Nordic Musculoskeletal Questionnaire Research Articles

Task-based evaluation of WRMSDs prevailing amongst workers in building construction: An occupational and socioeconomic perspective.

The construction of buildings is risky for workers' musculoskeleton. This study aims to calculate the significance of risk associated with work-related musculoskeletal disorders. 600 workers from 20 construction sites were surveyed using the Nordic Musculoskeletal Questionnaire (modified) and their performance was assessed at seven construction-tasks using RULA and REBA sheets. SPSS v. 26 and R programming were used for statistical analysis. The mean value of workers' age was 28.4381 years, with 8.8205 working months/year and 65USDs monthly earnings. Maximum reporting of body discomfort was by workers of window/door framing. Workers' BMI (35-44 kg/m2) and break duration (< 15 minutes) prompted neck pain with OR 7.79 (95% CI 1.135-53.587) and OR 1.179 (95%CI 0.231-6.014) respectively. Bagging was dangerous for the ankle with OR 9.881 (95% CI 5.140-18.994), and window/door framing for feet with OR 2.057 (95% CI 1.196-3.539). The mean value of the RULA grand score ranged from 5.89 (lowest for 'leveling') to 9.25 (highest for 'demolishing'), and the REBA sheet between 8-11 for all seven studied work-stages. Workers' upper and lower limbs are affected by the work-stages they perform and the social lifestyle they live in. These findings from 600 workers are sufficient to be generalized for intervention.

Work-Related Musculoskeletal Disorders Among Occupational Therapists in Turkey: A Cross-Sectional Study

Work-related musculoskeletal disorders are a common cause of absentism and work disability. As work-related musculoskeletal disorders represent an increasingly important issue for occupational therapists, this study determined musculoskeletal disorders among occupational therapists in Turkey. A total of 238 occupational therapists participated and completed the Nordic Musculoskeletal Questionnaire. As a result, 73.1% of participants reported experiencing neck pain and 72.3% reported experiencing low back pain at 12 months. Statistically significant differences were found between participants with and without work-related musculoskeletal disorders regarding gender, experience, workplace type, treatment, and daily working hours (p < 0.05). Occupational therapists may experience work-related musculoskeletal disorders due to not practicing proper body mechanics or non-provision of transferring equipment.

Musculoskeletal disorders and quality of life of artisanal fishermen from riverside localities in the Brazilian Amazon.

Artisanal fishing is widely practiced in the Amazon region. However, the exhaustive labor demand impacts on the health of fishermen. Thus, this study aimed to evaluate the prevalence of musculoskeletal disorders (MSDs) and the relationship with the quality of life (QoL) of artisanal fishermen. A cross-sectional study was carried out, evaluating male fishermen from two rural communities bordering Janauacá lake, Amazonas. Data were collected through interviews, using REDCap installed on smartphones. The Nordic Musculoskeletal Questionnaire was utilized to identify the body regions with the greatest pain complaints, and QoL was assessed using the mental and physical components of the SF-12. After the descriptive analysis, linear regression analysis was performed to evaluate the association between the occurrence of MSDs and the components of QoL. The analyses were performed using Stata SE software, version 17. In total, 115 fishermen were evaluated. MSDs were reported in all of the body regions assessed, with a higher prevalence in the lower (80.0%) and upper (43.5%) back, and knee (40.9%). Lower QoL scores were observed in emotional performance (20.7 ± 4.0), physical performance (25.1 ± 4.3), and mental health (29.0 ± 13.6). It was observed that individuals with any MSD presented worse QoL in the physical component (βadj=-5.0; 95%CI=-9.7; -0.3). The findings showed a high prevalence of MSDs in the study population, as well as its impact on the QoL of artisanal fishermen. This highlights the need to reorganize health services to prevent the occurrence of MSDs, as well as for their treatment and rehabilitation.

Prevalence of Workplace-Related Musculoskeletal Disorders Among Nurses and Midwives in a Tertiary Healthcare Facility: A Descriptive Cross-Sectional Survey.

