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Dungan ME, Scheiman M, Yaramothu C. Vision Quality of Life with Time Survey: Normative Data and Repeatability. CLINICAL OPTOMETRY 2023; 15:205-212. [PMID: 37719026 PMCID: PMC10505015 DOI: 10.2147/opto.s406407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/30/2023] [Accepted: 06/12/2023] [Indexed: 09/19/2023]
Abstract
Purpose To develop a novel Vision Quality of Life (QoL) survey that emphasizes the amount of time a visual activity can be performed before symptoms occur. Methods The Vision Quality of Life with Time (VisQuaL-T) survey was developed with 10 daily activities and a list of common visual symptoms. Participants were recruited from a university campus. Participants were not excluded based on binocular impairments to obtain a normative dataset. Participants were instructed to denote when they first experience symptoms within certain time ranges. If participants did not engage in one of the 10 activities, they were instructed to denote "N/A". A composite score (range 0-3) was determined by only accounting for the questions that were answered. Results The normative data cohort had a sample size of 376 participants and the repeatability cohort had 54 participants. The normative, test, and retest datasets had a mean composite score of 2.47±0.54, 2.69±0.42, and 2.67±0.49 and 95% confidence interval of 2.38-2.71, 2.58-2.81, 2.54-2.80, respectively. There was good reliability and high correlation between the test and retest timepoints with an ICC of 0.825 and a Pearson correlation coefficient of 0.839 in the repeatability cohort. The normative data cohort showed good internal consistency with a Cronbach's alpha value of 0.803. Test and retest timepoints showed no statistical significance among the individual questions (p > 0.1). Conclusion A lower bound score of 2.4 can potentially be used to differentiate visually normal and symptomatic participants. Statistical analysis showed the survey is repeatable and reliable. Using time as a metric for assessing symptomology could be a useful method for identifying patients with QoL issues and for assessing effectiveness of binocular vision, accommodative, and eye movement treatments.
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Affiliation(s)
- Michaela E Dungan
- School of Applied Engineering and Technology, New Jersey Institute of Technology, Newark, NJ, USA
| | - Mitchell Scheiman
- Pennsylvania College of Optometry, Salus University, Philadelphia, PA, USA
| | - Chang Yaramothu
- School of Applied Engineering and Technology, New Jersey Institute of Technology, Newark, NJ, USA
- Department of Biomedical Engineering, New Jersey Institute of Technology, Newark, NJ, USA
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Ngatcha Tchounga CC, Azabji Kenfack M, Guessogo WR, Mekoulou Ndongo J, Bika Léle EC, Ayina Ayina CN, Temfemo A, Bongue B, Mandengue SH, Etoundi Ngoa LS, Assomo Ndemba PB. Prevalence of musculoskeletal disorders among taxi drivers in Yaoundé, Cameroon: preventive effect of physical activity. BMC Musculoskelet Disord 2022; 23:1018. [PMID: 36435752 PMCID: PMC9701402 DOI: 10.1186/s12891-022-05971-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/17/2022] [Accepted: 11/09/2022] [Indexed: 11/28/2022] Open
Abstract
Background Musculoskeletal Disorders (MSDs) are very common conditions in the workplace. Among professional drivers, there would be an increased risk of developing these disorders. Identifying the associated factors would allow us to better devise effective prevention strategies. Our objective was to determine the prevalence of MSDs among taxi drivers in the city of Yaoundé and to search for associated factors, mainly the level of physical activity. Methods We conducted an analytical cross-sectional study of 151 adult male professional taxi drivers. We used a non-probabilistic consecutive and non-exhaustive sampling method. Sociodemographic, anthropometric and occupational data were collected. MSDs over the past 12 months were assessed using the Nordic Questionnaire and physical activity level was determined by the World Health Organization (WHO) Global Physical Activity Questionnaire (GPAQ). Univariate logistic regression models, followed by a multivariate logistic regression, were used to determine factors associated with the presence of MSDs. Results The overall prevalence of MSDs was 86.8% (95% CI 80.8 – 91.4); the most affected areas were mainly the lower back (72.8%) the neck (42.4%), and the knees (29.1%). Job dissatisfaction was associated with MSDs (OR = 2.1 95%CI = 1.1–3.9). Most taxi drivers (62.9%) had a low physical activity level and no association was found between the physical activity level and MSDs. Conclusions MSDs are common ailments among taxi drivers in Yaoundé (Cameroon). There is a need to think about how to address job dissatisfaction and better identify other associated factors in order to define good prevention strategies.
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Stanhope J, Pisaniello D, Cook A, Weinstein P. Are music students at 'high-risk' of experiencing musculoskeletal symptom outcomes compared with other students? INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2022:1-8. [PMID: 35947800 DOI: 10.1080/10803548.2022.2111846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
Abstract
Musicians have been described as a 'high-risk' group for experiencing musculoskeletal symptoms (MSSs), yet few studies have tested this assumption. We aimed to determine whether the prevalence and profile of MSS outcomes differed between university music students and a reference group (science students). A survey was conducted with university music and science students. Reported MSS outcomes among the two groups were compared using regression analyses. The majority of participants in both groups reported experiencing MSSs in the last 12 months and 7 days. Music students reported a higher prevalence of wrist/ hand MSSs compared with science students. Compared with symptomatic science students, music students reported a higher emotional impact of MSSs. We recommend prioritising research into interventions for music students that address MSSs in the wrist/ hand region, and the emotional impact of MSSs. Addressing these MSS outcomes could reduce the MSS burden for musicians during and beyond their studies.
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Affiliation(s)
- Jessica Stanhope
- School of Public Health, The University of Adelaide, Adelaide, Australia
| | - Dino Pisaniello
- School of Public Health, The University of Adelaide, Adelaide, Australia
| | - Angus Cook
- School of Population and Global Health, The University of Western Australia, Perth, Australia
| | - Philip Weinstein
- School of Biological Sciences, The University of Adelaide, Adelaide, Australia
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Park JW, Kang MY, Kim JI, Hwang J, Choi SS, Cho SS. Influence of coexposure to long working hours and ergonomic risk factors on musculoskeletal symptoms: an interaction analysis. BMJ Open 2022; 12:e055186. [PMID: 35568498 PMCID: PMC9109086 DOI: 10.1136/bmjopen-2021-055186] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVES This study explores the interaction between ergonomic risk factors and long working hours on musculoskeletal symptoms by additive and multiplicative scales. DESIGN We used the data of the fifth Korean Working Condition Survey (KWCS). The KWCS is a cross-sectional study. SETTING To represent the entire Korean working population, the probability proportion stratified cluster sampling method was used. The face-to-face interview was carried out with a structured questionnaire. MAIN OUTCOMES AND MEASURES To assess the combined effect of ergonomic risk factors and long working hours on musculoskeletal symptoms, the relative excess risk due to interaction (RERI) and the ratio of ORs were calculated using multiple survey-weighted logistic analysis and postestimation commands. RESULTS The OR for musculoskeletal symptoms was 1.75 (95% CI 1.28 to 1.39) for exposure to long working hours, 3.49 (95% CI 3.06 to 3.99) for exposure to ergonomic risk factors and 5.07 (95% CI 4.33 to 5.93) for coexposure to long working hours and ergonomic risk factors. The RERI was 0.82 (95% CI 0.11 to 1.53) and the ratio of ORs was 0.83 (95% CI 0.50 to 1.14) CONCLUSION: Our findings suggest that coexposure to both ergonomic risk factors and long working hours has a supra-additive interaction effect on musculoskeletal symptoms. Regulations on working hours and workplace interventions might reduce the musculoskeletal diseases of workers.
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Affiliation(s)
- Jeong Woo Park
- Department of Occupational and Environmental Medicine, Dong-A University College of Medicine, Busan, Korea
| | - Mo-Yeol Kang
- Department of Occupational and Environment Medicine, Catholic University of Korea College of Medicine, Seoul, Korea
| | - Jung Il Kim
- Department of Occupational and Environmental Medicine, Dong-A University College of Medicine, Busan, Korea
| | - JongHyun Hwang
- Department of Occupational and Environment Medicine, Dong-A University Hospital, Busan, South Korea
| | - Seong-Soo Choi
- Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Seong-Sik Cho
- Department of Occupational and Environmental Medicine, Dong-A University College of Medicine, Busan, Korea
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Pain management in eldercare employees - the role of managers in addressing musculoskeletal pain and pain-related sickness absence. BMC Public Health 2022; 22:432. [PMID: 35246080 PMCID: PMC8895519 DOI: 10.1186/s12889-022-12785-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2021] [Accepted: 02/16/2022] [Indexed: 11/17/2022] Open
Abstract
Purpose Managers’ knowledge and behaviors in addressing musculoskeletal pain and sickness absence is not well understood. We investigated the association between managers’ knowledge and behaviours in relation to employees’ pain and their future risk of musculoskeletal pain and associated sickness absence. Methods The prospective study included 535 eldercare employees, and 42 managers from 20 nursing homes. Managers’ self-reported knowledge and behaviors in relation to employees’ pain were grouped using Principal Components Analysis. Eldercare employees reported pain-related sickness absence, and number of days with musculoskeletal pain repeatedly over 1 year. We investigated associations using mixed-effects regression models. Results We identified four types of managers’ knowledge and behaviors: 1) Pain-prevention (actions for prevention of employee pain), 2) Pain-management (actions to assist employees manage pain), 3) Pain-entitlements (communicating entitlements to employees with pain), and 4) Pain-accommodations (ability to facilitate workplace accommodations for employees with pain). The employees of managers with higher scores on knowledge of pain-entitlements reported fewer days of pain-related sickness absence (β = -0.62; 95%CI [-1.14; -0.10]). The employees of managers with higher scores on pain-management were more likely to report low back pain (β = 0.57; 95%CI [0.02; 1.11]). We found several key associations between the knowledge and behaviors measures and pain-related sickness absence (interactions). Conclusion Managers’ knowledge and behaviors in relation to employees’ pain were associated with employees’ future musculoskeletal pain and sickness absence. The relationships are complex, suggesting that a multifaceted approach is needed to ensure that managers are adequately informed on how to manage and accommodate employees with musculoskeletal pain to reduce sickness absence. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-022-12785-x.
