1
|
Ciekalski M, Rosół I, Filipek M, Gruca M, Hankus M, Hanslik K, Pieniążek W, Wężowicz J, Miller-Banaś A, Guzik-Kopyto A, Michnik R, Winder M. Work-related musculoskeletal disorders in Polish sonographers-A questionnaire study. Curr Probl Diagn Radiol 2024; 53:576-582. [PMID: 38749844 DOI: 10.1067/j.cpradiol.2024.05.006] [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: 03/22/2024] [Accepted: 05/01/2024] [Indexed: 07/29/2024]
Abstract
PURPOSE The ultrasound specialists face a substantial issue with work-related musculoskeletal disorders (WMSDs), characterized by occupation-related pain, reaching an estimated frequency of up to 90.5%. The type and location of pain vary depending on the sonographers specialty and the specific anatomical areas being examined. Our study aimed to assess the prevalence and intensity of pain among Polish doctors from various specialties conducting ultrasound examinations. MATERIALS AND METHODS The study has been performed between July and December 2023, involving 90 participants (51.9% women) actively practicing ultrasound diagnostics. The data collection process utilized a structured questionnaire developed by the researchers for this study. The questionnaire covered personal factors, including gender and age, and work-related aspects like workplace, specialty, sonography experience, and the types of examinations conducted. Statistical analysis involved both descriptive statistics and correlation analysis. RESULTS The age distribution ranged from 26 to 74 years, with mean (SD) of 43.1 (12.2) years. The leading specialties among physicians were radiology (22.2%) and internal medicine (22.2%). Among all physicians, 65.6% reported pain during or after ultrasound scans, with a mean (SD) pain intensity of 6.17 (2) in a 1-10 scale. The analysis indicated no correlation between age and gender and the occurrence of discomfort. CONCLUSIONS WMSDs pose a significant risk to Polish sonographers, especially those specializing in vascular surgery, general surgery and obstetrics and gynecology specialties. The study underscores a notable deficit, with only 10% of the personnel reporting training in ergonomics for ultrasound work.
Collapse
Affiliation(s)
- Marcin Ciekalski
- Students Scientific Society, Department of Radiology and Nuclear Medicine, Medical University of Silesia, Katowice, Poland.
| | - Izabela Rosół
- Students Scientific Society, Department of Radiology and Nuclear Medicine, Medical University of Silesia, Katowice, Poland
| | - Maria Filipek
- Students Scientific Society, Department of Biomechatronics, Silesian University of Technology, Gliwice, Poland
| | - Mikołaj Gruca
- Students Scientific Society, Department of Biomechatronics, Silesian University of Technology, Gliwice, Poland
| | - Maria Hankus
- Students Scientific Society, Department of Biomechatronics, Silesian University of Technology, Gliwice, Poland
| | - Karolina Hanslik
- Students Scientific Society, Department of Biomechatronics, Silesian University of Technology, Gliwice, Poland
| | - Wojciech Pieniążek
- Students Scientific Society, Department of Biomechatronics, Silesian University of Technology, Gliwice, Poland
| | - Jakub Wężowicz
- Students Scientific Society, Department of Biomechatronics, Silesian University of Technology, Gliwice, Poland
| | - Anna Miller-Banaś
- Department of Biomechatronics, Silesian University of Technology, Gliwice, Poland
| | - Agata Guzik-Kopyto
- Department of Biomechatronics, Silesian University of Technology, Gliwice, Poland
| | - Robert Michnik
- Department of Biomechatronics, Silesian University of Technology, Gliwice, Poland
| | - Mateusz Winder
- Department of Radiology and Nuclear Medicine, Medical University of Silesia, Katowice, Poland
| |
Collapse
|
2
|
Al Saikhan L, Alshami AM. Prevalence and Burden of Musculoskeletal Pain among Cardiac Sonographers in Eastern Province of Saudi Arabia: A Cross-Sectional Study. J Clin Med 2024; 13:3184. [PMID: 38892895 PMCID: PMC11172581 DOI: 10.3390/jcm13113184] [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: 04/22/2024] [Revised: 05/26/2024] [Accepted: 05/27/2024] [Indexed: 06/21/2024] Open
Abstract
Background: Cardiac sonographers are at a high risk for work-related musculoskeletal pain (WMSP), a major occupational health problem. With limited research on WMSP prevalence among this population in Saudi Arabia, this study aimed to investigate the prevalence and impact of WMSP in cardiac sonographers in the Eastern Province of Saudi Arabia compared to a control group of healthcare professionals. Methods: An electronic survey was administered to cardiac sonographers (study group) and other healthcare professionals (control group) exposed to different occupational hazards, including allied healthcare professionals, physicians, and nurses. Modified versions of the Nordic, QuickDASH, and QuickDASH work questionnaires were used. The χ2 test was performed for comparisons. Results: A total of 168 participants completed the survey (mean age: 31.6 ± 7.7 years). Among them, 127 (76.1%) were females, comprising 61 (36.3%) sonographers and 107 (63.7%) controls. Overall, WMSP was more common (82% versus 65%, p = 0.020) and severe (p = 0.041) in cardiac sonographers than in controls. The most affected body regions in cardiac sonographers were the shoulders (72.0% versus 29.0%), followed by the hands (56.0% versus 24.6%), compared to those of the control participants. Pain experienced by cardiac sonographers significantly interfered with social and work-related activities (p < 0.05 for all). A higher number of cardiac sonographers planned to change their profession than control participants (41% versus 15.2%; p < 0.0001) owing to pain. Conclusions: WMSP was more common and severe in cardiac sonographers than in control participants of other healthcare professions in the Eastern province of Saudi Arabia and interfered significantly with their social and work-related activities and future employment plans. Therefore, preventive interventional studies are required in the future.
