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Robitaille E, Reilly T, Heipel S, Buttici H, Chasse E, Tingelstad HC. The Value of Strength as a Predictor of Musculoskeletal Injury in Canadian Armed Forces Basic Infantry Candidates. Mil Med 2024; 189:e1675-e1682. [PMID: 38330154 DOI: 10.1093/milmed/usae015] [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] [Received: 09/22/2023] [Revised: 12/07/2023] [Accepted: 01/15/2024] [Indexed: 02/10/2024] Open
Abstract
INTRODUCTION Musculoskeletal injuries (MSKI) impact military organizations by threatening their operational readiness, warranting investigation into relevant factors to inform risk reduction strategies. While several self-reported and physical performance measures have been associated with MSKI among military personnel, few have been validated and none have been reported in Canadian basic infantry candidates. The purpose of this study was to investigate associations between self-reported and physical performance measures and MSKI, and determine their validity as predictors of MSKI, in Canadian basic infantry candidates. METHODS This was a planned secondary analysis of a study tracking MSKI at a basic infantry training facility in Ontario, Canada approved by Defence Research & Development Canada. Before the basic infantry training, consenting candidates completed a baseline testing session including self-reported questionnaires, measures of anthropometry, and physical performance previously associated with MSKI (ankle dorsiflexion test, Y-Balance Test, Isometric Mid-Thigh Pull, and the Fitness for Operational Requirements of CAF Employment (FORCE) evaluation). All MSKI reported by candidates were diagnosed by licensed healthcare providers. From a total sample of 129 candidates, 76% (n = 98) were used to determine any associations between baseline testing variables and MSKI and to develop a predictive model (Development Sample), while 24% (n = 33) were used to offer preliminary validation of the same predictive model (Validation Sample). The binary logistic regression and independent sample t-testing determined independent associations with MSKI in the Development Sample. All continuous variables and dichotomous variables previously associated with MSKI risk (Smoker Yes/No, previous history of MSKI, and physical inactivity) were entered into a backward stepwise logistic regression analysis to assess the predictive association with MSKI incidence in the Development Sample. The regression model was then applied to the Validation Sample. RESULTS A total of 35 MSKI were diagnosed by Health Services Centre staff. The majority of the MSKI were acute (63%), sustained to the hip, knee, and ankle (74%). The most common diagnoses were strains and sprains (71%). Uninjured participants performed significantly better on the Relative Isometric Mid-Thigh Pull, FORCE 20 mR, FORCE ILS, and FORCE Estimated VO2peak compared to injured participants. Logistic regression analysis showed that the only variable with significant independent association with diagnosed MSKI incidence was self-reported previous history of MSKI. However, the backward stepwise logistic regression analysis retained self-reported previous history of MSKI, FORCE SBD, FORCE Estimated VO2peak, and Isometric Mid-Thigh Pull Peak Force as predictors of MKSI. The logistic regression model including these variables could predict MSKI with an accuracy of 79% in the Development Sample and 67% in the Validation Sample. CONCLUSION This study provides preliminary support for the value of measures of absolute muscular strength and cardiorespiratory fitness as predictors of MSKI in Canadian basic infantry candidates. Given the associations between physical performance measures and MSKI, and their necessity during occupational tasks, it is recommended that Canadian basic infantry training facilities integrate resistance training with external loads to best prepare their candidates to meet their occupational demands and potentially minimize MSKI. Further investigations to confirm the predictive capacity of these variables in a larger sample across additional facilities are warranted.
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Affiliation(s)
- Eric Robitaille
- 31 Canadian Forces Health Services Center, Meaford, Ontario N4L 0A1, Canada
| | - Tara Reilly
- Canadian Forces Morale and Welfare Services, Personnel Support Program, Human Performance Research & Development, Ottawa, Ontario K1J 1J7, Canada
| | - Scott Heipel
- Canadian Forces Morale and Welfare Services, Personnel Support Program, Fitness & Sports Centre 4CDTC, Meaford, Ontario N4L 0A1, Canada
| | - Hollie Buttici
- 31 Canadian Forces Health Services Center, Meaford, Ontario N4L 0A1, Canada
| | - Etienne Chasse
- Canadian Forces Morale and Welfare Services, Personnel Support Program, Human Performance Research & Development, Ottawa, Ontario K1J 1J7, Canada
| | - Hans Christian Tingelstad
- Canadian Forces Morale and Welfare Services, Personnel Support Program, Human Performance Research & Development, Ottawa, Ontario K1J 1J7, Canada
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Christofaro DGD, Tebar WR, Silva CCMD, Saraiva BTC, Santos AB, Antunes EP, Leite EGF, Leoci IC, Beretta VS, Ferrari G, Mota J, Vanderlei LCM, Ritti-Dias RM. Association of parent-child health parameters and lifestyle habits - the "epi-family health" longitudinal study protocol. Arch Public Health 2024; 82:83. [PMID: 38863036 PMCID: PMC11165776 DOI: 10.1186/s13690-024-01311-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2024] [Accepted: 05/29/2024] [Indexed: 06/13/2024] Open
Abstract
BACKGROUND Lifestyle and habits, cardiovascular risk factors (CRF), bone and mental health, dietary habits, physical activity, among others are developed in childhood and adolescence. Family environment has shown to play an important role in these outcomes. However, whether the parent-child relationship lifestyle habits and health parameters can be influenced by physical activity patterns still unclear. The objective of this study will be to monitor and investigate the associations between lifestyle habits between parents and their children longitudinally, as well as verify whether in more active parents, the possible associations with lifestyle habits are different from those of parents considered less active. METHODS The sample will consist of parents (father, mother, or both) and their children /adolescents. The participants will be recruited through public call by flyers spread across all the regions of the city and also through social media. The health parameters will include cardiovascular (cardiac autonomic modulation, blood pressure and resting heart rate), bone mineral density, anthropometric indices, handgrip strength, mental health (quality of life, anxiety and depression symptoms and stress), self-reported morbidities and musculoskeletal pain. Lifestyle habits will include physical activity levels, sedentary behavior, sleep parameters, eating patterns, smoking and alcohol consumption. Sociodemographic variables of age, sex, ethnicity and socioeconomic status will be considered as covariates. The follow-up visits of data collection will be scheduled after a period of 12 months from the baseline assessment during every twelve months. DISCUSSION The family environment has great potential to determine lifestyle habits in children and adolescents. Based on the results presented in the present study, we hope that health promotion actions can be better designed in the family environment.
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Affiliation(s)
- Diego Giulliano Destro Christofaro
- School of Technology and Sciences, Department of Physical Education, São Paulo State University (Unesp), Rua Roberto Simonsen 305, Zip Code, 19060-900, Presidente Prudente, SP, Brazil.
| | - William Rodrigues Tebar
- School of Technology and Sciences, Department of Physical Education, São Paulo State University (Unesp), Rua Roberto Simonsen 305, Zip Code, 19060-900, Presidente Prudente, SP, Brazil
| | - Claudiele Carla Marques da Silva
- School of Technology and Sciences, Department of Physical Education, São Paulo State University (Unesp), Rua Roberto Simonsen 305, Zip Code, 19060-900, Presidente Prudente, SP, Brazil
| | - Bruna Thamyres Ciccotti Saraiva
- School of Technology and Sciences, Department of Physical Education, São Paulo State University (Unesp), Rua Roberto Simonsen 305, Zip Code, 19060-900, Presidente Prudente, SP, Brazil
| | - Amanda Barbosa Santos
- School of Technology and Sciences, Department of Physical Education, São Paulo State University (Unesp), Rua Roberto Simonsen 305, Zip Code, 19060-900, Presidente Prudente, SP, Brazil
| | - Ewerton Pegorelli Antunes
- School of Technology and Sciences, Department of Physical Education, São Paulo State University (Unesp), Rua Roberto Simonsen 305, Zip Code, 19060-900, Presidente Prudente, SP, Brazil
| | - Enrique Gervazoni Ferreira Leite
- School of Technology and Sciences, Department of Physical Education, São Paulo State University (Unesp), Rua Roberto Simonsen 305, Zip Code, 19060-900, Presidente Prudente, SP, Brazil
| | - Isabella Cristina Leoci
- School of Technology and Sciences, Department of Physical Education, São Paulo State University (Unesp), Rua Roberto Simonsen 305, Zip Code, 19060-900, Presidente Prudente, SP, Brazil
| | - Victor Spiandor Beretta
- School of Technology and Sciences, Department of Physical Education, São Paulo State University (Unesp), Rua Roberto Simonsen 305, Zip Code, 19060-900, Presidente Prudente, SP, Brazil
| | - Gerson Ferrari
- Faculty of Health Sciences, Universidad Autónoma de Chile, Providencia, Santiago, Chile
| | - Jorge Mota
- Research Center in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sports, Laboratory for Integrative and Translational Research in Population Health (ITR), University of Porto (FADEUP), Porto, Portugal
| | - Luiz Carlos Marques Vanderlei
- School of Technology and Sciences, Department of Physical Education, São Paulo State University (Unesp), Rua Roberto Simonsen 305, Zip Code, 19060-900, Presidente Prudente, SP, Brazil
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Shourie F, Ghasemi B, Shafizadeh A, Bagherian S, Verhagen E. The effect of exercise therapy as a tool for preventing and treating musculoskeletal disorders among school-aged children: a randomised controlled trial. BMC Musculoskelet Disord 2024; 25:381. [PMID: 38745218 PMCID: PMC11092247 DOI: 10.1186/s12891-024-07510-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/06/2024] [Accepted: 05/08/2024] [Indexed: 05/16/2024] Open
Abstract
BACKGROUND Children spend a lot of time in school, and there are many ergonomic hazards and postural malalignments that put children at greater risk of developing musculoskeletal disorders (MSDs). This study aimed to investigate the effect of exercise therapy on preventing and treating musculoskeletal disorders among school-aged children. METHOD This randomised controlled trial included 212 (121 boys and 91 girls) school-aged children aged 13-15 years assigned to treatment (n = 106) and prevention (n = 106) groups, where the treatment group contained individuals with MSDs and prevention group contained individuals without MSDs. In each group, half of the individuals received exercise therapy (50 min per session, four times per week, for an 8-week), and others continued their daily lives. MSDs and physical activity were assessed by the Teen Nordic Musculoskeletal Screening Questionnaire and the International Physical Activity Questionnaire-Short Form, respectively, at baseline and after the experimental protocol. RESULTS There was a statistically significant reduction in the frequency of MSDs in the treatment group and occurring MSDs in the prevention group (P ≤ .05). Also, there was significant improvement in all variables of walking, moderate physical activity, vigorous physical activity, and total in intervention groups spatially in students who received exercise therapy (P ≤ .05). CONCLUSIONS This study demonstrated the effectiveness of exercise therapy in reducing and preventing MSDs and improving physical activity levels among school-aged children aged 13-15 years. TRIAL REGISTRATIONS Ethical Committee of Shahrekord University (IR.SKU.REC.1401.022) (registration date: 31/05/2022). Clinical Trail Registration (IRCT20220705055375N1), (registration date: 29/07/2022).