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Kwon S, Lee SJ, de Castro AB, Herting JR, Bao S, Johnson K. Identifying an Optimal Cut-Off Point for Musculoskeletal Pain in the Upper Extremities to Prevent Lowered Work Performance. J Occup Environ Med 2021; 63:985-991. [PMID: 34739442 DOI: 10.1097/jom.0000000000002292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
OBJECTIVE This study identified when musculoskeletal pain (MSP) in the upper extremities indicates lowered work performance to gauge when secondary prevention of musculoskeletal disorders is needed. METHODS Seven hundred thirty-three subjects from 12 manufacturing or healthcare facilities in Washington state participated. Work performance was measured by the Disabilities of the Arm, Shoulder and Hand work module (DASH-Work). Each DASH-Work score was compared to the mean among U.S. workers to determine if workers had lowered work performance. ROC curve analysis was conducted to find the cut-off in a composite MSP index (summing MSP intensities in shoulders, elbows/forearms, and hands/wrists; range 0 to 24) to detect lowered work performance. RESULTS The MSP index score of 2 achieved the best balance between sensitivity (0.79) and specificity (0.69) in detecting lowered work performance. CONCLUSIONS To prevent reduced work performance, moderate or multisite pain may require proper management.
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Affiliation(s)
- Suyoung Kwon
- University of Washington, Seattle, Washington (Dr Kwon, Dr de Castro, Dr Herting, and Dr Johnson); University of California San Francisco, San Francisco, California (Dr Lee); Safety and Health Assessment and Research for Prevention (SHARP) Program, Washington State Department of Labor and Industries, Olympia, Washington (Dr Bao)
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Park KH, Baek S, Kang EK, Park HW, Kim G, Kim SH. The Association Between Sagittal Plane Alignment and Disc Space Narrowing of Lumbar Spine in Farmers. Ann Rehabil Med 2021; 45:294-303. [PMID: 34496472 PMCID: PMC8435469 DOI: 10.5535/arm.21037] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2021] [Accepted: 07/01/2021] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVE To investigate whether lumbar lordosis (LL) and lumbar segmental lordosis (LSL) are related to sex, age, low back pain (LBP), and lumbar disc space narrowing (DSN). METHODS A total of 569 farmers were recruited. In lateral spine radiograph, LL (L1-L5) and LSL (L1, L2, L3, L4, and L5) were measured using Cobb's method. The differences in LSL values (ΔLSL) according to the presence or absence of a DSN were calculated as LSLDSN - LSLnoDSN for each DSN level. RESULTS In male, the lateral spine radiograph showed significantly greater L4-LSL and L5-LSL and smaller L1-LSL and L2-LSL compared to female. LLs in the 50-59 and ≥60 years age groups were significantly smaller compared to those in the <50 years age group. In subjects with LBP, LL and L4-LSL were significantly smaller than in those without. The ΔLSLs at the disc level with DSN showed the greatest decrease: L1-ΔLSL (Δ-3.99°), L2-ΔLSL (Δ-3.31°), L3-ΔLSL (Δ-2.87°), L4-ΔLSL (Δ-3.31°), and L5-ΔLSL (Δ-4.44°) in L1/2, L2/3, L3/4, L4/5, and L5/S1 DSN, respectively. Conversely, distant ΔLSLs were inversely increased: L1-LSL (Δ0.75°) with L4/5 DSN and L2-LSL (Δ0.94°) with L5/S1 DSN. CONCLUSION Sagittal plane alignment was significantly associated with sex, age, LBP, and DSN. LSLs around the levels of DSN were decreased, and there was compensational increase of LSL distant to the DSN to maintain the overall LL.
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Affiliation(s)
- Ki Hoon Park
- Department of Rehabilitation Medicine, Kangwon National University School of Medicine, Chuncheon, Korea
| | - Sora Baek
- Department of Rehabilitation Medicine, Kangwon National University School of Medicine, Chuncheon, Korea.,Center for Farmers' Safety and Health and Department of Rehabilitation Medicine, Kangwon National University Hospital, Chuncheon, Korea
| | - Eun Kyoung Kang
- Department of Rehabilitation Medicine, Kangwon National University School of Medicine, Chuncheon, Korea.,Center for Farmers' Safety and Health and Department of Rehabilitation Medicine, Kangwon National University Hospital, Chuncheon, Korea
| | - Hee-Won Park
- Department of Rehabilitation Medicine, Kangwon National University School of Medicine, Chuncheon, Korea.,Center for Farmers' Safety and Health and Department of Rehabilitation Medicine, Kangwon National University Hospital, Chuncheon, Korea
| | - Gowun Kim
- Department of Rehabilitation Medicine, Kangwon National University School of Medicine, Chuncheon, Korea.,Center for Farmers' Safety and Health and Department of Rehabilitation Medicine, Kangwon National University Hospital, Chuncheon, Korea
| | - Sung Hyun Kim
- Human Medical Imaging and Intervention Center, Seoul, Korea
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Soria-Oliver M, López JS, Torrano F, García-González G. Do psychosocial factors mediate the appearance of musculoskeletal symptoms? Evidence of an empirical study about the role of mental workload in computer workers. PLoS One 2021; 16:e0252179. [PMID: 34138890 PMCID: PMC8211229 DOI: 10.1371/journal.pone.0252179] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Accepted: 05/11/2021] [Indexed: 11/26/2022] Open
Abstract
The emergence of musculoskeletal symptoms (MSSs) in computer workers is a relevant occupational health problem. This study tests a multilevel model of analysis of risk factors in the appearance of musculoskeletal pain and discomfort in computer workers that integrates indicators from different areas: temporal usage patterns, ergonomic factors, psychosocial factors, and individual variables, specifically testing the possible mediating role of the mental workload. A cross-sectional study was performed through online registration with a non-probabilistic sample of 1198 workers from Spanish organizations. The results show that mental workload has a higher association than the rest of the factors with the onset of pain and discomfort in various body areas: neck in men, neck, shoulders and upper back in women. They also support the mediation role of mental workload in the relationship between usage patterns and the appearance of musculoskeletal symptoms. The use of multilevel theoretical models that adequately consider the complexity of the relationships between the different risk factors is necessary for a better understanding and intervention on MSSs in computer workers.
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Affiliation(s)
- María Soria-Oliver
- Facultad de Ciencias de la Salud, Universidad Pública de Navarra, Pamplona, Navarra, Spain
- * E-mail: (JSL); (MSO)
| | - Jorge S. López
- Facultad de Ciencias de la Salud, Universidad Pública de Navarra, Pamplona, Navarra, Spain
- IdiSNA-Instituto de Investigaciones Sanitarias de Navarra, Pamplona, Spain
- * E-mail: (JSL); (MSO)
| | - Fermín Torrano
- UNIR-Universidad Internacional de la Rioja, Logroño, La Rioja, Spain
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Morabito J, Penkala S, Coxon K. Workplace musculoskeletal problems in occupational therapy students. BMC Public Health 2021; 21:660. [PMID: 33823846 PMCID: PMC8025505 DOI: 10.1186/s12889-021-10653-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Accepted: 03/18/2021] [Indexed: 11/17/2022] Open
Abstract
Background Workplace musculoskeletal disorders are the leading cause of morbidity and disability in the Australian workforce. Over one in five occupational therapists report workplace musculoskeletal disorders, with almost half reporting workplace musculoskeletal symptoms. In other health professions, students and novice clinicians (≤5 years practice) experience greater risk but little is known about occupational therapy students. Methods In this cross-sectional study, a survey including the self-reported Standardised Nordic Musculoskeletal Questionnaire was administered to occupational therapy students post work-based training. Musculoskeletal problems were defined as aches, pains, numbness or discomfort. Questions explored body sites affected, prevalence, impact on activity, need for medical assistance, demographic and workplace information. Prevalence was reported using descriptive statistics. Factors associated with workplace musculoskeletal problems over the previous 12 months and last 7 days were examined using logistic regression modelling. Results Response rate was 53% (n = 211/397). One-third of respondents (33.6%, n = 71/211) reported a workplace musculoskeletal problem over 12 months. Nearly half (47.9%, n = 34/71) of these students reported a problem over the last 7 days. Neck was the most commonly affected area reported for musculoskeletal problems over the past 12 months (24.2%, n = 51/211) and shoulder areas affected over the past 7 days (10.9%, n = 23/211). Musculoskeletal problems preventing daily activities were reported most commonly from lower back problems over 12 months (23.9%, n = 17/71) and for shoulder problems over the last 7 days (21.9%, n = 7/32). Shoulders and knees were the most common body areas requiring medical attention. Previous musculoskeletal problems and female gender were associated with reported problems over 12 months and last 7 days (p < 0.05). Non-standard joint mobility (OR = 3.82, p = 0.002) and working in psychosocially focused caseloads (including mental health or case management) (OR = 3.04, p = 0.044) were also associated with reporting musculoskeletal problems over the last 7 days. Conclusions One in three occupational therapy students already experience workplace musculoskeletal problems impacting daily activities and requiring medical assistance prior to graduation. High prevalence of musculoskeletal problems in this study calls for educators and researchers to find sustainable strategies to address these problems, with particular consideration to the impact of previous disorders and working in psychosocially focused caseloads on musculoskeletal health.
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Affiliation(s)
- Joanne Morabito
- School of Health Sciences, Western Sydney University, Sydney, Australia
| | - Stefania Penkala
- School of Health Sciences, Western Sydney University, Sydney, Australia.,Translational Health Research Institute, Western Sydney University, Sydney, Australia
| | - Kristy Coxon
- School of Health Sciences, Western Sydney University, Sydney, Australia. .,Translational Health Research Institute, Western Sydney University, Sydney, Australia.
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Stanhope J, Pisaniello D, Weinstein P. What do musicians think caused their musculoskeletal symptoms? INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2021; 28:1543-1551. [PMID: 33754943 DOI: 10.1080/10803548.2021.1902673] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Objectives. The purpose of this study was to determine the factors that university music students and professional musicians believe caused their musculoskeletal symptoms (MSSs). Methods. Data were collected using a questionnaire distributed to university music students and professional musicians. Using a musician-driven data collection approach, musicians with MSSs were asked to nominate their top three perceived causes of their symptoms. Responses were categorized, and percentages reported for the main categories. Results. Of the 213 musicians, 37.6% reported biological factors, 21.1% reported external, physical factors, 93.9% reported behavioural factors, 18.8% reported psychosocial factors and 9.9% reported 'other' factors (e.g., accidents) as the perceived causes of their MSSs. Conclusion. This study is the first to investigate perceived causes of musicians' MSSs across a diverse range of musicians, using musician-driven methods. By using open response data collection strategies, a comprehensive, unbiased list of perceived causes of MSSs was compiled. Perceived causes not identified in previous research included manual handling, physical activity and sleep problems. Future research should consider the association between perceived causes and MSSs, and barriers and enablers of behaviour changes that may prevent MSSs. This research may guide the development of new strategies to reduce the burden of MSSs in musicians.
