Level Of Musculoskeletal Pain Research Articles

Employees Working from Home: Do Leadership Factors Influence Work-Related Stress and Musculoskeletal Pain?

Data from 965 participants (230 males, 729 females, 6 other) involved in the Employees Working from Home (EWFH) study, collected in October 2020, and April and November 2021, were analysed. Generalised mixed-effect models were used to test relationships between psychosocial leadership factors and employees' stress and MSP levels. Higher quantitative demands are associated with increased stress (B: 0.289, 95%CI 0.245, 0.333), presence of MSP (OR: 2.397, 95%CI 1.809, 3.177), and increased MSP levels (RR: 1.09, 95%CI 1.04, 1.14). Higher levels of vertical trust decreased stress (B: -0.094, 95%CI -0.135, -0.052) and presence of MSP (OR: 0.729, 95%CI 0.557, 0.954). Role clarity decreased stress (B: -0.055, 95%CI -0.104, -0.007) and levels of MSP (RR: 0.93, 95%CI 0.89, 0.96). Working with interruptions was associated with increased stress (B: 0.199, 95%CI 0.119, 0.280) and MSP (OR: 1.834, 95%CI 1.094, 3.072). Leaders will need to take a broad view of job design, taking into account physical and psychosocial aspects of work, to effectively support employees WFH and manage stress and MSP.

Investigation of the ergonomic suitability and the health related quality of life among the students in online education during the COV?D-19 pandemic

Students suddenly came across with a new education system due to pandemic. Health education needs practices including manual skills so education method is totally affected in Faculties of Health Sciences. The aim of this study is to examine the ergonomic suitability of the studying posture and health-related quality of life of the students during the COVID-19 pandemic. Faculties of Health Sciences of the Universities in Northern Cyprus, a cross-sectional study design Ergonomic designs were evaluated from five pictures and a total score was obtained. Nottingham Health Profile was used to determine the quality of life during this new education version. Only 12.8% of the students used a great posture and some parameters of quality of life were found different between female and males (p<0.05). 73.0% of the students who received online education had an increase in the level of musculoskeletal pain during the pandemic. The students stated that they have pain in the shoulder area with almost 30%. Very few students perceived adequate postures during online lectures. Some gender related differences were found in quality of life. The study will guide managements of universities and health professionals in terms of workload of online health education and its risks to musculoskeletal system of young population.

Musculoskeletal pain intensity in different body regions and risk of disability pension among female eldercare workers: prospective cohort study with 11-year register follow-up

BackgroundMusculoskeletal pain is a risk factor for leaving the labour market temporarily and permanently. While the presence of multi-site pain increases the risk of disability pension, we lack detailed knowledge about pain intensity as a risk factor. This study investigated the association between musculoskeletal pain intensity in different body regions and risk of future disability pension among eldercare workers.MethodsEight thousand seven hundred thirty-one female eldercare workers replied to a questionnaire on work and health in 2005 and were followed for 11 years in the Danish Register for Evaluation of Marginalization. Time-to-event analyses estimated hazard ratios (HR) for disability pension from pain intensities (0–9 numeric rating scale (NRS)) in the low-back, neck/shoulders, and knees during the previous 3 months. Analyses were mutually adjusted for pain regions, age, education, lifestyle, psychosocial work factors, and physical exertion at work.ResultsDuring 11-year follow-up, 1035 (11.9%) of the eldercare workers received disability pension. For all body regions among all eldercare workers, dose-response associations were observed between higher pain intensity and risk of disability pension (p < 0.001). The risk for disability pension was increased when reporting “very high” pain levels (≥7 points on the 0–9 NRS) in the low-back (HR 2.19, 95% CI 1.70–2.82), neck/shoulders (HR 2.34, 95% CI 1.88–2.92), and knees (HR 1.89, 95% CI 1.44–2.47). Population attributable risks (PAR) were 15.5, 23.2, and 9.6% for pain > 2 on NRS in the low-back, neck/shoulders, and knees, respectively, indicating that 15.5, 23.2, and 9.6% fewer eldercare workers would likely receive disability pension if the pain intensity was reduced to 2 or less. For workers ≤45 years and > 45 years, PAR was highest for neck/shoulder pain (27.6%) and low-back pain (18.8%), respectively.ConclusionsThe present study found positive dose-response associations between pain intensity in the low-back, neck/shoulders, and knees, and risk of disability pension during 11-year follow-up. Moderate to very high levels of musculoskeletal pain in eldercare workers should, therefore, be considered an early warning sign of involuntary premature exit from the labour market. These findings underscore the importance of preventing, managing, and reducing musculoskeletal pain to ensure a long and healthy working life.