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Affiliation(s)
- Farhad Shourie
- Department of Sport Sciences, Shahrekord University, Shahrekord, Iran
| | - Behnam Ghasemi
- Department of Sport Sciences, Shahrekord University, Shahrekord, Iran
| | - Ali Shafizadeh
- Department of Sport Sciences, Shahrekord University, Shahrekord, Iran
| | - Sajad Bagherian
- Department of Sport Sciences, Shahrekord University, Shahrekord, Iran.
| | - Evert Verhagen
- Department of Public and Occupational Health, Location Vrije Universiteit, Amsterdam University Medical Centers, Amsterdam, Netherlands
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Mateos-González L, Rodríguez-Suárez J, Llosa JA, Agulló-Tomás E. [Spanish version of the Nordic Musculoskeletal Questionnaire: cross-cultural adaptation and validation in nursing aides]. An Sist Sanit Navar 2024; 47:e1066. [PMID: 38488106 PMCID: PMC11016339 DOI: 10.23938/assn.1066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2023] [Revised: 11/22/2023] [Accepted: 01/18/2024] [Indexed: 03/19/2024]
Abstract
BACKGROUND The aim of this study is to translate, culturally adapt, and validate a Spanish version of the Nordic Musculoskeletal Questionnaire for a sample of nursing assistant aides. METHODS The questionnaire was translated and culturally adapted. Next, it was included in a battery of tests that was completed by 526 nursing assistants working in residential care homes in the Principality of Asturias (Spain). To assess its validity, the Exploratory Factor Analysis and the Confirmatory Factor Analysis were used. The internal consistency was estimated with McDonald's Omega coefficient (?), complemented by the test-retest reliability analysis through the intraclass correlation coefficient. The validity of the criteria was established by the correlation between total score on the test and quality of life measures, job insecurity and psychological demand, and social support at work. RESULTS The Exploratory Factor Analysis and Confirmatory Factor Analysis adjustment indices confirmed it is a unidimensional test. The internal consistency values indicated very high reliability (? = 0.81). Similarly, the intraclass correlation coefficient showed statistically significant values and an excellent correlation coefficient (r = 0.95). The validity of the criteria showed a statistically significant correlation with all the constructs studied, particularly with quality of life. CONCLUSIONS This Spanish version of the Nordic Musculoskeletal Questionnaire has good psychometric qualities for a population of nursing aides and therefore may be a valid and reliable tool for assessing musculoskeletal disorders.
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Mekoulou Ndongo J, Bika Lele EC, Malam Moussa Ahmet H, Guessogo WR, Wiliam MB, Guyot J, Rozand V, Ahmadou, Ayina Ayina CN, Kojom Foko LP, Barth N, Bongue B, Ba A, Samb A, Roche F, Mandengue SH, Assomo-Ndemba PB. Poor quality of sleep and musculoskeletal pains among highly trained and elite athletes in Senegal. BMC Sports Sci Med Rehabil 2024; 16:54. [PMID: 38389100 PMCID: PMC10882835 DOI: 10.1186/s13102-023-00705-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Accepted: 07/21/2023] [Indexed: 02/24/2024]
Abstract
BACKGROUND Previous studies reported that poor sleep quality (PSQ) was associated with musculoskeletal pains (MSP) and poor physical performance in athletes. OBJECTIVE The current study aimed at determining PSQ and its associations with MSP in some sub-Saharan athletes. METHODS A cross sectional study was conducted among 205 highly trained and 115 elite athletes (aged: 25 ± 2 years, Body mass index: 22.8 ± 0.9 kg/m2) in Dakar, Senegal, during a competitive season in a variety of sport disciplines including athletics, basketball, football, rugby, wrestling, tennis. Quality of sleep and MSP were assessed using the French version Pittsburgh Sleep Quality Index (PSQI) and French version of Nordic questionnaire respectively. Pain on body joints during a week was defined as seven-day MSP (MSP-7d) and PSQ for a PSQI > 5. RESULTS 27.8% (95%CI: 23.2-32.9) of the overall sample suffered PSQ, with 33.7% (95%CI: 24.7-44.0) in basketball and 24.7% (95%CI: 16.9-34.6) in football. According to athletic status and gender, PSQ was more prevalent among highly trained (66.3; 95%CI: 55.9-75.3) and men (69.7%; 95%CI: 59.5-78.7). Among athletes with PSQ 43.8% (95%CI: 33.9-54.2) suffered MSP-7d, with 36.6%; highly trained (95%CI: 23.7-42.9) and 28.1% female. Considering body region, hips/thigh (14.6%; 95% CI: 8.74-23.4) and upper back (13.5%; 95%CI: 7.88 -21, 1) were more affected. Basketball players were more affected from MSP (MSP-7d = 38.5%; 95%CI: 24. 9-54.1) on high on wrists/hands (MSP-7d = 44.4%; 95%CI: 18.9 -73.3; P = 0.04). Based on athletic status, MSP-7d were higher on highly trained necks (100%; 95%CI: 56.1-100; p = 0.04). PSQ was associated with basketball (OR: 3.062, 95%CI: 1.130-8.300, p = 0.02) compared to Athletic. PSQ and MSP-7d were associated on Wrist/hands (OR: 3.352, 95%CI: 1.235-9.099, p = 0.01), and at the upper back (OR: 5.820, 95%CI: 2.096-16.161, p = 0.0007). CONCLUSION These results indicate that PSQ is considerable among Senegalese athletes and is associated with MSP during a week. Hence, we recommend to look for strategies optimizing good quality of sleep in order to reduce pains, to improve health.
