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Journal Article

Citation

Tahernejad S, Farahi-Ashtiani I, Veisani Y, Ghaffari S, Sahebi A, Makki F. J. Saf. Res. 2024; 88: 374-381.

Copyright

(Copyright © 2024, U.S. National Safety Council, Publisher Elsevier Publishing)

DOI

10.1016/j.jsr.2023.11.009

PMID

38485380

Abstract

INTRODUCTION: Due to the nature of their job, firefighters face many ergonomic risk factors and are exposed to several musculoskeletal disorders (MSDs). The aim of this systematic review and meta-analysis was to investigate the prevalence of MSDs among firefighters.

MATERIALS AND METHODS: This study was conducted based on preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. The literature search was conducted in the databases of PubMed, Scopus, Web of Science, Science Direct, SID, ISC and Google Scholar without applying a time limitation until the end of July 2022. The random effects model was used for meta-analysis, and the I(2) index was used to check heterogeneity among studies. The data were analyzed using STATA version 14 software.

RESULTS: The primary literature searches in the databases identified 1,291 articles, 26 of which were entered the meta-analysis stage after screening, study selection, and quality assessment, including 36,342 firefighters. Based on the results of a meta-analysis, the overall prevalence of MSDs among firefighters was 46.39% (95% CI: 32.45-60.32, I(2) = 99.7%, P < 0.001). The prevalence of MSDs was also investigated at neck (18.36%), low back (34.32%), shoulder (18.68%), hands (7.43%), upper back (10.15%), knee (19.97%) and foot (6.66%).

CONCLUSION: Considering the relatively high prevalence of MSDs among firefighters and their higher exposition to specific job-related risk factors of MSDs compared to other professions, it is suggested to provide firefighters with appropriate training, implement ergonomic interventions, and regularly screen them to reduce MSDs.


Language: en

Keywords

Ergonomics; Firefighter; Musculoskeletal disorders; Prevention; Risk factors

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