Collapse
Affiliation(s)
- Lamia Al Saikhan
- Department of Cardiac Technology, College of Applied Medial Sciences, Imam Abdulrahman Bin Faisal University, Dammam 31441, Saudi Arabia
| | - Ali M. Alshami
- Department of Physical Therapy, College of Applied Medial Sciences, Imam Abdulrahman Bin Faisal University, Dammam 31441, Saudi Arabia;
| |
Collapse
|
3
|
Fouad AM, Fahim AE, Bedewy AA, Al-Touny A, Al-Touny SA. Work-related musculoskeletal complaints and ergonomic risk factors among Egyptian anesthesiologists: a cross-sectional study. BMC Public Health 2024; 24:279. [PMID: 38263050 PMCID: PMC10807210 DOI: 10.1186/s12889-024-17757-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2023] [Accepted: 01/12/2024] [Indexed: 01/25/2024] Open
Abstract
BACKGROUND Anesthesiologists are vulnerable to work-related musculoskeletal disorders (WMSDs) due to sustained repetitive movements and awkward postures. This study aimed to assess the prevalence of WMSDs among anesthesiologists and to evaluate its association with ergonomic risk factors. METHODS A convenience sample of 380 Egyptian anesthesiologists were invited to participate in this cross-sectional study through an electronic questionnaire. Data were collected from May to August 2022 and involved questions about participants' demographic, health, and work-related characteristics; the ergonomic risks and perceived hazards; and the musculoskeletal complaints during the past 12 months and 7 days - using Nordic Musculoskeletal Questionnaire (NMQ). Descriptive, bivariate, and multivariate statistical analyses were used to estimate the prevalence of MSD and identify its determinants in the studied sample. RESULTS A total of 215 anesthesiologists were included in this study, with a 56.8% response rate, 66% males with an average age of 38 (± 0.7) years. 21% were resident physicians, 47% were specialists, and 32% were consultants. The 12-month prevalence of MSD among anesthesiologists was 71.6% (95% CI: 65.6- 77.7%). Multivariate analysis showed that the main determinants of MSD among the studied sample were age of 45-years and older (OR: 3.22, 95% CI: 1.21-8.52, p = 0.018), regular physical exercise (OR: 0.25, 95% CI: 0.10-0.65, p = 0.005), insufficient rest time between procedures (OR: 2.25, 95% CI: 1.15-4.41, p = 0.018), and three or more awkward postures of the trunk (OR: 3.55, 95% CI: 1.43-8.82, p = 0.006). CONCLUSIONS The study highlights a high prevalence of WMSDs among Egyptian anesthesiologists, linked to advancing age, lack of regular exercise, insufficient rest between procedures, and frequent awkward postures. Addressing these ergonomic risk factors through targeted workplace interventions is crucial for promoting the overall well-being of anesthesiologists and ensuring the provision of safe anesthesia services.
Collapse
Affiliation(s)
- Ahmed Mahmoud Fouad
- Department of Public Health, Occupational & Environmental Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
| | - Ayman Ekram Fahim
- Department of Public Health, Occupational & Environmental Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
| | - Ahmed Abdelmohsen Bedewy
- Department of Anesthesiology & Critical Care, Faculty of Medicine, Helwan University, Cairo, Egypt
| | - Aiman Al-Touny
- Department of Anesthesiology & Critical Care, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
| | - Shimaa A Al-Touny
- Department of Anesthesiology & Critical Care, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
| |
Collapse
|
4
|
Zhou Z, Meng P, Jia N, Zhang H, Ling R, Liu Y, Li G, Li D, Yin Y, Shao H, Zhang H, Qiu B, Wang D, Zeng Q, Chen J, Zhang D, Mei L, Liu Y, Liu J, Zhang C, Li T, Wang Z. Risk and related factors of elbow musculoskeletal diseases: a nationwide cross-sectional survey in China. J Occup Health 2024; 66:uiae031. [PMID: 38955204 DOI: 10.1093/joccuh/uiae031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Revised: 04/07/2024] [Accepted: 04/12/2024] [Indexed: 07/04/2024] Open
Abstract
OBJECTIVES Although studies have shown that work-related musculoskeletal disorders (WMSDs) are common and continue to be a major source of disability and work time loss, there are few reports about elbow WMSDs. The aim of this study was to explore the prevalence and associated factors of elbow WMSDs. METHODS The valid questionnaires of 57501 workers from 15 different industries nationwide were collected and the c2 test and logistic regression analysis were applied to reveal the prevalence and risk factors of elbow WMSDs. RESULTS The findings indicated that the overall prevalence of elbow WMSDs among workers was 7.3%. However, the prevalence of elbow WMSDs in toy manufacturing was 21.3%, which was significantly higher than that in other industries (P < .05). Logistic regression analysis showed that age 40 and above, married, very poor health, left-handedness, lifting weights (more than 20 kg each time), work requiring upper limb or hand force, work in an uncomfortable position, repetitive operations within 1 minute, using vibrating tools, work involving cold, cool draughts, or temperature changes, work being completed in the same workshop, work being done outdoors, frequent dealings with customers, 2 shifts, often working overtime, staff shortage, and often working for colleagues were risk factors for elbow WMSDs. A higer education level, monthly income, and enough rest time were protective factors for elbow WMSDs. CONCLUSIONS Toy manufacturing is a high-risk industry for elbow WMSDs. Promotion of education about ergonomics should be strengthened, and workers' ergonomics awareness should be improved to reduce the impact of WMSDs.