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Affiliation(s)
- Jerson Mekoulou Ndongo
- Physical Activities and Sport Physiology & Medicine Unit, Faculty of Science, University of Douala, Douala, Cameroon
| | - Elysée Claude Bika Lele
- Physical Activities and Sport Physiology & Medicine Unit, Faculty of Science, University of Douala, Douala, Cameroon
| | | | | | - Mbang Biang Wiliam
- National Institute of Youth and Sports Yaoundé, University of Yaounde I, Yaounde, Cameroon
| | - Jessica Guyot
- Mines Saint-Etienne, INSERM, U1059 Sainbiose, Université Jean Monnet, Saint-Étienne, 42023, France
| | - Vianey Rozand
- Université Jean Monnet Saint-Etienne, Lyon 1, Université Savoie Mont-Blanc, Laboratoire Inter-universitaire de Biologie de la Motricité, F-42023, Saint-Étienne, France
| | - Ahmadou
- Physical Activities and Sport Physiology & Medicine Unit, Faculty of Science, University of Douala, Douala, Cameroon
| | - Clarisse Noel Ayina Ayina
- Physical Activities and Sport Physiology & Medicine Unit, Faculty of Science, University of Douala, Douala, Cameroon
| | - Loick Pradel Kojom Foko
- Physical Activities and Sport Physiology & Medicine Unit, Faculty of Science, University of Douala, Douala, Cameroon
| | - Nathalie Barth
- Université Jean Monnet Saint-Etienne, Lyon 1, Université Savoie Mont-Blanc, Laboratoire Inter-universitaire de Biologie de la Motricité, F-42023, Saint-Étienne, France
| | - Bienvenu Bongue
- Mines Saint-Etienne, INSERM, U1059 Sainbiose, Université Jean Monnet, Saint-Étienne, 42023, France
- Support and Education Technical Centre of Health Examination Centres (CETAF), Saint-Etienne, France
| | - Abdoulaye Ba
- Faculty of Medicine, Pharmacy and Dentistry, University of Cheikh Anta Diop, Dakar, Sénégal
| | - Abdoulaye Samb
- Faculty of Medicine, Pharmacy and Dentistry, University of Cheikh Anta Diop, Dakar, Sénégal
| | - Fréderic Roche
- Mines Saint-Etienne, INSERM, U1059 Sainbiose, Université Jean Monnet, Saint-Étienne, 42023, France
| | - Samuel Honoré Mandengue
- Physical Activities and Sport Physiology & Medicine Unit, Faculty of Science, University of Douala, Douala, Cameroon
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Fontenele TMDO, Nunes PPDB, Silva FVM, Menezes CNB, Andrade RFD, Mont'Alverne DGB, Saintrain MVDL, Frota MA, Abdon APV. Smartphone addiction and postural alterations in the cervical region in adolescents. REVISTA PAULISTA DE PEDIATRIA : ORGAO OFICIAL DA SOCIEDADE DE PEDIATRIA DE SAO PAULO 2023; 42:e2023051. [PMID: 38126601 PMCID: PMC10742370 DOI: 10.1590/1984-0462/2024/42/2023051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/22/2023] [Accepted: 09/03/2023] [Indexed: 12/23/2023]
Abstract
OBJECTIVE To evaluate smartphone addiction and postural alterations in the cervical region in adolescents. METHODS A cross-sectional study with 281 adolescents (15 to 19 years old), attending the 1st to the 3rd grades of High School, carried out between September and October 2019 in the city of Fortaleza, Ceará, Brazil. Data collection took place in two stages. In the first, they answered four self-administered questionnaires: sociodemographic questionnaire, health conditions and smartphone use, Nordic Musculoskeletal Symptom Questionnaire (NMQ), Self-Report Questionnaire (SRQ-20) and the Smartphone Addiction Inventory (SPAI-BR). In the second stage, they were submitted to photogrammetry using the Postural Assessment Software (SAPO) and anthropometric assessment (weight and height). The software SPSS Statistics version 23.0 was used for data analysis. RESULTS Of the total number of adolescents, 63.3% (n=178) showed smartphone addiction, using it for 5.8 hours (±3.5) during the week and 8.7 (±4.0) hours on the weekend. When analyzing postural alignment in the anterior view, a significant reduction in the lateral head tilt was observed when typing on the smartphone (p=0.002) compared to the anatomical position (baseline). In the lateral view, an increase in head anteriorization was observed during smartphone use (p<0.05). There was an association between smartphone addiction and head anteriorization (p<0.05). CONCLUSIONS The use of the smartphone in the typing position causes postural alterations in the cervical region, especially in adolescents with smartphone addiction. Therefore, health promotion measures that alert adolescents to the adverse effects caused by prolonged smartphone use are necessary.
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Hanene LF, Amdouni N, Emna R, Hela S, Kaouther BA, Dorra BN, Dhia K, Kaouther M, Wafa H. Reliability of the tunisian pediatric gait, arms, legs, and spine: toward a valid screening tool for tunisian children with musculoskeletal conditions. Pediatr Rheumatol Online J 2023; 21:133. [PMID: 37919792 PMCID: PMC10621183 DOI: 10.1186/s12969-023-00905-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Accepted: 10/04/2023] [Indexed: 11/04/2023] Open
Abstract
BACKGROUND Pediatric musculoskeletal disorders account for 10% of first-line consultations in Tunisia. Referral delay and deficiencies in musculoskeletal screening raise a challenge to the early diagnosis and management of rheumatic conditions in children. The pGALS (Pediatric Gait Arms Legs Spine) was developed and translated into many languages to overcome these deficiencies. Our study aimed to adapt and validate pGALS to the Tunisian dialect for school-age children. METHODS Using the Delphi method, we carried out a cross-cultural adaptation of the pGALS to the Tunisian dialect. This consensual version was validated in a cross-sectional study, in two pediatric centers. RESULTS Ninety-two patients were enrolled, 43 females (46.7%) and 49 males (53.3%), mean age was 9.4 ± 2.6 years. The mean test duration was 3.4 ± 2.3 min, and the acceptability and comprehension of the test were good. Six patients had a musculoskeletal complaint, 19 had positive pGALS, and 14 were diagnosed with musculoskeletal disease. The internal consistency score (Cronbach's α) was 0.852. The sensitivity of the test was 92.8%, the specificity was 92.3%, the positive likelihood ratio was 2.16, and the negative likelihood ratio was 0.01. CONCLUSION The pGALS test adapted to the Tunisian dialect is a relevant, quick, and valid tool for screening musculoskeletal abnormalities in school-age children.
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Affiliation(s)
- Lassoued Ferjani Hanene
- Rheumatology department, Kassab orthopedics institute, Ksar Saïd, Tunisia.
- Faculty of Medicine of Tunis, University Tunis el Manar, Ksar Saïd, Tunisia.
- Research Unit UR17SP04, Ksar Said, Tunis, 2010, Tunisia.
| | - Narjess Amdouni
- Pediatric out clinics, Tbourba Hospital, Ksar Said, Tunis, Tunisia
| | - Rabhi Emna
- Rheumatology department, Kassab orthopedics institute, Ksar Saïd, Tunisia
| | - Sahli Hela
- Faculty of Medicine of Tunis, University Tunis el Manar, Ksar Saïd, Tunisia
- Rheumatology department, Rabta Hospital, Tunis, Tunisia
| | - Ben Abdelgheni Kaouther
- Faculty of Medicine of Tunis, University Tunis el Manar, Ksar Saïd, Tunisia
- Rheumatology department, Mongi Slim Hospital, Tunis, Tunisia
| | - Ben Nessib Dorra
- Rheumatology department, Kassab orthopedics institute, Ksar Saïd, Tunisia
- Faculty of Medicine of Tunis, University Tunis el Manar, Ksar Saïd, Tunisia
- Research Unit UR17SP04, Ksar Said, Tunis, 2010, Tunisia
| | - Kaffel Dhia
- Rheumatology department, Kassab orthopedics institute, Ksar Saïd, Tunisia
- Faculty of Medicine of Tunis, University Tunis el Manar, Ksar Saïd, Tunisia
- Research Unit UR17SP04, Ksar Said, Tunis, 2010, Tunisia
| | - Maatallah Kaouther
- Rheumatology department, Kassab orthopedics institute, Ksar Saïd, Tunisia
- Faculty of Medicine of Tunis, University Tunis el Manar, Ksar Saïd, Tunisia
- Research Unit UR17SP04, Ksar Said, Tunis, 2010, Tunisia
| | - Hamdi Wafa
- Rheumatology department, Kassab orthopedics institute, Ksar Saïd, Tunisia
- Faculty of Medicine of Tunis, University Tunis el Manar, Ksar Saïd, Tunisia
- Research Unit UR17SP04, Ksar Said, Tunis, 2010, Tunisia
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Santos VS, Downie A, Kamper SJ, Yamato TP. A new version of a measurement for presence and impact of pain in children and adolescents - Presence and impact of pain in Kids (PIP-KIDS) questionnaire: Translation, cross-cultural adaptation and measurement properties into Brazilian-Portuguese. Musculoskelet Sci Pract 2023; 65:102772. [PMID: 37182390 DOI: 10.1016/j.msksp.2023.102772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/06/2022] [Revised: 04/24/2023] [Accepted: 05/01/2023] [Indexed: 05/16/2023]
Abstract
BACKGROUND Musculoskeletal pain in children and adolescents is prevalent and responsible for high levels of disability. Instruments to measure the presence and impact of pain in this population are needed. OBJECTIVE To translate, cross-culturally adapt, then test the measurement properties (structural validity, reliability and construct validity) of a questionnaire (Presence and Impact of Pain in Kids (PIP-Kids) questionnaire) to measure the presence and impact of pain in children and adolescents. DESIGN Measurement properties study. METHODS We conducted a measurement properties study. We translated and culturally adapted the PIP-Kids questionnaire into Brazilian Portuguese. The structural validity was measured by Confirmatory Factor Analysis. Reliability was measured by Kappa Coefficient. Measurement error was measured by the percentage of agreement. Construct validity was measured by Spearman Correlation. RESULTS/FINDINGS We included 656 children and adolescents from public and private schools. During the translation and cross-cultural adaptation no changes to wording were necessary. Structural validity confirmed two domains. Reliability by Kappa Coefficient ranges from 0.20 to 0.68. Measurement error by the percentage of agreement ranged from 60.2 to 92%. Construct validity was confirmed with 80.5% in accordance with prior hypotheses. CONCLUSION The PIP-Kids questionnaire translation and cross-cultural adaptation were adequate. The PIP-Kids questionnaire also has adequate structural validity with two dimensions (presence and impact), fair reliability, good agreement, and adequate construct validity.
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Affiliation(s)
- Veronica Souza Santos
- Master's and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo, Sao Paulo, Brazil
| | - Aron Downie
- Faculty of Medicine and Health, Sydney School of Public Health, Institute for Musculoskeletal Health, The University of Sydney, Sydney, New South Wales, Australia; Department of Chiropractic, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia
| | - Steven J Kamper
- Center for Pain, Health, and Lifestyle (CPHL), Australia; School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia; Nepean Blue Mountains Local Health District, NSW, Australia
| | - Tie P Yamato
- Master's and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo, Sao Paulo, Brazil; Center for Pain, Health, and Lifestyle (CPHL), Australia; School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia; Nepean Blue Mountains Local Health District, NSW, Australia.
