High Prevalence Of Musculoskeletal Disorders Research Articles

Prevalence Of Musculoskeletal Disorders In Patients Undergoing Haemodialysis in a Tertiary Care Hospital: A Cross-sectional study

Background: Chronic kidney disease (CKD) is a significant public health problem. Dialysis is the mainstream method of treatment in these patients. This causes the patients to have a monotonous and restricted daily life, joint pain, limiting their activities after treatment onset. Hence this study was carried out to find the prevalence of common musculoskeletal disorders in patients undergoing haemodialysis in a tertiary care hospital.
 Method: 50 participants undergoing dialysis in a tertiary care hospital under the age group of 18-70 years diagnosed with stage V CKD were included using convenient sampling. They were assessed using Nordic Questionnaire to locate the different areas of pain.
 Result: The first group consisted of 41 participants who underwent dialysis from 2- 41 months. Body regions commonly affected in the last 7 days were low back 25(60.97%); neck 21(51.21%); shoulder 15(36.58%); elbow 14(34.14%) in the extremity with arteriovenous fistula; upper back 14(34.14%); hips/thighs, knees 9(21.95); wrist/hands 7(17.07%) in the extremity with arteriovenous fistula; ankle/feet 6(14.63%). The second group consisted of 9 participants who underwent dialysis from 42-84 months. Body regions commonly affected in the last 7 days were low back 8(88.88%); upper back 7(77.77%); hip/thigh 6(66.66%); neck, knee 5(55.55%); elbow 4(44.44%) in the extremity with arteriovenous fistula; shoulder, ankle/feet, wrist/hands 3(33.33%).
 Conclusion: The study concluded that the highest prevalence of musculoskeletal disorders in the participants undergoing haemodialysis was low back pain (66%) followed by neck (52%), upper back (42%), shoulder (36%), elbow (36%), hips/thighs (30%), knees (28%), wrist/hands (20%) and ankle/feet pain (18%).

Agricultural Risk Factors Related Musculoskeletal Disorders among Older Farmers in Pathum Thani Province, Thailand

ABSTRACT Background Agriculture is one of the most hazardous jobs in terms of occupational illness, especially musculoskeletal disorders (MSDs). This paper is a cross-sectional study designed to identify agricultural risk factors related to MSDs among older farmers. Methods A convenience sampling method was used to select 481 older farmers from the Nong Suea district in Pathum Thani province. A three-part questionnaire generated data that included demographics, work conditions, and environment, and self-reported MSDs. Multiple logistic regression analysis was used to identify the risk factors for MSDs. Results The results indicated the prevalence of musculoskeletal symptoms in the past 7 days and 12 months were 87.9% and 88.9%, respectively. The three body parts with highest prevalence rates of MSDs were lower extremities (65.4%), lower back (42.6%), and shoulders (29.9%). Factors significantly associated with reporting MSDs during the past 12 months (p value <.05) were women (adjusted odds ratio = 2.52: 95% CI; 1.19–5.36), using agricultural tools (adjusted odds ratio = 4.40: 95% CI; 1.18–13.79), prolonged static postures (adjusted odds ratio = 3.81: 95% CI; 1.05–13.82), and lifting >10 kg (adjusted odds ratio = 2.87: 95% CI; 1.22–6.82). Conclusions Study results revealed older farmers had high prevalence of MSDs and various related risk factors. Occupational ergonomic issues for promoting safety awareness of agricultural risk factors among elderly farmers should be considered.

Low back pain among healthcare personnel in Saudi Arabia: A systematic review

Background: Low back pain (LBP) is a complex condition with several determinants contributing to its occurrence. LBP is defined as pain that persists for 12 weeks or longer. The prevalence of work-related LBP among health-care personnel in Saudi Arabia affects both the healthcare personnel and the quality of patient care. Aim: The aim of this study was to review the epidemiology of LBP among the healthcare personnel in Saudi Arabia and wellness programs aimed at decreasing the rate of LBP. Methods: A systematic literature search was conducted using relevant keywords to search for studies conducted in Saudi Arabia regarding LBP among healthcare personnel. After selecting the inclusion criteria and epidemiological measures of LBP for the current research as well as obtaining full texts for the study, a total of 13 articles were used. Results: Thirteen studies were included in the current systematic review. Nurses and dentists were among the most vulnerable groups, constantly experiencing LBP due to long working hours, standing, as well as stress. Physical and occupational therapists and surgeons were experiencing LBP and generalized myalgia due to the work stress caused by the overcommitment at work and a high number of treated patients. Emergency medical services personnel reported a very high prevalence of musculoskeletal disorders. Based on the results of the reviewed studies, most of the participants experienced the prevalence of the LBP within the last 12 months. Conclusion: LBP has multifactorial risks, etiology, and increased evidence and prevalence among healthcare personnel in Saudi Arabia. The results show that there is good reason to conduct an in-depth study of available best practice interventions aimed at preventing LBP among healthcare personnel. Future studies in Saudi Arabia should focus on creating workplace wellness programs and on assessing risk factors as well as preventing LBP.