Collapse
Affiliation(s)
- Zhehua Zhou
- Jiaxing Center for Disease Control and Prevention, Jiaxing, Zhejiang, 314050, China
| | - Pan Meng
- Jiaxing Center for Disease Control and Prevention, Jiaxing, Zhejiang, 314050, China
| | - Ning Jia
- National Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing, 100050, China
| | - Huadong Zhang
- Chongqing Center for Disease Control and Prevention, Chongqing, 400042, China
| | - Ruijie Ling
- Hubei Provincial Hospital of Integrated Chinese & Western Medicine, Wuhan, Hubei, 430030, China
| | - Yimin Liu
- Guangzhou Twelfth People's Hospital Affiliated to Guangzhou Medical University, Guangzhou, Guangdong, 510620, China
| | - Gang Li
- Liaoning Provincial Health Service Center, Shenyang, Liaoning, 110023, China
| | - Dongxia Li
- Guizhou Province Occupational Disease Prevention and Control Hospital, Guiyang, Guizhou, 610599, China
| | - Yan Yin
- Shanghai Center for Disease Control and Prevention, Shanghai, 200051, China
| | - Hua Shao
- Shandong Academy of Occupational Health and Occupational Medicine, Jinan, Shandong, 255030, China
| | - Hengdong Zhang
- Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu, 210009, China
| | - Bing Qiu
- Civil Aviation Medical Center, Civil Aviation Administration of China, Beijing, 100010, China
| | - Dayu Wang
- Tianjin Occupational Disease Prevention and Control Hospital, Tianjin, 300011, China
| | - Qiang Zeng
- Tianjin Center for Disease Control and Prevention, Tianjin, 300011, China
| | - Jianchao Chen
- Fujian Province Occupational Disease and Chemical Poisoning Prevention and Control Center, Fuzhou, Fujian, 350025, China
| | - Danying Zhang
- Guangdong Province Hospital for Occupational Disease Prevention and Treatment, Guangzhou, Guangdong, 510300, China
| | - Liangying Mei
- Hubei Provincial Center for Disease Control and Prevention, Wuhan, Hubei, 430070, China
| | - Yongquan Liu
- Institute of Occupational Medicine of Jiangxi, Nanchang, Jiangxi, 330006, China
| | - Jixiang Liu
- Ningxia Hui Autonomous Region Center for Disease Control and Prevention, Yinchuan, Ningxia, 750003, China
| | - Chengyun Zhang
- Sichuan Provincial Center for Disease Control and Prevention, Chengdu, Sichuan, 610044, China
| | - Tianlai Li
- Shanxi Provincial Center for Disease Control and Prevention, Xi'an, Shanxi, 710054, China
| | - Zhongxu Wang
- National Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing, 100050, China
| |
Collapse
|
5
|
AIUM Practice Principles for Work-Related Musculoskeletal Disorder. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2023; 42:1139-1157. [PMID: 36691912 DOI: 10.1002/jum.16124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 10/25/2022] [Indexed: 06/17/2023]
Abstract
The prevalence of Work-Related Musculoskeletal Disorders (WRMSDs) among ultrasound professionals has been significant. National and international efforts to create industry standards have focused primarily on injuries in sonographers. In addition, the Centers for Disease Control and Prevention (CDC) and National Institute for Occupational Safety & Health (NIOSH) have published documents related to this occupational exposure. There has also been significant attention on equipment utilization and design to help reduce the prevalence of WRMSDs. The American Institute of Ultrasound in Medicine (AIUM) developed the AIUM Practice Principles for Work-Related Musculoskeletal Disorder in collaboration with other organizations whose members use ultrasound [see Collaborating Societies and Representatives]. This document supports the "Industry Standards for the Prevention of Work-Related Musculoskeletal Disorders in Sonography" and aims to expand on these Standards to include safety practices for all health care professionals who utilize ultrasound. These professionals include members of the scientific community, a wide variety of medical professionals, and dental professionals. These ultrasound users and operators will collectively be referred to in this document as "operator(s)" except in those instances where data addressed those holding a specific job title, such as sonographer. In addition, this document will support guidance for quality improvement specific to preventing and reducing injury rates.