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Low Occurrence of Musculoskeletal Symptoms in Swimming? Musculoskeletal Symptoms and Sports Participation in Adolescents: Cross Sectional Study (ABCD—Growth Study). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19063694. [PMID: 35329389 PMCID: PMC8952247 DOI: 10.3390/ijerph19063694] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Revised: 03/16/2022] [Accepted: 03/17/2022] [Indexed: 12/04/2022]
Abstract
The purpose of this paper was to identify the association between the occurrence of musculoskeletal symptoms (MS) and sports participation in adolescents. The sample included 193 adolescents (11 to 17 years of age; 131 boys and 62 girls). For this cross-sectional study, participants were categorized into four groups: “no-sports”, “repetitive non-impact sports”, “high-impact sports”, and “odd-impact sports”. A questionnaire was used, which defined MS as pain or any musculoskeletal complaint that led to restriction of current normal activities. In the entire sample, 112 adolescents reported at least one episode of MS during the recording, representing 58% of the sample. Our findings highlight that adolescents regularly engaged in odd-impact sports, such as martial arts, report a higher occurrence of MS than swimmers and adolescents who do not participate in any physical activity.
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Dahl AG, Havang S, Hagen K. Reliability of a self-administrated musculoskeletal questionnaire: The fourth Trøndelag health study. Musculoskelet Sci Pract 2022; 57:102496. [PMID: 34933232 DOI: 10.1016/j.msksp.2021.102496] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/04/2021] [Revised: 12/08/2021] [Accepted: 12/14/2021] [Indexed: 11/15/2022]
Abstract
BACKGROUND The reliability of the Nordic Musculoskeletal Questionnaire (NMQ) has not been evaluated in an unselected general population. The aim of this population-based follow-up study was to estimate the reliability between a self-administered NMQ-based questionnaire and a face-to-face interview performed approximately two months later. To interpret the results, we assessed the 1-year prevalence of various pain musculoskeletal pain locations. METHODS A random sample of 1201 participants in the fourth wave of the Trøndelag Health Survey were invited to a follow-up interview focusing on sleep and pain. A total of 232 (19%) participated a semi-structured interview, and the agreement with the corresponding answers in the musculoskeletal questionnaire in HUNT4 were evaluated by Cohen's kappa statistics with 95% confidence interval (CI). The 1-year prevalence of the various pain sites was stratified by age and gender. RESULTS The reliability was good for chronic musculoskeletal pain (CMSP), chronic widespread musculoskeletal pain (CWMSP) and pain in hip and knee (kappa values between 0.63 and 0.68). Moderate kappa values between 0.51 and 0.60 were found for pain in the neck, shoulder, elbow, wrist/hand, upper back, lower back, calf, ankle/feet, and ≥7 pain sites. The 1-year prevalence was 54.3% for CMSP and 17.2 for CWMSP, substantially higher for women and among those aged 50 years or more. CONCLUSION In this population-based study the reliability between interview and questionnaire was good to moderate for most pain locations. In particular, the self-administered musculoskeletal questionnaire seems to be a useful tool in identifying individuals with CMSP, CWMSP, and pain in hip and knee.
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Affiliation(s)
- Astri Grøtan Dahl
- Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim, Norway
| | - Sara Havang
- Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim, Norway
| | - Knut Hagen
- Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim, Norway; Clinical Research Unit Central Norway, St. Olavs Hospital, Trondheim, Norway.
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da Costa L, Lemes IR, Tebar WR, Oliveira CB, Guerra PH, Soidán JLG, Mota J, Christofaro D. Sedentary behavior is associated with musculoskeletal pain in adolescents: A cross sectional study. Braz J Phys Ther 2022; 26:100452. [PMID: 36257097 PMCID: PMC9579307 DOI: 10.1016/j.bjpt.2022.100452] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/14/2022] [Revised: 08/31/2022] [Accepted: 10/03/2022] [Indexed: 11/27/2022] Open
Abstract
BACKGROUND High prevalence of back pain has been observed in adolescents. Sedentary behavior (SB) is considered a risk factor for musculoskeletal pain. The association between back pain and SB in the pediatric/adolescent population is not well established. OBJECTIVE To investigate the association between SB and low back and neck pain in adolescents according to sex. METHODS This is a cross-sectional study with children and adolescents aged 10-17 years, randomly recruited from public and private schools in Presidente Prudente, Brazil. All students enrolled in the selected schools were eligible to participate. SB was evaluated by adding the number of hours of use of screen devices, such as television, computer, video game, and smartphone/tablet. To assess neck and low back pain, the Nordic Musculoskeletal Questionnaire was used. Physical activity and socioeconomic status were assessed by the Baecke Questionnaire and the Brazilian Criteria for Economic Classification (ABEP), respectively. Odds ratio (OR) from Binary Logistic Regression in the unadjusted and adjusted model (physical activity, abdominal obesity, and socioeconomic status) showed the relationship between musculoskeletal pain and SB. RESULTS A total of 1011 adolescents (557 girls) with a mean ± standard deviation age of 13.2±2.4 years were included. Moderate (OR = 1.80; 95%CI: 1.00, 3.23) and high (OR = 1.91; 95%CI: 1.02, 3.53) SB were associated with neck pain in girls. In boys, moderate SB [OR = 2.75; 95%CI: 1.31, 5.78) were associated with neck pain. Moderate (OR = 2.73; 95%CI: 1.45, 5.02) and high (OR = 2.49; 95%CI: 1.30, 4.76) SB were associated with low back pain only in girls. CONCLUSION Moderate and high SB were associated with neck pain in girls and boys, while moderate and high SB were associated with low back pain only in girls.
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Affiliation(s)
- Lucas da Costa
- Department of Physical Education, Universidade Estadual Paulista Julio de Mesquita Filho (UNESP), Presidente Prudente, SP, Brazil,Corresponding author at: Universidade Estadual Paulista Julio de Mesquita Filho, Rua Roberto Símonsen, 305, Centro Educacional, CEP: 19060-900, Presidente Prudente, SP, Brazil.
| | - Italo Ribeiro Lemes
- Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil,Applied Physiology & Nutrition Research Group, Universidade de São Paulo, São Paulo, SP, Brazil
| | - William R. Tebar
- Department of Physical Education, Universidade Estadual Paulista Julio de Mesquita Filho (UNESP), Presidente Prudente, SP, Brazil
| | - Crystian B. Oliveira
- Faculdade de Medicina, Universidade do Oeste Paulista (UNOESTE), Presidente Prudente, SP, Brazil
| | | | - José Luiz G. Soidán
- Facultade de Ciencias da Educación e do Deporte, Universida de Vigo, Pontevedra, Galiza, Espanã
| | - Jorge Mota
- Research Center on Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, Porto, North region, Portugal
| | - Diego.G.D. Christofaro
- Department of Physical Education, Universidade Estadual Paulista Julio de Mesquita Filho (UNESP), Presidente Prudente, SP, Brazil
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Lemes ÍR, Oliveira CB, Silva GCR, Pinto RZ, Tebar WR, Christofaro DG. Association of sedentary behavior and early engagement in physical activity with low back pain in adolescents: a cross-sectional epidemiological study. EUROPEAN SPINE JOURNAL : OFFICIAL PUBLICATION OF THE EUROPEAN SPINE SOCIETY, THE EUROPEAN SPINAL DEFORMITY SOCIETY, AND THE EUROPEAN SECTION OF THE CERVICAL SPINE RESEARCH SOCIETY 2021; 31:152-158. [PMID: 34586504 DOI: 10.1007/s00586-021-07004-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Revised: 09/10/2021] [Accepted: 09/20/2021] [Indexed: 10/20/2022]
Abstract
PURPOSE To investigate the association of sedentary behavior and physical activity from childhood to adolescence with prevalence of low back pain in adolescents. In addition, we also explored whether sleep quality influences this association. METHODS This is a cross-sectional epidemiological study. Participants (aged 10-17 years) were recruited from public and private schools in Brazil. Sedentary behavior and previous and current engagement in physical activity were assessed through questionnaires. Low back pain and sleep quality were assessed by the Nordic questionnaire and Mini-Sleep Questionnaire, respectively. Sex, age, body mass index, abdominal obesity, socioeconomic status and sleep quality were used as potential confounders. Binary logistic regression models were used to generate values of odds ratio (OR) and 95% confidence intervals (95%CI). RESULTS A total of 1,001 (44,5% boys; n = 446) were included. Overall prevalence of low back pain was 18%, with higher rates among inactive and sedentary participants. Physical inactivity from childhood to adolescence in combination with high sedentary behavior doubled the likelihood of having low back pain (OR = 2.40 [95%CI: 1.38-4.18]), independent of potential confounders. Sleep quality attenuates, but not eliminates, this association (OR = 2.19 [95%CI: 1.25-3.84]). CONCLUSION Being inactive from childhood to adolescence in combination with high sedentary behavior is associated with low back pain in adolescents. Sleep quality seems to attenuate, but not eliminate, this association.
