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Medeni V, Gingir C, Medeni İ, Uğraş Dikmen A, İlhan MN. Neck Pain, Mental Status, and Associated Factors Among Hospital Secretaries: A Cross-Sectional Study From Turkey. J Pain Res 2024; 17:1223-1233. [PMID: 38524694 PMCID: PMC10961062 DOI: 10.2147/jpr.s453713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2023] [Accepted: 03/06/2024] [Indexed: 03/26/2024] Open
Abstract
Introduction Neck disorders occur in the presence of various risk factors. Determining the cause-effect relationship is highly important in treating existing health problems. Our study aimed to determine the relationship between neck pain and mental status and the factors affecting them in hospital secretaries. Materials and Methods The study was cross-sectional. A total of 427 people who had been working as hospital secretaries at Gazi University Medical Faculty Hospital for at least one year were included in the study. Sociodemographic characteristics, working conditions, psychopathology levels, and the presence of neck pain were questioned. The study was conducted with 354 (82.9%) people. Results 34.3% of the hospital secretaries had neck pain, and 26.3% required psychiatric evaluation. There was a statistically significant (p<0.001) difference in neck pain according to gender, adjustability of the chair, accessibility of the tools, and the need for psychiatric evaluation. Data was collected during November 2022. Those who did neck exercises during the study period had lower mean scores on the General Health Questionnaire-12 than those who did not, and the difference was statistically significant (p<0.001). According to the General Health Questionnaire-12 scores and the Bournemouth Neck Pain Questionnaire Scale, there is a significant (p<0.001), positive, and moderate (r=0.481) correlation between the frequency of mental problems and neck pain disability levels. Conclusion The relationship between the need for psychiatric status evaluation and neck pain is striking. A significant proportion of hospital secretaries complain of neck pain, work in non-ergonomic conditions, and need psychiatric evaluation. The study's results underline the necessity of targeted workplace interventions and wellness procedures, highlighting the need to implement ergonomic improvements, promote regular exercise regimes, and provide psychosocial support services to improve the general well-being of hospital secretaries and develop a better working environment.
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Affiliation(s)
- Volkan Medeni
- Department of Public Health, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Cansu Gingir
- Department of Public Health, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - İrem Medeni
- Employee Health Department, General Directorate of Public Health, Ministry of Health, Ankara, Turkey
| | - Asiye Uğraş Dikmen
- Department of Public Health, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Mustafa Necmi İlhan
- Department of Public Health, Faculty of Medicine, Gazi University, Ankara, Turkey
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Chia KP, Li OK, Yuong TS, Singh OP, Faudzi AABM, Sornambikai S, Madhanagopal J. New real-time force monitoring device with enhanced accuracy for evaluation of applied force during the joint mobilization technique. Technol Health Care 2021; 29:829-836. [PMID: 33492252 DOI: 10.3233/thc-202414] [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: 11/15/2022]
Abstract
BACKGROUND Force Monitoring Devices (FMDs) reported in the literature to monitor applied force during Joint Mobilization Technique (JMT) possess complex design/bulky which alters the execution of treatment, has poor accuracy and is unable to feel the resistance provided by soft tissues limits its usage in the clinical settings. OBJECTIVES This study aims to develop a highly accurate, portable FMD and to demonstrate real-time monitoring of force applied by health professionals during JMT without altering its execution. METHODS The FMD was constructed using the FlexiForce sensor, potential divider, ATmega 328 microcontroller, custom-written software, and liquid crystal display. The calibration, accuracy, and cyclic repeatability of the FMD were tested from 0 to 90 N applied load with a gold standard universal testing machine. For practical demonstration, the FMD was tested for monitoring applied force by a physiotherapist while performing Maitland's grade I to IV over the 6th cervical vertebra among 30 healthy subjects. RESULTS The obtained Bland-Altman plot limits agreement for accuracy, and cyclic repeatability was -1.57 N to 1.22 N, and -1.26 N to 1.26 N, respectively with standard deviation and standard error of the mean values of 3.77% and 0.73% and 2.15% and 0.23%, respectively. The test-retest reliability of the FMD tested by the same researcher at an interval of one week showed an excellent intra-class correlation coefficient of r= 1.00. The obtained force readings for grade I to IV among 30 subjects ranged from 10.33 N to 45.24 N. CONCLUSIONS Appreciable performance of the developed FMD suggested that it may be useful to monitor force applied by clinicians during JMT among neck pain subjects and is a useful educational tool for academicians to teach mobilization skills.