Collapse
|
6
|
Al Saikhan L. Prevalence, characteristics, consequences, and awareness of work-related musculoskeletal pain among cardiac sonographers compared with other healthcare workers in Saudi Arabia: A cross sectional study. PLoS One 2023; 18:e0285369. [PMID: 37146012 PMCID: PMC10162565 DOI: 10.1371/journal.pone.0285369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2022] [Accepted: 04/21/2023] [Indexed: 05/07/2023] Open
Abstract
BACKGROUND Evidence related to work-related musculoskeletal pain (WRMSP) among cardiac sonographers is incomplete. This study aimed to investigate the prevalence, characteristics, consequences, and awareness of WRMSP among cardiac sonographers compared with other healthcare workers in different healthcare settings in Saudi Arabia. METHODS This was a descriptive, cross-sectional, survey-based study. An electronic self-administered survey using a modified version of the Nordic questionnaire was distributed to cardiac sonographers and control participants of other healthcare professions exposed to different occupational hazards. The χ2 test and logistic regression were performed to compare groups. RESULTS In total, 308 participants completed the survey (mean age: 32.1±8.4; females: 207(68.1%)): 152(49.4%) sonographers and 156(50.6%) controls. WRMSP was more prevalent among cardiac sonographers than controls(84.8% vs 64.7%, p<0.0001), even after adjustment for age, sex, height, weight, BMI, education, years in current position, work-setting, and regular exercise(odds ratio [95% CI]: 3.0[1.54, 5.82], p = 0.001). Pain was more severe(p = 0.020) and lasted longer among cardiac sonographers(p = 0.050). The most affected body regions were the shoulders(63.2% vs 24.4%), hands(55.9% vs 18.6%), neck(51.3% vs 35.9), and elbows(23% vs 4.5%; p<0.01 for all). Pain in cardiac sonographers interfered with daily and social activities and interrupted their work-related activities(p<0.05 for all). More cardiac sonographers had plans to change profession(43.4% vs 15.8%; p<0.0001). A higher proportion of cardiac sonographers were aware of WRMSP(81% vs 77%) and its potential risks(70% vs 67%). However, cardiac sonographers infrequently utilised recommended preventative ergonomic measures for improving work practices, received insufficient ergonomics education and training on the risks and prevention of WRMSP, and had insufficient ergonomic work environment and support from employers. CONCLUSIONS WRMSP was more frequent and more severe in cardiac sonographers than in controls and adversely impacted their daily, social, and work-related activities, and future employment plans. Despite high awareness of WRMSP and its potential risks, cardiac sonographers infrequently utilised recommended preventative ergonomic measures and had insufficient ergonomic work environment and support from employers.
Collapse
Affiliation(s)
- Lamia Al Saikhan
- Department of Cardiac Technology, College of Applied Medial Sciences, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia
| |
Collapse
|
7
|
Xie Y, Coombes BK, Thomas L, Johnston V. Time Course and Risk Profile of Work-Related Neck Disability: A Longitudinal Latent Class Growth Analysis. Phys Ther 2022; 102:6575306. [PMID: 35485191 PMCID: PMC9350532 DOI: 10.1093/ptj/pzac050] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/02/2021] [Revised: 11/25/2021] [Accepted: 02/04/2022] [Indexed: 01/17/2023]
Abstract
OBJECTIVE Given the economic burden of work-related neck pain and disability, it is important to understand its time course and associated risk factors to direct better management strategies. This study aimed to identify the 1-year trajectories of work-related neck disability in a high-risk occupation group such as sonography and to investigate which baseline biopsychosocial factors are associated with the identified trajectories. METHODS A longitudinal study was conducted among 92 sonographers with neck disability assessed at 3 time points-baseline, 6 months, and 12 months-using the Neck Disability Index. Baseline biopsychosocial measures included individual characteristics (demographics and physical activity levels), work-related physical and psychosocial factors (eg, ergonomic risk, workplace social support, job satisfaction), general psychological features (depression, anxiety, pain catastrophizing, and fear-avoidance beliefs), and quantitative sensory testing of somatosensory function (cold and pressure pain thresholds at neck and tibialis anterior, and temporal summation). RESULTS Two distinct trajectories of neck disability were identified, including a "low-resolving disability" trajectory showing slow improvement toward no disability (64.8%) and a "moderate-fluctuating disability" trajectory characterized by persistent moderate disability with a small fluctuation across time (35.2%). The trajectory of moderate-fluctuating disability was associated with more severe symptoms, lower vigorous physical activity, higher ergonomic risk, remote cold hyperalgesia, widespread mechanical hyperalgesia, heightened pain facilitation, and several psychosocial factors such as anxiety, depression, lower job satisfaction, and lower workplace social support at baseline. CONCLUSION Over one-third of sonographers were at risk of developing a moderate-fluctuating disability trajectory. This unfavorable trajectory was associated with low physical activity level, poor ergonomics, psychosocial distress, and central sensitization at baseline. IMPACT This study has important implications for the management of neck disability in workers. Addressing modifiable factors including low vigorous physical activity, poor ergonomics, anxiety, depression, and lack of workplace social support may improve the trajectory of work-related neck disability.
Collapse
Affiliation(s)
- Yanfei Xie
- Address all correspondence to Dr Xie at:
| | - Brooke K Coombes
- School of Health Sciences and Social Work, Griffith University, Queensland, Australia,Menzies Health Institute Queensland, Griffith University, Queensland, Australia
| | - Lucy Thomas
- RECOVER Injury Research Centre, The University of Queensland, Queensland, Australia
| | - Venerina Johnston
- School of Health and Rehabilitation Sciences, The University of Queensland, Queensland, Australia,RECOVER Injury Research Centre, The University of Queensland, Queensland, Australia
| |
Collapse
|
8
|
Evans KD, Sommerich CM, Bloom IW, Roll SC, Stigall-Weikle AN. The Value of Conducting a Longitudinal Study on Well-Being and Risk for Work-Related Musculoskeletal Injuries in Ultrasound Users. JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY 2022. [DOI: 10.1177/87564793221091255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This article discusses the importance of conducting a longitudinal data collection concerning well-being and the risk for work-related musculoskeletal injuries (WRMSI) among sonographers and vascular technologists. There is a need for changes in the manner that sonographic work is done, but this should be nested in empirical evidence. This gives the rational for conducting the study titled Documenting the overall wellness of ultrasound users and the risk of progressive WRMSI: A national longitudinal study. The objective of this longitudinal work is to better understand collective practice patterns and examine the relationship of sonographic work conditions and performance to the user’s health and well-being. This symposium provides the foundational understanding of the strength of this type of study and how it may help to influence behavior and organizational change.