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Affiliation(s)
- Ítalo Ribeiro Lemes
- Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.
| | | | - Gabriela C R Silva
- Department of Physical Education, Universidade Estadual Paulista (UNESP), Presidente Prudente, SP, Brazil
| | - Rafael Zambelli Pinto
- Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
| | - William R Tebar
- Department of Physical Education, Universidade Estadual Paulista (UNESP), Presidente Prudente, SP, Brazil
| | - Diego G Christofaro
- Department of Physical Education, Universidade Estadual Paulista (UNESP), Presidente Prudente, SP, Brazil
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13
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Daily activity limitations and physical activity encouragement influence adolescents seeking health care for neck and low back pain. Musculoskelet Sci Pract 2021; 54:102385. [PMID: 33965773 DOI: 10.1016/j.msksp.2021.102385] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/27/2020] [Revised: 04/15/2021] [Accepted: 04/21/2021] [Indexed: 11/20/2022]
Abstract
BACKGROUND Understanding the factors associated with care-seeking behaviour in adolescents with spinal pain will inform health care professionals and guide a better decision-making. OBJECTIVE To identify factors, including parents' habits and behaviour, related to care-seeking in adolescents with neck pain or low back pain (LBP). STUDY DESIGN A cross-sectional study. METHODS Adolescents between 10 and 17 years were randomly recruited from public schools. The proportion of adolescents with neck or LBP and those who had sought care for neck and LBP were assessed with the Nordic Musculoskeletal questionnaire. Daily activity limitation and the frequency of parents' habits and behaviour were collected using self-reported questions. Logistic regression analyses were performed to investigate if the following factors were associated with adolescents' care-seeking behaviour due to neck or LBP: daily activity limitations, physical activity (PA) domains, items of the social support scale. RESULTS The prevalence of adolescents reporting neck or LBP was 31.4% (318 out of 1011). Of these, 35.8% (n = 114) sought care for neck or low back pain. Activity limitations related to neck or LBP (OR: 5.83, 95% CI: 3.46 to 9.84), higher PA levels at school (OR: 1.67, 95% CI: 1.02 to 2.75), and PA encouragement (OR: 2.73, 95% CI: 1.27 to 5.85) were associated with care-seeking in adolescents with neck or LBP. CONCLUSION Adolescents with activity limitations due to neck or LBP, higher PA levels at school and encouraged by parents or friends to practice PA were more likely to seek care for their neck or LBP.
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Etana G, Ayele M, Abdissa D, Gerbi A. Prevalence of Work Related Musculoskeletal Disorders and Associated Factors Among Bank Staff in Jimma City, Southwest Ethiopia, 2019: An Institution-Based Cross-Sectional Study. J Pain Res 2021; 14:2071-2082. [PMID: 34267551 PMCID: PMC8275204 DOI: 10.2147/jpr.s299680] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2020] [Accepted: 06/16/2021] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Work-related musculoskeletal disorder is one of the most important public health problems throughout the world. However, there is a paucity of knowledge on work-related musculoskeletal disorders among bank staff in Ethiopia. Therefore, this study aimed to assess the prevalence of work-related musculoskeletal disorders and associated factors among bank staff in Jimma city, Ethiopia. METHODS Institution-based cross-sectional study was conducted from July 20 to August 20, 2019. A simple random sampling technique was used. Data were collected by pre-tested interviewer-administered standardized Nordic musculoskeletal questionnaires. Data were entered into Epi Data version 3.1 and exported to SPSS version 20 for analysis. A logistic regression analysis was done. A variable having a p-value <0.25 in a bivariate analysis was taken into multivariate analysis to avoid the potential effects of confounders. Adjusted odds ratios (AOR) were calculated at a 95% confidence interval to see the strength of association. A significant association was set at a p-value <0.05. RESULTS Data were collected from 335 study participants. The overall prevalence of work-related musculoskeletal disorders during the last 12-months was 245 (73.1%). The most affected body parts were lower back 181 (54%), neck 152 (45.4%), upper back 143 (42.7%), and shoulder 127 (37.9%). Work experience [AOR: 2.16, 95% CI: 1.05-4.43], alcohol consumption [AOR: 3.44, 95% CI: 1.29-9.18], awkward posture [AOR: 4.09, 95% CI: 2.20-7.61], working in the same position for two or more hours [AOR: 2.02, 95% CI: 1.05-3.89] and job stress [AOR: 3.20, 95% CI: 1.67-6.15] were factors associated with work-related musculoskeletal disorders. CONCLUSION The prevalence of work-related musculoskeletal disorders was common among bank staff. Preventive strategies such as using ergonomic guidelines and giving awareness on the effect of bad posture, avoiding prolonged working in the same position were recommended. Using ergonomic guideline is helpful to create a suitable working environment that fit employee's physical capability.
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Affiliation(s)
- Guluma Etana
- Department of Biomedical Sciences (Clinical Anatomy), Institutes of Health Sciences, Wollega University, Nekemte, Ethiopia
| | - Mengistu Ayele
- Department of Biomedical Sciences (Clinical Anatomy), Institute of Health Sciences, Jimma University, Jimma, Ethiopia
| | - Daba Abdissa
- Department of Biomedical Sciences (Clinical Anatomy), Institute of Health Sciences, Jimma University, Jimma, Ethiopia
| | - Asfaw Gerbi
- Department of Biomedical Sciences (Clinical Anatomy), Institute of Health Sciences, Jimma University, Jimma, Ethiopia
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15
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Mulugeta H, Tamene A, Ashenafi T, Thygerson SM, Baxter ND. Workplace stress and associated factors among vehicle repair workers in Hawassa City, Southern Ethiopia. PLoS One 2021; 16:e0249640. [PMID: 33819287 PMCID: PMC8021151 DOI: 10.1371/journal.pone.0249640] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2020] [Accepted: 03/23/2021] [Indexed: 11/18/2022] Open
Abstract
INTRODUCTION Workplace stress is a public health problem worldwide. Studies focusing on work-related stress among vehicle repair workers are scarce in African countries. The current study aimed to determine the prevalence of self-reported workplace stress and associated factors among vehicle repair workers in Hawassa City, South Ethiopia. METHODS AND FINDINGS A cross-sectional study design was employed among 347 vehicle repair workers from January 25 to February 22, 2019. Questionnaires were administered using interviews. Additional tools were used for weight and height measurements. The main findings were analyzed using descriptive statistics, bivariable, and multivariable logistic regression. The strength of association of variables was presented by odds ratio along with its 95% CI. The statistical assessments were considered significant at p<0.05. A total of 344 workers participated in the study. The prevalence of workplace stress among participants was 41.6% with 95% CI: (36.3-47.1). Factors associated with workplace stress were more than 10 years of work experience [AOR: 2.40; 95% CI (1.29-4.50)], work-related musculoskeletal disorder [AOR: 3.39; 95% CI (1.99-5.78)], squatting and lying work posture [AOR: 4.63; 95% CI (1.61-13.3)] and servicing large vehicles [AOR: 1.96; 95% CI (1.14-3.38)]. CONCLUSION AND RECOMMENDATIONS This study showed that the overall prevalence of work-related stress was substantially high. The independently associated factors were workers' service years, symptoms of body pain, and the work environment. Preventive measures need to be implemented in vehicle repair workshops by focusing on work environment improvements.
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Affiliation(s)
- Hailemichael Mulugeta
- Department of Public Health, College of Health Science, Debre Berhan University, Debre Berhan, Ethiopia
| | - Aiggan Tamene
- Department of Public Health, College of Medicine and Health Sciences, Wachemo University, Shewa, Ethiopia
| | - Tesfaye Ashenafi
- Department of Environmental Health, College of Medical and Health Science, Hawassa University, Awasa, Ethiopia
| | - Steven M. Thygerson
- Department of Public Health, College of Life Sciences, Brigham Young University, Provo, Utah, United States of America
| | - Nathaniel D. Baxter
- Department of Public Health, College of Life Sciences, Brigham Young University, Provo, Utah, United States of America
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Ramanandi VH, Desai AR. Association of working hours, job position, and BMI with work-related musculoskeletal disorders among the physiotherapists of Gujarat—an observational study. BULLETIN OF FACULTY OF PHYSICAL THERAPY 2021. [DOI: 10.1186/s43161-021-00022-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
Physiotherapists are prone to develop work-related musculoskeletal disorders (WMSDs). Region wise distribution and frequency of work disturbance have been studied in physiotherapists but exploration of the probable association of working hours, job position, and body mass index (BMI) with WMSDs is not adequately done in the Gujarat, India. Hence, the present study was undertaken to investigate these aspects among the physiotherapists of Gujarat.
Results
An online cross-sectional survey including 322 physiotherapists was conducted and the data was collected after gaining informed electronic consent. Present study showed no significant co-relation between job position (0.602), weekly working hours (0.930), and BMI (0.589) with WMSDs prevalence. The 1-year work disturbance and 1-week musculoskeletal difficulties were found to be due to low back-related complaints (35.09%, 33.85%).
Conclusion
It is inferred that high prevalence of WMSDs in physiotherapists may be due to one of various factors including job position, working hours, and BMI but they are not significantly correlated with WMSDs.
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Pulik Ł, Dyrek N, Piwowarczyk A, Jaśkiewicz K, Sarzyńska S, Łęgosz P. The update on scales and questionnaires used to assess cervical spine disorders. PHYSICAL THERAPY REVIEWS 2020. [DOI: 10.1080/10833196.2020.1814124] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- Łukasz Pulik
- Department of Orthopedics and Traumatology, Medical University of Warsaw, Warsaw, Poland
| | - Nicola Dyrek
- Student Scientific Association of Reconstructive and Oncology Orthopaedics of the Department of Orthopedics and Traumatology, Medical University of Warsaw, Warsaw, Poland
| | - Aleksandra Piwowarczyk
- Student Scientific Association of Reconstructive and Oncology Orthopaedics of the Department of Orthopedics and Traumatology, Medical University of Warsaw, Warsaw, Poland
| | - Kaja Jaśkiewicz
- Department and Clinic of Internal Diseases, Pneumonology, and Allergology, Medical University of Warsaw, Warsaw, Poland
| | - Sylwia Sarzyńska
- Student Scientific Association of Reconstructive and Oncology Orthopaedics of the Department of Orthopedics and Traumatology, Medical University of Warsaw, Warsaw, Poland
| | - Paweł Łęgosz
- Department of Orthopedics and Traumatology, Medical University of Warsaw, Warsaw, Poland
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18
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Braido GVDV, Campi LB, Jordani PC, Fernandes G, GonÇalves DADG. Temporomandibular disorder, body pain and systemic diseases: assessing their associations in adolescents. J Appl Oral Sci 2020; 28:e20190608. [PMID: 32901693 PMCID: PMC7480668 DOI: 10.1590/1678-7757-2019-0608] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2019] [Accepted: 07/07/2020] [Indexed: 11/25/2022] Open
Abstract
Painful temporomandibular disorders (TMD) in children and adolescents may impact negatively the individual´s life. The presence of comorbidities associated with TMD tends to increase the persistence of pain and to facilitate its chronification.