Musculoskeletal disorders and their associations with health- and work-related factors: a cross-sectional comparison between Swedish air force personnel and army soldiers

BackgroundThe high numbers of musculoskeletal disorders (MSD) among soldiers in the Swedish Armed Forces has led to the implementation of an effective prevention program, the musculoskeletal screening protocol (MSP), including questionnaires, physical tests and individual intervention of their MSD. A corresponding MSP for the Swedish Air Force is also needed due to earlier reported high prevalence of MSD. We therefore investigated the prevalence of MSD in Swedish Air Force personnel (AF) and compared this to Swedish Army deployed soldiers (DS). Individual, health- and work-related factors associated with MSD were also investigated.MethodsCross-sectional questionnaire-based study on 166 male AF and 185 DS. AF consisted of fighter pilots, helicopter pilots and rear crew from one Swedish air base.ResultsThe one-year and point prevalence, respectively, of MSD were significantly higher for AF compared to DS with regard to both the upper quarter of the body (i.e. neck, shoulder and thoracic regions) (AF = 54.8 and 31.3%, DS = 26.1 and 13.6%, p = 0.01) and the lumbar region (AF = 38.0 and 18.7%, DS = 22.2 and 7.1%, p = 0.00). No significant differences were present between fighter pilots, helicopter pilots and rear crew regarding MSD prevalence.Factors significantly associated with having both upper quarter and lumbar regions MSD were group (i.e. greater odds for AF than DS) and self-reported physical health as less than excellent. Additionally, being older and taller were also factors associated with lumbar region MSD.DiscussionDespite a generally healthy lifestyle, MSD were commonly reported by AF and DS, with generally higher prevalence in AF who mainly reported MSD in the upper quarter of the body. The results from this study indicate that the MSP can be a meaningful tool to prevent MSD in air force personnel and that questions regarding general health and MSD in specific body regions should be included in screening protocols. The development of the preventive program MSP is therefore recommended for the Swedish Air Force.

Effect of Core Stability Exercises on Low Back Pain and Disability in Mother’s of Cerebral Palsy

Background: In mothers with Cerebral Palsy children,higher prevalence of musculoskeletal disorders areseen due torepetitive bending, lifting, and twisting activity while taking care of the child.Reduced coremuscle strength especiallyof Transverse Abdominis&amp;Multifidusmuscle will lead to increase in low backpain and disability in this population. Hence, the purpose of this study was to find out the effect of CoreStability exercises on low Back pain and disability in mothers of Cerebral Palsy Children.Method: Thirty mothers with chronic low back pain who fulfilled the inclusion criteria were included inthe study. Core muscle strength was assessed using pressure Bio-Feedback, pain was measured using VisualAnalogue Scale and Disability was measured using Owestry Disability Index. Core stability exercises weregiven for 3 times a week for 6 weeks.Result: The result showedthat there was significant improvement in Core muscle strength, and reduction inpain and disability in patients with Chronic Low Back pain.Conclusion: The study concluded that there was significant improvement in the abdominal muscle strength,low back pain score and disability score post core stability exercises in mothers of cerebral palsy childrenhaving low back pain.