Collapse
Affiliation(s)
- Kevin D. Evans
- School of Health & Rehabilitation Sciences, Laboratory of Investigatory Imaging, The Ohio State University College of Medicine, Columbus, OH, USA
| | - Carolyn M. Sommerich
- School of Health & Rehabilitation Sciences, Laboratory of Investigatory Imaging, The Ohio State University College of Medicine, Columbus, OH, USA
- Deparment of Integrated Systems Engineering, Engineering Laboratory for Human Factors/Ergonomics/Safety, The Ohio State University College of Engineering, Columbus, OH, USA
| | - Isaiah W. Bloom
- School of Health & Rehabilitation Sciences, Laboratory of Investigatory Imaging, The Ohio State University College of Medicine, Columbus, OH, USA
| | - Shawn C. Roll
- USC Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy, Los Angeles, CA, USA
| | - A. Nicole Stigall-Weikle
- School of Health & Rehabilitation Sciences, Laboratory of Investigatory Imaging, The Ohio State University College of Medicine, Columbus, OH, USA
| |
Collapse
|
9
|
AlMubarek NA, Al-Otaibi ST, Herzallah HK. Musculoskeletal disorders among sonographers in secondary care hospitals in the city of Al-Ahsa, Saudi Arabia. Work 2022; 71:1105-1111. [DOI: 10.3233/wor-205145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND: Work-related musculoskeletal disorders (WMSDs) among sonographers have raised significant concerns in recent years. OBJECTIVES: This study aimed to estimate the prevalence of WMSDs and identify risk factors for WMSDs among sonographers. To date, there is little research on WMSDs among sonographers in Saudi Arabia. Therefore, this study aimed to contribute to the Saudi literature by filling this gap. METHODS: A cross-sectional study was conducted among sonographers (n = 98) working in four major governmental hospitals in the city of Al-Ahsa, Saudi Arabia. The participants completed a validated, self-administered questionnaire that focused on the analysis of musculoskeletal symptoms among sonographers. RESULTS: The mean age of the respondents was 35.5±9 years. The majority of the participants were female (71.4%), non-Saudi (51%), and working as technicians (49%). The prevalence rates of shoulder and neck disorders among the participants were 65.3% and 57.1%, respectively. Gender (female), job title (sonography technicians), and years of experience (seasoned sonographers) were identified as risk factors for WMSDs. CONCLUSIONS: Among the studied sonographers, WMSDs were a significant, common problem. Being female, being a sonography technician, and being a seasoned sonographer were identified as risk factors for these disorders. Preventive measures should be implemented to reduce the risk of WMSDs in this occupational setting.
Collapse
Affiliation(s)
| | - Sultan T. Al-Otaibi
- Department of Public Health, College of Public Health, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia
| | - Hatem K. Herzallah
- Department of Public Health, College of Public Health, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia
| |
Collapse
|
10
|
Alseminy MAMM, Chandrasekaran B, Bairapareddy KC. Association of Physical Activity and Quality of Life with Work-Related Musculoskeletal Disorders in the UAE Young Adults. Healthcare (Basel) 2022; 10:healthcare10040625. [PMID: 35455803 PMCID: PMC9028778 DOI: 10.3390/healthcare10040625] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2022] [Revised: 03/16/2022] [Accepted: 03/22/2022] [Indexed: 02/01/2023] Open
Abstract
Background: Work-related musculoskeletal disorders (WRMSDs) pose threat to the global economy and work productivity. Though growing evidence shows physical activity and quality of life are major determinants for WRMSDs, the association between physical activity and the quality of life among the young adults of the United Arab Emirates (UAE) remains unclear. Methods: In a cross-sectional study, a total of 507 young adults who were between the ages 18–35 years were administered an interviewer-based survey on musculoskeletal disorders, physical activity, and quality of life. The association between the potential determinants and the WRMSDs was analyzed using linear and logistic regression models. Results: High prevalence (75%) of WRMSDs was found among the UAE young adults. Participants with low leisure-time physical activity had few WRMSDs. There was no significant association between physical activity or quality-of-life scores with the incidence of WRMSDs although physical activity time was highly associated with the quality of life, especially the social domain. Conclusion: Though a high prevalence of WRMSDs among UAE men and women was found, neither physical activity nor the quality-of-life scores determined the incidence of WRMSDs.
