Incidence Of Musculoskeletal Disorders Research Articles

Analisis Faktor Risiko Kejadian Musculoskletal Disorders (MSDS) Pada Pekerja Officer dan Welder Menggunakan Metode Nordic Body Map di PT XYZ Kota Batam

Musculoskeletal Disorders (MSDS) is an occupational risk characterized by complaints in the muscles. MSDS occurs due to incorrect body posture while working which causes muscles to stretch too hard over a long period of time. PT. Officer and welder workers are at risk of MSDS occurring which is caused by many factors. This research is descriptive analytical with a total population of 30 officers and welders. The sampling technique uses saturated samples and primary and secondary data sources. Data collection methods are field observation, questionnaires and interviews. The research instrument was a checklist using the Nordic Body Map (NBM), a list of question items and interview guidelines. The research results show that there is an influence of work period, length of work and work attitude on the incidence of MSDS. Based on the results of the simple logistic regression test, the length of service variable was p=0.027 and OR 10.00 CI 95% (0.994-100.612). The length of work variable obtained a value of p=0.010 and OR CI 95% 13.71 (1.381-136.212) and the work attitude variable had a value of p=0.003 CI 95% 18.66 (1.879-185.399).

Work-related musculoskeletal disorders among dental staff in south Malaysia

The dental industry poses ergonomic health concerns, leading to work-related musculoskeletal disorders (MSD) among staff. This study aims to assess MSD incidence and related sociodemographic and occupational hazard factors among dental practitioners in Johor, Malaysia. A cross-sectional investigation in December 2022 included 382 dental officers from government and commercial sectors. Participants comprised 79.2% females, 72.3% Malays, 97.4% non-smokers, and 92.4% working in dental clinics. MSD was most prevalent in the neck, shoulder, and lower back regions. Logistic regression revealed higher neck pain probability among smokers and a positive association between back pain and standing while working. Poisson regression indicated an inverse relationship between exercise frequency and MSD pain occurrence. Regular physical activity correlated with lower body mass index (BMI) and reduced MSD pain. The study underscores the importance of ergonomic interventions and promoting exercise to prevent MSD and enhance the well-being of dental staff in Johor, Malaysia. Understanding the factors contributing to MSD among dental practitioners is crucial for implementing effective preventive measures and improving overall occupational health in the dental industry.

Influence of an upper limb exoskeleton on muscle activity during various construction and manufacturing tasks

Musculoskeletal disorders (MSDs) significantly impact workers in the manufacturing and construction sectors. One solution that has gained interest to reduce MSDs incidence is the use of exoskeletons. In this study, the influence of an upper limb exoskeleton on muscle activity was investigated experimentally for three commonly performed tasks in the manufacturing and construction sectors. The tasks tested were overhead assembly, bricklaying, and box moving tasks. Eighteen males participated in the tests. The results showed a reduction in shoulder flexor muscle activation during all three tasks (up to -45.46 ± 4.52% for the anterior deltoid), but increased extensor activation (up to 15.47 ± 8.01% for the latissimus dorsi) was observed when the task was not primarily performed above shoulder level. The results revealed the dependence of the upper-body exoskeleton on tasks and arm posture, which should be considered for both in-field applications and designing new exoskeletons for performance enhancement.

Risk factors of musculoskeletal disorders in loading and unloading tasks of couriers.

The use of home delivery services has expanded due to coronavirus disease - 2019, and couriers' high level of work intensity has become a severe social issue in various nations. This study investigates the risk factors of musculoskeletal disorders (MSDs) caused by frequent loading and unloading actions, known to be the most demanding tasks for couriers. A self-report survey and post-hoc interview were employed to collect personal information, task frequency, and the incidence of MSDs. Frequent actions during loading and unloading packages were identified, and the Rapid Entry Body Assessment (REBA) and National Institute for Occupational Safety and Health (NIOSH) lifting equations were assessed. Approximately 29.5% of the 44 subjects suffered from MSDs, and identify the types of actions that frequently occur during loading and unloading packages. According to the REBA survey, 60% of the responses for both loading and unloading are distributed within the risk range of 8-13 points, suggesting a high risk (mean REBA score: 8.8 (loading), 8.5 (unloading)). In every case, NIOSH determined that the lifting index (LI) was harmful (mean LI: 1.62). Thereby, the bending or twisting posture of the hands and neck, long horizontal distance between the packages and the body, and high lifting frequency were identified as major problems. The study identified a very high level of musculoskeletal risk for couriers, and the detailed working methods and body parts vulnerable to MSDs.

