Prevalence Of Shoulder Research Articles

Investigating basics and principles of ergonomics in the sheet

The development of work-related musculoskeletal disorders depends on the pattern of work and does not belong to a particular industry or occupation. One way to assess the amount of stress and tension on the body is to evaluate posture. The aim of this study was to determine the risk factors for musculoskeletal disorders in cellulose industry workers. Study, 22 stations were examined using RULA method, of which 7 stations were at level 2, 14 stations were at level 3 and one station was at level 4. 14 stations were surveyed using REBA method, among which, 2 stations were at level 1 and 12 stations were at level 2. Also, 38 stations were surveyed using the KIM-LHC method, of which 26 stations were at level 2 and 12 stations were at level 3. Statistical studies showed that there was a significant relationship between low back pain and work experience at the level of 0.01. The prevalence of shoulder, arm, back and leg pain was significantly different between men and women at the level of 0.01. There was also a significant relationship between the prevalence of musculoskeletal disorders in the lumbar and shoulder area over a period of time and the level of risk of work postures. The results of the study showed that the prevalence of musculoskeletal disorders and risk levels calculated by RULA and KIM methods were high in the subjects, but the risk level calculated by REBA method was low and moderate. Therefore, any program to prevent the occurrence of these disorders in the workplace and control the relevant ergonomic risk factors and take corrective measures to improve working conditions at all stages of production, is necessary.

Work-related musculoskeletal disorders and ergonomic risk assessment among radiologists and gastroenterologists using the workplace ergonomic risk assessment method

Background. Ergonomic risk factors in the workplace expose gastroenterologists and radiologists to Work-related Musculoskeletal Disorders (WRMSDs). This study aims to compare the frequency of musculoskeletal disorders and ergonomic risk factors in these two groups of physicians. 
 Materials and methods. This descriptive study was conducted on 360 physicians (radiologists and gastroenterologists) at the 5 University and teaching hospitals in Tehran. The prevalence of musculoskeletal symptoms was detected using the Nordic Musculoskeletal Questionnaire. The Workplace Ergonomic Risk Assessment (WERA) method was used to estimate and evaluate the ergonomic risk factors in each physician. Finally, the frequency of musculoskeletal disorders was compared between the two groups using statistical tests. 
 Results. The prevalence of shoulder (70% vs 36.66%; OR=4.03 (2.59–6.25); p<0.001) and hand pain (45% vs 30%; OR=2.78 (1.80–4.31); p<0.001) among radiologists was significantly higher than that among gastroenterologists. In contrast, gastroenterologists had a significantly higher prevalence of upper (65% vs 38.33%; OR=2.98 (1.94–4.58); p<0.001) and lower back pain (67.2% vs 49.44%; OR=2.55 (2.06–3.17); p<0.001) than radiologists. The mean WERA final score, the leg score, forceful score, contact stress, and task duration in radiologists were higher than that of gastroenterologists and the back score in gastroenterologists was higher than radiologists (p<0.05).
 Limitations. In this study, the psychological factors affecting musculoskeletal disorders have not been investigated.
 Conclusion. WRMSDs had a relatively high prevalence among radiologists (shoulder and hand pain) and gastroenterologists (upper and lower back). Due to the impact of ergonomic risk factors on these disorders in the workplace, ergonomic interventions should be implemented to reduce these risk factors in occupational settings.

Prevalence of Shoulder and Neck Pain Among Healthcare Workers in the Central Region of Saudi Arabia.

Introduction Musculoskeletal disorders (MSDs) have a tremendous impact on working people and are becoming a serious problem in the modern society. The healthcare system is regarded as having one of the most physically demanding jobs, and the risk of musculoskeletal injuries is high. Irrespective of their age, healthcare workers (HCWs) worldwide frequently experience shoulder and neck pain. In our study, we sought to understand what initiates shoulder and neck pain, such as stress or environmental factors, and what causes shoulder and neck discomfort among Saudi Arabian healthcare professionals. Methods A descriptive, cross-sectional study was conducted from 2022 to 2023, assessing shoulder and neck pain among healthcare workers in the central region of Saudi Arabia. An online survey was used, with 409 participants aged 20 or older. The questionnaire included socio-demographic data, Shoulder Pain and Disability Index (SPADI) questionnaire to measure shoulder pain and disability, neck Bournemouth questionnaire (NBQ) to assess neck pain, and quadruple visual analogue scale (QVAS) to measure the intensity of pain. Results Of the 409 HCWs, 56% were males, and 56.5% belonged to the age group of 20-30 years. The prevalence of high-intensity pain based on QVAS criteria was 29.3%. The mean percentage of neck pain (32.3%) was slightly higher than shoulder pain (31.8%). There was a significant association between the level of pain intensity in terms of the total score of NBQ, SPADI score, and its dimensions. It is interesting to know that HCWs with associated chronic diseases had higher scores in all three questionnaires (NBQ, SPADI, and QVAS). Conclusion High-intensity musculoskeletal pain was relatively high among HCWs. It was found that neck pain affected HCWs more than shoulder pain. Furthermore, an increased pain intensity in the shoulder and neck was more frequently seen in HCWs with chronic diseases. More studies are needed to determine the causes and risk factors for neck and shoulder pain to help improve the healthcare system and patient care.