Collapse
Affiliation(s)
| | - Baskaran Chandrasekaran
- Department of Exercise Science & Sports, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal 576104, India;
| | - Kalyana Chakravarthy Bairapareddy
- Department of Physiotherapy, College of Health Sciences, University of Sharjah, Sharjah 27272, United Arab Emirates;
- Correspondence:
| |
Collapse
|
11
|
Wong KY, Lau MW, Lee MH, Chan CH, Mak SH, Ng CF, Ying MTC. Study on the effects of arm abduction angle and cushion support during sonographic examination on the stiffness of supraspinatus muscle of sonographers using shear wave elastography. J Occup Health 2021; 63:e12306. [PMID: 34889491 PMCID: PMC8662659 DOI: 10.1002/1348-9585.12306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2021] [Revised: 11/11/2021] [Accepted: 11/29/2021] [Indexed: 11/12/2022] Open
Abstract
OBJECTIVES The incidence of work-related musculoskeletal disorder remains high in sonography. The aims of this study are to determine the changes in muscle stiffness with different arm abduction angles, and to investigate the effect of cushion support on reducing muscle load in the supraspinatus when sonographers scan with the arm abducted to different angles. METHODS This is a prospective crossover study. Twenty-three healthy female subjects aged between 20 and 23 years were included. Subjects were instructed to simulate performing standardized abdominal ultrasound scans. The changes in muscle stiffness of supraspinatus, measured as shear modulus, at rest and at 30°, 45°, and 60° arm abduction angles with and without cushion support were evaluated using shear-wave elastography. Styrofoam support was used for the cushion support. RESULTS Mean shear moduli of supraspinatus were 27.77 ± 5.84 kPa at rest and 41.63 ± 7.09 kPa, 63.88 ± 14.43 kPa, and 89.76 ± 16.55 kPa for 30°, 45°, and 60° arm abduction respectively, which corresponds to 53%, 116% increase in muscle stiffness when scanning arm abducted from 30° to 45° and 60° (p < .001). After applying cushion support, shear moduli dropped to 24.04 ± 5.60 kPa, 31.98 ± 6.06 kPa, 37.47 ± 5.61 kPa for arm abducted to 30°, 45°, and 60° respectively (p < .001). The muscle stiffnesses between 30° abduction without support and 60° abduction with support had no significant difference (p > .05). CONCLUSIONS Muscle stiffness of supraspinatus increased with increasing arm abduction angle during ultrasound scanning. Utilizing cushion support underneath the arm was effective in reducing muscle stiffness in supraspinatus. Our results provide scientific justification on postural modifications for sonographers.
Collapse
Affiliation(s)
- Ka Y. Wong
- Department of Health Technology and InformaticsThe Hong Kong Polytechnic UniversityHong KongHong Kong
| | - Man W. Lau
- Department of Health Technology and InformaticsThe Hong Kong Polytechnic UniversityHong KongHong Kong
| | - Man H. Lee
- Department of Health Technology and InformaticsThe Hong Kong Polytechnic UniversityHong KongHong Kong
| | - Chi H. Chan
- Department of Health Technology and InformaticsThe Hong Kong Polytechnic UniversityHong KongHong Kong
| | - Siu H. Mak
- Department of Health Technology and InformaticsThe Hong Kong Polytechnic UniversityHong KongHong Kong
| | - Cheuk F. Ng
- Department of Health Technology and InformaticsThe Hong Kong Polytechnic UniversityHong KongHong Kong
| | - Michael T. C. Ying
- Department of Health Technology and InformaticsThe Hong Kong Polytechnic UniversityHong KongHong Kong
| |
Collapse
|
12
|
Anne B, Ingo H, Rolf E, Fraeulin L, Fabian H, Mache S, Groneberg DA, Daniela O. A kinematic posture analysis of neurological assistants in their daily working practice-a pilot study. J Occup Med Toxicol 2020; 15:36. [PMID: 33298091 PMCID: PMC7724787 DOI: 10.1186/s12995-020-00286-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2020] [Accepted: 11/19/2020] [Indexed: 01/09/2023] Open
Abstract
Background The aim of this pilot study was to analyze postures during the work of neurologists with respect to their occupational activities. Methods A total data material of 64.8 h (3885.74 min) of nine (three m/six f) neurologists (assistant physicians) was collected. Kinematic data were collected using the CUELA system (electro-goniometry). In addition, the occupational tasks performed on-site were subject to a detailed objective activity analysis. All activities were assigned to the categories “Office activities” (I), “Measures on patients” (II) and “Other activities” (III). The angle values of each body region (evaluation parameters) were evaluated according to ergonomic ISO standards. Results Only 3.4% of the working hours were spent with (II), while 50.8% of time was spent with (I) and 45.8% with (III). All tasks of category (II) revealed an increased ergonomic risk to the head, neck, trunk and back areas. During category (I) especially neck and back movements in the sagittal plane showed higher ergonomic risk levels. Conclusion Despite frequently performed awkward body positions in (II), the ergonomic risk is considered as rather low, since the percentage time share totaled only 3.4%. As a result, “Office activities” have been detected as high predictor to cause stress load on the musculoskeletal system in the daily work of neurologists.