Prevalence of musculoskeletal disorders and determination of associated risk factors in female workers in clothing manufacturing workshops of Yazd city

Introduction: Upper limb musculoskeletal disorders are prevalent and undesirable health consequences among workers in clothing industry. To improve working conditions, workplace ergonomic assessment is necessary. This study was conducted among workers of clothing manufacturing workshops to determine the prevalence of musculoskeletal disorders and to assess ergonomic working conditions to identify major risk factors associated with musculoskeletal symptoms.Methods: One hundred and fifty female workers from clothing manufacturing workshops of Yazd city participated. The Nordic questionnaire and an ergonomics checklist consisting of 6 sections were used as data collection tools. An index was calculated for each section of the checklist. Action categories indicating the priority of corrective measures were also defined. Data analysis was performed using the ANOVA and ROC curve tests by SPSS software (version 17).Results: The results showed a high prevalence of musculoskeletal disorders, especially in the upper limbs among the study population. In this study, a significant association was found between the calculated ergonomics index and MSDs in different body regions (p&lt;0.05). The mean of this index among the workers who reported symptoms was less than those of the other group indicating undesirable ergonomic conditions. In addition, 68.7% of the workers were categorized in the first priority of intervention (requiring ergonomic intervention as soon as possible).Conclusion: The prevalence of MSDs was high among the workers of clothing workshops. The developed checklist was considered as an appropriate and low cost tool for ergonomic evaluation of sewing workshops. The results also indicated that most ergonomic problems in these workshops originate from inappropriate general working conditions, work organization, manual material handling, hand tools, workstation and working post

Ergonomic Assessment of Musculoskeletal Disorders' Risk Factors in Construction Workers Using Cornell Questionnaire and WERA Method

Introduction: With regard to high prevalence of musculoskeletal disorders in the construction industry workers, the aim of this study was to investigate the prevalence of musculoskeletal disorders and their relevant risk factors in workers of a construction factory. Methods: This descriptive-analytical cross-sectional study was conducted in 2019. In this regard, 150 workers were selected from a construction factory located in Tehran City, Iran. The census sampling method was applied in the area under study. The data gathering tool were Cornell questionnaire and WERA ergonomic risk assessment method. The questionnaires were completed while the workers' postures were assessed in their work stations. Data were analyzed applying suitable descriptive and analytical tests in SPSS software version 22. Results: The analysis of questionnaires showed that the workers' lower back had the highest average score of pain. The wrist, knee, and shoulder had the highest pain average scores, respectively. The result of ergonomic assessment by WERA method indicated that the lower back had the highest risk score. Similarly, WERA assessment score was significantly related to the type of job (p-value &lt; 0.001). Among the understudy occupations, masonry, concrete testing, and welding had the highest risk scores, respectively. Conclusion: The most ergonomic risk factors in activities of the extensive occupational groups are associated with multiple occupational tasks that endanger workers for serious risk factors in the lumbar and knee areas. Therefore, implementation of ergonomic interventions is necessary for improving the working conditions of construction occupations.

Types of manual materials handling (MMH) and occupational incidents and musculoskeletal disorders (MSDs) in motor vehicle parts manufacturing (MVPM) industry

The motor vehicle parts manufacturing (MVPM) works include various types of manual materials handling (MMH). This study analyzes occupational incidents and musculoskeletal disorders (MSDs) caused by MMH in the MVPM industry. Also, this study conducted a risk assessment for predicting the possibility and severity of the injuries and MSDs. This study examined 236 injured persons registered for occupational incidents and MSDs caused by MMH tasks. Of the 236 injuries, 124 (52.5%) were caused by lifting/lowering, followed by 92 (39.0%) pushing/pulling and 20 (8.5%) carrying. MSDs were the highest at 36.9%, followed by struck by (22.9%), caught in (19.5%), and slip/fall (9.7%) incidents. In the case of incidents, the percentage caused by pushing/pulling was the highest at 55.7%, followed by lifting/lowering (35.6%) and carrying (8.7%). However, in the case of MSDs, the percentage caused by lifting/lowering was the highest at 81.6%, followed by pushing/pulling (10.3%) and carrying (8.0%). However, the rate of severe injured with over 180 work-loss days was higher in carrying works, women, or older workers over 50 years. The highest prevalence of MSDs was low back (63.2%), followed by shoulders (17.2%), and arm/hand regions (16.1%). In risk assessment according to the work process, ‘struck by incidents during pushing/pulling carts in the logistics process’ is the most possible and the highest average of work-loss days. Relevance to industryThis study presents the overview of actual nationwide compensation records occurred during MMH tasks in the MVPM industry. Also, this study shows the outlines of occupational incidents and MSDs, and the most possible and severe incident according to the types of MMH and work process.