High-Sensitive Double-Clad Fiber Bragg Grating Sensors for Real-Time Monitoring of Body Posture and Movement State

Musculoskeletal disorders (MSD) are prevalent in society and currently lack effective treatments. The incidence of MSD appears to be increasing as the worldwide population ages and sedentary lifestyles. Real-time monitoring of the body posture and movement state may be an effective strategy for the prevention and treatment of MSD. We proposed a real-time monitoring system based on a wearable high-sensitive double-clad fiber Bragg grating (FBG) sensors and an integrated demodulation device to recognize the body posture and movement state. The results demonstrate that the double-clad FBG sensors exhibit a high measurement sensitivity of approximately 36 pm/° in elbow joint static tests and 7.5 pm/° in knee joint static tests, which is almost 1.4 times higher than that of a single-mode FBG. Furthermore, a dataset of six gestures was created based on time and wavelength information obtained from six double-clad FBG sensors monitoring subtle deformations of muscles of the arm. The accuracy of recognizing simple and complex gestures was close to 100% and about 88%, respectively. The static and dynamic measurements demonstrate that the double-clad sensors have high accuracy, improved sensitivity, excellent flexibility and good repeatability, and this work is expected to a reliable assessment tool for clinical trials of MSD.

Trends in the incidence of musculoskeletal diseases in Kazakhstan in 2011-2020: an information-analytical study.

According to the World Health Organization, there is an increase in the incidence of musculoskeletal diseases worldwide. The problem of this group of diseases is that they are associated with the onset of temporary and permanent disability. A number of studies have demonstrated an increase in the incidence of musculoskeletal diseases in the US, Canada, Australia, and European countries. The current informational and analytical study was aimed to reflect on related morbidity trends in Kazakhstan. We analyzed data on the incidence of diseases of the musculoskeletal system in 2011-2020. Ten annual statistical yearbooks of the Ministry of Health of Kazakhstan were used to obtain data. The results showed an increase in the total incidence of musculoskeletal diseases of 304,492 cases between 2011 and 2020. Primary incidence of musculoskeletal disorders in the whole population increased by a factor of 1.5. The incidence rate of musculoskeletal diseases increased in the age group over 18years and in the 0-14years' child group. A comparative analysis of morbidity figures for rural and urban populations was also presented. An increase in the incidence of musculoskeletal diseases in both populations was observed. Finally, comparative data analysis on morbidity across Central Asian countries was provided. This information-analytical study shows that the incidence of musculoskeletal disorders is steadily increasing in Kazakhstan. The scientific community should pay attention to this trend to prevent further increases in the incidence of musculoskeletal disorders.

Work-related psychosocial and physical paths to future musculoskeletal disorders (MSDs)

Given the human, industrial and societal costs of Musculoskeletal Disorders (MSDs) we evaluated antecedents to MSDs (assessed as pain, doctor diagnosis, and workplace injury) over a six-year period T1 (2014/2015) and T2 (2020/2021). The purpose of the study was to examine the role of the organisational climate (i.e., psychosocial safety climate, PSC) for employees' psychological health and safety as an antecedent to physical demands, and psychosocial risks (e.g., low control, harassment) that in turn might relate to MSDs using a longitudinal design. We used matched data from follow-up telephone interviews of 432 Australian employees. We found evidence for several psychosocial paths; PSC was related to future workplace injuries through decision authority; PSC was related to MSD pain through depressive symptoms. For future doctor diagnosed MSDs, PSC was directly negatively related. Older age, being male and low income was related to work injury; being female associated with MSD pain; and being older was associated with MSD diagnosis. A novel finding was the linkage between psychosocial risks (low skill discretion and harassment) and future physical demands leading to future MSD pain and work injury highlighting a new pathway linking psychosocial and physical aspects. Overall poor PSC was found as a distal antecedent of all MSDs. Decision authority and skill discretion were most critical psychosocial risks in predicting future pain and injuries. Psychosocial factors predicted future demands. Actions should target improving PSC and autonomy and reducing harassment and physical demands, to decrease the incidence of MSDs.