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Affiliation(s)
| | - Dino Pisaniello
- School of Public Health, The University of Adelaide, Australia
| | - Philip Weinstein
- School of Biological Sciences, The University of Adelaide, Australia
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Alhusuny A, Cook M, Khalil A, Johnston V. Visual symptoms, Neck/shoulder problems and associated factors among surgeons performing Minimally Invasive Surgeries (MIS): A comprehensive survey. Int Arch Occup Environ Health 2021; 94:959-979. [PMID: 33515063 DOI: 10.1007/s00420-020-01642-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2020] [Accepted: 12/24/2020] [Indexed: 10/22/2022]
Abstract
PURPOSE Minimally Invasive Surgery (MIS) is demanding on the musculoskeletal and visual systems. Prevalence, severity and association of neck/shoulder problems and visual symptoms were examined among MIS surgeons. The associations of workplace and individual factors with these symptoms independently and combined were also examined. METHODS MIS surgeons completed a comprehensive online survey inclusive of 52 questions about individual and workplace physical factors, neck/shoulder problems and visual symptoms. Binary logistic regression models were conducted to determine the associations of the neck/shoulder problems, visual symptoms and combined symptoms with workplace and individual factors. RESULTS 290 surgeons completed the survey. Neck/shoulder problems and visual symptoms were reported by 31.0% and 29.0%, respectively, 15.5% reported both problems. The prevalence and severity of neck/shoulder problems and visual symptoms were significantly associated (p < 0.001). Several workplace and individual factors were associated with these symptoms (p ≤ 0.05). CONCLUSIONS Several factors in the workplace environment (temperature, asymmetrical weight bearing and forward head movement) and individual (being female and wearing vision correction glasses) were significantly associated with neck/shoulder problems and visual symptoms. Evaluation of different strategies to minimise the strain on the neck/shoulder region and the visual system is required.
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Affiliation(s)
- Ameer Alhusuny
- School of Health and Rehabilitation Sciences, The University of Queensland, Level 3, Therapies Annexe Building 84, Brisbane, St Lucia, QLD, 4068, Australia.
| | - Margaret Cook
- School of Earth and Environmental Sciences, Faculty of Science, The University of Queensland, Brisbane, Australia
| | - Akram Khalil
- Faculty of Medicine, The University of Queensland, Brisbane, Australia.,Royal Brisbane and Women's Hospital, Brisbane, Australia
| | - Venerina Johnston
- RECOVER Injury Research Centre, The University of Queensland, Brisbane, Australia
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Garnaes KK, Mørkved S, Salvesen Ø, Tønne T, Furan L, Grønhaug G, Vasseljen O, Johannessen HH. What factors are associated with health-related quality of life among patients with chronic musculoskeletal pain? A cross-sectional study in primary health care. BMC Musculoskelet Disord 2021; 22:102. [PMID: 33482782 PMCID: PMC7825159 DOI: 10.1186/s12891-020-03914-x] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2020] [Accepted: 12/23/2020] [Indexed: 01/22/2023] Open
Abstract
BACKGROUND Chronic musculoskeletal pain (CMP) affects daily life function and is the most prevalent disorder in primary health care. The primary objective was to examine demographic factors and pain characteristics associated with reduced health-related quality of life (HRQoL) among patients in primary care reporting CMP. Our secondary objective was to compare HRQoL in patients with and without CMP. METHOD This cross-sectional study was conducted in Trondheim, Norway. Twenty randomly selected GPs, and their listed patients aged 21-58 were invited to participate. Self-reported CMP data was collected using online questionnaires. HRQoL was measured by the 15D questionnaire, total score of 0.9 was used as cut-off for clinical reduced HRQoL. RESULTS A total of 969 patients (650 females) were recruited from six GPs' patient lists, mean age 45.6 (SD 10.1). CMP was reported by 517 (53%). Factors significantly associated with reduced HRQoL were gender (OR 2.0, 95% CI 1.2, 3.4), disability pension (OR 26.6, 95% CI 3.1, 228.0), mood (OR 1.3, 95% CI 1.1, 1.6), relations with other people (OR 0.8, 95% CI 0.6, 0.9), sleep (OR 1.2, 95% CI 1.0, 1.3) and enjoyment (OR 1.2, 95% CI 1.0). CMP patients had significantly lower total HRQoL score compared to patients without CMP (Between group difference 0.08, 95% CI 0.07-0.09). Half of the CMP patients reported a HRQoL score < 0.9 compared to 14% in the no CMP group. CONCLUSIONS Being female, receiving disability pension, and several psychosocial factors were found highly associated with reduced HRQoL in CMP patients, whereas pain characteristics were not. Patients with CMP reported statistically and clinically significant lower HRQoL than patients without CMP. Due to low response rate the conclusions must be handled with caution. TRIAL REGISTRATION Clinicaltrials.gov (NCT02020772).
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Affiliation(s)
- Kirsti Krohn Garnaes
- Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), P.O. Box 8905, 7491, Trondheim, Norway. .,Department of Obstetrics and Gynaecology, St. Olavs Hospital, Trondheim University Hospital, P.O Box 3250, Trondheim, Norway.
| | - Siv Mørkved
- Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), P.O. Box 8905, 7491, Trondheim, Norway.,Clinical Services, St. Olavs Hospital, Trondheim University Hospital, P.O Box 3250, Trondheim, Norway
| | - Øyvind Salvesen
- Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), P.O. Box 8905, 7491, Trondheim, Norway
| | - Torgrim Tønne
- Tiller Physiotherapy and Manual Therapy, Ivar Lykkes veg 9, 7075, Tiller, Norway
| | - Lars Furan
- Stokmoen Physiotherapy, Wergelandsveien 27, 7504, Stjørdal, Norway
| | - Gudmund Grønhaug
- Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), P.O. Box 8905, 7491, Trondheim, Norway
| | - Ottar Vasseljen
- Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), P.O. Box 8905, 7491, Trondheim, Norway
| | - Hege Hølmo Johannessen
- Department of Health and Welfare, Østfold University College, Kobberslagerstredet 5, Fredrikstad, Norway.,Department of Physical Medicine and Rehabilitation, Østfold Hospital Trust, P.O. Box 300, Sarpsborg, Norway
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Lee HE, Choi M, Kim HR, Kawachi I. Impact of Decreased Night Work on Workers' Musculoskeletal Symptoms: A Quasi-Experimental Intervention Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17239092. [PMID: 33291446 PMCID: PMC7730522 DOI: 10.3390/ijerph17239092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/28/2020] [Revised: 12/02/2020] [Accepted: 12/04/2020] [Indexed: 11/16/2022]
Abstract
A possible association between night shift work and musculoskeletal disorder has been suggested. This study aimed to evaluate the impact of decreased night work on musculoskeletal pain. Difference-in-difference estimation was used to compare changes in musculoskeletal pain between shift workers (N = 122) and non-shift workers (N = 170) in a manufacturing company before and after the introduction of a new shift system eliminating overnight work. Musculoskeletal pain was measured by a questionnaire asking if workers had symptoms in specific body parts, including the neck, shoulder, arm/elbow, wrist/hand, back, and leg/foot, over the past year. Generalized estimating equation models were used to estimate changes in pre- versus post-intervention musculoskeletal pain rates between the treated and control group. In the difference-in-difference (DID) models, prevalence of musculoskeletal pain for shoulder (−10.3%), arm (−12.9%), all sites combined (−9.2%), and upper extremity combined (−14.8%) showed significant decreases from pre- to post-intervention among the treated group (shift workers) compared to the control group (non-shift workers) after controlling for age and weekly working hours. Decreasing night work was related to improvement in musculoskeletal pain in shift workers.
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Affiliation(s)
- Hye-Eun Lee
- Korea Institute of Labor Safety and Health, Seoul 07023, Korea;
- Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA;
- Correspondence: ; Tel.: +82-2-324-8633; Fax: +82-2-324-8632
| | - Min Choi
- Korea Institute of Labor Safety and Health, Seoul 07023, Korea;
| | - Hyoung-Ryoul Kim
- Department of Occupational and Environmental Medicine, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea;
| | - Ichiro Kawachi
- Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA;
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Veiersted KB, Hanvold TN, Lunde LK, Koch M, Knardahl S, Wærsted M. Do intensity of pain alone or combined with pain duration best reflect clinical signs in the neck, shoulder and upper limb? Scand J Pain 2020; 21:266-273. [PMID: 34387958 DOI: 10.1515/sjpain-2020-0113] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Accepted: 10/08/2020] [Indexed: 11/15/2022]
Abstract
OBJECTIVES It is important to validate self-reported musculoskeletal pain used in epidemiological studies for evaluation of pain outcome measures. The main objective of this paper was to assess the association between self-reported neck/shoulder/upper limb pain and clinical signs of disorders in the region, especially by comparing a measure that only used pain intensity with a measure that combined pain intensity and pain duration. METHODS Four hundred and twenty technical school students of both genders were included with a median age of 17 years (16-28). The students stated the pain in four intensity grades and the pain duration in four period lengths within the preceding four weeks period. A pain severity index was calculated by multiplying the pain intensity (0-3) and the duration (1-4). A clinical examination was performed within a week after completing the form. The associations were evaluated by agreement, correlation and symmetric strength of association (contingency). RESULTS The study found low correlation and low positive agreement for neck/shoulder and upper limb pain related to clinical signs of disorders in the region. However, the relationship showed high negative agreement and high contingency. The negative agreement increased for the neck/shoulder region with higher cut-off points for dichotomization, but not for the upper limb region. The index combining reports of pain intensity with pain duration, do not improve agreement, correlation or contingency with clinical signs compared to use of pain intensity alone. CONCLUSIONS This study showed an association between self-reported neck/shoulder/upper limb pain intensity and clinical signs of musculoskeletal disorders of the region. An index combining pain intensity and duration (Pain Severity Index) did not increase this association. From the results we suggest using pain intensity reports alone and if dichotomizing is wanted, choosing a cut-off point at high pain levels, especially for neck and shoulder pain.
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Affiliation(s)
| | | | | | - Markus Koch
- National Institute of Occupational Health, Oslo, Norway
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Morrison JJ, Jiao A, Robinson S, Jahangiri Y, Kaufman JA. Prevalence of Musculoskeletal Symptoms in Interventional Radiologists. J Vasc Interv Radiol 2020; 31:1308-1314. [PMID: 32674871 DOI: 10.1016/j.jvir.2020.02.015] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2019] [Revised: 01/22/2020] [Accepted: 02/05/2020] [Indexed: 11/18/2022] Open
Abstract
PURPOSE To investigate the prevalence of musculoskeletal symptoms, defined as aches, pains, discomfort, or numbness, by using a validated assessment tool among interventional radiologists. MATERIALS AND METHODS A Web-based survey using the Nordic Musculoskeletal Questionnaire was disseminated to interventional radiologist members by email in November 2015. Musculoskeletal symptoms were evaluated in 9 body areas. Information regarding participant demographics, practice details, use of radio-protective equipment, and exercise routines was also gathered. Univariate and multivariate analyses were performed to determine risk factors associated with more severe symptoms. RESULTS Of 4,096 SIR members at the time of the survey, 640 completed the questionnaire in its entirety (16% response rate). Respondents consisted of 69 females (11%) and 571 males (89%), with a mean age of 47.5 ± 10.2 years old, a mean body mass index of 25.5 ± 3.9 kg/m2, and a mean practice length of 17.1 ± 9.8 years. Prevalence of musculoskeletal symptoms was 88% in the 12 months preceding the survey. For those reporting musculoskeletal issues, 58% attributed the symptoms to work-related activities. Lower back (61%), neck (56%), and shoulder complaints (46%) were the most common. Symptoms prevented 21.2% of respondents from being able to work over the same time period. Multivariate analysis identified female gender, above-normal body mass index, and a practice length of 10 years or more as factors associated with a higher risk of moderate-to-severe symptoms. CONCLUSIONS Musculoskeletal symptoms are prevalent among interventional radiologists, the majority of which are attributed to work-related causes.