Surgical Ergonomics and Musculoskeletal Pain in Arthroplasty Surgeons

BackgroundOne occupational hazard inherent to total joint replacement surgeons is procedural-related musculoskeletal pain (MSP). The purpose of this study is to identify the prevalence of work-related MSP among arthroplasty surgeons and analyze associated behaviors, attitudes, and beliefs toward surgical ergonomics. MethodsA survey was sent to members of the American Association of Hip and Knee Surgeons. The survey included 3 main sections: demographics, symptoms by body part, and attitudes/beliefs/behaviors regarding surgical ergonomics. Pain was reported using the Numeric Rating Scale (0 = no pain, 10 = maximum pain), and well-being was assessed using the Maslach Burnout Inventory. ResultsIn total, 586 surgeons completed the survey: 96.1% male and 3.9% female. Most surgeons (96.5%) experience procedural-related MSP. Collectively, surgeons reported an average pain score of 3.7/10 (standard deviation ±1.95). Significant levels of MSP (≥5/10) were most common in the lower back (34.2%), hands (24.8%), and the neck (21.2%). There was a positive association among higher MSP and burnout (P < .001), callousness toward others (P = .005), and decreased overall happiness (P < .001). MSP was also found to have a significant impact on surgeon behavior including the degree of irritability (P < .001), alcohol intake (P < .001), and poor sleep patterns (P < .001). ConclusionThe prevalence of MSP among arthroplasty surgeons is extremely high. This study demonstrates that MSP has a significant impact on career attitudes, lifestyle, and overall surgeon well-being. This study may also contribute to future work to prevent cumulative chronic ailments, disability, and lost productivity of arthroplasty surgeons through promotion of improved ergonomics and risk-reduction strategies. Level of EvidenceIV.

Surgical Ergonomics and Musculoskeletal Pain in Orthopaedic Surgery Residents: A Multicenter Survey Study.

Purpose:Owing to the nature of orthopaedic surgery, occupational hazards and musculoskeletal pain (MSP) are inherent. These hazards have been well-documented among practicing orthopaedic surgeons, but there remains a paucity of data regarding MSP among orthopaedic surgery residents. The purpose of this study was to identify the prevalence and quantify the extent of work-related MSP among orthopaedic surgical residents. We also sought to analyze resident attitudes, beliefs, and behaviors regarding surgical ergonomics.Methods:An online survey was sent to 78 orthopaedic surgery resident program directors to be distributed to residents within their programs. The survey included three main sections: symptoms by body part, attitudes/beliefs/behaviors regarding surgical ergonomics, and finally demographics. Pain was reported as using the 0 to 10 Numeric Rating Scale, with 0 = no pain and 10 = maximum pain. Several questions about resident well-being were assessed using the Maslach Burnout Inventory.Results:Seventy-six orthopaedic surgery residents completed the survey, 72% men and 28% women. Most residents (97%) experience procedural-related MSP. Average pain scores of all residents was 3.52/10. Notable levels of MSP (≥4/10) were most common in the lower back (35%), neck (29.7%), and feet (25.7%). A positive association exists between higher MSP and lower work satisfaction (P = 0.005), burnout (P = 0.04), and callousness toward others (P < 0.0001). MSP has notable impact on resident behaviors including over-the-counter medication use, stamina, concentration, and degree of irritability.Conclusion:The prevalence of MSP among orthopaedic surgical residents is extremely high. Our study demonstrates that MSP has a notable impact on resident concentration, degree of irritability, and other burnout symptoms. The results of this study highlight the importance of limiting compromising procedural positions, ergonomic optimization, and increasing the awareness of the importance of ergonomics among residents. This could have future implications on productivity and career longevity.

