Musculoskeletal Disorder Risk in the Upper Extremities of Mobile Mining Equipment Operators Exposed to Hand‑Transmitted Vibrations in Underground Metal Mines: a Case–Control Study

Hand-transmitted vibration (HTV) exposure is associated with various health risks for operators of mobile mining equipment (MME). The case–control research was conducted to determine the musculoskeletal disorder (MSD) risks associated with exposure to HTVs in the exposed (case) and non-exposed (control) groups. HTV readings were measured at the interface between the hand and the steering device using the SV 105B triaxial hand accelerometer connected to the SV106 human vibration analyzer involving 40 MME operators in accordance with ISO 5349:2001 guidelines. A questionnaire survey was also carried out among both the study groups using Cornell Musculoskeletal Discomfort Questionnaire. The European Union's 2002/44/E.C. was used to assess the health risks posed to the MME operators. Twenty-eight out of the 40 MMEs were generating HTVs exceeding the stipulated daily limits of vibration, putting 70% of the operators at increased risk for developing MSDs. The case group was found to have an elevated risk of exposure with odds ratio (OR) 7.56 (95% confidence interval (CI), 1.159, 49.39) and OR 12.80 (95% CI, 2.436, 67.285) times more likely than the control group to suffer discomfort in the left shoulder and left wrist, respectively, indicating increased risk of exposure to HTV. Additionally, cases had elevated risk associated with exposure to tobacco, OR 9.35(95% CI, 1.856, 47.129) compared to those who did not use tobacco. MSDs were more prevalent in the case group compared to the control group. This observation was validated by the field investigations and the responses of MME operators to the questionnaires.