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Physical work load, physical capacity and strain among elderly female aides in home-care service

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Abstract

A study was undertaken to investigate physical work load, physical capacity, physical strain and perceived health among elderly aides in home-care service. A secondary aim was to compare the work load and strain between the two main types of home-care service available in Sweden today. Work tasks and their distribution among 20 elderly aides (aged 45–65 years), working in open home-care service (clients living in their original flats or houses) and at service apartment houses (clients living in private flats constructed for the elderly and handicapped with service functions) were observed during whole work days. Heart rate and number of steps taken were also measured continuously during the whole work day. Oxygen consumption and work postures for upper arm and back were measured during parts of the work day. The results showed that home-care work is characterised by long periods of standing and walking and that postures potentially harmful for the low back and shoulders occurred frequently. Average physiological strain measured as relative oxygen consumption and heart rate during the work day did not exceed present recommendations. Average physical work load and strain in open home-care service slightly exceeded those in service apartment houses because of more frequent cleaning and walking outdoors. Many aides in this study showed slightly reduced physical capacity, and musculoskeletal problems were common. Many elderly aides in home-care service are probably exposed at work to high risks of overexertion and impaired health as a result of high postural loads in combination with other known important factors, such as time stress and lack of equipment.

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References

  • Aarås A, Stranden E (1988) Measurement of postural angels during work. Ergonomics 31:935–944

    Google Scholar 

  • Alaranta H, Soukka A, Harju R, Heliövaara M (1990) Improvement of the diagnostics of musculoskeletal diseases:measuring the capacity of back and neck and shoulders in the occupational health service (in Finnish with summary in English). Tyosuojelurahasten julkaisuja A 7, Helsinki

  • Alaranta H, Heikki H, Heliövaara M, Soukka A, Harju R (1994) Non-dynamometric trunk performance tests: reliability and normative data. Scand J Rehabil Med 26:211–215

    Google Scholar 

  • Bjurvald M (1994) Ways to fewer occupational injuries — development of Nordic ergonomic supervision (in Swedish with summary in English). Nord Ministerrddet TemaNord 514:1–64

    Google Scholar 

  • Andersson G, Bjurvall M, Bolinder E, Frykman G, Jonsson B, Kilbom A, et al. (1981) Model for evaluation of back injuries in accordance with industrial injury insurance (in Swedish with summary in English). Läkartidningen 78:2765–2767

    Google Scholar 

  • Andersson G, Bjurvall M, Bolinder E, Edshage S, Frykman G, Hagberg M, et al (1983) Model for evaluation of injuries to the cervical spine and shoulder joint in accordance with industrial injury insurance (in Swedish with summary in English). Läkartidningen 80:3186–3189

    Google Scholar 

  • Aoyagi Y, Shephard RJ (1992) Aging and muscle function. Sports Med 14:376–96

    Google Scholar 

  • Aronsson G, Astvik W, Kilbom Å, Nygård C-H, Petersson N, Torgén M (1994) Home-care workers in open home care services and in service apartment houses (in Swedish with summary in English). Arbete och Hälsa 32:1–109

    Google Scholar 

  • Asmussen E, Hebøll-Nielsen K (1961) Isometric muscle strength of adult men and women. Communications from the Testing and Observation Institute of the Danish National Association for Infantile Paralysis 11:1–43, Hellerup, Denmark

    Google Scholar 

  • Åstrand I (1960) Aerobic work capacity in men and women with special reference to age. Acta Physiol Scand 49 [Suppl 169]:11–25

    Google Scholar 

  • Åstrand I (1988) Physical demands in worklife. Scand J Work Environ Health 14 [Suppl 1]:10–13

    Google Scholar 

  • Bao S, Winkel J, Mathiassen S-E, Malmkvist A-K, Parenmark G (1993) Some effects of a “natural” intervention on physical work load in assembly work. Abstract of the Nordic Work Environment meeting, Visby, Sweden, 30/8-1/9 1993, pp 94. Available from The National Institute of Occupational Health, Solna, Sweden

