Journal List > J Korean Med Assoc > v.51(12) > 1041981

Kang and Kim: Work-related Musculoskeletal Disorders in Firefighters

Abstract

Work-related Musculoskeletal Disorders (WMSDs) arising from repetitive work, awkward working postures and exerted force have the potential to occur in almost every workplace. In 2007, WMSDs took 67.3% of the total occupational diseases compensated as industrial accident. Firefighters in particular, are more exposed to the risks of low back pain because they encounter many cases of excessive exertion in unexpected situations. However, the employer (government) and the employees (firefighters) awareness on WMSDs is rather low when compared to the attention given to the industrial accidents. Firefighters' tasks include lifting, lowering, pushing, pulling and moving heavy objects with fully equipped turn out gear. These assigned tasks require excessive force and often occur in uncomfortable situations. In some cases, tasks are performed in undesirably high or low temperature environments. Some workers such as emergency call operator retain a static position for long working hours. In addition, the boundaries of fire protection tasks in Korea have extended to include emergency management since 1999, exposing firefighters to the greater risks of WMSDs. According to the U.S. National Fire Protection Association report, strain and sprain took more than 40% of injuries occurred during fire ground operation in 2005. In Korea, 2007, it was reported out of 30,630 firefighters, 279 were involved in work-related accident or injury. Even though there was no exact information reported on WMSDs, it must be acknowledged that during performing fire protection tasks, injuries including low back pain, sprain, strain, and more easily occurs. Also when treating the injured fire prevention related workers, its work-relatedness must be considered, because prevention will become a reality only if work-relatedness is fully understood. Therefore, in order to reduce the occurrence of WMSDs in fire protection related workers, risk factors of WMSDs must be continually reviewed and managed, and all workers must be educated on WMSDs prevention.

Figures and Tables

Table 1
Firefighter fire ground injuries by nature of injury (US)(Unit: Persons)
jkma-51-1111-i001

National Fire Protection Association, Fire Incident Data Organization, 2008

Table 2
Fatalities and injuries while on duties in recent five years (Unit: Persons)
jkma-51-1111-i002

Fire protection administrative data and statistics, 2008, National Emergency Management Agency (Korea)

Table 3
Deaths and injuries while on duties in 2007 (Unit: Persons, %)
jkma-51-1111-i003

Fire protection administrative data and statistics, 2008, National Emergency Management Agency (Korea)