To assess the prevalence of workplace-related musculoskeletal disorders (WMSDs) among Nurses and Midwives in a Tertiary Healthcare Facility in Northern Ghana. The study utilised a descriptive cross-sectional study design using the STROBES guidelines. Standardised Nordic musculoskeletal questionnaire was used to gather data from 309 nurses and midwives. The selection of respondents was done using a simple random sampling method. The data were analysed using SPSS version 27.0. From the 259 included respondents, 195 (75.3%) experienced WMSDs in the last 12 months. 138 (70.7%) highlighted their low back (lumbar/sacral) as the affected region and 119 (61.0%) indicated experiencing WMSDs during the first 5 years of clinical practice. Key job-related risk factors contributing to WMSDs development included working in the same positions (such as standing, bending over, sitting, kneeling) for long periods (176 [68.0%]), treating an excessive number of patients in 1 day (142 [54.8%]), continuing to work while injured or hurt (139 [53.7%]), bending or twisting the back in an awkward way (140 [54.1%]) and not enough rest breaks or pauses during the workday (130 [50.2%]). Regarding coping strategies, the most frequently employed method was getting someone else to help handle a heavy patient (83 [42.5%]). The multivariate regression analysis revealed that respondents with fewer than 5 years of experience were markedly more susceptible to reporting WMSDs compared to those with over 10 years of experience (AOR = 3.73, 95% CI [1.03, 13.42], p = 0.043). The overall prevalence of WMSDs among nurses and midwives was high. This study also revealed that the most commonly affected body region was their low back. Working in the same position for long periods was identified as a major occupational risk factor contributing to these disorders. Despite this risk, a significant number of nurses and midwives consistently sought assistance when handling heavy patients. The current study suggests that hospitals should provide comprehensive ergonomic training to healthcare professionals, emphasising proper body mechanics, posture and techniques for patient moving and handling. Patients or public were not involved in setting the research objectives, the design and preparation of the manuscript. Nurses and midwives working the tertiary hospital answered the research questionnaires.

Influence of self-reported physical exercise on musculoskeletal pain among Chinese medical students.

From January to April 2020, the COVID-19 pandemic affected eastern China, leading medical students to adopt home protection measures that significantly altered their physical activity and lifestyle habits. This study aimed to assess the prevalence of musculoskeletal pain (MSP) among medical students during home protection and to analyze the influence of demographic factors, physical exercise habits during normal school life, home protection data on MSP. This research provides a foundation for developing interventions to reduce MSP among medical students. A cross-sectional survey was conducted at Nanjing Medical University in Jiangsu Province from January to April 2020, utilizing the Nordic Musculoskeletal Questionnaire (NMQ) to measure MSP. Multivariate logistic regression identified factors influencing MSP. A total of 859 students participated, with a 40.2% prevalence of MSP during home protection. Multivariate analysis showed that female sex (OR: 1.648; 95% CI: 1.157-2.347), irregular physical exercise during school (OR: 1.648; 95% CI: 1.157-2.347), and less than or equal to six hours of sleep per day during home protection (OR: 1.474; 95% CI: 1.020-2.131) were significant risk factors. The high prevalence of MSP underscores the need for interventions that focus on gender-specific risks, promote regular physical exercise, and ensure adequate sleep.

INVESTIGATION OF THE RELATIONSHIP BETWEEN WORKING POSTURES OF PHYSIOTHERAPISTS WORKING IN SPECIAL EDUCATION AND REHABILITATION CENTERS AND HOSPITALS WITH PAIN, BODY AWARENESS LEVEL, CHRONIC FATIGUE AND DEPRESSION

This study aims to examine the relationship between physiotherapists' working posture and pain, body awareness level, chronic fatigue, and depression levels and to determine whether these parameters depend on the institution where they work. 93 randomly selected physiotherapists between the ages of 24-52 were divided into two groups according to their institutions: Rehabilitation centers/hospitals. Working posture was evaluated with the Ovako Working Posture Analysing System (OWAS), pain was evaluated with the Extended Nordic Musculoskeletal Questionnaire (NMQ-E) and Visual Analogue Scale (VAS), body awareness level was evaluated with the Body Awareness Questionnaire (BAQ), chronic fatigue was evaluated with the Chronic Fatigue Syndrome/Self Assessment Form (CFS), depression level was evaluated with the Beck Depression Inventory (BDI). A relationship was found between OWAS-leg posture and NMQ-E-ankle pain (r=-0.238), between OWAS-back posture-arm posture-action class and VAS (r1=0.25; r2=-0.27; r3=0.23), and between OWAS-back posture-action class and BDI (r1=0.25; r2=0.26) (p

