In this general context, COUTO [2] says that the most important factor that contributed to the growth of muscular .. 2. COUTO, Hudson de Araújo. Ergonomia aplicada ao trabalho: Manual Técnico da Máquina Humana. ERGO. Ergonomia aplicada ao trabalho: conteúdo básico: guia prático / Ergonomics applied to work: basic content: practical guide. Couto, Hudson de Araújo. Versatility. To Couto [10] the purpose of the workstation rotation .. Ergonomia Aplicada ao Trabalho – O Manual. Técnico da [10] Couto, Hudson de Araújo.

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The evaluation was performed in temporary civil construction workers of small and medium caliber, in six different sites, in the city of Ponta Grossa, Parana.

The research is a qualitative case study of a descriptive and exploratory kind. A questionnaire was utilized and specific muscular tests were performed in order to obtain the results. Twenty seven pain reports were discovered, and eight of them were confirmed as occupational pathologies by specific tests directed to those pathologies. One can conclude that it is possible to identify real and potential occupational pathologies through the comparison of pain and specific muscular manipulation.

Introduction The aim of this study is to analyze the muscular injury related to the job which affect civil construction workers of small and medium caliber. The civil construction industry presents a variety of employment opportunities since it needs a great number of workers without specific qualifications for bricklayers and general servants.

2. The temporary civil construction work and its influence in DORT 3. DORT characterization

The temporary work conditions lacking any benefits of the workforce is the employment option, which, according to BARROS [1] is a system of high turnover and low school level workers. In this context, GHISLENI [6] said that the muscular injury related to the aplicaad turned out to be and epidemic since the entrance of the productive processes of the flexible accumulation model, of the productive restructuring and the temporary workers contracts.

The activities performed by these workers are of heavy characteristics, what makes it difficult to keep correct posture patterns, resulting in an excessive use of the musculature, which causes occupational diseases. Several physical and psychological factors are associated with the appearance of muscular injury and bone injury related at the job DORT. The majority of them result in the lack of function on ergoonmia affected limb, which aims as a labor incapacity along with a deterioration of social life.

In this general context, COUTO [2] says that the most important factor that contributed to the growth of muscular disturbance related to the job was the fact that the companies were not able to deal with the people suffering pain in their superior limbs. The temporary civil construction work and its influence in DORT This temporary workforce is widely utilized in the civil construction section. In this system, the worker is directly responsible for his payment.

It is a system based on stages, and when coutk one of them is concluded, the proportional payment is given, according to the work completed. As these activities are very badly paid, the worker needs to keep high levels of production in order to get satisfactory payment. According to BARROS [1], this situation makes the worker perform his activities in an accelerated rhythm, making him overcome his own limits, what could compromise his health.

There is an absence of structure to attend the basic necessities of the operators; there are inappropriate equipments and absence of equipment maintenance; and, also, the individual protection equipments are not used. Adding up to these factors are the load transport, the repetition of labor, the inadequate static and dynamic characteristics of movements, the absence of ergonomics in the work position and the low preocupation about the temporary eggonomia workers.

In this context, it is noticeable that this model of production without a working contract between employer and employee doesn t allow the employee any rights such as retirement, work compensation, health and other benefits. The worker is then considered as an object, out of the social community. DORT characterization The pain precedes the functional incapacity. It presents itself as a negatively affecting aplicaada to the worker.

The osteomuscular disturbs related to the job correspond to a group of diseases related to labor activities and they affect fascias, muscles, tendons, ligaments, articulations, nerves, blood vessels and tegument. The various clinical forms of osteomuscular disturbs related to the job manifestations have as a common aspect pain and functional incapacity. They are frequently the cause of temporary eronomia permanent incapacity for tfabalho work.

They represent a huge economical cost to the worker, the health assistance organs and the society. Emphasizing the comprehension of osteomuscular disturbance related to the job characterizing terms one can observe that the pain is installed first, prior to cuoto functional incapacity, and, normally, is presented to the worker as an alert about something that is affecting his body in erognomia negative way.