Factor Analysis on the Incidence of Musculoskeletal Disorders at the University of Dschang

Introduction: Work related musculoskeletal disorders (WRMSDs) are currently one of the leading causes of disability worldwide. However, information on their prevalence and associated factors remains insufficient in Cameroon.
 Objective: Determine the prevalence and associated factors of WRMSDs among the staff of the University of Dschang (UDs).
 Methods: We conducted a descriptive cross-sectional study from 05 February to 18 March 2020 during which a modified Nordic Musculoskeletal Questionnaire (NMQ) was administered face-to-face with participants. A convenient type non-probability sampling was used for the selection of participants. The data collected were analyzed with EPI info 7.2.2.6. A bi-variate analysis was conducted to determine factors associated with WRMSDs.
 Results: We enrolled 425 participants. The 12-month prevalence of WRMSDs was 93.88%. Almost half of the participants (49.18%) were prevented from their normal activities due to WRMSDs in the past 12 months. The most affected body region was the lower back with a prevalence of 71. 53%. The occurrence of WRMSDs at the UDs was significantly associated with: stress (P<0.01; OR=5.96); intense physical exertion (P<0.01; OR=3.45) and repetitive movements (P<0.01; OR=2.98).
 Conclusion: UDs staff is a high-risk population for WRMSDs. It is imperative to protect this human capital by preventing and treating WRMSDs.

Phototherapy techniques for the management of musculoskeletal disorders: strategies and recent advances.

Musculoskeletal disorders (MSDs), which include a range of pathologies affecting bones, cartilage, muscles, tendons, and ligaments, account for a significant portion of the global burden of disease. While pharmaceutical and surgical interventions represent conventional approaches for treating MSDs, their efficacy is constrained and frequently accompanied by adverse reactions. Considering the rising incidence of MSDs, there is an urgent demand for effective treatment modalities to alter the current landscape. Phototherapy, as a controllable and non-invasive technique, has been shown to directly regulate bone, cartilage, and muscle regeneration by modulating cellular behavior. Moreover, phototherapy presents controlled ablation of tumor cells, bacteria, and aberrantly activated inflammatory cells, demonstrating therapeutic potential in conditions such as bone tumors, bone infection, and arthritis. By constructing light-responsive nanosystems, controlled drug delivery can be achieved to enable precise treatment of MSDs. Notably, various phototherapy nanoplatforms with integrated imaging capabilities have been utilized for early diagnosis, guided therapy, and prognostic assessment of MSDs, further improving the management of these disorders. This review provides a comprehensive overview of the strategies and recent advances in the application of phototherapy for the treatment of MSDs, discusses the challenges and prospects of phototherapy, and aims to promote further research and application of phototherapy techniques.

Association Between Risk Factors and Prevalence of Musculoskeletal Disorders Among Laboratory Professionals-an European Perspective.

Musculoskeletal disorders (MSDs) are a large group of diseases that severely affect work productivity and quality of life. To examine the differences in the prevalence of MSDs among laboratory professionals (LP) and to assess their association with individual, psychosocial, and occupational risk factors. In a multicenter, cross-sectional study, a questionnaire was distributed online through professional association networks. Participants were divided into two groups based on their territorial affiliation-European Union (EU) and non-EU member states. Descriptive and inferential statistics were included in the analysis, and statistical significance was set at ≤0.05. A total of 640 LPs from 20 European countries participated in the study, predominantly females (78.4%) with university degree (59.4%) and mean age of 41.2 ± 10.1 years. Statistically significant differences between groups were confirmed for several variables studied: neck flexion > 15o (p = 0.008), hands at chest level (p = 0.000), longer screen time, and sitting (p = 0.000). One-third of participants reported wrist (35.6%), shoulder (32.7%), and elbow (31.6%) pain, while low back pain was more common (48.9%). A statistically significant association was confirmed between the incidence of MSDs and stress at work, repetitive movements, and prolonged standing (p = 0.000). Several variables showed significant correlations with MSDs in different body parts (p <0.05). Our results show a higher prevalence of MSDs in LPs and recommend the development of targeted prevention programs and additional measures to modify the work environment and organizational activities.