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Affiliation(s)
- Kau Pui Chia
- School of Physiotherapy, Faculty of Allied Health Professions, AIMST University, Semeling Campus, Bedong, Kedah, Malaysia
| | - Ooi Ke Li
- School of Physiotherapy, Faculty of Allied Health Professions, AIMST University, Semeling Campus, Bedong, Kedah, Malaysia
| | - Teh Shyong Yuong
- School of Physiotherapy, Faculty of Allied Health Professions, AIMST University, Semeling Campus, Bedong, Kedah, Malaysia
| | - Om Prakash Singh
- Centre for Artificial Intelligence and Robotics (CAIRO UTM), School of Electrical Engineering, Faculty of Engineering, Universiti Teknologi Malaysia, Skudai, Johor Darul Takzim, Malaysia
| | - Ahmad Athif Bin Mohd Faudzi
- Centre for Artificial Intelligence and Robotics (CAIRO UTM), School of Electrical Engineering, Faculty of Engineering, Universiti Teknologi Malaysia, Skudai, Johor Darul Takzim, Malaysia
| | | | - Jagannathan Madhanagopal
- School of Physiotherapy, Faculty of Allied Health Professions, AIMST University, Semeling Campus, Bedong, Kedah, Malaysia
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Welch A, Healy G, Straker L, Comans T, O'Leary S, Melloh M, Sjøgaard G, Pereira M, Chen X, Johnston V. Process evaluation of a workplace-based health promotion and exercise cluster-randomised trial to increase productivity and reduce neck pain in office workers: a RE-AIM approach. BMC Public Health 2020; 20:180. [PMID: 32019559 PMCID: PMC7001341 DOI: 10.1186/s12889-020-8208-9] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2019] [Accepted: 01/13/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND This study uses the RE-AIM framework to provide a process evaluation of a workplace-based cluster randomised trial comparing an ergonomic plus exercise intervention to an ergonomic plus health promotion intervention; and to highlight variations across organisations; and consider the implications of the findings for intervention translation. METHOD This study applied the RE-AIM (reach, effectiveness, adoption, implementation, maintenance) methodology to examine the interventions' implementation and to explore the extent to which differences between participating organisations contributed to the variations in findings. Qualitative and quantitative data collected from individual participants, research team observations and organisations were interrogated to report on the five RE-AIM domains. RESULTS Overall reach was 22.7% but varied across organisations (range 9 to 83%). Participants were generally representative of the recruitment pool though more females (n = 452 or 59%) were recruited than were in the pool (49%). Effectiveness measures (health-related productivity loss and neck pain) varied across all organisations, with no clear pattern emerging to indicate the source of the variation. Organisation-level adoption (66%) and staffing level adoption (91%) were high. The interventions were implemented with minimal protocol variations and high staffing consistency, but organisations varied in their provision of resources (e.g. training space, seniority of liaisons). Mean adherence of participants to the EET intervention was 56% during the intervention period, but varied from 41 to 71% across organisations. At 12 months, 15% of participants reported regular EET adherence. Overall mean (SD) adherence to EHP was 56% (29%) across organisations during the intervention period (range 28 to 77%), with 62% of participants reporting regular adherence at 12 months. No organisations continued the interventions after the follow-up period. CONCLUSION Although the study protocol was implemented with high consistency and fidelity, variations in four domains (reach, effectiveness, adoption and implementation) arose between the 14 participating organisations. These variations may be the source of mixed effectiveness across organisations. Factors known to increase the success of workplace interventions, such as strong management support, a visible commitment to employee wellbeing and participant engagement in intervention design should be considered and adequately measured for future interventions. TRIAL REGISTRATION ACTRN12612001154897; 29 October 2012.
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Affiliation(s)
- Alyssa Welch
- School of Public Health, The University of Queensland, Brisbane, 4072, Australia. .,Centre for Health Services Research, The University of Queensland, Brisbane, 4072, Australia.
| | - Genevieve Healy
- School of Public Health, The University of Queensland, Brisbane, 4072, Australia.,School of Physiotherapy and Exercise Science, Curtin University, Perth, 6845, Australia.,Baker Heart & Diabetes Institute, Melbourne, Victoria, Australia
| | - Leon Straker
- School of Physiotherapy and Exercise Science, Curtin University, Perth, 6845, Australia
| | - Tracy Comans
- Centre for Health Services Research, The University of Queensland, Brisbane, 4072, Australia
| | - Shaun O'Leary
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, 4072, Australia.,Department of Physiotherapy, Royal Brisbane and Women's Hospital, Queensland Health, Brisbane, 4029, Australia
| | - Markus Melloh
- Institute of Health Sciences, Zurich University of Applied Sciences, 8401, Winterthur, Switzerland.,UWA Medical School, The University of Western Australia, Perth, 6009, Australia.,Curtin Medical School, Curtin University, Perth, 6845, Australia
| | - Gisela Sjøgaard
- Department of Sport Sciences and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, 5230, Odense, Denmark
| | - Michelle Pereira
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, 4072, Australia.,Health Services and Outcomes Research, National Healthcare Group, Singapore, 138543, Singapore
| | - Xiaoqi Chen
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, 4072, Australia
| | - Venerina Johnston
- RECOVER Injury Research Centre, The University of Queensland, Brisbane, 4072, Australia
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Modifiable individual and work-related factors associated with neck pain in 740 office workers: a cross-sectional study. Braz J Phys Ther 2018; 22:318-327. [PMID: 29606511 DOI: 10.1016/j.bjpt.2018.03.003] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/24/2017] [Revised: 02/26/2018] [Accepted: 03/02/2018] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Office workers have the highest incidence of neck pain of all occupations. However, the relationship between symptoms and the risk factors is unclear. OBJECTIVE To examine the relationship between self-reported neck pain with a comprehensive range of individual and work-related risk factors. METHODS This study utilised a cross-sectional study design. Office workers with and without neck pain (n=763) were recruited. Participants completed a survey which included a Pain Numerical Rating Scale (dependent variable), and measures of independent variables including demographic, individual, work-related factors, neck/shoulder muscle strength, endurance, and range of motion (ROM). The relationships between the independent and dependent variables were analysed in a logistic regression model. RESULTS Neck pain was significantly associated with more senior occupational categories, working more than six hours per day on the computer, female sex, greater fear avoidance beliefs for work, greater psychological distress, and reduced cervical flexion ROM. The low severity of neck pain of the participants in this study may limit a robust determination of their association with the risk factor variables, but the studied sample is a realistic representation of the office worker population. CONCLUSION Several potentially modifiable individual and work-related factors were identified to be associated with the presence of self-reported neck pain in office workers. Future studies will be needed to investigate whether strategies to alter these modifiable risk factors translate to changes in neck pain. TRIAL REGISTRATION ACTRN12612001154897 (https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=363209).