Musculoskeletal disorders among dental hygienist and students of dental hygiene.

The purpose of the present study was to present an up-to-date report on the prevalence of musculoskeletal complaints in dental hygienists and dental hygiene students in Israel. It examined the areas of the body that were most frequently affected and the intensity of pain in both groups. The possible differences between groups and the likelihood that musculoskeletal symptoms in students can be attributed to their workload. A modified version of The Nordic Musculoskeletal Questionnaire (NMQ) was used to assess reports of Musculoskeletal disorders (MSD) in general and in different body areas. A numerical pain scale was administered to evaluate pain intensity. Two hundred and five women participated in the study: 85 experienced dental hygienists, 17 dental hygiene students and 103 students in a non-clinical track (control group). MSD reports were the most common in the neck (60%), upper back (52%) and lower back (61%). This tendency was seen across all three groups. Hygiene students differed significantly from the control group in terms of number of body areas with MSD and for pain intensity. By contrast, no significant differences were found between dental hygienists and hygiene students, CONCLUSIONS: The findings suggest that dental hygienists and students are at high risk of developing MSD. The high prevalence of MSD among hygiene students underscores the need to commence intervention prior to the initiation of fieldwork.

Quality of life among district hospital nurses with multisite musculoskeletal symptoms in Vietnam.

BackgroundNurses are one of the population groups with the highest prevalence of musculoskeletal disorders (MSDs). At many sites, musculoskeletal symptoms (MS) represent a major health‐care burden, adversely affecting nurses' quality of life and giving rise to mental health issues.ObjectivesThis study measured the prevalence of multi‐body‐site (two or more anatomical sites) musculoskeletal symptoms (MMS), and the association between MMS, a number of demographic and work characteristics, psychological distress, and the quality of life among district hospital nurses.Material and MethodsA cross‐sectional study was performed with 1179 nurses in Haiphong City using three questionnaires: the Modified Nordic; Quality of Life Enjoyment and Satisfaction Short Form (Q‐LES‐Q‐SF); and the Kessler Psychological Distress Questionnaire (K6).ResultsWomen have a higher MMS prevalence than men (57.1% in women vs 37.6% in men, P < .001). Having a higher number of anatomical sites of MS appears to be associated with a worse quality of life among nurses. Linear regression analysis found a number of other factors negatively associated with the nurses' quality of life: gender (female), age (50‐60 years old vs 19‐29 years old), and psychological distress.ConclusionsThis study shows a high prevalence of MMS and the relationship between, on the one hand, MMS, gender, age, as well as psychological distress and, on the other hand, the quality of life among nurses in Vietnam. Further in‐depth studies are needed to investigate the causal relationships between these indicators.

Prevalence of Burnout Syndrome Among Students of Health Care Colleges and its Correlation to Musculoskeletal Disorders in Saudi Arabia.

Background:Burnout is a chronic stress-related syndrome with the three dimensions of exhaustion, cynicism, and inefficacy. Musculoskeletal disorders (MSDs) are defined as a musculoskeletal strain reported by an individual. Burnout is prevalent among Saudi medical students. Many studies have found that burnout is associated with a higher prevalence of MSDs. To the best of our knowledge, there is no study that has assessed the prevalence of burnout among students of health care colleges in Saudi Arabia and its correlation to MSDs and compared the results of each health care college to the other. Hence, this is the aim of this study.Methods:A cross-sectional study of 392 students of health care colleges in Taif University was carried out from April 2019 to May 2019, using a predesigned questionnaire, including sociodemographic characteristics, the Copenhagen Burnout Inventory (CBI) Questionnaire to assess the degree of burnout, and Standardized Nordic Questionnaires for the analysis of musculoskeletal symptoms.Results:48.7% of the students of health care colleges had burnout and 64.8% of them had MSDs. We did not detect a statistically significant association between burnout prevalence and sociodemographic characteristics. There was a significant association between burnout and the MSDs, as 34.2% of the students with a high degree of burnout had MSDs.Conclusions:Burnout, as well as MSDs, are prevalent among students of health care colleges. Burnout seems to be a risk factor for MSDs. Social media campaigns and awareness campaigns about burnout should be promoted.