Evaluation of COVID-19 Outcomes on the Musculoskeletal System Using the Extended Nordic Questionnaire

Background and Objectives: Musculoskeletal pains due to COVID-19 have disrupted the daily activities of infected people. Investigating these complications can give us more information to diagnose and treat patients early. This study aims to investigate the effects of this virus on the incidence of musculoskeletal disorders in students or employees with COVID-19 at Iran University of Medical Sciences (IUMS), using the Extended Nordic Musculoskeletal Questionnaire (ENMQ). Methods: This cross-sectional questionnaire-based study was conducted in 2021 on 107 people. The study participants were selected by convenience sampling from students and employees at IUMS. The inclusion criteria were testing positive for COVID-19, confirmed by a physician, and at least three weeks passed since the onset of symptoms. The exclusion criteria were having a history of an accident or events influencing the musculoskeletal system and being reluctant to participate in the study. We used a researcher-made questionnaire and ENMQ for data collection. Musculoskeletal disorders before infection and the incidence or worsening of these problems after infection were also recorded using ENMQ. Data were analyzed in SPSS software, version 26, using the Mann-Whitney U test and the Kruskal-Wallis test. Results: The highest pain frequencies before COVID-19 were in the shoulders, knees, and back, in this order. Also, the highest pain frequencies after COVID-19 were in the back, neck, shoulders, and leg, in this order. According to the study results, most patients had low pain in their back, mild pain in their neck and back, and severe pain in their knees before being infected with COVID-19. After the COVID-19 infection, low pain in the knee and mild and severe pain in the back were observed in most patients. In assessing the “pain impact on the functioning“ before COVID-19, the highest effects on daily activities were found in the back, neck, and pelvis, in this order. After the COVID-19 infection, the daily activities related to the back, neck, shoulders, and pelvis were reduced. Conclusion: Based on this study, the difference in right elbow function by gender, the difference in the intensity of right elbow pain by age, the difference in the intensity of ankle and finger pain, and the difference in the function of ankle and fingers on both sides by age before and after suffering from coronavirus were the significant variables of this research.

Fore-Warned Is Fore-Armed: Effect of Musculoskeletal Disorders on Sickness Absenteeism.

Background Musculoskeletal disorders (MSDs) are one of the most common occupational diseases. MSDs cause an economic burden as they lead to disability, absenteeism, and reduced productivity. Although many risk factors have been associated with the incidence of MSDs, little is known about the predictive factors for the length of MSD-related absenteeism. The study aimed to estimate the prevalence of MSDs among garment factory workers, determine the predictive factors for length of sickness absence, and evaluate the association of these factors with time. Methodology This prospective, observational, community-based study was conducted among garment factory workers. A total of 430 participants were included in the study by multistage sampling to assess the prevalence and factors causing MSDs, followed by a one-year follow-up to analyze the MSD-associated predictors for sickness absence. The data were analyzed using SPSS version 22 (IBM Corp., Armonk, NY, USA). The chi-square test and logistic regression were used to test significance, and Cox regression was used to determine the predictive factors for sickness absence. Results The mean age of the participants was 29.36 years. The 12-month prevalence showed that the most affected region was the lower back (70%), followed by the upper back (40%), with some workers experiencing both. There was a significant relation between MSDs and higher age, low work experience, being overweight, and long work hours (p < 0.05). According to the multivariate analysis, the perceived pain (hazards ratio (HR) = 1.14), perceived physical workload (HR = 1.14), and visiting a specialist 12 months prior to the current absence (HR = 1.68) were significantly associated with a longer sickness absence. Conclusions The lower and upper back were most commonly affected. The predictors for absence revealed that physical work overload and pain perception had a predominant role in the duration of absence. Hence, an ergonomically acceptable workplace with considerate rest periods will help enhance productivity.

Can cumulative loading estimates be used to assess the collective occupational risk of MSD? Evaluation of calculation methods for spinal cumulative loading

For the prevention of musculoskeletal disorders (MSD), the evaluation of manual materials handling (MMH) is important. Cumulative loading can be used to quantify exposure, but there is little applied research on its effectiveness in risk assessment. Therefore, this publication presents an analysis of whether cumulative loading estimates can be used to assess the occupational risk of MSD. Five methods for estimating cumulative spine loads from time-varying data are compared based on real collective exposure data of MMH associated with both high and low incidences of MSD. Results show that cumulative loading estimates can be used to assess the occupational risk of MSD. Still, it should be noted that assessment results are substantially influenced by the recorded level of detail of the exposure data and do not allow for reliable conclusions regarding physiological demands. Further research is needed regarding the inclusion of physiological responses and task sequences. Relevance to industryThe findings can be applied to ergonomic risk assessment in occupational practice. By becoming more aware of the differences between calculation methods and the influence of the level of detail of the exposure data, the planning and implementation of the ergonomic risk assessment can be facilitated.

