to the medical literature. XIII. How to use an article on economic analysis of clinical practice. A. Are the results of the study valid? Evidence-based medicine working group. JAMA. 1997, 277 (19): 1552-1557. 10.1001/jama.1997.03540430064035.CrossRefPubMed Drummond MF, Richardson WS, O'Brien BJ, Levine M, Heyland D: Users' guides to the medical literature. XIII. How to use an article on economic analysis of clinical practice. A. Are the results of the study valid? Evidence-based medicine working group. JAMA. 1997, 277 (19): 1552-1557. 10.1001/jama.1997.03540430064035.CrossRefPubMed
30.
go back to reference Twisk JW: Longitudinal data analysis. A comparison between generalized estimating equations and random coefficient analysis. Eur J Epidemiol. 2004, 19 (8): 769-773.CrossRefPubMed Twisk JW: Longitudinal data analysis. A comparison between generalized estimating equations and random coefficient analysis. Eur J Epidemiol. 2004, 19 (8): 769-773.CrossRefPubMed
Metadata
Title
The effectiveness of job rotation to prevent work-related musculoskeletal disorders: protocol of a cluster randomized clinical trial
Authors
Maria Luiza Caires Comper
Rosimeire Simprini Padula
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2014
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/1471-2474-15-170

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