Impact of a 6-month sit-stand desk-based intervention on regional musculoskeletal discomfort and overall post-work fatigue in office workers: a cluster randomised controlled trial

Evaluate the impact of a 6-month sit-stand desk (SSD) intervention on office workers’ regional musculoskeletal discomfort (MD) and overall post-work fatigue (PWF) compared to a control group. A two-arm (1:1) clustered randomised controlled trial including 38 participants (aged 24–60 years, 77% women) assigned to intervention or control groups. The intervention, spanning 6 months, involved psychoeducation, motivational prompts, and SSD. The control group maintained standard working conditions. MD was assessed using the Nordic Musculoskeletal Questionnaire, and PWF with the Need for Recovery Scale. ANCOVA was employed to compare groups, adjusting for covariates, with 5% significance. The intervention group reduced overall MD (p = 0.018) and PWF (p = 0.013), while the control group showed no changes. However, no time*group interactions were found (p > 0.05). A 6-month SSD intervention alleviated office workers’ MD and PWF, suggesting benefits from increasing standing time by at least 30 minutes/day. Future investigations must explore individual heterogeneity in response to SSD. Trial registration https://doi.org/10.17605/OSF.IO/JHGPW.

Comparisons and associations of psychological factors and the number of painful sites in wheelchair basketball athletes with and without shoulder pain: A cross-sectional case-control study

Objective To compare psychological factors and the number of painful sites between wheelchair basketball athletes (WBA) with and without shoulder pain and examine their associations with shoulder pain. Design A cross-sectional, case-control study. Methods Forty-three WBA participated. Shoulder pain was assessed with the Wheelchair User's Shoulder Pain Index (WUSPI), pain catastrophizing with the Pain Catastrophizing Scale (PCS), kinesiophobia by the Tampa Kinesiophobia Scale (TKS), self-efficacy with the General Self-Efficacy Scale (GSES), and the number of painful sites using the Nordic Musculoskeletal Questionnaire. Disability and sport-related data were collected. Spearman’s correlation coefficients were calculated. Mann-Whitney U and independent samples t-tests were used for between-group comparisons. Results Athletes with shoulder pain (n = 21) had an increased number of painful sites (P < .050) and higher PCS (P = .003). The WUSPI exhibited moderate associations with the number of painful sites during the last year (rho = .581) and past seven days (rho = .602), and PCS (rho = .470), and a weak association with the TKS (rho = .333)(P < .050). The number of painful sites with disability exhibited moderate associations with PCS (rho = .427) and GSES (rho = –.473)(P < .050). WBA classification levels showed moderate associations with the WUSPI (rho = –.400) and the number of painful sites during the last year (rho = –.437), and a weak association with the number of painful sites during past seven days (rho = –.315)(P < .050). The PCS showed weak associations with the number of painful sites during the last year (rho = .365) and the past seven days (rho = .398)(P < .050). Conclusions Results suggest considering WBA classes, pain catastrophizing, self-efficacy and multisite pain in the pain management of WBA.

A Pilot Study Examining The Efficacy Of Occupational Therapy Rehabilitation Programmes For Students With Work-Related Muscular-Skeletal Disorders