Musculoskeletal disorder (MSD) prevention practices by nurses working in health care settings: Facilitators and barriers to implementation

The incidence of musculoskeletal disorders (MSD) in the healthcare professional population is concerning. In particular, the high incidence of back injuries is an issue for nurses. Although many MSD prevention initiatives are being implemented, these practices are not succeeding in reducing MSDs. Why are these efforts struggling to close the gap between knowledge and practice? This article aims to report on individual and organizational factors that may influence nurses' implementation of MSD prevention practices. A survey was sent to nurses in the Quebec health and social services network. A total of 399 questionnaires were completed and analyzed. The results revealed that nurses have the required knowledge on MSD prevention practices, but have difficulty applying them in their professional context. It would appear that successful implementation of MSD prevention practices relies mainly on organizational factors, including management support, organizational culture, feedback mechanisms, and training that is adapted to the work environment.

Assessment of work-related musculoskeletal pain in urologic microsurgeons

ABSTRACT Introduction Work-related musculoskeletal disorders (MSDs) are a broad category of potentially preventable conditions causing pain in or injury of the muscles, tendons, nerves, and bones that can be directly attributed to an occupation. Practicing surgeons are at high risk for MSDs due to forced neck flexion, awkward posture, and repetitive hand and arm movements. Urologists face unique ergonomic considerations, including those of laparoscopy, endoscopy, and microsurgery, compared to the general proceduralist population. Studies have shown the prevalence of musculoskeletal pain to be 45-62% in urologists. However, urologic microsurgeons have not to date been studied as a unique subgroup. Objective We sought to evaluate the prevalence and risk factors of MSDs in urologic microsurgeons. Methods An anonymous online survey was distributed to approximately 6,000 urologists via email from a curated email database which included specialty society members. This survey included questions on demographics, operative time, exercise frequency and type, ergonomic interventions, and musculoskeletal symptoms. Symptoms were assessed using a de novo, modified Nordic Musculoskeletal Questionnaire (NMQ). Musculoskeletal trouble was defined in the survey as aches, pains, discomfort, or numbness in accordance with the NMQ. Results A total of 50 responses were collected, proportional to the relatively small number of urologists performing these surgeries. The average age of respondents was 48.5 years, BMI was 26.4, and years in practice was 15.7. 29 (58%) completed a formal fellowship in andrology, male infertility, or microsurgery. The average number of operative days per week was 1.6 and the average number of microsurgical cases per month was 7.2. A total of 42 (84%) respondents reported musculoskeletal trouble in the past 12 months; 30 (60%) reported trouble in the past week; and 8 (16%) were forced to miss work due to their MSD in the past 12 months. Neck symptoms were most common (52%), followed by low back (50%) and shoulders (44%). Of those with symptoms in the past year, 24 (57%) respondents were prompted to seek professional medical help and 29 (69%) respondents were prompted to use medication. Furthermore, 25 (60%) respondents believed that their MSDs were a result of their occupation. 96% of respondents exercised, with the median respondent exercising three days a week for one hour each day. There was no association between hours of exercise and prevalence of MSDs. Similarly, there were no associations between operative volume, years in practice, or fellowship status with musculoskeletal symptoms. Of surgeons who sit to operate, only 40% experienced weekly symptoms, compared to 73% of surgeons who stand (p=0.02). This was most pronounced with low back pain, as 5% of surgeons who sit experienced weekly low back symptoms compared to 30% of those who stand (p=0.04). Conclusions Work-related MSDs are highly prevalent in urologic microsurgeons, with 83% of surveyed surgeons experiencing musculoskeletal symptoms in the past year. Operating while seated was associated with a significantly lower incidence of MSDs compared to standing. Negative ergonomics of standing such as leaning or hunching with a non-ergonomic operative microscope likely plays a major role in the development of persistent MSDs in urologic microsurgeons. Disclosure Work supported by industry: no. A consultant, employee (part time or full time) or shareholder is among the authors (FY: Coloplast (consultant), Cynosure (consultant) LJ: Hims (consultant)).