Therefore, hudsln to KAUFFMAN [7] the pain is the perception of a sensorial and emotional unpleasant experience associated with a real or potential tissue lesion. In civil construction there is a great solicitation from the superior limbs to perform job activities. These solicitations include the performance of a ergonomja of repetitive activities, load transport and static movements usage. Coutl use of MMSS, when not structured or planned, is unhealthy to the worker, since it generates fatigue.

The chronic fatigue generated by these solicitations have, as cited by COUTO [3], appeared in the most insidious way and has the tendency to muscular-ligament disturbances, as distension, tenosynovitis and tendinitis. Special MMSS clinical tests The special clinical tests are methods of evaluation, which help to diagnose neuromuscular pathologies, helping to identify a real tissue injury. Its increase of it use, was due to the fact that they can be performed in any environment, only being necessary the readiness of the specialist and the person being evaluated.

The reliability is the degree to which the results are obtained every time that a test is repeated. The evaluation procedures must exhibit reliability between specialists.

It means that the same results should be obtained if another person performs the test or the same results should be obtained every time the same person repeats the test procedures.

According to what have been exposed previously, the scenery is complex due to the great number of variables ergnomia are involved. To evaluate issues related to muscular diseases related to the job, required several evaluation tests were developed. Below is a brief summary of the tests used for evaluation of muscular diseases related to the job. Shoulder is bent to 60 degrees, elbow is extended and forearm is upward.

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The shoulder is inflected in ventral distal forearm and the specialist applies an isometric resistance. Person is seated or standing. Elbow stable against the body, kept at a 90 degrees flexion. The specialist resists to the elevated forearm from a totally position of pronation while simoutaneously resisting to the external rotation PALMER Person sitting, shoulder to a 90 degrees of abduction and glenohumeral articulation in neutral trablho.

The examinator does an isometric resistance for the shoulder abduction in this position. Next, the shoulder is internally rotated. The examinator stables the forearm while the wrist is passively or actively deslocated to an ulnar diversion PALMER The person is directed to bent both wrists to the maximum and simoutaneously bring together the dorsal surfaces of both hands to help maintain the bent posture.

Considering the nature of the research, it is applied to generate knowledge about the evaluation of the appearance of osteomuscular disturbs related to the job from MMSS in workers of the studied companies. It is an objective and descriptive research, since it narrates muscular disturbances which affect the workers generating familiarity with the studied problem.

The sites, where this research was developed, had thirty workers, who corresponded to the total number of active bricklayers and servants in both companies. From those, twenty two mentioned having pain in some anatomic place and sixteen complained about pain in superior limbs and turned out to be the center of this study. The workers are male, with ages between 16 and 58, and were under a temporary contract. A questionnaire with 10 questions was done: It was explained to the workers the reason of the research, the questionnaire was completely read, explained and given to the workers couuto each site.

They took about 6 minutes to answer and give back the filled questionnaire. After the classification of superior limbs in pain spots, the specific tests were performed in the same site environment. Lateral Epicondylitis test and Medial Epicondylitis test – For the hands and wrists: For a greater reliability, tarbalho tests were performed by two specialists, repeated and compared between them, in order to confirm the results.

From these, eight were complaining about pain in more than one tranalho limbs spot, what explains the number of being significantly larger than the number of workers alpicada pain. Twenty seven mentions of pain were found, 12 of them in the right shoulder, 5 of them in the left shoulder, 2 of them in the right rrgonomia, 2 of them in the ergnomia elbow, 4 of them in the right wrist, 2 of them in the left wrist. Figure 1 demonstrates the distribution of the pain zones.

Graph about the distribution of pain in superior limbs. Read R for right and L for left The great number of pain in the right shoulder mentioned, confirm this area as one of the most used ones for the activities performed in the construction site. This area is exposed to loads and repetitive movements, errgonomia if done in an inadequate posture and biomechanics will cause pain.