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Affiliation(s)
- Guilherme Vinícius do Vale Braido
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia, Departamento de Materiais Dentários e Prótese, Araraquara, São Paulo, Brasil
| | - Leticia Bueno Campi
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia, Departamento de Materiais Dentários e Prótese, Araraquara, São Paulo, Brasil
| | - Paula Cristina Jordani
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia, Departamento de Materiais Dentários e Prótese, Araraquara, São Paulo, Brasil
| | - Giovana Fernandes
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia, Departamento de Materiais Dentários e Prótese, Araraquara, São Paulo, Brasil
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Scarabottolo CC, Pinto RZ, Oliveira CB, Tebar WR, Saraiva BTC, Morelhão PK, Dragueta LD, Druzian GS, Christofaro DGD. Back and neck pain and poor sleep quality in adolescents are associated even after controlling for confounding factors: An epidemiological study. SLEEP SCIENCE (SAO PAULO, BRAZIL) 2020; 13:107-112. [PMID: 32742580 PMCID: PMC7384534 DOI: 10.5935/1984-0063.20190138] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Objective Back pain and poor sleep quality are public health issues. Relating to adolescents particularly, the way in which this relationship can occur is still unclear. The aim of this study was to investigate whether low back and neck pain are associated with sleep quality among adolescents. Material and Methods In total, 1011 randomly selected adolescents participated in this study. Neck and back pain were assessed using the Nordic questionnaire, while sleep quality was assessed through the Mini-Sleep Questionnaire. The confounding variables used in the statistical analysis were age, socioeconomic status, physical activity, and body mass index. To analyze the associations between sleep quality and low back and neck pain, multivariate models and binary logistic regression were used. Results 19.9% of the girls reported low back pain while 18.9% reported neck pain. 15.6% of the boys reported low back or neck pain. Regarding low sleep quality, the prevalence was 46.0% for girls and 49.6% for boys. An association was observed between low back pain and sleep quality among girls (OR=1.98 [1.25 - 3.12]) and boys (OR=2.58 [1.48 - 4.50]). An association between neck pain and sleep quality was also observed among girls (OR=2.27 [1.41 - 3.64]) and boys (OR=2.80 [1.59 - 4.91]). Conclusion Low back pain and neck pain were associated with poor sleep quality among adolescents even after the insertion of confounding variables.
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Affiliation(s)
- Catarina Covolo Scarabottolo
- São Paulo State University (Unesp), Post-graduation Program in Movement Sciences - Presidente Prudente - São Paulo - Brazil.,São Paulo State University (Unesp), School of Technology and Science, Physical Education Department - Presidente Prudente - São Paulo - Brazil
| | - Rafael Zambelli Pinto
- Federal University of Minas Gerais (UFMG), Physical Therapy Department - Belo Horizonte - Minas Gerais - Brazil
| | - Crystian Bitencourt Oliveira
- Sao Paulo State University (Unesp), Post-Graduation Program in Physiotherapy - Presidente Prudente - São Paulo - Brazil
| | - William Rodrigues Tebar
- São Paulo State University (Unesp), Post-graduation Program in Movement Sciences - Presidente Prudente - São Paulo - Brazil.,São Paulo State University (Unesp), School of Technology and Science, Physical Education Department - Presidente Prudente - São Paulo - Brazil
| | - Bruna Thamyres Ciccotti Saraiva
- São Paulo State University (Unesp), Post-graduation Program in Movement Sciences - Presidente Prudente - São Paulo - Brazil.,São Paulo State University (Unesp), School of Technology and Science, Physical Education Department - Presidente Prudente - São Paulo - Brazil
| | - Priscila Kalil Morelhão
- Sao Paulo State University (Unesp), Post-Graduation Program in Physiotherapy - Presidente Prudente - São Paulo - Brazil
| | - Leandro Delfino Dragueta
- São Paulo State University (Unesp), Post-graduation Program in Movement Sciences - Presidente Prudente - São Paulo - Brazil.,São Paulo State University (Unesp), School of Technology and Science, Physical Education Department - Presidente Prudente - São Paulo - Brazil
| | - Gustavo Santos Druzian
- São Paulo State University (Unesp), School of Technology and Science, Physical Education Department - Presidente Prudente - São Paulo - Brazil
| | - Diego Giulliano Destro Christofaro
- São Paulo State University (Unesp), Post-graduation Program in Movement Sciences - Presidente Prudente - São Paulo - Brazil.,São Paulo State University (Unesp), School of Technology and Science, Physical Education Department - Presidente Prudente - São Paulo - Brazil.,Sao Paulo State University (Unesp), Post-Graduation Program in Physiotherapy - Presidente Prudente - São Paulo - Brazil
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Musculoskeletal Disorders and Associated Factors among Vehicle Repair Workers in Hawassa City, Southern Ethiopia. JOURNAL OF ENVIRONMENTAL AND PUBLIC HEALTH 2020; 2020:9472357. [PMID: 32454844 PMCID: PMC7229541 DOI: 10.1155/2020/9472357] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/08/2020] [Accepted: 04/11/2020] [Indexed: 11/17/2022]
Abstract
Background Vehicle repair work is one of the highest risk professions for work-related musculoskeletal disorders. Globally, only a few published studies have examined the prevalence and determinants of work-related musculoskeletal disorders among vehicle repair workers. Related studies in Ethiopia are even fewer. This study aimed to determine the prevalence of self-reported work-related musculoskeletal disorders and associated factors among vehicle repair workers in Hawassa city, South Ethiopia, 2019. Methods An institution-based cross-sectional study was conducted among 344 vehicle repair workers in the Hawassa city. The Nordic Musculoskeletal Questionnaire-Extended (NMQ-E) was used to assess work-related musculoskeletal disorders on nine body regions. Descriptive statistics and multivariable analyses were used to characterize the data and identify factors associated with work-related musculoskeletal disorders. Result The twelve-month prevalence of work-related musculoskeletal disorders among this working group was 47.7% with 95% CI (42.7-53.2). Jobs continuously requiring repetitive motions (AOR: 4.29, 95% CI (1.78-10.2)), not having professional training (AOR: 2.04, 95% CI (1.09-3.81)), force exertion when using tools (AOR: 2.40, 95% CI (1.24-4.62)), job stress (AOR:4.54, 95% CI (2.44-8.46)), and regularly lifting, pushing, and pulling loads greater than 20 kg (AOR:4.85, 95% CI (2.65-8.87)) were identified as associated factors. Conclusion This study showed a 47.7% prevalence of work-related musculoskeletal disorders. Force exertion, repetitive tasks, manual handling of heavy loads, stress, and lack of training were the identified factors. Ergonomic awareness among workers should be increased through training. In addition, owners should investigate methods to reduce or eliminate risk factors leading to musculoskeletal disorders found among these workers. Automation of high-risk tasks should also be investigated.
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Arruda GAD, Coledam DHC, Oliveira ARD, Neri FDS, Greca JPDA, Cardoso JR. PROPOSAL AND TEST-RETEST RELIABILITY OF A SCALE FOR CERVICAL, THORACIC, AND LUMBAR SPINE PAIN IN BRAZILIAN YOUNG PEOPLE. REVISTA PAULISTA DE PEDIATRIA 2019; 37:450-457. [PMID: 30624540 PMCID: PMC6821472 DOI: 10.1590/1984-0462/;2019;37;4;00001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/07/2018] [Accepted: 06/24/2018] [Indexed: 11/22/2022]
Abstract
Objective: To propose and analyze the test-retest reliability of an instrument to
verify the presence and intensity of pain in the cervical, thoracic and
lumbar spine in Brazilian young people. Methods: This reliability study enrolled a sample of 458 participants (13 to 20
years). Two groups were formed for each sex according to the range of days
for the test-retest (10±3 and 28±2 days). For analysis of spinal pain, a
drawing of the human body with cervical, thoracic and lumbar spine areas
delimited was presented. The following question was presented: during a
normal day, do you feel pain in any of these regions of your spine? If so,
what is the intensity from 0 to 10 (mark on the line)? The starting point,
with the number 0, corresponded to no pain, and the number 10 to severe
pain. The agreement of frequency and of intensity of pain was verified by
Kappa test and Bland-Altman plot, respectively. Results: Intraclass correlation coefficients ranged from 0.71 (confidence interval of
95% - 95%CI - 0.59-0.79) to 0.94 (95%CI 0.90-0.96). The results concerning
the agreement of pain scores showed the mean differences to be close to 0,
and the largest mean difference was -0.40 (95%CI -5.14-4.34). The agreement
in reported pain ranged from 72.2 (Kappa 0.43; 95%CI
0.28-0.58) to 90.1% (Kappa 0.76; 95%CI 0.60-0.92). Conclusions: This instrument was shown to be a reliable manner to verify the pain in
different regions of the spine in Brazilian young people.