  • Bemben GM, Massey BH, Bemben DA, Misner JE, Boileau RA (1991) Isometric muscle force production as a function of age in healthy 20- to 74-yr-old men. Med Sci Sports Exerc 23:1302–1310

    Google Scholar 

  • Borg G (1970) Perceived exertion as an indicator of somatic stress. Scand J Rehabil Med 2:92–98

    Google Scholar 

  • Borges O (1989) Isometric and isokinetic knee extension and flexion torque in men and women aged 20–70. Scand J Rehabil Med 21:45–53

    Google Scholar 

  • Bruce RA, Fisher LD, Cooper MN, Gey GO (1973) Separation of effects of cardiovascular disease and age on ventricular function with maximal exercise. Am J Cardiol 34:546–550

    Google Scholar 

  • Delin O, Grimby G, Svanborg A (1974) Work load in nursing aides. Scand J Rehabil Med 6:145–151

    Google Scholar 

  • Fordham M, Appenteng K, Goldsmith R (1978) The cost of work in medical nursing. Ergonomics 21:331–342

    Google Scholar 

  • Gerdle B, Brulin C, Elert J, Granlund B (1994) Factors interacting with perceived work-related complaints in the musculoskeletal system among home care service personnel. Scand J Rehabil Med 26:51–58

    Google Scholar 

  • Harms-Ringdahl K, Brodin H, Eklund L, Borg G (1983) Discomfort and pain from loaded passive joint structures. Scand J Rehabil Med 15:205–211

    Google Scholar 

  • Harrison MH, Brown GA, Belyavin AJ (1982) The ‘Oxylog’: an evaluation. Ergonomics 25:809–820

    Google Scholar 

  • Ilmarinen J (1992a) Job design for the aged with regard to decline in their maximal aerobic capacity. 1. Guidelines for the practitioner. Int J Ind Ergon 10:53–63

    Google Scholar 

  • Ilmarinen J (1992b) Job design for the aged with regard to decline in their maximal aerobic capacity. 2. The scientific basis for the guide. Int J Ind Ergon 10:65–77

    Google Scholar 

  • Ilmarinen J, Knauth P, Klimmer F, Rutenfranz J (1979) The applicability of the Edholm scale for activity studies in industry. Ergonomics 22:369–276

    Google Scholar 

  • Jacobsson L, Lindgärde F, Manthorpe R, Ohlsson K (1992) Effect of education, occupation and some lifestyle factors on common rheumatic complaints in a Swedish group aged 50–70 years. Ann Rheum Dis551:835–843

    Google Scholar 

  • Järvholm U, Palmerud G, Karlsson D, Herberts P, Kadefors R (1991) Intramuscular pressure and electromyography in four shoulder muscles. J Appl Orthop Res 9:609–619

    Google Scholar 

  • Jørgensen K (1985) Permissible loads based on energy expenditure measurements. Ergonomics 28:365–369

    Google Scholar 

  • Karlqvist L, Winkel J, Wiktorin C (1994) Direct measurements and systematic observations of physical workload among medical secretaries, furniture removers and male and female reference populations. Appl Ergon 25:319–326

    Google Scholar 

  • Kilbom Å (1971) Physical training with submaximal intensities in women — effect on adaptation to professional work. Scand J Clin Lab Invest 28:331–343

    Google Scholar 

  • Kilbom Å, Persson J (1981) Circulatory response to static muscle contractions in three different muscle groups. Clin Physiol 1:215–225

    Google Scholar 

  • Kuorinka I, Jonsson B, Kilbom Å, Vinterberg H, Biering-Sørensen F, Andersson G, Jørgensen K (1987) Standardised Nordic questionnnaires for the analysis of musculoskeletal symptoms. Appl Ergon 18:233–237