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Affiliation(s)
- James J Morrison
- Advanced Radiology Services, 3264 North Evergreen Drive, Grand Rapids, MI 49525; Michigan State University College of Human Medicine, Grand Rapids, MI.
| | - Albert Jiao
- Advanced Radiology Services, 3264 North Evergreen Drive, Grand Rapids, MI 49525
| | - Sean Robinson
- Department of Family Medicine, Oregon Health and Science University, Portland, OR
| | - Younes Jahangiri
- Department of Interventional Radiology, Oregon Health and Science University, Portland, OR
| | - John A Kaufman
- Department of Interventional Radiology, Oregon Health and Science University, Portland, OR
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Ceballos AGC, Carvalho FM. Verbal Aggression Against Teacher and Upper Extremity Musculoskeletal Pain. Saf Health Work 2020; 11:187-192. [PMID: 32596014 PMCID: PMC7303528 DOI: 10.1016/j.shaw.2020.02.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2019] [Revised: 02/18/2020] [Accepted: 02/27/2020] [Indexed: 01/05/2023] Open
Abstract
Background This study investigated the relationship between verbal aggression against school teachers and upper extremity (neck, shoulder, upper limb, and/or upper back) musculoskeletal pain. Methods This was a cross-sectional study of 525 elementary school teachers from Jaboatão dos Guararapes, Northeast Brazil. Results The prevalence of upper extremity musculoskeletal pain among teachers who reported verbal aggression in the past six months (67.7%) was higher than that among those who did not report verbal aggression (51.7%): (prevalence ratio = 1.21; 95% confidence interval = 1.04-1.40). The prevalence of upper extremity musculoskeletal pain was associated with verbal aggression, sex, and common mental disorders, controlled by skin color, age, monthly income, teachers' education, years working as a teacher, workload, and obesity. Furthermore, the measure of the association between verbal aggression and upper extremity musculoskeletal pain was modified by sex and common mental disorders, considered altogether. Teachers who suffered verbal aggression, of the feminine sex, and also having common mental disorders reported high prevalence (85.4%) of upper extremity musculoskeletal pain. Conclusion The association between verbal violence in the school and complaints of upper extremity musculoskeletal pain was strong and modified by teachers' sex and common mental disorders.
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Affiliation(s)
- Albanita G C Ceballos
- Federal University of Pernambuco, Medical Science Center, Cidade Universitária, Recife, PE, Brazil
| | - Fernando M Carvalho
- Federal University of Bahia, Largo Do Terreiro de Jesus, Centro Histórico, Salvador, BA, Brazil
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Schwartz A, Gerberich SG, Kim H, Ryan AD, Church TR, Albin TJ, McGovern PM, Erdman AE, Green DR, Arauz RF. Janitor ergonomics and injuries in the safe workload ergonomic exposure project (SWEEP) study. APPLIED ERGONOMICS 2019; 81:102874. [PMID: 31422267 DOI: 10.1016/j.apergo.2019.102874] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/22/2018] [Revised: 06/04/2019] [Accepted: 06/06/2019] [Indexed: 06/10/2023]
Abstract
INTRODUCTION A Minnesota union identified to researchers at the University of Minnesota a concern relevant to a possible relation between their daily workload and outcome of occupational injuries among a population of janitors. OBJECTIVE To assess if the ergonomic workload is related to injuries among janitors. METHODS Following an initial group discussion among janitors, which identified common and hazardous tasks potentially leading to occupational injuries, a questionnaire was developed, pre-tested, and distributed to the janitors. Questions addressed various exposures, including workload, and comprehensive information regarding injury occurrence over two six-month sequential periods (May 2016-October 2016, November 2016-April 2017). Quantitative ergonomic analyses were performed on a sub-group of janitors (n = 30); these included data collection to identify Borg Perceived Exertion (Borg) and Rapid Entire Body Assessment (REBA) scores. Descriptive, multivariable with bias adjustment analyses were conducted on the resulting data. RESULTS Eight tasks were found to be common for janitors. All average REBA scores for the tasks were identified in the high-risk category. The task of repeatedly emptying small trash cans (<25lb) was significantly related to injuries. Average Borg scores fell between the very light perceived exertion and somewhat difficult perceived exertion categories. Multivariable regression analyses indicated that age-sex-standardized ergonomic workload, measured by task frequencies and REBA or Borg scores, was positively related to injury occurrence. CONCLUSIONS Standardized ergonomic workload was positively related to injury occurrence. This information serves as a basis for further research and potential intervention efforts.
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Affiliation(s)
- Adam Schwartz
- Midwest Center for Occupational Health and Safety Education and Research Center, Division of Environmental Health Sciences, School of Public Health, University of Minnesota, Minneapolis, MN, USA
| | - Susan G Gerberich
- Midwest Center for Occupational Health and Safety Education and Research Center, Division of Environmental Health Sciences, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
| | - Hyun Kim
- Midwest Center for Occupational Health and Safety Education and Research Center, Division of Environmental Health Sciences, School of Public Health, University of Minnesota, Minneapolis, MN, USA
| | - Andrew D Ryan
- Midwest Center for Occupational Health and Safety Education and Research Center, Division of Environmental Health Sciences, School of Public Health, University of Minnesota, Minneapolis, MN, USA
| | - Timothy R Church
- Midwest Center for Occupational Health and Safety Education and Research Center, Division of Environmental Health Sciences, School of Public Health, University of Minnesota, Minneapolis, MN, USA
| | | | - Patricia M McGovern
- Midwest Center for Occupational Health and Safety Education and Research Center, Division of Environmental Health Sciences, School of Public Health, University of Minnesota, Minneapolis, MN, USA
| | - Arthur E Erdman
- Department of Mechanical Engineering, College of Science and Engineering, University of Minnesota, Minneapolis, MN, USA
| | - Deirdre R Green
- Midwest Center for Occupational Health and Safety Education and Research Center, Division of Environmental Health Sciences, School of Public Health, University of Minnesota, Minneapolis, MN, USA
| | - Rony F Arauz
- Midwest Center for Occupational Health and Safety Education and Research Center, Division of Environmental Health Sciences, School of Public Health, University of Minnesota, Minneapolis, MN, USA
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Kim MG, Ahn YS. Associations between lower back pain and job types in South Korean male firefighters. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2019; 27:570-577. [PMID: 30985257 DOI: 10.1080/10803548.2019.1608061] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
This study aimed to compare prevalence of lower back pain (LBP) in firefighters according to job type and to identify the risk factors for LBP. A random sample of 297 male firefighters and 77 hospital office workers completed questionnaires and underwent lumbar spine magnetic resonance imaging. Prevalence of LBP in firefighters (85.1%) was higher than in controls (54.5%). Odds ratio (OR) of LBP in severe insomnia (3.84, 95% confidence interval [CI] [1.17, 12.06]) was statistically higher than for LBP without insomnia. OR of LBP in herniated lumbar disc 4-5 (1.86, 95% CI [1.03, 3.35]) was statistically higher than for LBP without lumbar disc herniation. ORs of LBP in emergency medical service (2.57, 95% CI [1.20, 5.58]) and rescue (3.69, 95% CI [1.37, 9.94]) workers were statistically higher than in controls. LBP is more prevalent in firefighters than in controls and affected by insomnia, lumbar disc herniation and job type.
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Affiliation(s)
- Min Gi Kim
- Dankook University College of Medicine, Dankook University Cheonan Hospital, Republic of Korea
| | - Yeon-Soon Ahn
- Department of Occupational and Environmental Medicine, Yonsei University Wonju College of Medicine, Republic of Korea
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Roos M, Roy JS. Effect of a rehabilitation program on performance-related musculoskeletal disorders in student and professional orchestral musicians: a randomized controlled trial. Clin Rehabil 2018; 32:1656-1665. [DOI: 10.1177/0269215518785000] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Objective: To explore the feasibility of a rehabilitation program and its effect on the performance-related musculoskeletal symptoms and functional limitations of orchestral musicians. Design: Single-blind pilot randomized controlled trial with exercise group and control group. Setting: Workplace of professional symphony orchestra and tertiary-level conservatory orchestral musicians. Participants: Professional and student orchestral musicians with or without performance-related musculoskeletal disorders. Interventions: A rehabilitation program including an educational presentation, an 11-week home exercise program and three supervised exercise sessions, versus no intervention. Measures: Feasibility measures included adherence and drop-out rate. The Musculoskeletal Pain Intensity and Interference Questionnaire for professional orchestra Musicians (MPIIQM) measured symptom intensity and functional limitations, while the Nordic Musculoskeletal Questionnaire (NMQ) measured symptom prevalence and frequency. Results: A total of 30 participants were recruited ( n = 15 per group). Exercise group adherence was 97.7% for the supervised sessions and 89% for the home exercise program. There were no drop-outs. Significant group-time interactions were obtained for both the pain intensity (partial η2 = 0.166; P = 0.025) and pain interference (partial η2 = 0.186; P = 0.017) sections of the MPIIQM. Mean (standard deviation) pain intensity score changes from baseline to 11 weeks were control group: 0.40 (5.04); P = 0.763; partial η2 = 0.007; and exercise group: –4.07 (5.31); P = 0.010; partial η2 = 0.386. For pain interference, mean score changes were control group: 0.20 (9.10); P = 0.933; partial η2 = 0.001; and exercise group: –9.00 (10.73); P = 0.006; partial η2 = 0.430. NMQ analyses revealed no significant interaction ( P > 0.05). Conclusion: Results suggest that the studied program is feasible and effective in decreasing the intensity and functional impact of musicians’ symptoms. However, no significant medium-term effect on the prevalence and frequency of symptoms was shown.
