Evidence map›Paper›PMID 39788608›Full record

ArticleAmerican journal of industrial medicine2025

Phase Level Assessment of Ergonomic Intervention Effectiveness in Reducing Knee Musculoskeletal Disorder Risks During Residential Roof Shingle Installation.

Nazia Zerin, Scott P Breloff, Fei Dai, Robert E Carey, Christopher M Warren, Kevin D Moore, Ashley L Hawke, Erik W Sinsel, John Z Wu

Abstract read
In one paragraph

Article in American journal of industrial medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Nazia ZerinWadsworth Department of Civil and Environmental Engineering, West Virginia University, Morgantown, West Virginia, USA.
Scott P BreloffNational Institute for Occupational Safety and Health, Cincinnati, Ohio, USA.
Fei DaiWadsworth Department of Civil and Environmental Engineering, West Virginia University, Morgantown, West Virginia, USA.ORCID 0000-0002-8868-2821
Robert E CareyNational Institute for Occupational Safety and Health, Morgantown, West Virginia, USA.ORCID 0000-0002-4648-4464
Christopher M WarrenNational Institute for Occupational Safety and Health, Morgantown, West Virginia, USA.
Kevin D MooreNational Institute for Occupational Safety and Health, Morgantown, West Virginia, USA.
Ashley L HawkeNational Institute for Occupational Safety and Health, Morgantown, West Virginia, USA.
Erik W SinselNational Institute for Occupational Safety and Health, Morgantown, West Virginia, USA.
John Z WuNational Institute for Occupational Safety and Health, Morgantown, West Virginia, USA.

Funding

Intramural CDC HHS CC999999This research was supported by the National Occupational Research Agenda (NORA) Construction Sector of the National Institute for Occupational Safety and Health (grant number 939051J).
6 · The paper itself

Abstract

backgroundThis study aimed to assess how knee savers (KSs) and knee pads (KPs) alleviate risks of knee musculoskeletal disorders (MSDs) among roofers during various phases of shingle installation. These phases encompass (1) reaching for shingles, (2) placing shingles, (3) grabbing a nail gun, (4) moving to the first nailing position, (5) nailing shingles, (6) replacing the nail gun, and (7) returning to an upright position.

methodsIn a laboratory setting, nine male participants simulated the shingle installation task on a slope-adjustable roof platform (0°, 15°, and 30° slopes) under four intervention conditions: no intervention (NO); with KPs only (KP); with KSs only (KS); and with both KPs and KSs (BO). Knee flexion, abduction, adduction, and internal/external rotations were measured to assess intervention impact through statistical analysis.

resultsPhase 5 (nailing shingles), one of the riskiest phases, saw reduced knee rotations, with BO and KP interventions being the most effective. Phase 6 (replacing the nail gun) exhibited notable reductions in all knee rotations, primarily due to BO intervention. Significant improvements in certain knee angles for other phases were noted, particularly with BO intervention.

conclusionsBO and KP can lower knee strain by minimizing extreme knee postures and thereby reducing the risk of MSDs during the installation of shingles, especially at critical periods and on steeper slopes. This study highlights the importance of applying focused ergonomic techniques in the roofing sector to improve workers' musculoskeletal health.

Indexed as

Construction IndustryErgonomicsKnee JointMusculoskeletal DiseasesOccupational DiseasesAdultHumansMalePostureYoung Adultconstruction roofersergonomic interventionsknee injuriesmusculoskeletal disordersrisk assessment

Identifiers

PMID39788608
PMCPMC12458690

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.