Musculoskeletal Disorders among Rag Pickers at Lucknow City

Context: The Musculoskeletal Disorders (MSDs) among rag pickers are mostly non-fatal injuries such as injuries, pain or discomfort in the anatomical area, muscles, joints, tendons, ligaments, nerves and in bones. The nature of their occupation requires the rag pickers constant bending, which raised the risk of Musculoskeletal Disorders in many body parts. Musculoskeletal Disorders were significantly higher for the lower back, upper back, knees, shoulder, neck and ankles among the rag pickers. Aim: The purpose of this study was to investigate the prevalence of Musculoskeletal Disorders in different body parts among rag pickers. Settings and Design: This study was carried out on sixty rag pickers comprising of male and female. Multistage random sampling technique was adopted in the study. The data has been collected from the rag pickers engaged in rag picking at Lucknow city. Materials and Methods: A self-structured and standardized interview schedule including modified version of Body Discomfort Scale (BDS) devised by Kuorinka et al., (1987) was used for the purpose of gathering information and measurement of pain in different body parts of the respondents. The study adopted survey research design and the respondents were interviewed personally. Statistical Analysis Used: The data was coded and analyzed using IBM SPSS 20.0 Version. The level of musculoskeletal pain in different body segments were analysed in the form of frequencies, mean, standard deviation and the significance was tested using ANOVA. Results: The study clearly revealed that rag pickers felt maximum pain in back, followed by knee pain, shoulder pain and hand pain. Conclusions: The study strongly recommends preventive and curative measures to minimize the burden of MSDs. A training program needs to be organized to detect the early signs and symptoms of MSDs so that rag pickers may adopt the curative measures.

Importance of Frequency and Intensity of Strength Training for Reduced Musculoskeletal Pain in the Back, Neck-Shoulder, and Arm-Hand Among Physical Therapists.

Musculoskeletal pain (MP) is common among health care professionals, including physical therapists (PTs). The physically demanding nature of their work might contribute to increase MP rates. Strength training has a positive effect on musculoskeletal health and MP. However, no studies have evaluated the association of strength training during leisure time on MP among PTs. This study aims to analyze the association between frequency and intensity of strength training during leisure time and MP in the back, neck-shoulder, and arm-hand among PTs. Data on MP and intensity and frequency of strength training were obtained using a questionnaire responded by 1006 PTs. The odds for having lower level of MP as a function of intensity or frequency of the strength training were estimated using binary logistic regression. High-intensity strength training showed strong associations with lower intensity of MP in neck-shoulder (odds ratio = 5.08; 95% confidence interval, 1.36-18.92), arm-hand (odds ratio = 5.22; 95% confidence interval, 1.11-24.51), and back (odds ratio = 5.22; 95% confidence interval, 1.41-19.28). However, frequency and lower intensities were not significantly associated with MP in any body part. High-intensity strength training is strongly associated with lower levels of MP in arm-hand, neck-shoulder, and back, whereas no association was found with frequency or lower intensities.

Are Moderate and Vigorous Leisure-Time Physical Activity Associated With Musculoskeletal Pain? A Cross-Sectional Study Among 981 Physical Therapists.

Musculoskeletal pain (MP) is common among workers, especially for health-care professionals. Paradoxically, many of those rehabilitating patients for pain-that is, physical therapists (PTs)-also have pain. Adequate levels of physical activity are recommended for cardiovascular and musculoskeletal health. However, the association between physical activity and MP among PTs remains unknown. This study aims to determine the association between moderate and vigorous leisure-time physical activity levels and MP in PTs. Cross-sectional study. Workplace. Nine hundred eighty-one PTs. Data on MP and leisure-time physical activity were collected using an online survey. The odds for having lower level of MP as a function of physical activity were estimated using binary logistic regression controlled for various confounders. Performing ≥75 min/week of vigorous leisure-time physical activity increased the odds of experiencing lower levels of neck-shoulder pain (odds ratio = 1.43, 95% confidence interval, 1.05-1.94). No association was found neither between vigorous nor between moderate leisure-time physical activity and MP in the arm-hand or back. Performing ≥75 min/week of vigorous leisure-time physical activity is associated with lower levels of MP in neck and shoulders among PTs. No associations were found between vigorous or moderate leisure-time physical activity and MP in arm-hand and back.

(304) - OPRM1 gene expression differentially predicts posttraumatic chronic pain in women and men