Background: Musculoskeletal issues at work have an influence on daily life, productivity, and quality of life. Musculoskeletal issues that go untreated can result in severe damage and function loss, which can limit participation, cause financial loss, and add to the rising burden of illness in the world. Objective: The purpose of this study was to find the effect of occupational therapy rehabilitation program in occupational therapy students with work related musculoskeletal disorder. Study Design:Quasi-experimental, pilot study design was chosen for the research Methods: The study employed a quasi-experimental study design. Thirty occupational therapy students aged 20-25 years were recruited through convenience sampling after a prevalence check where 30 students reported 54 musculoskeletal problems. A total number of participants (n= 30) received occupational therapy rehabilitation program. Standardised Nordic musculoskeletal questionnaire (SNMQ) and Numeric pain rating scale (NPRS) were administered to Pain and work related musculoskeletal disorder for all the participants. Result: It revealed that there was a statistically significant difference in pre-test and post-test with numeric pain rating scale (t=10.625, p=0.000). There was a significant difference in percentage in 7 days component of SNMQ. There was no statistical difference with post-test of score of 12 months component of SNMQ. Conclusion: Occupational therapy rehabilitation program is effective for reducing Musculoskeletal disorder or discomfort in occupational therapy students.

Screening of musculoskeletal disorders and levels of depression in transgender people of Multan

Objective: To perceive transgender health issues by evaluating their susceptibility to musculoskeletal problems and depression. Method: The cross-sectional, analytical study was conducted from January to April 2023at the Government Girls Comprehensive Higher Secondary School, Multan, Pakistan, a school for transgenders, and comprised subjects aged 18-40 years. Body mass index was calculated for each subject, and further data was collected using the Standard Nordic Musculoskeletal Questionnaire, Beck Depression Inventory and Numeric Pain Rating Scale. Data was analysed using SPSS 25. Results: Of the 44 subjects, 26(59%) were transgender females and 18(41%) were transgender males. The overall mean age was 25.06±1.53. There were 17(39%) subjects who had received education, and 27(61%) were illiterate. Mean depression score was 24.7±11.5, and mean body mass index was 22.9±3.16. Mean pain intensity was 5.81±2.04. Correlation analysis revealed a complex relationship among age, gender, education, occupation and health variables (p&lt;0.01). Conclusion: Musculoskeletal disorders and the level of depression were high and correlated with the occupation of transgender individuals. Key Words: Transgender persons, Musculoskeletal disorders, Social isolation, Depression.

Evaluation of the Nordic Musculoskeletal Questionnaire for Measuring Prevalence and the Consequence of Pain in a Danish Adult OI Population: A Pilot Study.

Pain is a challenge in persons with OI and causes much concern in the Osteogenesis Imperfecta (OI) population. We aim to evaluate the usability of the Nordic Musculoskeletal Questionnaire (NMQ) to identify painful sites in adults with OI and to describe the occurrence of musculoskeletal (MSK) pain and its impact on their work and daily activities. This cross-sectional pilot study uses the OI-NMQ to study MSK pain prevalence in nine separate anatomical regions (neck, upper back, lower back, shoulder, elbow, hand/wrist, hip, knee, and ankle/foot) and its impact on regular work and daily activities in adults with OI. The questionnaire was distributed among participants of the 2023 annual meeting of The Danish OI Society. The response rate was 68%, and all participants considered the OI-NMQ helpful in assessing the presence of pain and its consequences. The analysis included 27 adults with OI type I, III, or IV above 18years. Among all 27 participants, MSK pain was present in 15-56% of the 9 sites within the last 7days and 33-89% of the nine anatomical regions during the last 12months. In 7-48% of all the participants, their regular work and daily activities had been affected by the presence of MSK pain. The OI-NMQ was feasible in assessing MSK pain among adults with OI and displayed a high prevalence of MSK pain with a moderate impact on their regular work and daily activities in this OI population. A larger and repeated measurement of MSK pain in adults with OI is needed to confirm these results.

ASSESSMENT OF PREVALENCE AND IMPACTS OF WORK-RELATED MUSCULOSKELETAL DISORDERS AMONG NURSES AT INTERMEDIATE HOSPITALS IN NAMIBIA