Prevalence of Orthopedic Pains in Children and Adolescents: A Systematic Review and Meta-analysis.

Musculoskeletal disorders are among the main causes of death and disability and can impose high costs on individuals and countries. Considering the importance of pain, the present meta-analysis study aimed to investigate the prevalence of orthopedic pains in Iranian children and adolescents. The present study was reported in line with PRISMA. The searching process was carried out using keywords, including adolescents, pain, youth, school-age children, shoulder pain, neck pain, shoulder, and neck, AND/OR operators for the articles published during 2000 and 2022 in Scopus, Embase, PubMed, Scientific Information Database, Magiran, International Statistical Institute, and Islamic World Science Citation Center databases. This study reviewed the articles that reported the prevalence of orthopedic pains (i.e., wrists/hands, shoulders, elbows, and knees) among the 5-18-year age group in Iran and extracted their results. Two researchers conducted the search quite independently and extracted the necessary data using a researcher-made checklist. The collected data were analyzed using Comprehensive Meta-Analysis software (CMA3). Initially, 418 articles were identified, and 14 articles were entered into the systematic review stage. The prevalence rates of pains related to wrists/hands, shoulders, elbows, and knees were 6.6 (95% confidence interval [CI]: 3.2 - 13.0), 26.9 (95% CI: 17.0 - 39.7), 2.9 (95% CI: 1.3 - 6.3), and 6.6 (95% CI: 3.0 - 14.2), respectively. The prevalence of shoulder and knee pains in individuals under 18 years in Iran was high. Therefore, it is necessary to make necessary interventions and take preventive measures.

Prevalence of Shoulder and Elbow Overuse Injuries Among Competitive Overhead Youth Athletes in Singapore.

There is a dearth of information related to shoulder and elbow overuse injuries in Asian overhead youth athletes. To determine the prevalence and severity of shoulder and elbow overuse injuries, as well as their associated factors, among competitive overhead youth athletes in Singapore. Descriptive epidemiology study. Participants completed a survey consisting of 4 multiple-choice questions and 1 open-ended question. Data on sex, age, playing experience, and weekly training hours were also collected. Separate injury severity scores (range, 0-100, with higher scores indicating greater severity) for the shoulder and elbow were tabulated from the responses to the multiple-choice questions. The association between participant characteristics and presence of shoulder and elbow overuse injuries was determined using the chi-square test. Crude odds ratios (ORs) and 95% CIs were also calculated. 532 overhead youth athletes (age, 12-18 years) responded, of which 434 responses were included for analysis. Badminton, cricket, softball, swimming, and volleyball were some of the sports studied. The prevalence of shoulder and elbow overuse injuries was 31.3% and 9.2%, respectively. The respective severity scores were 30.4 ± 14.4 and 38.4 ± 22.4. Age was associated with the presence of both shoulder (P = .016) and elbow (P = .037) overuse injuries. Years of experience was associated with the presence of substantial elbow injuries (P = .049). Weekly training hours was associated with the presence of shoulder (P = .016) and substantial shoulder (P = .020) injuries. Being older (15-18 years) increased the odds of shoulder (OR, 1.65; 95% CI, 1.10-2.49) and elbow (OR, 2.04; 95% CI, 1.03-4.01) overuse injuries. Having >8 years of experience increased the odds of substantial shoulder (OR, 2.71; 95% CI, 1.01-7.29) and substantial elbow (OR, 3.92; 95% CI, 1.01-15.24) overuse injuries. Training >11 hours per week increased the odds of shoulder overuse injuries (OR, 2.64; 95% CI, 1.31-5.30). Shoulder overuse injuries were more prevalent, but elbow injuries tended to be of greater severity among competitive overhead youth athletes in Singapore. Coaches working with older and experienced youth athletes, especially those training >11 hours per week, should be cognizant of the risk of shoulder and elbow overuse injuries.