Results of previous studies suggest that the expression of endogenous opioids in response to traumatic stress, and/or the influence of endogenous opioids on musculoskeletal pain (MSP) outcomes after traumatic stress exposure may differ in women vs. men. In the current prospective observational study we evaluated for potential sex differences in: (1) peritraumatic OPRM1 expression in response to motor vehicle collision (MVC) and (2) and the association between peritraumatic OPRM1 expression levels and chronic MSP outcomes following MVC. African American (AA) individuals ≥18 years of age presenting to one of twelve emergency departments (EDs) within 24 hours of MVC who did not have fracture or require hospital admission were enrolled. Blood was collected in the ED using PAXgene RNA tubes (n = 174) and MSP severity was assessed 6 weeks following MVC (0–10 NRS). The association between OPRM1 mRNA expression (identified via RNA sequencing) and post-MVC chronic MSP development was assessed using general linear models adjusting for age, ED study site, and exogenous opioid use. A significant interaction between OPRM1 mRNA expression levels and sex was observed (P = .026). In men, high expression levels of OPRM1 mRNA were significantly associated with increased MSP severity six weeks following MVC (5.52 vs 3.29, P = .018). In women, OPRM1 expression levels were not a significant predictor of 6-week post-MVC MSP levels (4.88 vs 5.13, P = .691). Of note, this difference in expression was independent of the well-studied A118G genetic variant in OPRM1, as all individuals examined had two copies of the major allele (due to low MAF in AA). Further studies are needed to better understand sex differences in the role of endogeneous vs. exogenous opioids in predicting chronic MSP development following traumatic stress exposure. Funding: NIH R01AR060852.

The effect of a structured personalized ergonomic intervention program for hospital nurses with reported musculoskeletal pain: An assigned randomized control trial.

Intervention programs for hospital nurses with musculoskeletal pain present a challenge for the health professions. To examine the effect of a structured personalized ergonomic intervention program for hospital nurses with musculoskeletal pain. In a randomised controlled trial, 31 nurses from one central hospital with musculoskeletal pain were observed at work. A multi-stage study that included the Nordic Musculoskeletal Questionnaire, Karasek's questionnaire, The Rapid Entire Body Assessment, and an intervention program was completed with 14 nurses, while the remaining 17 were assigned to a control group. The intervention program was carried out by one physiotherapist and included four meetings over three months. The control group received only instruction sheets. Data on body posture and frequency and intensity of pain were collected before and at three months after the termination of the intervention program. Compared with the control group, the intervention group showed an improvement in REBA scores and in posture that is considered risk factor for work-related musculoskeletal discomfort disorders [p < 0.001], but there were no significant differences in the number of body parts in pain or in the level of musculoskeletal pain. The intervention was shown to be effective in reducing risk factors for work-related musculoskeletal disorders over a short follow-up period. A long-term study is required to determine if this effect is preserved over a longer period and to determine whether the intervention can reduce musculoskeletal symptoms.

Association between perceived present working conditions and demands versus attitude to early retirement among construction workers.

Early retirement is an increasing problem in the construction industry. There is limited information about causes leading employees to leave working life early. We have compared construction workers present situation with their perception of future demands at work to avoid early retirement. All 87 employees in a medium-sized Norwegian construction company participated in the study. All were men and answered questionnaires on health and pain, work ability, mechanical exposure, psychosocial conditions, and demands regarding future working conditions. Most workers showed good work ability, irrespective of age. Many reported high levels of mechanical exposure at work. The level of musculoskeletal pain was higher in the middle-aged (30-50 year old) age groups and seniors aged over 50 years than among the youngest workers less than 30 years of age. All workers reported that good health was important for continued working. Most workers stated that future work must not be too physically demanding. Many workers reported relatively low job satisfaction; consequently an interesting job was rated as important for continuing work. Good social conditions were a high priority. According to the examined construction workers, good health and reduced levels of mechanical exposure at work are essential to avoid early retirement.

스케일링 실습수업 전후 수부의 악력 및 파지력 비교분석

Objectives : The purpose of the research is to measure Dental Hygiene students` level of musculoskeletal pain before and after receiving scaling training which involves repetitive operations and examine effects the operations have on the students` grip and pinch strength. Methods : 15 subjects in Dental Hygiene at Y university located in Chungbuk were tested on November 2, 2011. Results : 12 students had a musculoskeletal pain before receiving scaling training. However, all the 15 students had a musculoskeletal pain after the training. Body part the largest number of the students complained of the pain on was shoulders(37.9%) followed by neck(20.8%), waist(13.9%), wrists(10.3%), then back(6.9%) before receiving the training. Then the result showed that shoulders are where the largest number of students(24.1%) felt the pain, followed by neck(17.2%), wrists and fingers(13.8%), waist(12.1%), back and lower arms(6.9%), then palms(5.2%) after the training. Visual Analogue Scale(VAS) increased to after receiving the training from and this shows statistically significant difference(p from after receiving the training and this shows statistically significant difference(p to , key pinch from to , and tripod pinch from to . Conclusions : The result showed that scaling training has effects on Dental Hygiene students` musculoskeletal subjective symptoms and their grip and pinch strength changes after receiving the training.