Collapse
Affiliation(s)
- Bijanzadeh Anne
- Institute for Occupational Medicine, Social Medicine and Environment Medicine, Goethe-University Frankfurt, Theodor-Stern-Kai 7, House 9b, 60590, Frankfurt am Main, Germany
| | - Hermanns Ingo
- Institute for Occupational Health and Safety (IFA) of the German Social Accident Insurance (DGUV), Sankt Augustin, Germany
| | - Ellegast Rolf
- Institute for Occupational Health and Safety (IFA) of the German Social Accident Insurance (DGUV), Sankt Augustin, Germany
| | - Laura Fraeulin
- Institute for Occupational Medicine, Social Medicine and Environment Medicine, Goethe-University Frankfurt, Theodor-Stern-Kai 7, House 9b, 60590, Frankfurt am Main, Germany
| | - Holzgreve Fabian
- Institute for Occupational Medicine, Social Medicine and Environment Medicine, Goethe-University Frankfurt, Theodor-Stern-Kai 7, House 9b, 60590, Frankfurt am Main, Germany.
| | - Stefanie Mache
- Institute for Occupational Medicine, Social Medicine and Environment Medicine, Goethe-University Frankfurt, Theodor-Stern-Kai 7, House 9b, 60590, Frankfurt am Main, Germany.,Institute for Occupational Medicine and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), Seewartenstraße 10, House 1, 20459, Hamburg, Germany
| | - David A Groneberg
- Institute for Occupational Medicine, Social Medicine and Environment Medicine, Goethe-University Frankfurt, Theodor-Stern-Kai 7, House 9b, 60590, Frankfurt am Main, Germany
| | - Ohlendorf Daniela
- Institute for Occupational Medicine, Social Medicine and Environment Medicine, Goethe-University Frankfurt, Theodor-Stern-Kai 7, House 9b, 60590, Frankfurt am Main, Germany
| |
Collapse
|
13
|
Dong H, Zhang Q, Liu G, Shao T. Prevalence of neck/shoulder pain among public hospital workers in China and its associated factors: a cross-sectional study. Sci Rep 2020; 10:12311. [PMID: 32704050 PMCID: PMC7378822 DOI: 10.1038/s41598-020-69382-4] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2019] [Accepted: 07/07/2020] [Indexed: 11/09/2022] Open
Abstract
Studies have reported that neck and/or shoulder pain (NSP) was prevalent and a non-ignorable occupational health problem in healthcare providers. Considering data deficiency on NSP, we aimed to investigate the prevalence and sick leave absence of NSP among public hospital workers in Shandong, China and to explore the associated factors for chronic NSP. A self-administered questionnaire including the Dutch Musculoskeletal Questionnaire and Modified Nordic Musculoskeletal Questionnaire was filled in by 30,520 hospital workers in 37 hospitals selected randomly from among all public hospitals of Shandong, China. The 12-month prevalence of NSP lasting for at least 3 months and sick leave absence due to NSP among 29,547 public hospital workers was 15.6% and 11.4%, respectively, most frequently reported in tertiary hospital workers (27.4% and 18.9%) and clinicians (19.1% and 15.2%). Log-binomial regression analysis revealed that chronic NSP was significantly associated with hospital level, employment position, contract/temporary employment status (vs. permanent), workload (long work hours per week), ergonomic factors (bending the neck forward for long periods of time, twisting the neck for long periods of time) and computer-related factors (prolonged computer-using time daily, the keyboard too close to the edge of the desk).
Collapse
Affiliation(s)
- Hongyun Dong
- Shouguang People's Hospital, NO. 3173 Jiankang Street, Shouguang, Weifang, 262700, Shandong Province, China. .,School of Nursing, Weifang University of Science and Technology, NO. 1299 Jinguang Street, Shouguang, Weifang, 262700, Shandong Province, China.
| | - Qiong Zhang
- Shouguang People's Hospital, NO. 3173 Jiankang Street, Shouguang, Weifang, 262700, Shandong Province, China
| | - Guangzeng Liu
- Shouguang People's Hospital, NO. 3173 Jiankang Street, Shouguang, Weifang, 262700, Shandong Province, China
| | - Tingguo Shao
- Shouguang People's Hospital, NO. 3173 Jiankang Street, Shouguang, Weifang, 262700, Shandong Province, China
| |
Collapse
|
14
|
Chapman J. Scheduling Ultrasound Examinations to Reduce the Risk of WRMSDs in Sonographers. JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY 2020. [DOI: 10.1177/8756479320907370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Work-related musculoskeletal disorders (WRMSDs) are a costly problem within the sonography profession, affecting health care organization bottom lines, sonographer satisfaction, and the patient experience. There is limited evidence regarding the limits of exposure to sonography examinations that would reduce on-the-job injury. This case study demonstrates the use of examination schedules that incorporate demand, length and difficulty level of examinations, staffing resources, and equipment availability, which may help to determine appropriate or maximum workloads for sonographers within their respective workplace. Developing a culture of prevention is a critical and cost-effective component of reducing WRMSDs.
