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Page 1 ErgoTools: Desktop and Mobile Applications for MSD Prevention Mike Sonne, PhD, CCPE Ergonomist Occupational Health Clinics for Ontario Workers, Hamilton, ON

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Page 1: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

Page 1

ErgoTools: Desktop and Mobile Applications for MSD

Prevention

Mike Sonne, PhD, CCPE Ergonomist

Occupational Health Clinics for Ontario Workers,

Hamilton, ON

Page 2: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

What is an MSD?

• Your body is made up of muscles, tendons,

nerves, joints, spinal discs and other tissues. This

is the musculoskeletal system.

• When you injure a part of this system as a

result of particular workplace hazards it is

called a Musculoskeletal Disorder or MSD.

Image Source: Istockphoto.com

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Page 3: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

• Cost Ontario workplaces

$1.2 Billion per year

• MSDs account for 44% of

injuries where a worker

missed work

• Preventing MSDs means

more employees go

home healthy and safe at

the end of the day

$1.2

Billion

44%

The Most Common Type of

Injury in Ontario

Page 4: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

MSD Hazards

Force

Awkward/Fixed

Posture

Repetition

Vibration Contact

Stress

Temperature

(hot or cold) Organization

Duration

4

Page 5: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

Ergonomics Tools

Page 5

Page 6: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

Presenting:

ErgoTools! • Combination of 6 commonly used

Ergonomics tools

• RULA

• ROSA

• MAE Equation

• Rohmert Rest Allowance

• Strain Index

• NIOSH Lifting Equation

• Works well on desktops, as well as

cell phones and tablets

• Give a preliminary idea into if jobs

are acceptable for known MSD

prevention standards

Page 6

Page 7: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

ErgoTools - Use

• Tools require some training – targeted at

ergonomists, or JHSC members with ergo

training

• Can be used to do screening

assessments, and to build a database in

your workplace

Page 7

Page 8: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

Other Tools – Strain Index

Page 8

Repetitive,

Upper Extremity

Tasks

Page 9: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

MAE Equation

Page 9

Repetitive Work

Assessment

Page 10: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

RULA

Page 10

Postural

Assessment

Page 11: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

Rohmert Rest Allowance

Page 11

Metabolic

Rest

Allowance

Page 12: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

NIOSH Lifting Equation

Page 12

Biomechanical

Lifting

Analysis

Page 13: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

ErgoTools - ROSA

• The Rapid Office Strain Assessment –

Allows a quick evaluation of the office

workstation, provides a 1-10 scale

representing risk level (10 is higher)

Page 13

Page 14: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

ROSA - Development

• Risk Factors and ideal postures identified using the CSA

Standards on Office Ergonomics (CSA Z412).

• Risk factors and work postures associated with chair,

monitor, telephone, keyboard and mouse – Risk scores are assigned to each posture and posture combination as they

deviate from neutral.

Page 15: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

Methods– Tool Development

• An total risk score can be reached (from 1-10)

by comparing total chair score vs. Monitor and

peripherals score.

Page 16: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

Subjects & Procedure

• 72 Office Workers were recruited from a

local hospital’s administrative staff.

• Each workstation was assessed using

ROSA.

• Each worker completed a discomfort

questionnaire (Hedge et al., 1999).

Page 17: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

Methods - Procedure

• Inter-rater reliability:

– 3 Trained observers assessed 14 workstations

simultaneously.

• Intra-rater reliability:

– 3 trained observers assessed workstations once a

week for 4 weeks.

Page 18: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

Results • Inter-rater reliability - ICC=.91 (average)

• Intra-rater reliability - ICC=.88 (average)

Page 19: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

Conclusions

• Using a value of 5 as a cut-off for

immediate action may allow professionals

to focus on high-risk offices, reducing risk

of lost time injuries.

Page 20: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

Purpose

1. Determine if worker ROSA self-

assessments are valid compared to those

made by a trained observer

2. Determine if workers can improve their

ROSA scores using ROSA online over

the course of one month

Experimental Validity Confirmed if:

1. No significant differences between measures

2. Measures were correlated with a magnitude of greater

than r=0.5 (Moderate – Vincent, 1999)

Page 21: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

Methods

Page 22: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

Results – Assessment Type

2.0

2.5

3.0

3.5

4.0

4.5

RO

SA

Sco

re

ROSA Final Scores

EA WA 2.0

2.5

3.0

3.5

4.0

4.5

RO

SA

Sco

re

Mouse and Keyboard Scores

EA WA

Page 23: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

Results – Assessment Type

• No main effect seen for Assessment Type

in the Chair, or Monitor and Telephone

subsection

– Chair

• EA = mean 3.36 (SE(0.12)), WA = 3.02 (0.13)

– Monitor and Telephone

• EA = 2.74(0.16), WA = 2.54(0.15)

Page 24: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

Correlation “Validity” – r < 0.5

Results – Assessment Type

• Correlations between WA and EA

0.000

0.100

0.200

0.300

0.400

0.500

0.600

0.700

Chair Monitor and

Telephone

Mouse and

Keyboard

ROSA Final

*

Page 25: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

Results

0

10

20

30

40

50

60

1 2 3 4

Dis

com

fort

Score

Time (Week)

1 2 3 4

Page 26: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

Conclusions

• Observer-reported ROSA final scores require additional

study – Observer-reported ROSA scores from chair met the experimental

definition of Validity

– Correlation strength increased from Week 1 to 4 in Mouse and

Keyboard and ROSA final section

• Feedback had a detrimental effect on worker

assessment performance

Page 27: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

Other Methods for ROSA

• Research Question: Is photo-analysis a

valid method of office workstation risk

factor assessments using ROSA?

Page 28: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

Fig. 2. Fully inclusive

sagittal photo – trunk,

seat properties, upper

limb, neck, equipment

orientation

Fig. 3. Sagittal photo

capturing reach for

telephone

Fig. 4. Coronal

photo showing

upper limb

postures while

typing, neck

rotation

Photographs: Methods

Page 29: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

Photographs:

Fig. 5. Photo capturing

the workstation

operator’s phone usage

Fig. 6. Coronal photo

depicting upper limb

postures while

mousing

Methods

Page 30: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

Fig. 7. Overall relationship between live assessments and photo-observer scores

0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

8.0

9.0

15 23 11 10 14 4 17 22 5 6 7 20 3 9 13 18 21 2 12 8 16 19 1

RO

SA S

core

(/1

0)

Subject

ROSA Final Scores

Mean ExpertScore

Max

Min

LiveAssessment

Results

Page 31: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort
Page 32: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

ROSA Example

32

Select one of these options

Select any of these options

Page 33: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

Chair Depth

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Page 34: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

Monitor

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Page 35: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

Telephone

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Page 36: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

Mouse

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Page 37: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

Keyboard

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Page 38: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

Interpreting Your Scores

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Page 39: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

ErgoTools - ROSA • Scores of 5 or greater – ↑ Discomfort

• Have an Ergonomics Assessment completed

Page 39

Page 40: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

ROSA - Reporting

Page 40

Page 41: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

ErgoTools – ROSA

• Excel Worksheet

Page 41

Page 42: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

ROSA Results

Page 42

Page 43: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

OHCOW - ErgoTools

Page 43

Page 44: ErgoTools€¦ · • 72 Office Workers were recruited from a local hospital’s administrative staff. • Each workstation was assessed using ROSA. • Each worker completed a discomfort

OHCOW - ErgoTools

• www.ohcow.on.ca/ergotools

– Mike Sonne, PhD, CCPE

[email protected]

– 1-877-817-0336 ext. 2232

• Thanks!

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