Physical Inactivity and Pain in Older Men and Women with Hip Fracture History

Hip fracture patients often suffer from pain for several months after surgery. This may lead to physical inactivity and subsequent mobility limitation and disability. The purpose of this study was to investigate the association between severe musculoskeletal pain and the level of physical activity in older people with a history of hip fracture. Data were collected from 60- to 85-year-old (n = 78) community-dwelling people, 0.7–7.5 years after hip fracture. Physical activity was assessed with the Yale Physical Activity Survey (YPAS). According to the YPAS summary index distribution, the participants were divided into the physically inactive and physically active groups. Musculoskeletal pain in the lower back, hip or knee region was assessed by the Visual Analog Scale. Pain was defined as severe pain if the subject rated the pain 66 mm or over (upper third of the scale) in at least one of the relevant body regions in the lower body. Thirty-three subjects (42%) experienced severe pain in the lower body, of whom 23 (70%) reported severe pain in the operated hip. Twenty-three patients (30%) used pain medication prescribed by a physician. The level of musculoskeletal pain was significantly higher in the physically inactive (62%) than in the physically active (31%) group (p = 0.011). Logistic regression analysis showed that people with severe pain had over three times (OR: 3.5, 95% CI: 1.30–9.39) the risk for physical inactivity compared to those with less or no pain. Multivariate adjustments for balance confidence, time since fracture, number of chronic diseases and type of surgery did not materially change the estimate (OR: 3.0, 95% CI: 1.00–9.30). Pain is an important associated factor of physical inactivity in older people with a hip fracture history. Pain management may be important in restoring and sustaining the level of physical activity after hip fracture. Further prospective and experimental studies are, however, needed to explore the causality between pain and physical activity as well as the role of pain management and physical activity interventions in preventing mobility limitation and disability among older people recovering from hip fracture.

Health problems and help-seeking in a nationwide sample of operational Norwegian ambulance personnel

BackgroundTo estimate the prevalence of anxiety and depression symptoms, and their association with professional help-seeking, among operational ambulance personnel and a general working population, and to study the symptoms of musculoskeletal pain and disturbed sleep among ambulance personnel.MethodsThe results of a comprehensive nationwide questionnaire survey of operational ambulance personnel (n = 1180) were compared with the findings of a population-based Norwegian health study of working people (n = 31,987). The questionnaire included measures of help-seeking, the Hospital Anxiety and Depression Scale, the Subjective Health Complaints Questionnaire, the Karolinska Sleep Questionnaire and the Need for Recovery after Work Scale.ResultsCompared with those in the reference population, the mean of level anxiety symptoms in the ambulance sample was lower for men (3.5 vs. 3.9, P <0.001) and women (4.0 vs. 4.4, P <0.05), and the mean level of depression symptoms in ambulance workers was lower for men (2.3 vs. 2.8, P <0.05) but not for women (2.9 vs. 3.1, P = 0.22). A model adjusted for anxiety and depression symptoms indicated that ambulance personnel had lower levels of help-seeking except for seeing a chiropractor (12% vs. 5%, P <0.01). In the ambulance sample, symptoms of musculoskeletal pain were most consistently associated with help-seeking. In the adjusted model, only symptoms of disturbed sleep were associated with help-seeking from a psychologist/psychiatrist (total sample = 2.3%). Help-seeking was more often reported by women but was largely unaffected by age.ConclusionThe assumption that ambulance personnel have more anxiety and depression symptoms than the general working population was not supported. The level of musculoskeletal pain and, accordingly, the level of help-seeking from a chiropractor were higher for ambulance workers. More research should address the physical strains among ambulance personnel.

Eyestrain and Musculoskeletal Disorders among Video Coders

A study was conducted for a trade union in the UK to identify the extent of eyestrain and musculoskeletal problems among video coders and to investigate the main causes of these problems at work. A questionnaire study indicated high levels of musculoskeletal pain and discomfort and eyestrain among coders. Problems concerning work organisation (e.g. poor job control), posture (e.g. excessive neck flexion), provision of suitable equipment and furniture (e.g. broken chairs), software (e.g. slow speed), training (e.g. insufficient programmes) and environmental concerns (e.g. variable temperature and airflow) were highlighted during the workplace assessments at two mail centres. Recommendations for risk reduction were made in the following areas: training programme design, system development, selection and provision of equipment and furniture, cleaning and maintenance, environmental issues, work organisation and reduction of health risks.