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Standing Desks in a Grade 4 Classroom over the Full School Year. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16193590. [PMID: 31557874 PMCID: PMC6801749 DOI: 10.3390/ijerph16193590] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/02/2019] [Revised: 09/12/2019] [Accepted: 09/18/2019] [Indexed: 12/12/2022]
Abstract
School-aged children are spending increasingly long periods of time engaged in sedentary activities such as sitting. Recent school-based studies have examined the intervention effects of introducing standing desks into the classroom in the short and medium term. The aim of this repeated-measures crossover design study was to assess the sit-stand behaviour, waking sedentary time and physical activity, and musculoskeletal discomfort at the start and the end of a full school year following the provision of standing desks into a Grade 4 classroom. Accelerometry and musculoskeletal discomfort were measured in both standing and traditional desk conditions at the start and at the end of the school year. At both time points, when students used a standing desk, there was an increase in standing time (17–26 min/school day) and a reduction in sitting time (17–40 min/school day). There was no significant difference in sit-stand behaviour during school hours or sedentary time and physical activity during waking hours between the start and the end of the school year. Students were less likely to report discomfort in the neck and shoulders when using a standing desk and this finding was consistent over the full school year. The beneficial effects of using a standing desk were maintained over the full school year, after the novelty of using a standing desk had worn off.
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Mendonça CR, Noll M, Silveira EA. Adaptation and validation of body maps for musculoskeletal pain location in patients with severe obesity. Korean J Pain 2018; 31:268-276. [PMID: 30310552 PMCID: PMC6177535 DOI: 10.3344/kjp.2018.31.4.268] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2018] [Revised: 09/11/2018] [Accepted: 09/15/2018] [Indexed: 12/30/2022] Open
Abstract
Background Although a variety of instruments implement body maps for the precise identification of pain symptoms, no instrument has been validated for use in people with obesity. This study reports the adaptation and validation of body maps for musculoskeletal pain location in people with obesity. Methods Nine key anatomical regions were highlighted based on the original images of the Nordic Musculoskeletal Questionnaire body maps. Adult silhouettes were generated from photographs of men and women with obesity. The body dimensions were adjusted to take into account the different body fat distribution patterns of people with obesity. The validity of the images was assessed by 12 experts. Subsequently, a data collection stage was performed with 58 patients with severe obesity from both sexes. The reproducibility of the images was tested by comparison with the original images. Results The results of the validation pilot study indicated that the adapted images facilitated the location of musculoskeletal pain in men and women with obesity. The reproducibility of the original and adapted versions of the body maps indicated good agreement for pain over the last 12 months and 7 days (80% vs. 79.7%). Pain scores in the last 12 months indicated good and high sensitivity and specificity for all body areas (60.9% vs. 89.1%). Considering pain in the last 7 days, high sensitivity and specificity for all areas of the body (85.1% vs. 70.1%). Conclusions The body maps developed in this study are reliable and valid to identify the location of pain in people with obesity.
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Affiliation(s)
| | - Matias Noll
- Instituto Federal Goiano - Campus Ceres, Goiás, Brazil
| | - Erika Aparecida Silveira
- Graduate Program in Health Sciences, The Medical School of the Federal University of Goiás, Goiás, Brazil
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Abstract
Synopsis Accurate, reliable, and timely assessment of pain is critical for effective management of musculoskeletal pain conditions. The assessment of pain in infants, children, and adolescents with and without cognitive impairment can be particularly challenging to clinicians for a number of reasons, including factors related to the consultation (eg, heterogeneous patient population, time constraints), the clinician (eg, awareness/knowledge of available pain scales), standardized assessment scales (eg, availability, psychometric properties, and application of each scale), the patient (eg, developmental stage, ability to communicate), and the context in which the interaction took place (eg, familiarity with the setting and physiological and psychological state). As a result, pain is frequently not assessed or measured during the consultation and, in many instances, underestimated and undertreated in this population. The purpose of this article is to provide clinicians with an overview of scales that may be used to measure pain in infants, children, and adolescents. Specifically, the paper reviews the various approaches to measure pain intensity; identifies factors that can influence the pain experience, expression, and assessment in infants, children, and adolescents; provides age-appropriate suggestions for measuring pain intensity in patients with and without cognitive impairment; and identifies ways to assess the impact of pain using multidimensional pain scales. J Orthop Sports Phys Ther 2017;47(10):712-730. doi:10.2519/jospt.2017.7469.
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Kamper SJ, Henschke N, Hestbaek L, Dunn KM, Williams CM. Musculoskeletal pain in children and adolescents. Braz J Phys Ther 2017; 20:275-84. [PMID: 27437719 PMCID: PMC4946844 DOI: 10.1590/bjpt-rbf.2014.0149] [Citation(s) in RCA: 143] [Impact Index Per Article: 20.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/03/2015] [Accepted: 12/09/2015] [Indexed: 12/31/2022] Open
Abstract
Introduction Musculoskeletal (MSK) pain in children and adolescents is responsible for
substantial personal impacts and societal costs, but it has not been intensively
or systematically researched. This means our understanding of these conditions is
limited, and healthcare professionals have little empirical evidence to underpin
their clinical practice. In this article we summarise the state of the evidence
concerning MSK pain in children and adolescents, and offer suggestions for future
research. Results Rates of self-reported MSK pain in adolescents are similar to those in adult
populations and they are typically higher in teenage girls than boys.
Epidemiological research has identified conditions such as back and neck pain as
major causes of disability in adolescents, and in up to a quarter of cases there
are impacts on school or physical activities. A range of physical, psychological
and social factors have been shown to be associated with MSK pain report, but the
strength and direction of these relationships are unclear. There are few validated
instruments available to quantify the nature and severity of MSK pain in children,
but some show promise. Several national surveys have shown that adolescents with
MSK pain commonly seek care and use medications for their condition. Some studies
have revealed a link between MSK pain in adolescents and chronic pain in
adults. Conclusion Musculoskeletal pain conditions are often recurrent in nature, occurring
throughout the life-course. Attempts to understand these conditions at a time
close to their initial onset may offer a better chance of developing effective
prevention and treatment strategies.
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Affiliation(s)
| | - Nicholas Henschke
- Institute of Public Health, University of Heidelberg, Heidelberg, Germany
| | - Lise Hestbaek
- Department of Sport Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
| | - Kate M Dunn
- Arthritis Research UK Primary Care Centre, Institute for Primary Care and Health Sciences, Keele University, Keele, UK
| | - Christopher M Williams
- Hunter Medical Research Institute, School of Medicine and Public Health, University of Newcastle, Newcastle, Australia.,Hunter New England Population Health, Hunter New England Local Health District, Australia
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Scarabottolo CC, Pinto RZ, Oliveira CB, Zanuto EF, Cardoso JR, Christofaro DGD. Back and neck pain prevalence and their association with physical inactivity domains in adolescents. EUROPEAN SPINE JOURNAL : OFFICIAL PUBLICATION OF THE EUROPEAN SPINE SOCIETY, THE EUROPEAN SPINAL DEFORMITY SOCIETY, AND THE EUROPEAN SECTION OF THE CERVICAL SPINE RESEARCH SOCIETY 2017; 26:2274-2280. [PMID: 28536945 DOI: 10.1007/s00586-017-5144-1] [Citation(s) in RCA: 37] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/10/2016] [Revised: 04/06/2017] [Accepted: 05/15/2017] [Indexed: 10/19/2022]
Abstract
PURPOSE Back pain affects people of all ages. This may be associated with physical inactivity, and in the case of physical activity in different domains, the relationship with back pain is not clear in the literature. The aim of this study was to estimate the prevalence of low back and neck pain and investigate their association in different domains of physical inactivity. METHODS 1011 randomly selected students participated in this study. Neck and back pain were assessed using the Nordic questionnaire, whereas the Baecke Physical Activity questionnaire was used to measure physical activity domains. Separate Binary Logistic Regression models were performed to investigate the association of physical activity domains with neck or back pain. RESULTS 17.4% of the students reported cervical pain, while 18.0% reported low back pain. Older adolescents had a higher prevalence of cervical pain (24.4%) than younger adolescents (11.9%) (p value <0.001), as well as lumbar pain, being 25.1% in older adolescents and 12.4% in younger (p value <0.001). Adolescents physically inactive in the school environment were less likely to have pain in the cervical region [OR 0.67 (0.44-0.99)] or back pain [OR 0.60 (0.40-0.91)]. Being inactive in occupational activities was associated with cervical pain [OR 1.49 (1.06-2.10)]. Being inactive in the sports environment presented a marginal relationship with pain in the cervical region [OR 1.41 (0.99-2.02)]. CONCLUSIONS The prevalence of neck and low back pain was higher in older adolescents and physical inactivity in the sporting context and occupational activities could be a risk factor to increase the chances of back pain.