Introduction: Work-related musculoskeletal disorders (WRMSDs) have been ranked as the major cause of disability globally. Namibian intermediate hospital (IH) nurses are overworked and susceptible to musculoskeletal diseases. The study aimed to determine the 12-month prevalence, and impacts of WRMSDs among nurses at IHs Katutura, Onandjokwe, Oshakati, and Rundu in Namibia. Methods: A self-administered Standardised Nordic Musculoskeletal Questionnaire was used as a data collection instrument for a cross-sectional study involving 808 randomly selected nurses at IHs Katutura, Onandjokwe, Oshakati, and Rundu. SPSS version 26 was used for descriptive statistical analysis. Results: Results revealed a high 12-month prevalence of WRMSDs in any body part (76%), (73%), (69%), and (65%) at IHs Katutura, Oshakati, Rundu, and Onandjokwe, respectively. The lower back was the most prevalent body part affected by the 12-month WRMSDs (74%), (72%), (71%), and (69%) at IHs Katutura, Onandjokwe, Rundu, and Oshakati, respectively. The WRMSDs are impacting nurses’ work and daily lives. There is unnecessary money spent on medical consultations, and nurses might contribute poorly to the hospital’s output since they have to pursue medical attention instead of attending to patients. Conclusion: WRMSDs are prevalent and impacting nurses' lives at IHs. Collaborative efforts between healthcare institutions, policymakers, and professional bodies are essential to creating a supportive workplace culture that prioritizes nurses' physical and psychosocial well-being and mitigates the effects of WRMSDs. Further research needs to be conducted to determine risk factors contributing to WRMSDs among nurses at IHs in Namibia.

Gadgets and Sleep Problems are Causes of Neck Pain in Young Adults

Neck pain affects two-thirds of the population, disrupting daily activities. In young adults, it can reduce quality of life and productivity. While risk factors for neck pain are known, the impact of sleep quality and gadget use on its incidence in Generation Z is less studied. This study aimed to determine the effect of sleep quality and gadget use on neck pain in young adults. A cross-sectional, unpaired categorical comparative analysis was conducted on preclinical students of the Faculty of Medicine, Universitas Pelita Harapan (class of 2020-2022). Neck pain incidence was assessed using the Nordic Musculoskeletal Questionnaire; sleep quality was measured with the Pittsburgh Sleep Quality Index; and gadget use duration was evaluated with the Screen Time Questionnaire. Data were analyzed using SPSS 26 and Chi-Square analysis. A significant relationship was found between sleep latency and neck pain (P &lt; 0.001; OR = 3.210), sleep disturbances and neck pain (P = 0.030; OR = 3.106), and gadget use duration on weekdays and neck pain (P = 0.048; OR = 1.781). Sleep latency, sleep disturbances, and the duration of gadget use are significantly associated with neck pain in young adults.

Relationship between Internet Gaming Disorder Severity and Musculoskeletal Complaints among University Students

Background: The increasing prevalence of internet gaming among university students raises concerns about associated musculoskeletal complaints due to prolonged device usage and poor posture.Objective: To assess the relationship between internet gaming disorder severity and musculoskeletal symptoms among university students.Methods: This cross-sectional study involved 380 university students aged 18-25 years, selected through purposive sampling. Participants completed the Internet Gaming Disorder Scale-Short Form (IGDS9-SF) and Modified Nordic Musculoskeletal Questionnaire (mNMQ). Data were analyzed using SPSS Version 25 with chi-square tests to determine associations between gaming disorder severity and musculoskeletal complaints.Results: Among participants, 39.2% had low, 46.3% moderate, 13.9% high, and 0.5% very high internet gaming disorder severity. Musculoskeletal symptoms were reported in the neck (46.6%), shoulders (28.9%), wrists/hands (28.9%), and lower back (31.8%). Significant associations were found between gaming severity and musculoskeletal symptoms in the neck (p=0.00), shoulders (p=0.00), wrists (p=0.000), and lower back (p=0.015).Conclusion: A significant relationship exists between internet gaming disorder severity and musculoskeletal symptoms among university students, emphasizing the need for ergonomic interventions and awareness programs.