Cervical musculoskeletal disorders and their relationships with personal and work-related factors among electronic assembly workers

IntroductionElectronics assembly workers are reported to have a high prevalence of musculoskeletal disorders (MSDs). This study investigated the prevalence of cervical MSDs and the complex relationships between cervical MSDs and individual, physical, psychosocial factors among electronics assembly workers. Methods: In this cross-sectional survey, self-administered questionnaires from 700 workers in electronics manufacturing workshops were analysed. Information concerning musculoskeletal symptoms, personal and work-related factors was collected. Finally, the prevalence of cervical MSDs was computed for different subgroups, and the relationships with different factors were analyzed using logistic regression and structural equation modeling (SEM). Results: The total 12 month prevalence of cervical MSDs among the survey population was 29.4%. Variables of gender, job tenure, twisting head frequently, neck flexion/extension for long time and work required to be done quickly showed significant associations with MSDs in a multivariate logistic regression (P < 0.05). The SEM analysis showed moderate and significant correlations between postural load (γ = 0.279), gender (γ = 0.233) and cervical MSDs, while there were weak but significant correlations between vibration (γ = 0.024), work stress (γ = 0.126), job tenure (γ = 0.024) and cervical MSDs. Both work stress and vibration affected the MSDs indirectly through postural load. Conclusions: The logistic regression results support previous general epidemiological MSD studies, and indicates that individual, physical, and psychosocial factors are related to cervical MSDs. The SEM provides a better approximation of the complexity of the relationship between risk factors and cervical MSDs. Improving awkward postures may be effective ways to control the influence of occupational stressors or vibration on MSDs. Practical Applications: The study is to improve prevention of MSDs among electronics assembly workers and promote their occupational health.

Musculoskeletal disorders among dentists and dental students in West Sumatera, Indonesia

Objectives: The purpose of this study is to describe the prevalence of musculoskeletal disorders (MSDs) in dentist and dental students in West Sumatera.Materials and Methods: The study design was cross-sectional with 261 samples by using total sampling technique. The instrument was Nordic Body Map (NBM) questionnaire and Cornell Musculoskeletal Discomfort Questionnaires (CMDQ).Results: Some anatomical body parts were indicated to have a high prevalence in experiencing musculoskeletal disorders. They were waist (55%), right shoulder (49%), upper neck (48%), right wrist (45%), and lower neck (42%), respectively. The quality of the pain was varied.Conclusion: The high prevalence of MSDs may cause by static postures and the big force needed by certain body parts during the dental treatment.Â

Addressing Occupational Ergonomics Issues in Indonesian Forestry

This study addresses occupational ergonomics issues in Indonesian forestry (work conditions, workers' characteristics, occupational safety, occupational health, and job satisfaction) to acquire a comprehensive perspective in understanding the actual problems facing the operations. Direct observation, interview, questionnaires, and secondary data analyses were carried out to acquire all of the required information. A total of 191 frontline forestry workers (chainsaw operators, helpers, manual hauling workers, skidder/tractor operators, logging truck drivers, and nursery workers) participated in this study. The study shows that various techniques of forest operations (labor-intensive to semi-mechanized systems) have been applied in Indonesian plantation forests, both short and long-rotation, as well as in natural forest management. Most of the workers were non-permanent workers, who receive a low wage, work under a straight piecework system, have a high dependency on the forestry work to make a living, and exhibit poor comprehension of the concept of hazard control. The fatality rate was recorded as 1.3 deaths/106 m3 log, but this may be even higher as this rate only represents data taken from formal forestry workers. An intense physical dimension of fatigue occurs among workers involved in forest operations, with the highest prevalence of musculoskeletal disorders in the upper back, lower back, neck, shoulders, and arms. This study reveals eight variables that influenced job satisfaction, i.e., wage, type of contract, accessibility, health services, living facilities, work equipment, training, and social facilities.

Work-related musculoskeletal symptoms in otorhinolaryngology and their relationship with physical activity. A nationwide survey.

The main objective of this study was to determine the prevalence of work-related musculoskeletal symptoms in otolaryngology and head and neck surgery specialists and trainees in Spain, and to measure the effect that physical exercise could have on muscular discomfort. A cross-sectional survey was administered between September and December 2017 to practising otolaryngologists. Four hundred and three ENT surgeons responded, with a median age of 44.9 years, and 89.8 per cent reported discomfort or physical symptoms that they attributed to surgical practice. More female surgeons reported musculoskeletal symptoms (92.8 per cent vs 87.1 per cent; p = 0.04). When the level of physical activity was compared with the frequency of physical discomfort, no significant difference was found. This study has shown a high prevalence of musculoskeletal disorders among ENT surgeons in Spain but has failed to demonstrate an important role of physical exercise in the prevention of musculoskeletal disorders.

