[Federal Register Volume 78, Number 28 (Monday, February 11, 2013)]
[Notices]
[Pages 9699-9701]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-03005]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-13-12PE]
Agency Forms Undergoing Paperwork Reduction Act Review
The Centers for Disease Control and Prevention (CDC) publishes a
list of information collection requests under review by the Office of
Management and Budget (OMB) in compliance with the Paperwork Reduction
Act (44 U.S.C. Chapter 35). To request a copy of these requests, call
(404) 639-7570 or send an email to [email protected]. Send written comments
to CDC Desk Officer, Office of Management and Budget, Washington, DC or
by fax to (202) 395-5806. Written comments should be received within 30
days of this notice.
Proposed Project
Interventions to Reduce Shoulder MSDs in Overhead Assembly--New--
National Institute for Occupational Safety and Health (NIOSH), Centers
for Disease Control and Prevention (CDC).
Background and Brief Description
The mission of the National Institute for Occupational Safety and
Health (NIOSH) is to promote safety and health
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at work for all people through research and prevention. Under Public
Law 91-596, sections 20 and 22 (Section 20-22, Occupational Safety and
Health Act of 1970), NIOSH has the responsibility to conduct research
to advance the health and safety of workers. In this capacity, NIOSH
proposes to conduct a study to assess the effectiveness and cost-
benefit of occupational safety and health (OSH) interventions to
prevent musculoskeletal disorders among workers in the Manufacturing
sector.
Musculoskeletal disorders (MSDs) represent a major proportion of
injury/illness incidence and cost in the U.S. Manufacturing (MNF)
sector. In 2008, 29% of non-fatal injuries and illnesses involving days
away from work (DAW) in the MNF sector involved MSDs and the MNF sector
had some of the highest rates of MSD DAW cases. The rate for the motor
vehicle manufacturing sub-sector (NAICS 3361) was among the highest of
MNF sub sectors, with MSD DAW rates that were higher than the general
manufacturing MSD DAW rates from 2003-2007. In automotive manufacturing
overhead conveyance of the vehicle chassis requires assembly line
employees to use tools in working postures with the arms elevated.
These postures are believed to be associated with symptoms of upper
limb discomfort, fatigue, and impingement syndromes (Fischer et al.,
2007). Overhead working posture, independent of the force or load
exerted with the hands, may play a role in the development in these
conditions. However, recent studies suggest a more significant role of
localized shoulder muscle fatigue in contributing to these disorders.
Fatigue of the shoulder muscles may result in changes in normal
shoulder kinematics (motion) that affect risk for shoulder impingement
disorders (Ebaugh et. al., 2006; Chopp et al., 2010).
The U.S. Manufacturing sector has faced a number of challenges
including an overall decline in jobs, an aging workforce, and changes
in organizational management systems. Studies have indicated that the
average age of industrial workers is increasing and that older workers
may differ from younger workers in work capacity, injury risk, severity
of injuries, and speed of recovery (Kenny et al., 2008; Gall et al.,
2004; Restrepo et al., 2006). As the average age of the industrial
population increases and newer systems of work organization (such as
lean manufacturing) are changing the nature of labor-intensive work,
prevention of MSDs will be more critical to protecting older workers
and maintaining productivity.
This study will evaluate the efficacy of two intervention
strategies for reducing musculoskeletal symptoms and pain in the
shoulder attributable to overhead assembly work in automotive
manufacturing. These interventions are, (1) an articulating spring-
tensioned tool support device that unloads from the worker the weight
of the tool that would otherwise be manually supported, and, (2) a
targeted exercise program intended to increase individual employees'
strength and endurance in the shoulder and upper arm stabilizing muscle
group. As a primary prevention strategy, the tool support engineering
control approach is preferred; however, a cost-efficient opportunity
exists to concurrently evaluate the efficacy of a preventive exercise
program intervention. Both of these intervention approaches have been
used in the Manufacturing sector, and preliminary evidence suggests
that both approaches may have merit. However, high quality evidence
demonstrating their effectiveness, by way of controlled trials, is
lacking. This project will be conducted as a partnership between NIOSH
and Toyota Motors Engineering & Manufacturing North America, Inc.
(TEMA), with the intervention evaluation study taking place at the
Toyota Motor Manufacturing Kentucky, Inc. (TMMK) manufacturing facility
in Georgetown, Kentucky. The prospective intervention evaluation study
will be conducted using a group-randomized controlled trial multi-time
series design. Four groups of 25-30 employees will be established to
test the two intervention treatment conditions (tool support, exercise
program), a combined intervention treatment condition, and a control
condition. The four groups will be comprised of employees working on
two vehicle assembly lines in different parts of the facility, on two
work shifts (first and second shift). Individual randomization to
treatment condition is not feasible, so a group-randomization (by work
unit) will be used to assign the four groups to treatment and control
conditions. Observations will be made over the 10-month study period
and questionnaires will include the Shoulder Rating Questionnaire
(SRQ), Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire,
a Standardized Nordic Questionnaire for body part discomfort, and a
Work Organization Questionnaire. In addition to the questionnaires a
shoulder-specific functional capacity evaluation test battery will be
administered at 90 and 210 days, immediately pre- and post-
intervention, to confirm the efficacy of the targeted exercise program
in improving shoulder capacity.
In summary, this study will evaluate the effectiveness of two
interventions to reduce musculoskeletal symptoms and pain in the
shoulder associated with repetitive overhead work in the manufacturing
industry and will disseminate the results of evidence-based prevention
practices to the greatest audience possible. NIOSH expects to complete
data collection in 2014. There are no costs to respondents other than
their time. The total estimated annual burden hours are 472.
Estimated Annualized Burden Hours
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Number of Average burden
Type of respondent Form name Number of responses per per response
respondents respondent (in hours)
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Employees............................. Informed Consent Form... 125 1 5/60
Consent of Photographic 125 1 2/60
Image Release.
PAR-Q (Physical Activity 125 1 2/60
Readiness).
Shoulder Rating 125 10 4/60
Questionnaire (SRQ).
Disabilities of the Arm 125 10 6/60
Shoulder and Hand
(DASH).
Standardized Nordic 125 10 4/60
Questionnaire for
Musculoskeletal
Symptoms Instrument.
Work Org Questionnaire.. 125 3 26/60
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Dated: February 5, 2013.
Ron A. Otten,
Director, Office of Scientific Integrity (OSI), Office of the Associate
Director for Science (OADS), Office of the Director, Centers for
Disease Control and Prevention.
[FR Doc. 2013-03005 Filed 2-8-13; 8:45 am]
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