Factors Associated with Low Back Pain in Pre-Clinical Students in the Faculty of Medicine at Pelita Harapan University: Original Research

&lt;p&gt;&lt;strong&gt;Background:&lt;/strong&gt; Low back pain is one of the most common health problems globally, including in Indonesia, and can result in limitations on a person's activities. While low back pain is typically associated with adults and the elderly, its prevalence is also notably high among students, particularly medical students. Despite the various factors contributing to low back pain, there is limited data on its prevalence and associated factors in Indonesia.&lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Methods:&lt;/strong&gt; A cross-sectional study was conducted at the Faculty of Medicine, Pelita Harapan University, utilizing consecutive sampling. Data were collected using the Nordic Musculoskeletal Questionnaire, Pittsburgh Sleep Quality Index (PSQI), International Physical Activity Questionnaire (IPAQ), and Perceived Stress Scale (PSS).&lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Results:&lt;/strong&gt; Out of 179 students, 144 (80%) experienced low back pain, while 35 (20%) did not. Among students with low back pain, 1.4% had psychological history, 7.3% had history of spinal problems, 0.7% had family history, 15.3% were obese, 75% had poor sleep quality, 8.3% had high-risk physical activity, 6.9% had a high-risk position, and 7.6% had a high-risk stress level. While other factors showed no significant association with low back pain, sleep quality demonstrated a significant association with a p-value of 0.022 (OR 2.52, CI 1.18-5.43).&lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Conclusion:&lt;/strong&gt; There is a significant association between sleep quality and low back pain in pre-clinical medical students at UPH, while other factors did not exhibit significant correlations.&lt;/p&gt;

Association of Diabetes with Musculoskeletal Pain of the Upper Quadrant in Housewives of Lahore

Background: Musculoskeletal (MSK) pain is a common yet under-recognized complication of Type 2 Diabetes Mellitus (T2DM). Diabetic patients, particularly housewives, are prone to upper quadrant musculoskeletal discomfort due to physical strain and poor glycemic control.Objective: To determine the association between diabetes and musculoskeletal pain in the upper quadrant among housewives in Lahore.Methods: A cross-sectional study was conducted on 162 diabetic housewives aged 30-60 years. Participants were recruited using non-probability convenient sampling from four hospitals in Lahore. Data were collected through the Visual Analogue Scale (VAS) and Nordic Musculoskeletal Questionnaire. SPSS version 27 was used for data analysis, with Chi-square tests applied to assess associations. Statistical significance was set at p &lt; 0.05.Results: The mean age of participants was 47.26 ± 7.57 years. Shoulder pain was reported at 39.5%, neck pain at 23.5%, and upper back pain by 13.6%. 61.1% experienced moderate pain, while 17.9% had severe pain. A significant association was found between diabetes and musculoskeletal pain (p &lt; 0.001).Conclusion: There is a strong association between T2DM and upper quadrant musculoskeletal pain, particularly in the shoulder. Early detection and management are essential to prevent chronic MSK conditions.

The Association Between the Central Sensitisation Inventory and Temporomandibular Disorders Is Confounded by Migraine, Depression, Widespread Pain and Parafunction. A Cross-Sectional Telehealth Study.

Temporomandibular disorders (TMDs) are conditions that involve the temporomandibular joints, masticatory muscles, and associated tissues, causing orofacial pain. Central sensitisation (CS) is a relevant part of the TMD pathophysiology. Migraine, psychological aspects, parafunctional oral habits and widespread pain are commonly associated with both TMD and CS and could confound the association between them. To investigate the association between painful TMD and the Central Sensitisation Inventory (CSI) score, and to assess the presence of confounders in this association. Cross-sectional study that assessed women with and without orofacial pain complaints using telehealth. The TMD Pain Screener and an online physical examination determined the presence of painful TMD. The following questionnaires were applied: CSI, Headache Screening Questionnaire, Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, Oral Behavior Checklist, Jaw Functional Limitation Scale and the Nordic musculoskeletal questionnaire. A single regression investigated the association between the CSI score and TMD, and a multiple regression investigated the effect of the other outcomes as possible confounders. Confounding was considered present when the association between TMD and the CSI score changed more than 10% after adding a possible confounder to the regression model. Forty-two women with painful TMD and 53 without TMD were included. There was a significant association between the CSI score and the presence of painful TMD (R2 = 0.639; p < 0.001). This association changed when the following outcomes were added to the model: presence of migraine, symptoms of depression, widespread pain and parafunctional oral habits. The positive association between TMD and the CSI score was confounded by migraine, symptoms of depression, widespread pain and parafunctional oral habits.