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Affiliation(s)
- Marianne Roos
- Department of Rehabilitation, Faculty of Medicine, Laval University, Québec, QC, Canada
| | - Jean-Sébastien Roy
- Department of Rehabilitation, Faculty of Medicine, Laval University, Québec, QC, Canada
- Centre for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), Québec, QC, Canada
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Campo M, Shiyko MP, Kean MB, Roberts L, Pappas E. Musculoskeletal pain associated with recreational yoga participation: A prospective cohort study with 1-year follow-up. J Bodyw Mov Ther 2018; 22:418-423. [PMID: 29861244 DOI: 10.1016/j.jbmt.2017.05.022] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2016] [Revised: 05/11/2017] [Accepted: 05/23/2017] [Indexed: 10/19/2022]
Abstract
BACKGROUND Yoga is a popular complementary therapy for musculoskeletal pain. There are few studies however, that have examined the risks of recreational participation for causing musculoskeletal pain. OBJECTIVES To examine the relationship between musculoskeletal pain and recreational yoga participation. METHODS This was a prospective cohort study with one-year follow-up. Data were collected via electronic questionnaires, one year apart. Outcomes included incidence and impact of pain caused by yoga and prevalence of pain caused, exacerbated, unaffected, and improved by yoga. Predictors included age, experience, hours of participation, and intensity of participation. RESULTS The final sample included 354 participants from two suburban yoga studios. The incidence rate of pain caused by yoga was 10.7%. More than one-third of incident cases resulted in lost yoga participation time and/or symptoms lasting more than 3 months. None of the risk factors at baseline increased the risk for subsequent incident cases of pain caused by yoga. CONCLUSIONS Yoga can cause musculoskeletal pain. Participants may benefit from disclosure of practice to their healthcare professionals and by informing teachers of injuries they may have prior to participation. Yoga teachers should also discuss the risks for injury with their students.
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Affiliation(s)
- Marc Campo
- School of Health and Natural Sciences, Mercy College, 555 Broadway, Dobbs Ferry, NY 10522, USA.
| | - Mariya P Shiyko
- Department of Applied Psychology, Bouve College of Health Sciences, Northeastern University, 360 Huntington Ave., Boston, MA, USA.
| | - Mary Beth Kean
- Mercy College, Program in Physical Therapy, 555 Broadway, Dobbs Ferry, NY 10522, USA.
| | - Lynne Roberts
- Mercy College, Program in Physical Therapy, 555 Broadway, Dobbs Ferry, NY 10522, USA.
| | - Evangelos Pappas
- Discipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, 75 East St, Lidcombe, NSW 2141, Australia.
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Cheung K, Szeto G, Lai GKB, Ching SSY. Prevalence of and Factors Associated with Work-Related Musculoskeletal Symptoms in Nursing Assistants Working in Nursing Homes. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:E265. [PMID: 29401700 PMCID: PMC5858334 DOI: 10.3390/ijerph15020265] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/13/2017] [Revised: 01/21/2018] [Accepted: 02/01/2018] [Indexed: 11/16/2022]
Abstract
The prevalence of work-related musculoskeletal symptoms (WRMSs) in different body parts for nursing assistants (NAs) working in nursing homes is currently unknown. The aim of this study was to determine the extent of WRMSs in nursing assistants and the factors associated with them. Four hundred and forty NAs from 52 nursing homes, recruited by convenience sampling, participated in this cross-sectional study in 2014-2015. A valid and reliable study questionnaire was used to collect data. The results of our study found that 88.4% of NAs reported at least one body part with WRMSs. These NAs reported more symptoms in the shoulders than lower back. Adverse workstyle (OR = 1.04, 95% CI = 1.01-1.08) was the only factor associated with WRMSs after adjustment for potential confounders using multivariable logistic regression. This adverse workstyle could be developed because of physical and psychological work demands. Efforts should be directed at integrating "workstyle intervention" into lifestyle physical activity training to this group of healthcare workers.
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Affiliation(s)
- Kin Cheung
- School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.
| | - Grace Szeto
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, China.
| | | | - Shirley S Y Ching
- School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.
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Burgel BJ, Elshatarat RA. Psychosocial work factors and low back pain in taxi drivers. Am J Ind Med 2017; 60:734-746. [PMID: 28524238 DOI: 10.1002/ajim.22732] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/17/2017] [Indexed: 11/06/2022]
Abstract
INTRODUCTION Taxi drivers are at high risk for low back pain (LBP). AIM Identify the association between psychosocial-work factors (Job strain, Iso-strain, effort-reward imbalance [ERI], unfairness, and mental exertion) and LBP in taxi drivers. METHODS A cross-sectional study was done with 129 taxi drivers. RESULTS Approximately 63% reported LBP in the prior 12 months. Chi square or t-test analyses identified the associations between demographic, work, health, and psychosocial work factors, and self-report of LBP in the prior 12 months. Depression, perceived physical exertion, dispatcher and manager support, unfair treatment at work, and unfair treatment due to nationality were significantly associated with LBP in bivariate analyses. Multivariate logistic regression was done to identify the predictors of LBP. High dispatcher support remained the sole significant predictor for lower prevalence of LBP (OR = 0.66, P = 0.017). CONCLUSION Greater understanding of psychosocial work factors may aid in developing interventions to prevent LBP in taxi drivers.
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Affiliation(s)
- Barbara J. Burgel
- Department of Community Health Systems, School of Nursing; University of California; San Francisco California
| | - Rami A. Elshatarat
- Department of Medical and Surgical Nursing, College of Nursing; Taibah University; Madinah Kingdom of Saudi Arabia
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Boughattas W, Maalel OE, Maoua M, Bougmiza I, Kalboussi H, Brahem A, Chatti S, Mahjoub F, Mrizak N. Low Back Pain among Nurses: Prevalence, and Occupational Risk Factors. ACTA ACUST UNITED AC 2017. [DOI: 10.4236/odem.2017.51003] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Abstract
This study aimed to describe patient-handling demands in inpatient units during a 24-hour period at a military health care facility. A 1-day total population survey described the diverse nature and impact of patient-handling tasks relative to a variety of nursing care units, patient characteristics, and transfer equipment. Productivity baselines were established based on patient dependency, physical exertion, type of transfer, and time spent performing the transfer. Descriptions of the physiological effect of transfers on staff based on patient, transfer, and staff characteristics were developed. Nursing staff response to surveys demonstrated how patient-handling demands are impacted by the staff's physical exertion and level of patient dependency. The findings of this study describe the types of transfers occurring in these inpatient units and the physical exertion and time requirements for these transfers. This description may guide selection of the most appropriate and cost-effective patient-handling equipment required for specific units and patients.
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Smith DR, Leggat PA, Clark M. Upper Body Musculoskeletal Disorders among Australian Occupational Therapy Students. Br J Occup Ther 2016. [DOI: 10.1177/030802260606900804] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Although upper body musculoskeletal disorders (MSDs) represent an increasingly important issue for university students, few if any studies have targeted the occupational therapy faculty. Given this dearth of information, it was considered necessary to investigate a cross-section of Australian occupational therapy students by means of an established questionnaire survey. Completed replies were obtained from 95.7%, 100% and 97.7% (n = 44, 55 and 48) of students in the first, second and fourth years of a large occupational therapy school in northern Queensland, Australia. The 12-month period prevalence of MSDs was as follows: neck (67.4%), shoulder (46.3%) and upper back (39.5%). Three-quarters of all students (75.5%) reported an MSD occurring in at least one of these body regions. Over half (56.5%) reported an MSD over 2 days' duration in the past year. Almost 40% (39.5%) reported an MSD that had affected their daily life, while one-quarter (25.2%) needed some type of treatment. Logistic regression indicated that students aged over 21 years were almost four times more likely to report shoulder-related MSD (OR 3.7, 95%CI: 1.4–10.2). Year of study in the occupational therapy course was another important MSD correlate, with adjusted odds ratios ranging from 3.3 at the upper back (OR 3.3, 95%CI: 1.2–9.6) to 10.9 at the neck (OR 10.9, 95%CI: 3.2–43.8). Computer usage also incurred a certain degree of risk, with students who spent over 5 hours per week on the computer having an increased risk of MSD at the neck (OR 5.0, 95%CI: 1.3–21.5) and shoulder (OR 4.7, 95%CI: 1.4–18.3). Overall, this study suggests that Australian occupational therapy students have a large burden from MSDs in the upper body region, even more so than other student groups and some working populations. Since the distribution of MSD risk is not uniform among them, interventions to help reduce these conditions need to be carefully targeted. Further longitudinal investigations would also be useful in determining the mechanisms and contributory factors for MSDs among this unique student population.
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Amarasinghe NC, De AlwisSenevirathne R. Tool development to assess the work related neck and upper limb musculoskeletal disorders among female garment workers in Sri-Lanka. Work 2016; 55:297-303. [DOI: 10.3233/wor-162394] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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de Cássia Pereira Fernandes R, Pataro SMS, de Carvalho RB, Burdorf A. The concurrence of musculoskeletal pain and associated work-related factors: a cross sectional study. BMC Public Health 2016; 16:628. [PMID: 27449935 PMCID: PMC4957833 DOI: 10.1186/s12889-016-3306-4] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2016] [Accepted: 07/14/2016] [Indexed: 11/24/2022] Open
Abstract
Background Several recent studies have described the presence of musculoskeletal complaints, presenting evidence that multisite musculoskeletal pain (MP) is more often present than single-site musculoskeletal pain. However, less is known about determinants of this multimorbidity, particularly, concerning the role of occupational factors and, mainly, what determines single or multisite pain. This study described the associations between pain in different body sites and investigated related factors to MP in workers from Brazil. Methods A total of 1070 workers (228 women and 842 men), from urban cleaning services and from shoe manufacturers, participated in this cross sectional study (response 97 %). Interviewer-administered questionnaire included sociodemographic factors, physical and psychosocial work demands, leisure-time activities and musculoskeletal pain which was presence of pain in previous seven days, considering eight body sites and MP, the sum score of all painful sites, varying 0–8. A factor analysis was performed that captured the nine variables of physical exposure into two latent factors. Associations of pain between different body sites were assessed. Cox regression analyses, presenting the prevalence ratio (PR), showed the related factors to MP. Results In the previous seven days, 30 % of workers had MP. For all body sites, comorbidity ranged from 72 % to 91 %. Having pain in one body site is associated with pain in other site and the associations between proximal sites were stronger than between more distal sites. High exposure to manual material handling and awkward postures (PR = 1.5, 95 % CI 1.1–2.0), job strain (PR = 1.2, 95 % CI 1.0–1.6), and low social support (PR = 1.3, 95 % CI 1.0–1.7) and being woman (PR = 1.7, 95 % CI 1.3–2.3) were associated with MP. Risk factors for single–site pain and for subsequent musculoskeletal comorbidity were very similar, suggesting an additive effect of risk factors. Conclusions Most workers reported MP that was associated with several work-related factors. The findings support the idea that multisite pain is a continuum of single-site pain, maintained by exposure to several risk factors, rather than the result of a specific risk factor that initiates the multisite pain but not single-site pain. Workplace interventions are needed to decrease the number of pain sites, in order to improve the worker’s health.
