Saúde do Trabalhador: caracterização baropodométrica e intervenção por meio da utilização de palmilhas.
AUTOR(ES)
Josiane Schadeck de Almeida
DATA DE PUBLICAÇÃO
2009
RESUMO
Workers health is currently under discussion, as there is a substantial portion of adults affected by musculoskeletal conditions. For such, the use of arch supports has been prescribed as a manner to reduce pain. Thus, investigations into this topic are needed. 2EMHFWLYHV:the aim of the present study was to characterize peak plantar pressure in female assembly line workers and study plantar load distribution and musculoskeletal symptoms with the use of arch supports. 0HWKRGVDQGPHDVXUHV:a randomized trial was carried out involving female workers with musculoskeletal symptoms who remain in an orthostatic position while working. The sample was characterized with regard to plantar pressure using computerized baropedometry (FootWork) The Nordic Musculoskeletal Questionnaire for the assessment of musculoskeletal symptoms was administered for the sample selection. Plantar pressure was determined using baropodometry. The sample was randomly divided into an intervention group (IG) and control group (CG). The experiment was carried out in two phases. The first consisted of the use of individually customized ethylvinylacetate arch supports for the IG and a common, prefabricated arch support for the CG. Baropodometric data were collected and the questionnaire was re-administered on three occasions over an eight-week period. In the second phase, the CG used individually thermal-molded, thermal-glued ethylvinylacetate arch supports and an additional portion of the same material was added to the site of greatest plantar pressure (determined by baropodometry) in the IG. After five weeks, baropodometric data were collected again and the questionnaire was re-administered. 5HVXOWV: overweight and obese individuals had greater plantar pressure figures (p” $Q DVVRFLDWLRQ ZDV found between height and peak plantar pressure on the right side (p<0.0). No statistically significant differences between groups and baropodometric data were found in the first phase. A change in load variables at each evaluation time was noted (p<0.05). No statistically significant differences were found between groups for any anatomical site during the different evaluation times. Within each group, there was a reduction in pain between the first and final evaluation times. In the second phase, there was no statistically significant difference between groups with regard to pain for any anatomical site. However, there was a reduction in pain symptoms in the lumbar region in the IG (p<0.05) as well as in the feet in both groups (p<0.05). There was an increase in mean load values. In the IG, there was a reduction in plantar surface values (p<0.05). &RQFOXVLRQV: peak plantar pressure was greater among workers with above-normal weight and those of greater height. The use of any type of arch support was favorable to a reduction in musculoskeletal pain symptoms, with a greater frequency and efficiency in those that employed additional elements at the point of greatest plantar pressure. However, there was no improvement in the distribution of plantar load.
ASSUNTO(S)
saúde do trabalhador occupational health orthotic devices orthopedic devices. trabalhadores foot trastornos de traumas acumulados aparelhos ortopédicos. salud laboral transtornos traumáticos cumulativos saude publica cumulative trauma disorders workers trabajafores umulative trauma disorders pé aparatos ortopédicos