The association between insomnia and musculoskeletal problems in employees of an automotive company in Tehran, Iran

ObjectivesThe purpose of this study was to examine the association between insomnia and the number of pain areas among employees of an automotive company. Secondary aim was to examine the association between depression, anxiety, and stress, and musculoskeletal pain independent of insomnia. Material and methodsWe performed a cross-sectional study conducted in an automobile manufacturing factory. To collect data, we used the Nordic Musculoskeletal Questionnaire, ISI (Insomnia Severity Index), and DASS-21 (Depression, Anxiety, and Stress Scale). The univariate and multiple association analyses were performed using ordinal logistic regression adjusted for gender, age, industrial/non-industrial, sport activity, pack year, educational level, years of employment, anxiety, stress, and depression. ResultIn individuals with insomnia, the lower back was the most common area where pain was reported (59.5%). In all areas, pain symptoms were significantly more prevalent in individuals with insomnia compared to those without insomnia. Insomnia was associated with having pain with an increased odds of number of pain sites (odds ratio [OR] 2.81,95%CI 2.34–3.39). In ordinal logistic regression, there was an association between insomnia and pain, independent of the effects of depression, anxiety, and stress (OR 2.21,95%CI 1.52–3.23). DiscussionInsomnia was associated with pain in all regions of the body and a higher prevalence of pain in multiple areas. The insomnia-pain association was independent of depression, anxiety, and stress.

Neck Strength Variations in Dental Students with and without Neck Pain: A Longitudinal Study

Neck pain can induce specific motor responses and alterations in muscle strength. Therefore, this study aimed to investigate and compare the progression of cervical muscle strength within and between students with and without neck pain over the course of their first semester of clinical training. We used an online Nordic Musculoskeletal Questionnaire for group allocation, and neck strength in flexion, extension, and lateral flexion on both sides was measured using the KForce Bubble Pro hand-held dynamometer. Forty-four students were divided into neck pain (n = 21) and asymptomatic (n = 23) groups. Both groups increased neck strength by the end of the semester in flexion, extension, and left and right lateral flexion (p &lt; 0.001). Students experiencing neck pain showed a significantly lesser degree of improvement (p = 0.036) in right lateral flexion. The agonist/antagonist ratios revealed an enhanced role of neck extensors across both groups. Dental students showed overall increased cervical strength in their first semester of clinical training. Those with neck pain exhibited a diminished rate of strength gain in right lateral flexion when compared with students without pain by the semester’s end, suggesting different neuromuscular adjustments to clinical practice in students experiencing pain, which may lead to functional impairments in later training stages.

The health and quality of life of dental workers in jordan during COVID-19: A cross-sectional study.

Dental team members are susceptible to high mental and physical stress levels, which could have increased during the Coronavirus disease 2019 (COVID-19). This study aimed to evaluate Jordanian dental workers' health-related quality of life (HRQoL) and determine its predictors during the COVID-19 Pandemic. This was a cross-sectional survey study conducted on dental team members, namely; Dentists, dental Assistants, and Dental Technicians. The survey questionnaire was composed of questions related to stress during COVID-19, a short-form survey of 12 items (SF-12), a Depression, Anxiety, and Stress scale (DASS-21), and a Nordic musculoskeletal disorder questionnaire (NMQ). Descriptive analyses were used to describe the main outcome measures, and multiple variable regression analysis was conducted to identify the quality of life predictors. Participants' HRQoL measured by SF-12 showed a mean±SD score of 67.1±17.19 for the physical component and 54.51±20.27 for the mental component. The Nordic scale showed symptoms of lower back pain as 63.9% over 12 months, 32% over 12 months' functional limitation symptoms, and 45% in 7 days The regression model was found strong for our study with 53.8% variations (r2 = 0.538, F = 43.739, P < 0.001) in health-related quality of life. Our study concluded that the level of HRQoL among Jordanian dental specialists during COVID-19 was observed to impact levels of physical and mental well-being which negatively influence the quality of life. Predictive factors like depression, stress, anxiety, musculoskeletal health, and individual everyday quality of life significantly affect the HRQoL of dental specialists.