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Affiliation(s)
- Rita de Cássia Pereira Fernandes
- Departamento de Medicina Preventiva e Social, Faculdade de Medicina da Bahia, Universidade Federal da Bahia, Largo do Terreiro de Jesus, s/n. Centro Histórico, 40.026-010, Salvador, Bahia, Brazil.,Department of Public Health, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000, CA, Rotterdam, The Netherlands
| | - Silvana Maria Santos Pataro
- Departamento de Medicina Preventiva e Social, Faculdade de Medicina da Bahia, Universidade Federal da Bahia, Largo do Terreiro de Jesus, s/n. Centro Histórico, 40.026-010, Salvador, Bahia, Brazil
| | - Roberta Brasileiro de Carvalho
- Departamento de Medicina Preventiva e Social, Faculdade de Medicina da Bahia, Universidade Federal da Bahia, Largo do Terreiro de Jesus, s/n. Centro Histórico, 40.026-010, Salvador, Bahia, Brazil
| | - Alex Burdorf
- Department of Public Health, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000, CA, Rotterdam, The Netherlands.
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Lee DH, Kang B, Choi S, Kim T, Jang SH, Lee KH, Kim MJ, Park SB, Han SH. Change in Musculoskeletal Pain in Patients With Work-Related Musculoskeletal Disorder After Tailored Rehabilitation Education: A One-Year Follow-Up Survey. Ann Rehabil Med 2015; 39:726-34. [PMID: 26605170 PMCID: PMC4654079 DOI: 10.5535/arm.2015.39.5.726] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2015] [Accepted: 05/19/2015] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVE To apply tailored rehabilitation education to video display terminal (VDT) workers with musculoskeletal pain and to assess changes in musculoskeletal pain after rehabilitation education. METHODS A total of 8,828 VDT workers were screened for musculoskeletal disorders using a self-report questionnaire. Six hundred twenty-six VDT workers selected based on their questionnaires were enrolled in musculoskeletal rehabilitation education, which consisted of education on VDT syndrome and confirmed diseases, exercise therapy including self-stretching and strengthening, and posture correction. One year later, a follow-up screening survey was performed on 316 VDT workers, and the results were compared with the previous data. RESULTS Compared with the initial survey, pain intensity was significantly decreased in the neck area; pain duration and frequency were significantly decreased in the low back area; and pain duration, intensity, and frequency were significantly decreased in the shoulder and wrist after tailored rehabilitation education. In addition, pain duration, intensity, and frequency showed a greater significant decrease after tailored rehabilitation education in the mild pain group than in the severe pain group. CONCLUSIONS This study found that work-related musculoskeletal pain was reduced after tailored rehabilitation education, especially in the shoulder, wrist, and low back.
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Affiliation(s)
- Dong Hun Lee
- Department of Rehabilitation Medicine, Hanyang University College of Medicine, Seoul, Korea
| | - Boram Kang
- Department of Rehabilitation Medicine, Hanyang University College of Medicine, Seoul, Korea
| | - Seungyoung Choi
- Department of Rehabilitation Medicine, Hanyang University College of Medicine, Seoul, Korea
| | - Taikon Kim
- Department of Rehabilitation Medicine, Hanyang University College of Medicine, Seoul, Korea
| | - Seong Ho Jang
- Department of Rehabilitation Medicine, Hanyang University College of Medicine, Seoul, Korea
| | - Kyu Hoon Lee
- Department of Rehabilitation Medicine, Hanyang University College of Medicine, Seoul, Korea
| | - Mi Jung Kim
- Department of Rehabilitation Medicine, Hanyang University College of Medicine, Seoul, Korea
| | - Si-Bog Park
- Department of Rehabilitation Medicine, Hanyang University College of Medicine, Seoul, Korea
| | - Seung Hoon Han
- Department of Rehabilitation Medicine, Hanyang University College of Medicine, Seoul, Korea
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Psychosocial Work Factors and Musculoskeletal Pain: A Cross-Sectional Study among Swedish Flight Baggage Handlers. BIOMED RESEARCH INTERNATIONAL 2015; 2015:798042. [PMID: 26558282 PMCID: PMC4628997 DOI: 10.1155/2015/798042] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/16/2015] [Revised: 04/15/2015] [Accepted: 04/27/2015] [Indexed: 01/29/2023]
Abstract
OBJECTIVE Flight baggage handlers sort and load luggage to airplanes. This study aimed at investigating associations between psychosocial exposures and low back and shoulder musculoskeletal disorders (MSDs) among Swedish flight baggage handlers. METHODS A questionnaire addressing MSDs (Standardized Nordic Questionnaire) and psychosocial factors (Copenhagen Psychosocial Questionnaire, COPSOQ) was answered by 525 baggage handlers in six Swedish airports. RESULTS Low back (LBP) and shoulder pain (SP) were reported by 70% and 60%, respectively. Pain was reported to interfere with work (PIW) by 30% (low back) and 18% (shoulders), and intense pain (PINT) occurred in 34% and 28% of the population. Quality of leadership was the most dissatisfying psychosocial factor, while the most positive was social community at work. Low ratings in the combined domain Work organization and job content were significantly associated with PIW in both low back and shoulders (Adjusted Hazard Ratios 3.65 (95% CI 1.67-7.99) and 2.68 (1.09-6.61)) while lower ratings in the domain Interpersonal relations and leadership were associated with PIW LBP (HR 2.18 (1.06-4.49)) and PINT LBP and SP (HRs 1.95 (1.05-3.65) and 2.11 (1.08-4.12)). CONCLUSION Severity of pain among flight baggage handlers was associated with psychosocial factors at work, suggesting that they may be a relevant target for intervention in this occupation.
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Pugh JD, Gelder L, Williams AM, Twigg DE, Wilkinson AM, Blazevich AJ. Validity and reliability of an online extended version of the Nordic Musculoskeletal Questionnaire (NMQ-E2) to measure nurses' fitness. J Clin Nurs 2015; 24:3550-63. [PMID: 26415886 DOI: 10.1111/jocn.12971] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/07/2015] [Indexed: 11/28/2022]
Abstract
AIMS AND OBJECTIVES To describe modifications to a second extended version of the Nordic Musculoskeletal Questionnaire for online use in nursing populations, and check validity and reliability. BACKGROUND The Nordic Musculoskeletal Questionnaire has been used to assess the severity and impact of musculoskeletal symptoms in occupational groups. The reliability of a previous extended version was established for paper-based, self-administration among nursing students. This current study extended the questionnaire to collect more information regarding musculoskeletal symptoms in all nine body regions and their work-relatedness, as an instrument is needed to gather evidence about the impact of fitness levels on occupational musculoskeletal disorders among nurses. DESIGN Psychometric evaluation. METHOD Sixty-five undergraduate nurses completed the online extended Nordic Musculoskeletal Questionnaire twice. Content validity was examined by expert review and construct validity by exploratory factor analysis of 90 responses from the first completion. Reliability was checked by examining internal consistency, kappa statistics, proportions of observed, and positive and negative agreements, intra-class correlation coefficient and standard error of measurement. RESULTS The instrument had high internal consistency and exploratory factor analysis revealed it was a relatively homogenous (unidimensional) measure of musculoskeletal symptom severity. Age of onset of symptoms questions were reliable, with high mean intra-class correlation coefficients and low mean standard errors of measurement. Overall, questions showed high mean strengths of agreement and proportions of observed agreement: three-quarters of the prevalence questions and 99% of the severity/impact questions had 10% or fewer disagreements. CONCLUSIONS Modifications to the Nordic Musculoskeletal Questionnaire and online administration did not diminish its validity or reliability for obtaining information about the severity of nurses' musculoskeletal symptoms. RELEVANCE TO CLINICAL PRACTICE Occupational musculoskeletal disorders are an issue for nurses. This questionnaire can be used to monitor nurses' musculoskeletal health, and in musculoskeletal disorder prevention studies.
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Affiliation(s)
- Judith D Pugh
- School of Nursing and Midwifery, Edith Cowan University, Joondalup, WA, Australia
| | - Lucy Gelder
- School of Nursing and Midwifery, Edith Cowan University, Joondalup, WA, Australia
| | - Anne M Williams
- School of Nursing and Midwifery, Edith Cowan University, Joondalup, WA, Australia.,School of Health Professions, Murdoch University, Murdoch, WA, Australia.,Centre for Nursing Research, Sir Charles Gairdner Hospital, Nedlands, WA, Australia
| | - Diane E Twigg
- School of Nursing and Midwifery, Edith Cowan University, Joondalup, WA, Australia.,Centre for Nursing Research, Sir Charles Gairdner Hospital, Nedlands, WA, Australia
| | - Anne M Wilkinson
- School of Nursing and Midwifery, Edith Cowan University, Joondalup, WA, Australia
| | - Anthony J Blazevich
- Centre for Exercise and Sports Science Research, School of Exercise and Health Sciences, Edith Cowan University, Joondalup, WA, Australia
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Pataro SMS, Fernandes RDCP. Heavy physical work and low back pain: the reality in urban cleaning. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2015; 17:17-30. [PMID: 24896780 DOI: 10.1590/1809-4503201400010003eng] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2012] [Accepted: 01/15/2013] [Indexed: 11/21/2022] Open
Abstract
Low back pain (LBP) is a major public health issue. There is lack of research on this disorder affecting urban cleaning workers. A cross-sectional study was conducted to describe the prevalence of LBP, occupational and extra-occupational characteristics, as well as associated factors in these workers. A census was performed with 624 workers in Salvador, Brazil, using a questionnaire administered by an interviewer in 2010. Cases of LBP were defined by reported symptoms of pain in the previous 12 months, lasting more than a week or with monthly minimum frequency, which led to restrictions at work or to seeking medical attention, or in cases when respondents had a severity score > 3 on a numerical scale from 0 to 5. Physical demands at work were measured on a numerical 6-point scale with 14 variables. Psychosocial demands were measured using the Job Content Questionnaire. Sociodemographic factors, lifestyle habits and domestic work were evaluated. Multiple logistic regression (LR) was used to identify factors associated with LBP, for which the prevalence was 37.0%. Among them, 62.8% of workers felt pain in the last 7 days. LBP was associated with longer working hours, flexion and trunk rotation, psychosocial demands, working directly in collection and low schooling. Dynamic work (walking, running) served as a protective factor. It was concluded that many workers develop their activity at the presence of pain. The results emphasize the need for preventive measures through multifactorial approach encompassing adaptations in physical environment and changes in work organization.