Collapse
|
15
|
Silva B, Maduro P, Silva T, Trombini-Souza F. Are body posture and self-reported musculoskeletal symptoms different between employees in the healthcare and administrative sectors? Work 2019; 64:283-290. [DOI: 10.3233/wor-192980] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- Bruno Silva
- Department of Physiotherapy, University of Pernambuco – UPE Campus Petrolina, Petrolina, PE, Brazil
| | - Paula Maduro
- University Hospital of the São Francisco Valley Federal University (HU-UNIVASF), Petrolina, PE, Brazil
| | - Tarcísio Silva
- Department of Physiotherapy, University of Pernambuco – UPE Campus Petrolina, Petrolina, PE, Brazil
| | - Francis Trombini-Souza
- Department of Physiotherapy, University of Pernambuco – UPE Campus Petrolina, Petrolina, PE, Brazil
| |
Collapse
|
16
|
Zhang D, Yan M, Lin H, Xu G, Yan H, He Z. Evaluation of work-related musculoskeletal disorders among sonographers in general hospitals in Guangdong province, China. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2019; 26:802-810. [PMID: 31547782 DOI: 10.1080/10803548.2019.1672411] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Introduction. Research on the prevalence of and potential risk factors associated with work-related musculoskeletal disorders (WMSDs) among sonographers in China is scarce. More evidence is required to mitigate WMSDs among sonographers in Guangdong province, China. Objective. The present study aimed to determine the prevalence of and potential associated factors for WMSDs among sonographers in general hospitals in Guangdong province, China. Methods. A self-reported questionnaire was distributed to sonographers from 14 general hospitals selected by convenience sampling in Guangdong province. Multivariate logistic regression was used to analyze associations between potential factors and WMSDs in the most affected body areas. Results. In this study, 249 sonographers completed the questionnaire, yielding a response rate of 75.5%. The 12-month period prevalence of WMSDs was 95.2%, and the four most affected regions were the right shoulder (81.1%) followed by the neck (74.7%), right wrist/hand (59.4%) and lower back (57.0%). Among symptomatic sonographers, 31.2% were absent from work. Gender, years of experience, number of patients per day, shift type and lumbar support were associated with WMSDs in the most affected regions. Conclusion. Lower workload, more regular rest breaks and good ergonomics of working conditions are encouraged to alleviate WMSDs among sonographers in Guangdong province.
Collapse
Affiliation(s)
- Danying Zhang
- Guangdong Province Hospital for Occupational Disease Prevention and Treatment, PR China
| | - Maosheng Yan
- Guangdong Province Hospital for Occupational Disease Prevention and Treatment, PR China
| | - Hansheng Lin
- Guangdong Province Hospital for Occupational Disease Prevention and Treatment, PR China
| | - Guoyong Xu
- Guangdong Province Hospital for Occupational Disease Prevention and Treatment, PR China
| | - Hua Yan
- Guangdong Province Hospital for Occupational Disease Prevention and Treatment, PR China
| | - Zhipeng He
- Guangdong Province Hospital for Occupational Disease Prevention and Treatment, PR China
| |
Collapse
|
17
|
McDonald M, Salisbury H. Physical Activity, Exercise, and Musculoskeletal Disorders in Sonographers. JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY 2019. [DOI: 10.1177/8756479319843883] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Maureen McDonald
- Department of Medical Imaging and Radiation Sciences, Jefferson College of Health Professions, Thomas Jefferson University, Philadelphia, PA, USA
- A. T. Still University, College of Graduate Health Studies, Doctor of Health Sciences Program, Mesa, AZ, USA
| | - Helen Salisbury
- A. T. Still University, College of Graduate Health Studies, Doctor of Health Sciences Program, Mesa, AZ, USA
| |
Collapse
|
18
|
Tinetti CJ, Thoirs K. Prevalence, risks, underlying mechanisms, preventative guidelines, and interventions of sonographer work‐related injuries: A literature review. SONOGRAPHY 2019. [DOI: 10.1002/sono.12187] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Celia J. Tinetti
- School of Health SciencesUniversity of South Australia Adelaide Australia
- School of Health, Medical and Applied SciencesCentral Queensland University Melbourne Australia
| | - Kerry Thoirs
- School of Health SciencesUniversity of South Australia Adelaide Australia
| |
Collapse
|
19
|
Sommerich CM, Evans KD, Lavender SA, Sanders E, Joines S, Lamar S, Radin Umar RZ, Yen WT, Park S. Collaborating With Sonographers and Vascular Technologists to Develop Ergonomics Interventions to Address Work-Related Musculoskeletal Disorders. JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY 2018. [DOI: 10.1177/8756479318810710] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
For more than two decades, surveys of imaging technologists have consistently reported high prevalence of work-related musculoskeletal discomfort (WRMSD). Yet, workplace intervention research involving sonographers is limited. In this study, a transdisciplinary team of researchers used a participatory approach to work with diagnostic medical sonographers (DMS) and vascular technologists (VT) to identify needs and opportunities for developing new approaches to work that will reduce sonographers’ exposures to WRMSD risk factors. In this paper, we describe the approach and the resulting identified needs. We also describe the prototyping and testing of two work approaches that target specific needs of DMS and VT, respectively. We would like designers, manufacturers, engineers, and ergonomists, in collaboration with sonographers and their managers, to recognize this area of opportunity and come together to apply their knowledge of biomechanics and design in developing useful and usable workplace interventions (solutions) to reduce sonographers’ WRMSD risk factor exposure.
Collapse
Affiliation(s)
- Carolyn M. Sommerich
- College of Medicine, The Ohio State University, Columbus, OH, USA
- College of Engineering, The Ohio State University, Columbus, OH, USA
| | - Kevin D. Evans
- College of Medicine, The Ohio State University, Columbus, OH, USA
| | - Steven A. Lavender
- College of Medicine, The Ohio State University, Columbus, OH, USA
- College of Engineering, The Ohio State University, Columbus, OH, USA
| | | | - Sharon Joines
- School of Design, North Carolina State University, Raleigh, NC, USA
| | | | | | - Wei-Ting Yen
- College of Engineering, The Ohio State University, Columbus, OH, USA
| | - SangHyun Park
- College of Engineering, The Ohio State University, Columbus, OH, USA
| |
Collapse
|