Exploring occupational standing activities using accelerometer-based activity monitoring

Prolonged standing at work is required by an estimated 60% of the employed population and is associated with a high prevalence of musculoskeletal disorders. ‘Standing’ is expected to encompass a range of activities of varying intensity. This study aimed to define a range of ‘standing’ work-based activities; and objectively explore differences between ‘standing’ occupations. The following movements were defined using a triaxial accelerometer (ActivPAL) through recordings of known movements (n = 11): static standing, weight-shifting, shuffling, walking and sitting. Movements over a working day were defined for chefs (n = 10), veterinary surgeons (n = 7) and office workers (n = 9). Despite veterinary surgeons and chefs spending a similar time in an upright posture, veterinary surgeons spent 62% of this time standing statically whereas chefs split their time between all the movements. Overall, this study provides the first attempt to define ‘standing’ activities, allowing the differentiation of activities between occupations spending similar periods of time upright.Practitioner Summary: This study identified a range of work-based ‘standing’ activities of varying intensity. Differences in activity were recorded between two occupations spending a similar time in an upright posture (veterinary surgeons and chefs). A broader definition of standing activities could be important when considering factors related to musculoskeletal disorders at work.

Risk and Exposure of Musculoskeletal Disorders among Dental Surgeons Working in Dhaka City

Background: Musculoskeletal disorders (MSDs) are the most important occupational health problems particularly in dental professionals. Dentists are among the workers who are more often susceptible to this disorder, as because their work includes risk factors that may lead to this disorder. The study aims to determine the prevalence of MSDs among dental surgeons , also the risk and exposure of this disorder by assessing job postures and the correlation between them.&#x0D; Methods : This cross sectional study was conducted among purposively selected 86 dental surgeons working in eight different tertiary level public and private hospitals in Dhaka city. A structured questionnaire was used for data collection, where Nordic Musculoskeletal Questionnaire(NMQ) used which records the prevalence of MSDs in terms of musculoskeletal symptoms and to assess the risk and exposure of MSDs, Rapid Entire Body Assessment (REBA) score sheet, Quick Exposure Check (QEC) have been used respectively by 10- 15 minutes observing each study subject during different dental operating procedures. After data collection analysis of data was performed by using SPSS software (Version 22).&#x0D; Results : More than 63 % and 47 % of the participants reported pain and discomfort in at least one body region in the last 12 months and the last 7 days respectively. The major affected part was neck, followed by lower back, shoulders and hands / wrists. In different field of specialization among the study subjects musculoskeletal symptoms were highest in oral and maxillofacial surgeons followed by general practitioners, orthodontists, endodontists, prosthodontists. The exposure assessment (QEC) showed that a small percentage (22.1%) have acceptable exposure, where 30.2%, 47.7% had medium exposure and high exposure respectively. Whereas the risk assessment (REBA) showed that 59.3% of the participants were in medium risk group that necessitates further investigation and needs to implement change. Pearson’s correlation test indicated that there is a strong positive correlation between the current exposure and the risk (r = 0.832) and the relationship between exposure and risk of MSDs was found to be highly significant as p &lt; 0.01. Highly significant association found between risk level according to REBA score and the exposure level according to QEC score with MSDs ( as p value &lt; .01).&#x0D; Conclusion: This study concludes that high prevalence of MSDs and high risk levels as well as exposure levels according to REBA and QEC, suggest inappropriate and incorrect ergonomic postural habits existing among the dental surgeons which necessitates further investigation and attention on this issue to combat with this disorder among dental professionals.&#x0D; Update Dent. Coll. j: 2019; 9 (1): 3-7

Prevalence of musculoskeletal disorders in patients with diabetes mellitus: A systematic review and meta-analysis.