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Vieira ER, Svoboda S, Belniak A, Brunt D, Rose-St Prix C, Roberts L, da Costa BR. Work-related musculoskeletal disorders among physical therapists: an online survey. Disabil Rehabil 2015; 38:552-7. [PMID: 26007284 DOI: 10.3109/09638288.2015.1049375] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
PURPOSE To evaluate the rates and characteristics of musculoskeletal disorders (MSDs) in physical therapists (PTs) according to their specialty and setting. METHOD Participants completed an online questionnaire including 15 demographic questions, 7 work-related and 8 injury-related questions for 9 different body parts. RESULTS Complete responses were obtained from 121 PTs; 96% reported MSD symptoms during the previous 12 months, 64% affecting at least 3 body parts. The body parts with the highest prevalence of symptoms were the low back (66%) and the neck (61%). For PTs specialized in acute care, geriatrics and pediatrics, the body part most commonly affected was the low back, while for PTs specialized in orthopedics and neurology, the body part most commonly affected was the neck. Regarding work settings, the low back was the most commonly affected for PTs working in skilled nursing facilities, outpatient clinics and hospitals, and the neck in PTs working in academic and home health settings. CONCLUSIONS MSDs are common among PTs; the body parts most often affected were the low back and neck. The prevalence and body parts affected varied by practice setting and specialty area. The findings can help informing the design of evidence-based rehabilitation, prevention, training and educational programs. IMPLICATIONS FOR REHABILITATION Rehabilitation of injured physical therapists needs to address the symptoms of the multiple body parts that are usually affected (e.g. back, wrists and hands). Rehabilitation of injured physical therapists needs to take into consideration their job demands, practice setting and specialty area. The findings can inform the design of rehabilitation, prevention, training and educational programs for physical therapists.
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Affiliation(s)
- Edgar R Vieira
- a Department of Physical Therapy , Florida International University , Miami , FL , USA
| | - Stephanie Svoboda
- a Department of Physical Therapy , Florida International University , Miami , FL , USA
| | - Alexandra Belniak
- a Department of Physical Therapy , Florida International University , Miami , FL , USA
| | - Denis Brunt
- a Department of Physical Therapy , Florida International University , Miami , FL , USA
| | - Colleen Rose-St Prix
- a Department of Physical Therapy , Florida International University , Miami , FL , USA
| | - Lisa Roberts
- a Department of Physical Therapy , Florida International University , Miami , FL , USA
| | - Bruno R da Costa
- a Department of Physical Therapy , Florida International University , Miami , FL , USA
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Development and psychometric evaluation of the Musculoskeletal Pain Intensity and Interference Questionnaire for professional orchestra Musicians. ACTA ACUST UNITED AC 2014; 19:575-88. [DOI: 10.1016/j.math.2014.05.015] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2014] [Revised: 04/13/2014] [Accepted: 05/30/2014] [Indexed: 12/26/2022]
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Mascarenhas ALM, Fernandes RDCP. [How do physical fitness and heavy physical work interact in the occurrence of musculoskeletal disorders?]. CAD SAUDE PUBLICA 2014; 30:2187-98. [PMID: 25388321 DOI: 10.1590/0102-311x00138512] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2012] [Accepted: 03/18/2014] [Indexed: 11/22/2022] Open
Abstract
A cross-sectional study investigated the association between self-reported physical fitness and musculoskeletal disorders in the neck, shoulder, or upper back among workers in 14 plastics factories in Salvador, Bahia State, Brazil. Physical fitness was assessed on a scale from 0 to 5. Cases were defined as self-reported pain in the previous 12 months, lasting more than a week or having monthly minimum frequency, with restrictions at work or seeking medical care, or where respondents' severity was greater than 2 (on a scale from 0 to 5). Logistic regression was performed to investigate statistical interaction between physical fitness and physical demands from work in the occurrence of musculoskeletal disorders. Precarious physical fitness resulted in 3.19 times greater odds of musculoskeletal disorders among workers exposed to light physical demands on the job. Among workers exposed to heavy physical demands, physical fitness failed to protect against musculoskeletal disorders. Heavy physical work was always associated with high prevalence of musculoskeletal disorders. Despite the importance of physical fitness, physical exercise programs should not be used to replace improvements in working conditions.
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Does the threshold for reporting musculoskeletal pain or the probability of attributing work-relatedness vary by socioeconomic position or sex? J Occup Environ Med 2014; 55:901-9. [PMID: 23782954 DOI: 10.1097/jom.0b013e31828dc8ec] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
OBJECTIVE To examine the effect of sex and socioeconomic position (SEP) on individuals' perceptions of pain and its work-relatedness. METHODS We compared self-reported pain in neck-shoulder or arm with clinical diagnoses and workers' judgments of work-relatedness with physicians' assessments based on specific criteria, between sexes and high- and low-SEP participants in the Oslo Health Study (n = 217). RESULTS Clinical diagnoses were more frequent in low-SEP subjects than high-SEP subjects with pain and generally higher in women than in men. Pain attributed to work was more frequently assessed as work-related by the physicians in low-SEP subjects than high-SEP subjects and in men than in women of low SEP. CONCLUSIONS The threshold for reporting pain seemed higher in low-SEP subjects and among women. Physicians were more likely to agree with low-SEP workers about work-relatedness.
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A retrospective study of the relationship between back pain and unilateral knee osteoarthritis in candidates for total knee arthroplasty. Orthop Nurs 2013; 31:336-43. [PMID: 23168938 DOI: 10.1097/nor.0b013e31827425f4] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
The purpose of this study was to determine the presence and temporal relationship between back pain and knee osteoarthritis (OA). All subjects were candidates for unilateral total knee arthroplasty (TKA) to relieve knee pain related to OA, and information regarding the prevalence of back pain was collected via questionnaires. A total of 42 subjects with unilateral knee OA responded to the questionnaires, and 74% of subjects reported chronic back pain, which first occurred approximately 10 years before their becoming candidates for TKA. All but 1 subject reported the onset of back pain prior to TKA candidacy, and less than 15% of subjects felt that their worst back pain occurred after the onset of knee OA. The results of this study are a first step toward quantifying the temporal relationship between back pain and unilateral knee OA, and future studies will look to assess potential risk factors for knee OA such as strength, biomechanical, and anatomical asymmetry.
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Effects of ergonomic intervention on work-related upper extremity musculoskeletal disorders among computer workers: a randomized controlled trial. Int Arch Occup Environ Health 2012; 87:73-83. [PMID: 23263694 DOI: 10.1007/s00420-012-0838-5] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2012] [Accepted: 12/07/2012] [Indexed: 01/22/2023]
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Smith DR, Choi JW, Ki M, Kim JY, Yamagata Z. Musculoskeletal disorders among staff in South Korea's largest nursing home. Environ Health Prev Med 2012; 8:23-8. [PMID: 21432112 DOI: 10.1007/bf02897940] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2002] [Accepted: 11/25/2002] [Indexed: 10/22/2022] Open
Abstract
OBJECTIVES Although musculoskeletal disorders (MSD) represent a significant occupational issue for most nursing home staff, few epidemiological studies have been conducted in Korea. METHODS We investigated the prevalence of, and risk factors for, MSD within South Korea's largest nursing home using a previously validated, self-reporting questionnaire. RESULTS From a total of 130 registered employees, 91 (70.0%) successfully completed questionnaires were obtained. The majority were female (80.2%, n=73), with an age range of 27 to 62 years and an average age of 47.0 years (SD 8.0). MSD occurred in varying amounts and was classified into distinct categories depending on body site. The most commonly affected region was the shoulder (reported by 35.2%), followed by the arm (22.0%), knee (20.9%) and lower back (19.8%). Three statistically significant risk factors were consistently identified among all 4 MSD sites: manually handling patients (OR 5.1 to 20.8), changing a patient's clothes (OR 6.7 to 30.1) and working as a nursing aide (OR 3.7 to 74.3). CONCLUSIONS Overall, the present results suggest that employment within a South Korean nursing home incurs certain hazards depending on job description and daily work tasks. The MSD prevalence differed from other occupations within South Korea and previous nursing home studies.
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Affiliation(s)
- Derek Richard Smith
- Department of Health Sciences Faculty of Medicine, University of Yamanashi, Tamaho, 409-3898, Yamanashi, Japan,
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Parot-Schinkel E, Descatha A, Ha C, Petit A, Leclerc A, Roquelaure Y. Prevalence of multisite musculoskeletal symptoms: a French cross-sectional working population-based study. BMC Musculoskelet Disord 2012; 13:122. [PMID: 22818516 PMCID: PMC3495201 DOI: 10.1186/1471-2474-13-122] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/10/2011] [Accepted: 06/29/2012] [Indexed: 12/31/2022] Open
Abstract
Background The musculoskeletal disorders in working population represent one of the most worrying work-related health issues at the present time and although the very great majority of available data on the subject focus on musculoskeletal disorders defined by anatomical site, a growing number of studies indicate the low prevalence of disorders strictly confined to a specific anatomical site. The objective of this study was to describe the prevalence and characteristics of multisite musculoskeletal symptoms (multisite MS) in a large French working population. Methods This study was performed on surveillance data of the cross-sectional survey (2002–2005) conducted by a network of occupational physicians in the working population of the Loire Valley region (from 20 to 59 years old). Data concerning MS were collected in the waiting room of the occupational physicians by means of the self-administrated standardized NORDIC questionnaire. Results The study population comprised 3,710 workers (2,162 men (58%) and 1,548 women (42%)) with a mean age of 38.4 years (standard deviation: 10.4 years). The prevalence of MS during the past 12 months was 83.8% with 95% confidence interval of [82.8-85.3] for men and 83.9% [82.0-85.7] for women. The prevalence of subacute MS (lasting at least 30 days) over the past 12 months was 32.8% [30.9-34.8] for men and 37.3% [34.9-39.7] for women. Two-thirds of workers reported MS in more than one anatomical site and about 20% reported MS lasting at least 30 days in more than one anatomical site. The anatomical sites most frequently associated with other MS were the upper back, hip, elbow and neck. The majority of these multisite MS were widespread, involving at least two of the three anatomical regions (upper limb, axial region and lower limb). Conclusions The frequency and extent of multisite MS reported by workers are considerable. Further research must be conducted in this field in order to provide a better understanding of the characteristics and determinants of these multisite MS.
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Affiliation(s)
- Elsa Parot-Schinkel
- LUNAM Université, Université d'Angers, Laboratoire d'ergonomie et d'épidémiologie en santé au travail (LEEST), 49045, Angers, France.