It was also analyzed through the questionnaire the duration of the pain. Two workers mentioned having constant pain, four said that cohto pain is worst when they work, six mentioned not having a set pattern with the pain coming and going away in irregular intervals but getting worst when they work, and four workers have permanent characteristics in its appearance. After the confirmation of the pain zones the special tests were performed, where one noticed an expressive downfall hudsin the positive pain results.

Five Speed and Yergason tests were positive for biciptal tendinitis e tendinitis of the biciptal wrinkle of the right shoulder, simultaneously, not being possible to separate them, and 1 worker presented the same positive tests but for the left shoulder. When we applied the lateral and medial Epicondylitis tests, we had a positive result for the Lateral Epicondylitis of the left elbow, and none for Medial Epicondylitis.

During the evaluation of the hand and wrist pathologies we obtained one worker with a positive Finkelstein test for Tenosynovitis Stenosan in the right wrist, and none positive results were obtained with Phalen t test for Carpo Tunnel Syndrom.

The description of the difference between the pain mentions and the specific special tests for superior limbs pathologies are shown on Table 4. The graph below shows the proportion existent between the confirmed by the specifics tests against the non-confirmed ones. Graph of the percentage of confirmed pain through specific testing and the nonconfirmed During the maneuvers in the workers that had positive tests, we had the subjective narration about the existence or not ergobomia pain during the maneuver, and we also verified face strain while the painful feeling was occurring.


As of a protection instinct the person would pull back, or try tfabalho take away, the superior limb from the specialists hand. All of them mentioned a high intensity type of pain. We understood that these workers present active and real occupational diseases, and need an immediate treatment to avoid worst complications and irreversible injuries to their function.

The workers that mentioned having pain, but do not present positive test, could be under a painful feeling due to existing factor as exaggerating muscular tension, muscular contractures, sharp fatigue, high muscular efforts at work hudsson low levels of rest, lack of motivation, absence of an ergonomic project at the work site or inadequate environmental work conditions. All of these factors are characteristics of construction sites with a temporary, lacking benefits workforce.

The pain as viewed as an alert so people can take the necessary steps to avoid the installation of osteomuscular diseases related to the job. Conclusions One can conclude that it is possible to evaluate the real existence of osteomuscular disturbs related to the job or potential superior limbs lesions in workers of small and medium civil construction sites, through the assessment ergonomi pain and the performance of specific muscular tests in the body segments that were presented aplicadaa positive for zo pain.

The specific muscular tests shown a great applicability to help diagnose the occupational pain studied. They were, also, of easy performance in the labor environment. The number of nonconfirmed pain by the specific tests is considered high compared to the confirmed pain.

Ergonomia aplicada ao trabalho : conteúdo básico: guia prático. (Book, ) []

This fact frabalho that, the majority of the pain, until the moment of this study, were potential lesions, without real, installed lesions, demonstrating the necessity of ergonomic intervention avoiding them to turn into active, real occupational diseases that will need to be effectively treated. The group analysis of the pain mentions and the specific tests can carry out a better characterization of the involved pathologies in temporary, lacking benefits workers of construction hduson in the area of Ponta Grossa, Parana-Brazil.

Ergonomia aplicada ao trabalho: Fisioterapia em Traumatologia, Ortopedia e Reumatologia. Do original Geriatric Rehabilitation Manual. Table of contents I. D, Biomedical Engineering Thursday. Occupational Overuse Syndrome OOS is the term given to a range of conditions characterised by discomfort or persistent pain in muscles, tendons. By the end of this session, the. Repetitive Trauma Disorders Definition – Disorders, primarily of trabzlho soft tissues, due to repeated exertions and movements of.

What s the Solution? Sport injuries of upper extremity in tennis players Reporter: Musculoskeletal system two components the muscular system.