title: Evaluation of musculoskeletal disorders in sewing machine operators of a shoe manufacturing factory in Iran.
abstract: BACKGROUND
  A 15-year research conducted in USA showed that compensation expenses paid to workers for musculoskeletal disorders (MSDs) of back exceeded 128 million Dollars calculated on the basis of 0.97 Dollars per hour of work. In addition, according to the latest studies carried out in relation with disease burdens with risk factors in Iran, DALYs indices for low back pain, knee arthrosis and other musculoskeletal disorders have been reported to be 307772, 291305 and 872633 respectively, which have caused the work related diseases to occupy the second position in the country, after cardiovascular diseases. On the other hand, in accordance with occupational health indices of Iranian health ministry, 37% of all working population had had poor work postures with 15% of all working population had been working with inappropriate working tools in the year 2009.
  
  
  METHODS
  This was a case study comparing exposed workers with control group using Standard Nordic Questionnair in sewing machine operators of a shoe manufacturing factory in Iran. In this study, the mentioned questionnaires were filled out for the exposed group (25 sewing machine operators with average age of 43.5 years with work records of 16.8 years) and control group (15 employees from administrative department with average age of 39.8 years with work records of 13.4 years) which both were selected through simple random method.
  
  
  RESULTS
  There were statistically significant differences in age between musculoskeletal disorders of right elbow (p = 0.033), thigh (p = 0.044), both knees (p = 0.019) and ankles (p = 0.039). There were also statistically significant association between gender and musculoskeletal disorders of right elbow (p = 0.028), thigh (p = 0.026) both knees (p = 0.011); right shoulder disorders (p = 0.018) and work records; disorders of both knees (p = 0.031) and number of cigarettes smoked.
  
  
  CONCLUSIONS
  In general, prevalence of disorders of cervical area, shoulders with hands, vertebral column, back, knees, thigh with feet were higher in exposed group due to poor work posture. Meanwhile, female workers were inflicted more than males. On the other hand, these disorders were seen more with increased work records and age in which, improvement of work postures, training for better execution of tasks and conducting periodic screening tests are being recommended.
authors: Ministry of Health and Medical Education, Tehran. mmmaghili@yahoo.com
authors: Mir Masih Moslemi
authors: MM
authors: Aghili
authors: Hasan
authors: H
authors: Asilian
authors: Parinaz
authors: P
authors: Poursafa
mesh_terms: D000328:Adult; D000368:Aged; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D007221:Industry; D007492:Iran; D008297:Male; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000209:etiology*; D009784:Occupational Diseases / Q000209:etiology*; D011187:Posture; D012775:Shoes; D014937:Work