Apparel Online Bangladesh Magazine May'17 | Page 52

HAVE YOUR SAY BREAKING NEWS Tell us your news by emailing at [email protected] To read the latest sustainability news, go to http://news.apparelresources.com/sustainability-news/  Ergonomics in Apparel Manufacturing – III REPETITIVE STRAIN INJURY Earlier in the first article of the five-part series on ergonomics, Dr. Prabir Jana had discussed the importance and impact of ergonomics and its different facets in apparel manufacturing. In the second article, the writers N. Karthikeyan and K. Mohankumar from the Bannari Amman Institute of Technology discussed the wrong posture and risk analyses of workers leading to strain injuries in day-to-day operations in apparel manufacturing. In this third article, Dr. Prabir Jana, NIFT Delhi highlights the cumulative trauma disorders and its interrelation with posture. He also talks about the rationale and science behind the genesis of problems to understand the cause, and finding preventive measures to overcome the same. M any workplace factors influence repetitive motion problems which lead to strain, and thus injury. The three main factors that cause strain injuries due to repetitive motion (also called Repetitive Strain Injuries or RSI) are Force, Repetition and Posture. Force is the pressure exerted or encountered; Repetitions are related to cycle time; and Postures concern the position of the body while performing a given operation. Other factors that lead to strains and injuries are – inadequate training, incentives given to work for longer hours, change in method or product model and physical condition of the worker such as pregnancy, menopause and hysterectomy. Acceleration is emerging as an additional workplace factor, especially related to the upper extremities. According to ergonomic definition, a Repetitive Strain Injury or RSI is an injury to a part of the body caused by overusing or straining that body part. The body gets strained when the body parts are put to hard work, stretched farther, put to greater impact, directly or otherwise, and is made to function at a level higher than it was prepared for. The immediate impact may be minor, but when it occurs repeatedly, the constant straining becomes a cause for damage. The term Repetitive Strain Injury identifies a group of conditions that result from using the body in a way it is not designed for or capable of comfortable working. Repetitive Strain Injuries also has been described as painful and limiting soft tissue failures that result from repeated or continuous application of slight to moderate physical stress over extended period of time. Other terms that are used interchangeably with Repetitive Stress Injury (RSI) are Repetitive Stress Disorder (RSD), Repetitive Strain Disorder (RSD), Repetitive Motion Injury Wrist pronation while working in buttonhole or button stitch machine (RMI), Repetitive Motion Disorder (RMD), and Cumulative Trauma Disorder (CTD). Another term Musculoskeletal Disorders (MSDs), to be more specific, a Work-related Musculoskeletal Disorder (WMSD), refers not only to conditions that involve the nerves, tendons, muscles, and supporting structures of the body, but also used interchangeably with RSI. Forces and Repetitions Forces and repetitions are two interrelated factors. A force is considered low when average adjusted force (mean + variance) = 6.6 pounds +/- 3.52 pounds. While average adjusted force (mean + variance) of 27.94 pounds +/- 18.92 is considered as high force. A task is considered repetitive if the cycle time is less than 30 seconds and task is performed for more than 50% of the work shift. One of the revolutionary researches by Tom Armstrong shows that cases of Repetitive Strain Injury in low force and low repetition operations are rare while that of high force and high repetition is maximum. 52 Apparel Online Bangladesh | MAY 2017 | www.apparelresources.com Ackward shoulder angle while handling material during sewing However, it is important to understand two important factors that determine the risk of Repetitive Strain Injury (RSI) in workers operations: firstly, the number of times the forces are exerted during the course of the work day; and secondly, the position of the body part which exerts or encounters the force. The National Institute for Occupational Safety and Health (NIOSH), USA document established the epidemiologic evidence of the relationship between selected RSI of the upper extremity and the low back and exposure to physical factors at work. The Bureau of Labour Statistics (BLS) of the US Department of Labour reported in 1990 that of all the reported cases of occupational illness, 56% were associated with repeated strain injuries. The body parts affected was shoulder (6%), wrist (51%), hand – excluding fingers (6%), and other body parts (37%). In 1997, the NIOSH reported that about 7,00,000 cases (or 32%) were the result of repetitive motion or overexertion. It also reported that RSIs accounted for 14% of physician visits and 19% of hospital stays.