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Xu G, Pang D, Liu F, Pei D, Wang S, Li L. Prevalence of low back pain and associated occupational factors among Chinese coal miners. BMC Public Health 2012; 12:149. [PMID: 22375934 PMCID: PMC3328269 DOI: 10.1186/1471-2458-12-149] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2011] [Accepted: 03/01/2012] [Indexed: 11/23/2022] Open
Abstract
Background Very few studies have evaluated the association between occupational factors and low back pain (LBP) among miners. The epidemiological data on LBP in Chinese miners are limited. The aim of this study was to measure the prevalence of low back pain in Chinese coal miners and to investigate the role of occupational factors. Methods A cross-sectional survey was conducted to examine 1573 coal miners in northern China. The prevalence of LBP over a 12-month period was assessed using the Nordic Musculoskeletal Questionnaire. Odds ratios were calculated to examine the association between the prevalence of LBP over a 12-month period and occupational factors using logistic regression. Results Among the coal miners, 64.9% self-reported LBP in a 12-month period. Occupational factors associated with LBP were identified, including tasks with a high degree of repetitiveness (OR 1.3, 95%CI 1.0-1.6), tasks characterized by a high level of physical demand (OR 1.4, 95% CI 1.1-1.8), posture requiring extreme bending (OR 1.6, 95% CI 1.2-1.7) and insufficient recovery time (OR 1.4, 95% CI 1.0-1.8). Conclusion Low back pain is common among Chinese miners. There were strong associations with occupational factors.
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Affiliation(s)
- Guangxing Xu
- Injury Prevention Research Center, Medical College of Shantou University, 22 XinLing Road, Shantou 515041, China
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Cobb S, Russo T, Kutash M, Kellems R. Medical flight crew perceived work-related musculoskeletal symptoms and related characteristics. Air Med J 2012; 31:36-41. [PMID: 22225563 DOI: 10.1016/j.amj.2011.04.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2009] [Revised: 03/18/2011] [Accepted: 04/06/2011] [Indexed: 11/29/2022]
Abstract
INTRODUCTION Flight crews who provide stabilization and care for patients during air medical flights represent a specialty group, with unique safety, physical environment, and weather concerns, as well as patient care challenges. The purpose of this study was to identify the self-reported prevalence, location, and severity (frequency, duration, and intensity) of perceived work-related musculoskeletal symptoms and associated characteristics among flight crews, and to correlate any age-related differences between participants. METHOD This study used a descriptive, cross-sectional survey design. An internet-based questionnaire was made available through a link from the Flightweb.com listserv to Survey Monkey. A convenience sample of 462 flight crewmembers responded. RESULTS Significant differences were found by age group for two of four musculoskeletal symptoms (frequency and duration were significantly different by age group). Those 39 and older had a greater proportion of having been previously diagnosed with arthritis or osteoporosis (2χ = 8.503, P = .004). CONCLUSION Age-related differences were believed to be a factor that contributed to more musculoskeletal complaints for older flight crewmembers; however, the data from this study only partially support that hypothesis. Flight crewmembers face a number of unique challenges that require maintaining physical strength and endurance.
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Fernandes RDCP, Carvalho FM, Assunção AÁ. Prevalence of musculoskeletal disorders among plastics industry workers. CAD SAUDE PUBLICA 2011; 27:78-86. [DOI: 10.1590/s0102-311x2011000100008] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2010] [Accepted: 08/11/2010] [Indexed: 11/22/2022] Open
Abstract
The prevalence of musculoskeletal disorders among workers in the plastics industry in Salvador, Bahia State, Brazil was estimated. Cases were defined by reported symptoms of pain in the previous 12 months, lasting more than a week or having monthly minimum frequency, which had given rise to restrictions at work or to seeking medical attention, or where respondents had a severity score greater than or equal to 3 (on a numerical scale of 0 to 5). A stratified proportional random sample of 577 workers was studied. The prevalence of musculoskeletal disorders, considering of all body segments, was 50.1%. The prevalence of musculoskeletal disorders was higher among women than among men at distal upper extremities (34.6% and 11.6% respectively) and also in the region of the neck, shoulder or upper part of the back (27.4% and 17.6% respectively). There was no difference between genders for the prevalence of lower back pain (21.2% and 21.4% respectively); 65% of cases in this region had reports of pain in the previous seven days. Due to the importance and prevalence of musculoskeletal disorders, it is necessary that their measurement in epidemiological studies be done properly.
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Abstract
AIMS To determine the cumulative incidence (CI) of and risk factors for musculoskeletal problems among nursing students in Hong Kong. BACKGROUND Although low back problems have been identified internationally as one of the major work-related hazards among nursing personnel, only a few studies have examined the problem among nursing students. DESIGN Two-year prospective cohort study; data collected at baseline and 2 (T1), 12 (T2) and 26 (T3) months after baseline. METHODS Three cohorts [i.e. two full-time (FT) and one part-time (PT) cohorts] of nursing students were recruited from one of the universities in Hong Kong. They were invited to complete a baseline and three follow-up questionnaires. CIs of low back problems among the three cohorts were calculated and tested for their association. The multivariate logistic regression was also used to identify the risk factors for low back problems. RESULTS Initially, the seven-day, 30-day and 12-month prevalence in baseline as well as the T1 (64%) and T2 (94%) CIs of low back problems for the PT cohort were significantly higher than those of the two FT cohorts (their CIs ranged from 45-67%). However, the CIs for the FT cohorts were increased from 45% at T1-83% at T3, while the CIs for the PT cohort was only increased from 64-80%, respectively. At T3, the CIs for both FT cohorts caught up with the CI for the PT cohort (chi(2) = 0.068, p = 0.07). As expected, the risk factors for low back problems were multifactorial, i.e. personal, psychosocial and physical. CONCLUSION Nursing students had similar CI of low back problems as registered nurses 26 months after baseline, i.e. during their nursing training and before becoming a registered nurse. RELEVANCE TO CLINICAL PRACTICE The results of this study, for the first time, identified that low back problems were developed during the period of nursing school training rather than after nurses enter the workforce. These findings have crucial implications for reducing low back problems among nursing personnel. There is a need to evaluate nursing students' experience in their nursing study and provide appropriate support to them to reduce their personal, physical and psychosocial stress. The ability of nursing students to deliver high quality patient care depends in part on their ability to conserve their own health and well-being.
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Affiliation(s)
- Kin Cheung
- School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.
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Scuffham AM, Legg SJ, Firth EC, Stevenson MA. Prevalence and risk factors associated with musculoskeletal discomfort in New Zealand veterinarians. APPLIED ERGONOMICS 2010; 41:444-453. [PMID: 19857858 DOI: 10.1016/j.apergo.2009.09.009] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/28/2009] [Revised: 09/19/2009] [Accepted: 09/29/2009] [Indexed: 05/28/2023]
Abstract
A cross-sectional study using a modified Nordic musculoskeletal questionnaire asked 867 New Zealand veterinarians about the presence or absence of musculoskeletal discomfort (MSD). Participants were asked if MSD affected their normal activities and if it required any period(s) of absence from work. Additional questions enquired about work activities, psychosocial factors and workload. A binary logistic regression analysis was used to quantify the association between identified risk factors and the presence of MSD requiring absence from work in the previous 12 months, controlling for the presence of known confounders. The overall period prevalence of MSD was 96%, 67% had normal activities being affected and 18% of participants reported that they had been absent from work due to MSD. The lower back was the body site most commonly reported for MSD (73%). Factors increasing the odds of MSD requiring time off work for clinical veterinarians were 10 year increases in age (OR 1.26, 95% CI 1.05-1.52), work involving awkward grip and hand movements 100% of time (OR 12.91, 95% CI 3.46-4.21) and those who were dissatisfied with the level and difficulty of their work (OR 2.27, 95% CI 1.11-6.56). These findings have implications for health, lifestyle and retention rates for veterinarians.
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Affiliation(s)
- Andrew M Scuffham
- Centre for Ergonomics, Occupational Safety and Health, Department of Management, Massey University, Palmerston North, New Zealand.
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Abstract
STUDY DESIGN Prospective field study of work exposure and changes in back function. OBJECTIVE Quantify dynamic physical exposures in the workplace and their association with decreases in kinematic back function (indicative of low back pain [LBP]). SUMMARY OF BACKGROUND DATA Previous epidemiologic studies of work have measured gross categories of exposure and found moderate relationships with LBP. More precise quantitative measures of exposure and spine function were hypothesized to increase the chances of identifying any significant associations. METHODS Three hundred and ninety real-time physical exposure measures were collected from distribution center workers performing repetitive manual materials handling tasks. Low back health effect measures were quantitatively measured prospectively for workers performing each of the jobs using a kinematic measure of function. RESULTS Significant decreases in spine function were observed in workers associated with 40% of the jobs sampled. Numerous significant univariate odds ratios were identified that indicated an association between physical exposure and decreased function. A multivariate model including right lateral trunk velocity, timing of the maximum dynamic asymmetric load moment exposure, and the magnitude of the dynamic sagittal bending moment predicted reduced spine function well. The model resulted in excellent sensitivity (85%) and specificity (87.5%) as well as excellent positive predictive value (89.5%) and negative predictive value (82.4%). CONCLUSION This study suggests that with proper quantification of job exposure and spine function, it is possible to identify which dynamic physical exposures are associated with reduced spine function and increases in LBP.
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Fernandes RDCP, Assunção AÁ, Silvany Neto AM, Carvalho FM. Musculoskeletal disorders among workers in plastic manufacturing plants. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2010; 13:11-20. [DOI: 10.1590/s1415-790x2010000100002] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2009] [Accepted: 01/20/2010] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND: Epidemiological studies have indicated an association between musculoskeletal disorders (MSDs) and physical work demands. Psychosocial work demands have also been identified as possible risk factors, but findings have been inconsistent. OBJECTIVES: To evaluate factors associated with upper back, neck and upper limb MSD among workers from 14 plastic manufacturing companies located in the city of Salvador, Brazil. METHODS: A cross-sectional study design was used to survey a stratified proportional random sample of 577 workers. Data were collected by questionnaire interviews. Factor analysis was carried out on 11 physical demands variables. Psychosocial work demands were measured by demand, control and social support questions. The role of socio-demographic factors, lifestyle and household tasks was also examined. Multiple logistic regression was used to identify factors related to upper back, neck and upper limb MSDs. RESULTS: Results from multiple logistic regression showed that distal upper limb MSDs were related to manual handling, work repetitiveness, psychosocial demands, job dissatisfaction, and gender. Neck, shoulder or upper back MSDs were related to manual handling, work repetitiveness, psychosocial demands, job dissatisfaction, and physical unfitness. CONCLUSIONS: Reducing the prevalence of musculoskeletal disorders requires: improving the work environment, reducing biomechanical risk factors, and replanning work organization. Programs must also be aware of gender specificities related to MSDs.
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Prevalence and Distribution of Musculoskeletal Pain Among Australian Medical Students. ACTA ACUST UNITED AC 2010. [DOI: 10.1300/j094v15n04_05] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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