Workstation Evaluation Regarding Ergonomic Awareness and Work-Related Musculoskeletal Disorders Among Coal Mine Workers

Mining is often associated with the risk of Work-Related Musculoskeletal Disorders (WRMSDs). Despite being a coal-rich country, Pakistan’s mining sector stays behind in terms of occupational health and safety. Only a few research studies have been conducted on ergonomics in the mining industry. The current study aimed at evaluating workstations for WRMSDs and ergonomic factors among coal mine workers. Survey data were gathered from a total of 103 workers using a structured questionnaire. Information on the incidence of musculoskeletal disorders was obtained using the Standardized Nordic Questionnaire. The questions about ergonomics awareness, workstation, environment, demands, and risks were based on the available literature studies. The association between the incidence of WRMSDs and age was explored using chi-square analysis. The results showed a high rate of uneducated workers with a lack of ergonomics awareness. Back, shoulders, and legs were the most vulnerable body areas to WRMSDs. A significant association between workers’ age and WRMSDs was found. The workers’ opinion towards workstation was at a very low level. The current work conditions were found to have risks of potential hazards and economic losses. Ergonomic interventions are suggested to be developed and implemented to improve workplace conditions.

Assessment of Work-Related Musculoskeletal Pain in Urologic Microsurgeons

ABSTRACT Introduction Work-related musculoskeletal disorders (MSDs) are a broad category of potentially preventable conditions causing pain in or injury of the muscles, tendons, nerves, and bones that can be directly attributed to an occupation. Practicing surgeons are at high risk for MSDs due to forced neck flexion, awkward posture, and repetitive hand and arm movements. Urologists face unique ergonomic considerations, including those of laparoscopy, endoscopy, and microsurgery, compared to the general proceduralist population. Studies have shown the prevalence of musculoskeletal pain to be 45-62% in urologists. However, urologic microsurgeons have not to date been studied as a unique subgroup. Objective We sought to evaluate the prevalence and risk factors of MSDs in urologic microsurgeons. Methods An anonymous online survey was distributed to approximately 6,000 urologists via email from a curated email database which included specialty society members. This survey included questions on demographics, operative time, exercise frequency and type, ergonomic interventions, and musculoskeletal symptoms. Symptoms were assessed using a de novo, modified Nordic Musculoskeletal Questionnaire (NMQ). Musculoskeletal trouble was defined in the survey as aches, pains, discomfort, or numbness in accordance with the NMQ. Results A total of 50 responses were collected, proportional to the relatively small number of urologists performing these surgeries. The average age of respondents was 48.5 years, BMI was 26.4, and years in practice was 15.7. 29 (58%) completed a formal fellowship in andrology, male infertility, or microsurgery. The average number of operative days per week was 1.6 and the average number of microsurgical cases per month was 7.2. A total of 42 (84%) respondents reported musculoskeletal trouble in the past 12 months; 30 (60%) reported trouble in the past week; and 8 (16%) were forced to miss work due to their MSD in the past 12 months. Neck symptoms were most common (52%), followed by low back (50%) and shoulders (44%). Of those with symptoms in the past year, 24 (57%) respondents were prompted to seek professional medical help and 29 (69%) respondents were prompted to use medication. Furthermore, 25 (60%) respondents believed that their MSDs were a result of their occupation. 96% of respondents exercised, with the median respondent exercising three days a week for one hour each day. There was no association between hours of exercise and prevalence of MSDs. Similarly, there were no associations between operative volume, years in practice, or fellowship status with musculoskeletal symptoms. Of surgeons who sit to operate, only 40% experienced weekly symptoms, compared to 73% of surgeons who stand (p=0.02). This was most pronounced with low back pain, as 5% of surgeons who sit experienced weekly low back symptoms compared to 30% of those who stand (p=0.04). Conclusions Work-related MSDs are highly prevalent in urologic microsurgeons, with 83% of surveyed surgeons experiencing musculoskeletal symptoms in the past year. Operating while seated was associated with a significantly lower incidence of MSDs compared to standing. Negative ergonomics of standing such as leaning or hunching with a non-ergonomic operative microscope likely plays a major role in the development of persistent MSDs in urologic microsurgeons. Disclosure Any of the authors act as a consultant, employee or shareholder of an industry for: FY: Coloplast (consultant), Cynosure (consultant) LJ: Hims (consultant)