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Baldwin JN, McKay MJ, Moloney N, Hiller CE, Nightingale EJ, Burns J. Reference values and factors associated with musculoskeletal symptoms in healthy adolescents and adults. Musculoskelet Sci Pract 2017; 29:99-107. [PMID: 28351022 DOI: 10.1016/j.msksp.2017.03.010] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2016] [Revised: 02/15/2017] [Accepted: 03/20/2017] [Indexed: 10/19/2022]
Abstract
BACKGROUND Insufficient attention has been given to individuals who report musculoskeletal symptoms yet experience minimal disability. OBJECTIVES To examine musculoskeletal symptoms among healthy individuals, and compare demographic, psychological and physical factors between individuals with and without symptoms. DESIGN Cross-sectional observational study. METHOD Data were from the 1000 Norms Project which recruited 1000 individuals aged 3-101 years. Participants were healthy by self-report and had no major physical disability. Musculoskeletal symptoms (ache/pain/discomfort, including single-site and multi-site symptoms) were assessed in adolescents (11-17y) and adults (18-101y) using the Extended Nordic Musculoskeletal Questionnaire (NMQ-E). To compare individuals with single-site, multi-site and no symptoms, body mass index, grip strength, 6-min walk, 30-s chair stand and timed up-and-down stairs (all participants), and mental health, sleep difficulties, self-efficacy and physical activity (adults), were collected. RESULTS /findings: Socio-demographic characteristics were similar to the Australian population. Twelve-month period prevalence of all symptoms was 69-82%; point prevalence was 23-39%. Adults with single-site symptoms were more likely to be overweight/obese and had lower sit-to-stand and stair-climbing performance (p < 0.05). Adults with multi-site symptoms were more likely to be female and overweight/obese, had lower mental health, greater sleep difficulties and lower grip strength, 6-min walk and sit-to-stand performance (p < 0.05). Differences were only observed among 50-59, 60-69, 70-79 and 80-101 year-olds. CONCLUSIONS Normative reference data for the NMQ-E have been generated. Musculoskeletal symptoms are common among healthy individuals. In older adults, musculoskeletal symptoms are linked with overweight/obesity, lower mental health, sleep difficulties and lower physical performance, emphasising the importance of multi-dimensional assessments in musculoskeletal disorders.
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Affiliation(s)
- Jennifer N Baldwin
- Arthritis and Musculoskeletal Research Group, Faculty of Health Sciences, University of Sydney, Australia.
| | - Marnee J McKay
- Arthritis and Musculoskeletal Research Group, Faculty of Health Sciences, University of Sydney, Australia
| | - Niamh Moloney
- Arthritis and Musculoskeletal Research Group, Faculty of Health Sciences, University of Sydney, Australia; Department of Health Sciences, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, Australia
| | - Claire E Hiller
- Arthritis and Musculoskeletal Research Group, Faculty of Health Sciences, University of Sydney, Australia
| | - Elizabeth J Nightingale
- Arthritis and Musculoskeletal Research Group, Faculty of Health Sciences, University of Sydney, Australia
| | - Joshua Burns
- Arthritis and Musculoskeletal Research Group, Faculty of Health Sciences, University of Sydney, Australia; Paediatric Gait Analysis Service of New South Wales, Sydney Children's Hospitals Network (Randwick and Westmead), Australia
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The Prevalence, Risk Factors and Consequences of Neck Pain in Office Employees. ACTA ACUST UNITED AC 2017. [DOI: 10.5812/mejrh.42031] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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