    Google Scholar 

  • Ljungberg A-S, Kilbom Å, Hägg GM (1989) Occupational lifting by nursing aides and warehouse workers. Ergonomics 32:59–78

    Google Scholar 

  • Louhevaara V, Ilmarinen J, Oja P (1985) Comparison of three field methods for measuring oxygen consumption. Ergonomics 28:463–470

    Google Scholar 

  • Malker B, Öhman B (1994) Occupational diseases and accidents 1992 (in Swedish with summary in English). Statistics Sweden, Stockholm

    Google Scholar 

  • Mathiassen SE, Winkel J (1991) Quantifying variation in musculoskeletal load using exposure-vs-time data. Ergonomics 34:1455–1468

    Google Scholar 

  • Mittleman M, Maclure M, Tofler G, Sherwood J, Goldberg R, Muller J (1993) Triggering of acute myocardial infarction by heavy physical exertion. N Engl J Med 23:1677–1683

    Google Scholar 

  • Moens G, Dohogne T, Jacques P, Van Helshoecht P (1993) Back pain and its correlates among workers in family care. Occup Med 43:78–84

    Google Scholar 

  • Nygard C-H, Torgén M, Käll C, Kilbom Å (1993) Physical trainingintervention among elderly female home care workers. Finnish Institute of Occupational Health International Scientific Symposium on Aging and Work. Proceedings 4. 28–30 May, 1992, Haikko, Finland, pp 84–94. Available from The Finnish Institute of Occupational Health, Helsinki, Finland

    Google Scholar 

  • Paffenberger R, Hale W, Brand R, Hyde R (1977) Work-energy level, personal characteristics, and fatal heart attack: a birth cohort effect. Am J Epidemiol 105:200–213

    Google Scholar 

  • Punnett L, Fine L, Keyserling WM, Herrin G, Chaffin DB (1991) Back disorders and nonneutral trunk postures of automobile assembly workers. Scand J Work Environ Health 17:337–346

    Google Scholar 

  • Rantanen T, Parkatti T, Heikkinen E (1992) Muscle strength according to level of physical exercise and educational background in middle-aged women in Finland. Eur J Appl Physiol 65:507–512

    Google Scholar 

  • Rantanen T, Sipila S, Suominen H (1993) Muscle strength and history of heavy manual work among elderly trained women and randomly chosen sample population. Eur J Appl Physiol 66:514–517

    Google Scholar 

  • Selin K, Winkel J, Stockholm MUSIC 1 study group (1994) Evaluation of two instruments for recording sitting and standing postures and number of foot steps. Appl Ergon 25:41–46

    Google Scholar 

  • Suurnäkki T, Nygård C-H, Ilmarinen J (1991) Stress and strain of elderly employees in municipal occupations. Scand J Work Environ Health 17 [Supp 1]:30–39

    Google Scholar 

  • Theorell T, Harms-Ringdahl K, Ahlberg-Hultén G, Westin B (1991) Psychosocial job factors and symptoms from the locomotor system a multicausal analysis. Scand J Rehabil Med 23:165–173

    Google Scholar 

  • Thorslund M (1991) The increasing number of very old people will change the Swedish model of the welfare state. Soc Sci Med 32:455–464

    Google Scholar 

  • Tuomi K, Ilmarinen J, Eskilinen L, Järvinen E, Toikkanen J, Klockars M (1991) Prevalence and incidence rates of diseases and work ability in different work categories of municipal occupations. Scand J Work Environ Health 17 [Suppl 1]:67–74

    Google Scholar 

  • WHO World Health Organisation, Geneva (1993) Aging and working capacity. WHO Technical Report Series 835:1–49

    Google Scholar 

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Torgén, M., Nygård, CH. & Kilbom, Å. Physical work load, physical capacity and strain among elderly female aides in home-care service. Europ. J. Appl. Physiol. 71, 444–452 (1995). https://doi.org/10.1007/BF00635879

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