Diabetes mellitus (DM) is associated with musculoskeletal disorders (MSDs) and is often not clinically diagnosed and managed. There are also no systematic reviews of literature relating to the prevalence of MSDs among people with diabetes. To determine the prevalence and areas of the body affected by MSDs in diabetic patients. A literature search of the electronic databases of CINAH, PubMed, Web of Science and Google Scholar using the keywords of "MSDs and DM" as the search term was conducted. Pooled estimates were calculated using a meta-analysis of proportion. Five thousand and eighty-eight studies were identified from the databases; 21 studies fulfilled the inclusion criteria and were included in the review. Five studies were of high quality, 13 were of moderate quality and three were of low quality. The prevalence of all types of MSDs among patients with diabetes was 58.15% (95% CI 41.4%-73.9%). The hand was the most common area of the body affected being 33.05% (95% CI 21.1-46.13) followed by the shoulder. A high prevalence of MSDs was found among diabetic patients with the hand and shoulder being the most frequently reported areas affected. However, future studies with a larger sample and the relevant type of diabetes are required.

MUSCULOSKELETAL DISORDERS;

Introduction: Dental surgeon are most susceptible to develop the musculoskeletal disorders due to different working habits, repetitive tasks and uncomfortable physiological posture and mental stresses. Dentist and other health professionals often cannot avoid prolonged static postures. In optimal seated postures, major part of human body and muscles are contracted statically and there is little movement of the vertebral joints this may result in physiological changes that can lead to neck, shoulder and back pain or musculoskeletal disorders. The aim of the study was to determine the frequency of musculoskeletal disorders among dental surgeons practicing in different areas of Karachi city. Study Design: Cross sectional study. Setting: Private Dental Clinics in the city of Karachi. Period: March 2017 to May 2017. Material &amp; Methods: The survey was conducted among 242 Dental Surgeons practicing in different districts of Karachi. The questionnaire was concerned with demographic details, work duration and acquired specialization, organization and methods of work in the surgery. Results: Out of 242 questionnaire 107 were male and 135 female and 70% of the responders were from age group 25-35 years. Around 38.60% were serving the profession from less than 5 years and 28.83% had an experience of 5 to 10 years. Most of the dentist work 6 days a week and 5 to 8 hours a day. 42% dentist preferred both standing and sitting position. About 55.81% have acquired their preferred mode of vision according to position. Shoulder had more incidence of involvement (36.27%), followed by lower back (34.41%) and Neck (22.32%). Majority of them (40.1%) marked intensity of pain as moderate and described it as discomfort (42.4%) and aching (39.2%). Majority were taking paracetamol as pain killer and 53.6% agreed to the fact that their pain aggravates upon repetitive movements. Conclusions: The present study showed high prevalence of musculoskeletal disorders among dentist, so there should be preventing aims delivered during undergraduate curriculum and structure base workshop should be programmed to explain the consequences of prolonged and bed posture dentistry.

Prevalence, patterns, and coping strategies of musculoskeletal disorders among caterers in the selected local government areas of Lagos State in Nigeria, 2017

Background: This study aimed to investigate the prevalence, patterns, and coping strategies of caterers and identify parts of the body most frequently affected by musculoskeletal disorders. Materials and Methods: A cross-sectional survey was carried out involving 225 caterers (174 females and 51 males) from the selected local government areas of Lagos state in Nigeria during May and September 2017. The data were collected using a 58-item questionnaire which assessed the participants’ personal characteristics, report of musculoskeletal disorders, and coping strategies used by them. The collected data were analysed using SPSS (version 22) through descriptive statistics including mean, standard deviation, frequency, and percentage, and also inferential statistics including the chi-square test. Results: The 12-month prevalence of musculoskeletal disorders reported by the caterers was 203 (90). The low back 154 (68.40) was the body part most frequently affected followed by knees 117 (52), shoulders 115 (51.10), the neck 83 (36.90), wrists/hands 74 (32.90), ankles/feet 56 (24.90), hips/thighs 36 (16.00), the upper back 30 (13.30), and elbow 23 (10.20). The coping strategies used commonly by the respondents were faith and prayer, self-instruction, hoping, and cognitive distraction. The result revealed a significant correlation (p = 0.01) between years of working experience and the 12-month prevalence of musculoskeletal disorders among the participants. Conclusion: This study shows a high prevalence of musculoskeletal disorders among caterers and the low back was the most affected part of the body, followed by knees, shoulders, the neck, and wrists/hands. The coping strategies most frequently used by the participating caterers were praying and self-instruction.