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Affiliation(s)
- Catarina Covolo Scarabottolo
- Programa de Pós-graduação em Ciências da Motricidade, Departamento de Educação Física, Universidade Estadual Paulista (UNESP), Rua Roberto Simonsen, 305, Presidente Prudente, SP, CEP 19060-900, Brazil.
| | - R Z Pinto
- Programa de Pós-graduação em Fisioterapia, Departamento de Fisioterapia, Universidade Estadual Paulista (UNESP), Presidente Prudente, SP, Brazil
| | - C B Oliveira
- Programa de Pós-graduação em Fisioterapia, Departamento de Fisioterapia, Universidade Estadual Paulista (UNESP), Presidente Prudente, SP, Brazil
| | - E F Zanuto
- Programa de Pós-graduação em Fisioterapia, Departamento de Fisioterapia, Universidade Estadual Paulista (UNESP), Presidente Prudente, SP, Brazil
| | - J R Cardoso
- Departamento de Fisioterapia, Centro de Ciências da Saúde, Universidade Estadual de Londrina (UEL), Londrina, Brazil
| | - D G D Christofaro
- Programa de Pós-graduação em Ciências da Motricidade, Departamento de Educação Física, Universidade Estadual Paulista (UNESP), Rua Roberto Simonsen, 305, Presidente Prudente, SP, CEP 19060-900, Brazil.,Programa de Pós-graduação em Fisioterapia, Departamento de Fisioterapia, Universidade Estadual Paulista (UNESP), Presidente Prudente, SP, Brazil
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Ryder JR, Edwards NM, Gupta R, Khoury J, Jenkins TM, Bout-Tabaku S, Michalsky MP, Harmon CM, Inge TH, Kelly AS. Changes in Functional Mobility and Musculoskeletal Pain After Bariatric Surgery in Teens With Severe Obesity: Teen-Longitudinal Assessment of Bariatric Surgery (LABS) Study. JAMA Pediatr 2016; 170:871-7. [PMID: 27429076 PMCID: PMC5904853 DOI: 10.1001/jamapediatrics.2016.1196] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
IMPORTANCE Severe obesity is associated with mobility limitations and higher incidence of multijoint musculoskeletal pain. It is unknown whether substantial weight loss improves these important outcomes in adolescents with severe obesity. OBJECTIVE To examine the association of bariatric surgery with functional mobility and musculoskeletal pain in adolescents with severe obesity up to 2 years after surgery. DESIGN, SETTING, AND PARTICIPANTS The Teen-Longitudinal Assessment of Bariatric Surgery Study is a prospective, multicenter, observational study, which enrolled 242 adolescents (≤19 years of age) who were undergoing bariatric surgery from March 2007 through February 2012 at 5 US adolescent bariatric surgery centers. This analysis was conducted in November 2015. INTERVENTIONS Roux-en-Y gastric bypass (n = 161), sleeve gastrectomy (n = 67), or laparoscopic adjustable gastric band (n = 14). MAIN OUTCOMES AND MEASURES Participants completed a 400-m walk test prior to bariatric surgery (n = 206) and at 6 months (n = 195), 12 months (n = 176), and 24 months (n = 149) after surgery. Time to completion, resting heart rate (HR), immediate posttest HR, and HR difference (resting HR minus posttest HR) were measured and musculoskeletal pain concerns, during and after the test, were documented. Data were adjusted for age, sex, race/ethnicity, baseline body mass index (calculated as weight in kilograms divided by height in meters squared), and surgical center (posttest HR and HR difference were further adjusted for changes in time to completion). RESULTS Of the 206 adolescents with severe obesity included in the study, 156 were female (75.7%), the mean (SD) age was 17.1 (1.6) years, and the mean (SD) body mass index was 51.7 (8.5). Compared with baseline, significant improvements were observed at 6 months for the walk test time to completion (mean, 376 seconds; 95% CI, 365-388 to 347 seconds; 95% CI, 340-358; P < .01), resting HR (mean, 84 beats per minute [bpm]; 95% CI, 82-86 to 74 bpm; 95% CI, 72-76), posttest HR (mean, 128 bpm; 95% CI, 125-131 to 113 bpm; 95% CI, 110-116), and HR difference (mean, 40 bpm; 95% CI, 36-42 to 34 bpm; 95% CI, 31-37). These changes in time to completion, resting HR, and HR difference persisted at 12 months and 24 months. Posttest HR further improved from 6 months to 12 months (mean, 113 bpm; 95% CI, 110-116 to 108 bpm; 95% CI, 105-111). There were statistically significant reductions in musculoskeletal pain concerns at all points. CONCLUSIONS AND RELEVANCE These data provide evidence that bariatric surgery in adolescents with severe obesity is associated with significant improvement in functional mobility and in the reduction of walking-related musculoskeletal pain up to 2 years after surgery.
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Affiliation(s)
| | | | - Resmi Gupta
- Cincinnati Children’s Hospital Medical Center, Cincinnati, OH
| | - Jane Khoury
- Cincinnati Children’s Hospital Medical Center, Cincinnati, OH
| | - Todd M. Jenkins
- Cincinnati Children’s Hospital Medical Center, Cincinnati, OH
| | | | | | | | - Thomas H. Inge
- Cincinnati Children’s Hospital Medical Center, Cincinnati, OH
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Adams LJ, Bello G, Dumancas GG. Development and Application of a Genetic Algorithm for Variable Optimization and Predictive Modeling of Five-Year Mortality Using Questionnaire Data. Bioinform Biol Insights 2015; 9:31-41. [PMID: 26604716 PMCID: PMC4639510 DOI: 10.4137/bbi.s29469] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2015] [Revised: 09/22/2015] [Indexed: 12/31/2022] Open
Abstract
The problem of selecting important variables for predictive modeling of a specific outcome of interest using questionnaire data has rarely been addressed in clinical settings. In this study, we implemented a genetic algorithm (GA) technique to select optimal variables from questionnaire data for predicting a five-year mortality. We examined 123 questions (variables) answered by 5,444 individuals in the National Health and Nutrition Examination Survey. The GA iterations selected the top 24 variables, including questions related to stroke, emphysema, and general health problems requiring the use of special equipment, for use in predictive modeling by various parametric and nonparametric machine learning techniques. Using these top 24 variables, gradient boosting yielded the nominally highest performance (area under curve [AUC] = 0.7654), although there were other techniques with lower but not significantly different AUC. This study shows how GA in conjunction with various machine learning techniques could be used to examine questionnaire data to predict a binary outcome.
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Affiliation(s)
- Lucas J Adams
- Department of Chemistry, Oklahoma Baptist University, Shawnee, OK, USA
| | - Ghalib Bello
- Arthritis and Clinical Immunology Research Program, Oklahoma Medical Research Foundation, Oklahoma City, OK, USA
| | - Gerard G Dumancas
- Department of Chemistry, Oklahoma Baptist University, Shawnee, OK, USA
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Legault ÉP, Descarreaux M, Cantin V. Musculoskeletal symptoms in an adolescent athlete population: a comparative study. BMC Musculoskelet Disord 2015; 16:210. [PMID: 26285701 PMCID: PMC4543469 DOI: 10.1186/s12891-015-0681-4] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/12/2015] [Accepted: 08/13/2015] [Indexed: 11/10/2022] Open
Abstract
Background Musculoskeletal pain, symptoms or injuries are prevalent in the adolescent athlete population as well as in the general adolescent population, and often have significant consequences on their future musculoskeletal health. However, differences between these two populations in regards to their musculoskeletal health are not known and have not yet been explored. Therefore, the main objectives of this study are to 1) compare the 6-month prevalence of musculoskeletal symptoms and their impact on school attendance and reduction in sport or leisure activity between a group of adolescent athletes and a group of control adolescents, and 2) determine if gender has different effects on the prevalence of musculoskeletal symptoms in these two populations. Methods Among adolescents who participated in the 2012 Québec summer games, 1,865 agreed to participate and constituted the adolescent athletes group (mean age:14.12 ± 1.22). An additional cohort of 707 adolescents from two schools was also recruited to form the comparison control group (mean age: 14.69 ± 1.38). Anthropometric data were collected, and the musculoskeletal 6-month prevalence of symptoms and their related impacts were assessed using the Teen Nordic Musculoskeletal Screening Questionnaire (TNMQ-S). Participants’ characteristics as well as symptoms prevalence for the nine anatomical regions as well as their impact on school/work absence and reduction in physical/leisure activities were compared between athletes and control adolescents. Results When compared to athlete adolescents, significantly more controls had a positive 6-month prevalence of symptoms affecting the neck (48.8 % vs 26.3 %), upper back (41.3 % vs 18.1 %) and low back (45.4 % vs 35.8 %) when compared to athlete. Symptoms affecting the spine led to significantly more school absence and reduction in physical activity in the control group. Controls also showed higher prevalence of shoulder (37.1 % vs 28.3 %) and wrist/hand (23.8 % vs 17.4 %) symptoms, while athletes had a higher prevalence of elbow symptoms (8.7 % vs 11.4 %). Conclusion Despite their higher risk of injuries related to high levels of competition or sport participation, adolescent athletes have fewer symptoms affecting the spine than “typical adolescents”, and similar prevalence of symptoms affecting the body’s extremities. Further investigations are necessary to understand the differences between athletes and non-athletes in regard to disability and long-term complications associated to musculoskeletal pain or symptoms.
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Affiliation(s)
- Élise P Legault
- Département des sciences de l'activité physique, Université du Québec à Trois-Rivières, Trois-Rivières, G9A 5H7, Canada.
| | - Martin Descarreaux
- Département des sciences de l'activité physique, Université du Québec à Trois-Rivières, Trois-Rivières, G9A 5H7, Canada.
| | - Vincent Cantin
- Département des sciences de l'activité physique, Université du Québec à Trois-Rivières, Trois-Rivières, G9A 5H7, Canada.
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