References

1. Preventive Medicine Compilation Committee. Preventive Medicine. 2004. 3rd ed. Seoul: Gyechuk publishing company;589–595.
2. Kim BG, Kim JY. Situation of Musculoskeletal disorders in Korea. 2003. In : Korean Society of Occupational & Environment Medicine 2003 Spring Conference Symposium Proceedings; 7–12.
3. Ministry of Labour. Analysis of Occupational Accidents and Diseases in 2007. 2008. 1st ed. Seoul: KLDV;228–236.
4. Ministry of Labour. Analysis of Occupational Accidents and Diseases in 2006. 2007. 1st ed. Seoul: Dongbang corporation;228–236.
5. Ministry of Labour. Analysis of Occupational Accidents and Diseases in 2005. 2006. 1st ed. Seoul: Youngjin publishing company;228–236.
6. The Regulation on Occupational Health Standard, Art 9. Prevention of health effects by work burden to musculoskeletal system. Korea: Ministry of Labor;in Korean.
7. Michael J, Karter Jr, Joshep L. Molis. Firefighter Injuries in the United States. National Fire Protection Association. 2006. October 13. http://www.nfpa.org.
8. Fire protection administrative data and statistics. 2008. September 22, 2008. National Emergency Management Agency (Korea);http://www.nema.go.kr.
9. Kim HH, Kim KW, Cho SH, Kim DS, Kim JH, Kang SK. A Survey for Ergonomic Risk Factors in Wholesale/Retail Establishments. Journal of the Ergonomics Society of Korea. 2008. 27:45–51.
crossref
10. Park JK, Kim DS, Seo KB. Musculoskeletal Disorder Symptom Features and Control Strategies in Hospital Workers. Journal of the Ergonomics Society of Korea. 2008. 27:81–92.
crossref
11. Lee HK, Myong JP, Jeong EH, Jeong HS, Koo JW. Ergonomic Workload Evaluation and Musculoskeletal Symptomatic Features of Street Cleaners. Journal of the Ergonomics Society of Korea. 2007. 26:147–152.
crossref
12. Ahn TH, Kim JS, Jeong BY. Ergonomic Job Hazard Assessment of Hotel Chef. Journal of the Ergonomics Society of Korea. 2006. 25:105–111.
crossref
13. Heo KH, Han YS, Jung HS, Koo JW. Musculoskeletal Symptoms and Related Factors of Golf Caddies. Korean J Occup Environ Med. 2003. 16:92–102.
crossref
14. Park SK, Choi YJ, Moon DH, Chun JH, Lee JT, Shon HS. Work Related Musculoskeletal Disorders of Hairdresser. Korean J Occup Environ Med. 2000. 12:395–404.
crossref
15. Yoon JW, Yi KJ, Kim SY, Oh JG, Lee JT. The Relationship between Occupational Stress and Musculoskeletal Symptoms in Call Center Employees. Korean J Occup Environ Med. 2007. 19:293–303.
crossref
16. Lee KJ, Han SH, Ahn YS, Hwang HH, Kim JJ. Related factors on musculoskeletal symptoms in selected Korean female office and blue-collar workers. J Korean Soc Occup Environ Hyg. 2007. 17:289–299.
17. Glazner LK. Factors related to injury of shiftworking fire fighters in the Northeastern United States. Safety Science. 1996. 21:255–263.
crossref
18. Maguire BJ, Hunting KL, Smith GS, Levick NR. Occupational Fatalities in Emergency Medical Services: A Hidden Crisis. Annals of Emergency Medicine. 2002. 40:633.
crossref
19. Guidotti TL. Human factors in firefighting: ergonomic-, cardiopulmonary-, and psychogenic stress-related issues. Int Arch Occup Environ Health. 1992. 64:1–12.
crossref
20. Laursen B, Ekner D, Simonsen EB, Voigt M, Sjogaard G. Kinetics and energetics during uphill and downhill carrying of different weights. Appl Ergon. 2000. 31:159–166.
crossref
21. Ingvar Holmer, Desiree Gavhed. Classification of metabolic and respiratory demands in fire fighting activity with extreme workloads. Appl Ergon. 2007. 38:45–52.
crossref
22. Barbara Griefahn, Christa Künemund, Peter Bröde. Evaluation of performance and load in simulated rescue tasks for a novel design SCBA: effect of weight, volume and weight distribution. Appl Ergon. 2003. 34:157–165.
crossref
23. Holewijn M. Physiological strain due to load carrying. Eur J Appl Physiol Occup Physiol. 1990. 61(3-4):237–245.
crossref
24. Korea Occupational Safety and Health Agency. Survey of Occupational Accidents and Diseases in 2006. 2008. 1st ed. Seoul: RIDRIK;61–100.
25. Lee JM. A Study on the Financial Structure for Public Fire Services and the Alternatives to Expand Revenue Sources. Journal of the Korean Association for Local Finance. 2007. 12:33–64.
26. International Labour Organization. Chapter 95. Emergency and Security Services. SafeWork Bookshelf 2006 (Encyclopedia of Occupational Safety and Health). 4th. 2006. November 4, 2008. Geneva: International Labour Office;http://www.ilo.org/safework_book shelf/english.
27. Anne Punakallio, Mikko Hirvonen, Raoul Gronqvist. Slip and fall risk among firefighters in relation to balance, muscular capacities and age. Safety science. 2005. 43:455–468.
crossref
28. First Responder: National Standard Curriculum. 1997. US Department of Transportation & US Department of Health and Human Services.
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