Risk factors for lesions of the knee menisci among workers in South Korea's national parks

Donghee Shin; Kanwoo Youn; Eunja Lee; Myeongjun Lee; Hweemin Chung; Deokweon Kim

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자료유형: 학술저널

저자정보: Donghee Shin (Wonjin Green Hospital) Kanwoo Youn (Wonjin Green Hospital) Eunja Lee (Wonjin Green Hospital) Myeongjun Lee (Wonjin Green Hospital) Hweemin Chung (Wonjin Green Hospital) Deokweon Kim (Wonjin Green Hospital)

저널정보: 대한직업환경의학회 대한직업환경의학회지 대한직업환경의학회지 제28권 제10호

발행연도: 2016.10

수록면: 37 - 47 (11page)

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Background: This study was designed to investigate the prevalence of the menisci lesions in national park workers and work factors affecting this prevalence.
Methods: The study subjects were 698 workers who worked in 20 Korean national parks in 2014. An orthopedist visited each national park and performed physical examinations. Knee MRI was performed if the McMurray test or Apley test was positive and there was a complaint of pain in knee area. An orthopedist and a radiologist respectively read these images of the menisci using a grading system based on the MRI signals. To calculate the cumulative intensity of trekking of the workers, the mean trail distance, the difficulty of the trail, the tenure at each national parks, and the number of treks per month for each worker from the start of work until the present were investigated. Chi-square tests was performed to see if there were differences in the menisci lesions grade according to the variables. The variables used in the Chi-square test were evaluated using simple logistic regression analysis to get crude odds ratios, and adjusted odds ratios and 95 % confidence intervals were calculated using multivariate logistic regression analysis after establishing three different models according to the adjusted variables.
Results: According to the MRI signal grades of menisci, 29 % were grade 0, 11.3 % were grade 1, 46.0 % were grade 2, and 13.7 % were grade 3. The differences in the MRI signal grades of menisci according to age and the intensity of trekking as calculated by the three different methods were statistically significant. Multiple logistic regression analysis was performed for three models. In model 1, there was no statistically significant factor affecting the menisci lesions. In model 2, among the factors affecting the menisci lesions, the OR of a high cumulative intensity of trekking was 4.08 (95 % CI 1.00–16.61), and in model 3, the OR of a high cumulative intensity of trekking was 5.84 (95 % CI 1.09–31.26).
Conclusion: The factor that most affected the menisci lesions among the workers in Korean national park was a high cumulative intensity of trekking.

#National park workers #Knee #Menisci lesions #Trekking #MRI

참고문헌 (40)

참고문헌 신청

Korea National Park Service / http://www.knps.or.kr

Musa G / 2004 / Tourism sustainability and health impacts in high altitude adventure, cultural and ecotourism destinations : A case study of Nepal's Sagarmatha National Park / J Sustain Tour 12(4):306~331

Johnson RM / 2007 / Injuries sustained at Yellowstone National Park requiring emergency medical system activation / Wilderness Environ Med 18(3):186~189

Song DJ / 2011 / Association between musculo-skeletal symptoms and work-related risk factors among workers in the korea national park

이윤근 / 2006 / 자동차 조립 작업에서의 노동 조건 변화와 근골격계질환과의 관련성 / 한국산업보건학회지 16(3):276~283

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