Musculoskeletal Disorders in Nurses in Hospitals

Background Healthcare is a sector with a high risk of musculoskeletal disorders. The work of nurses in a hospital is associated with stress, prolonged work, uncomfortable working postures, bending and twisting of the body and etc.&#x0D; Aim: To identify the risk factors for the frequency and localization of musculoskeletal complaints and diagnosed diseases of the musculoskeletal system in nurses in hospitals.&#x0D; Methods: The study is cross-sectional and comprised 1412 nurses female nurses from 19 hospitals in Sofia having an average age of 50.3±9.9 years. An ergonomic analysis of workplaces in hospitals was made. A survey was conducted in relation to the workplace, the workload, the working posture and movements; Standardized Nordic questionnaires for the analysis of musculoskeletal symptoms were used, BMI. Information on musculoskeletal diseases diagnosed by a doctor was collected with Work ability index (WAI). The statistical analyses were made using SPSS.&#x0D; Results: The frequency of musculoskeletal complaints is high, complaints in the lower back being in the lead with 74.2%, followed by the back, neck and shoulders. A musculoskeletal disorder, diagnosed by a doctor, occurs in 35.6% of the individuals. Widespread is the prolonged work in a standing position, awkward working postures, bending, twisting and stretching. The data from the regression analysis show that the work with bending, twisting and stretching, prolonged work in a standing position and BMI are predictors of musculoskeletal complaints.&#x0D; Conclusion: The results indicate lack of good workplace organisation and equipment. The activity involves prolonged work in a standing position, awkward working postures and work with bending and twisting of the body. High is the incidence of musculoskeletal disorders and the undergone treatment related to them.&#x0D; Key words: musculoskeletal disorders, workplace, working postures, nurses, hospitals.

Incidence of musculoskeletal disorders among computer users in covid-19 lockdown- cross-sectional study

Incidence of musculoskeletal disorders among computer users in covid-19 lockdown- cross-sectional study

Multi-aspect overview of mineral-water-based therapies of musculoskeletal disorders in Hungary

Demographic transformation, characterized by the aging of the population, is causing an increasing problem in developed countries. This change involves a significant increase in the number of chronic diseases, the health damage generated by which causes loss of life years due to deteriorating health and impairs quality of life. Among chronic diseases, the increasing frequency of musculoskeletal disorders has become characteristic of an aging society, which causes the greatest loss of life years in Hungary due to limitations. These problems mean increasing social, economic, and administrative pressure on the population and pose solution challenges for the spa town leaders and health decision-makers. There are several therapies available in the medical and health sciences to prevent and treat musculoskeletal disorders, with increasing emphasis on conservative therapies as the role of health increases. In Hungary, among these procedures, medicinal water treatment services based on natural healing factors available in spa towns play a key role, which is also the basis of medical tourism and part of the health care system. To solve the problems caused by musculoskeletal disorders, it is essential to know the occurrence of the disease and the treatment-use attitude of the patients, mainly due to the COVID-19 pandemic. Therefore, the main goal of our research is to assist spa towns leaders and health decision-makers in the implementation of medical tourism developments and more optimal patient care. One of the part-aims of our research is to reveal the regional differences of the most common musculoskeletal diseases in Hungary based on secondary data. Our other research-part objective is to determine the impact of socio-demographic characteristics, health status, type of musculoskeletal disease, pain, and commitment to bath medicine care system on the future use of medicinal water treatment in patients with musculoskeletal disorders. Based on our results, we declare that the health status of the Hungarian population in terms of the most frequently occurring locomotor diseases is worst in Central Hungary, the greater part of the Southern Great Plain, and the northeastern part of the country. In terms of territory, we concluded that the incidence of musculoskeletal disorders is relatively low, and moderate inequality in Hungary. It also follows from our results that the indicators measuring regional differences selected can be successfully applied to examine the territorial inequalities of musculoskeletal diseases concerning medical tourism. We also found that the respondents' level of family income, place of residence by region, state of health, the degree of commitment to medicinal water treatment/service was found, furthermore the cost of treatment, and the cost of accommodation /travel, significantly affect the planned use of the medicinal water treatment in the future. Our results promote the implementation of more targeted medical tourism and health industry developments in spa towns.