Influence of gender and age on musculoskeletal symptoms in white-collar and blue-collar workers: a cross-sectional study

Objectives. This study aimed to identify the prevalence of musculoskeletal symptoms among blue-collar and white-collar workers stratified by gender and age. Methods. The sample was composed of 390 blue-collar and 510 white-collar workers. Musculoskeletal symptoms were evaluated using the Nordic musculoskeletal questionnaire. An independent t test or Mann–Whitney test was used for inter-group comparisons. The χ 2 association test was applied for categorical variables. Logistic regression analysis was used to determine the influence of gender and age on musculoskeletal symptoms. Results. The prevalence of shoulder, lower back and ankle/foot symptoms was higher among blue-collar workers compared to white-collar workers. In the analysis stratified by gender, female blue-collar workers had a higher frequency of shoulder symptoms and male blue-collar workers had a higher frequency of lower back symptoms. In the analysis stratified by age, younger blue collar-workers had a higher frequency of shoulder, lower back and ankle/foot symptoms compared to young white-collar workers, and older white-collar workers had a higher frequency of neck symptoms compared to older blue-collar workers. Conclusions. Gender and age exerted an influence on self-reported symptoms in blue-collar and white-collar workers.

Prevalence of Shoulder, Back and Neck Pain in Female Nurses of Nishtar Hospital, Multan

Work related musculoskeletal disorder is increasing ration in nursing population of hospital about 33% which in result affect the quality of life and limits the activity of daily living
 Objective: To nd prevalence of back, shoulder and neckpain in female nurses of Nishtar hospital Multan
 Methodology: This cross sectional study was conducted onfemale nurses of Nishter Hospital, Multan. Non Probability Convenience sampling technique was used and total of 80 nurses were participated in this study. Nordic questionnaire and visualanalogue scale was used tool for data collection. Nurses of age 18-55, Student professional nurses, nurses willing to participate, nurses having minimum one year experience in this field wereincluded while nurses who refused to participate in this study, pregnant nurses, nurses having spinal issue and systemic problems were excluded from the study. Data was analyzed by using SPSS 22.0 version.
 Results:63.8% nurses were having low back pain, 40% nurses having neck pain and 38.75 complaints about the shoulder pain. The results of chisquare test revealed p<0.05 which showed that there was analytical significant symbolic affiliation between neck, shoulder, Low back pain and Working hours /week.Conclusions:Majority nurses reported they suffer from low back, neck and shoulder pain. Working for long time or increased working hours is a potential risk factor for low back, neck and shoulderProblems.

The Danish Spinal Cord Injury Shoulder (DanSCIS) cohort: methodology and primary results.

Cross-sectional study. To describe the socio-demographics, injury characteristics, prevalence of shoulder and neck symptoms, weekly participation in leisure time physical activity (LTPA) and quality of life (QoL) of individuals with spinal cord injury in Denmark (SCI). Nation-wide community survey, Denmark. Individuals with SCI for >2 years were included from three SCI rehabilitation departments. Questionnaire data regarding socio-demographic details, SCI injury characteristics, medical history, shoulder and neck symptoms, LTPA and QoL were collected. Of 2454 potential participants, 1517 (62%) responded to the survey (mean age = 56.2, SD 16.1, 37% female, 42% tetraplegia, 23% complete SCI, mean time since injury = 16.9, SD 13.5). 75% used some form of assistive mobility device. Responders and non-responders showed no sex or injury type/severity differences. Shoulder and neck symptoms within the past 3 months were reported by 63 and 67% respectively, with 51% reporting shoulder symptoms within the past week. Among those with symptoms, 61% had experienced shoulder symptoms and 56% neck symptoms, for more than 30 days during the previous 3 months. Symptoms often prevented participants from performing their usual activities (due to shoulder symptoms 46%, neck symptoms 41%). A high prevalence of self-reported shoulder and neck symptoms was found, which may limit physical function and social activities. We succeeded in generating the Danish Spinal Cord Injury Shoulder (DanSCIS) dataset, which comprised a substantial proportion of Danish adults with SCI. Future studies using data from this cohort will investigate patterns and associations between shoulder/neck symptoms, use of assistive mobility devices, LTPA and QoL.

The prevalence of shoulder and hand complications and associated factors among diabetic patients at University of Gondar Teaching Referral Hospital in Northwest Ethiopia

Introduction Diabetes mellitus (DM) is one of the most debilitating common chronic diseases across the globe known by increased blood glucose, resulting from defects in insulin secretion, insulin action, or both. Its burden continues to increase with the changing lifestyles of human beings, characterized by reduced physical activity, and increased obesity

The relationship between upper extremity musculoskeletal symptoms attributed to work and risk factors in office workers

Office workers are exposed to various individual, work-related and psychosocial factors during work that have been associated with the development of musculoskeletal symptoms. There is an increasing in evidence that suggests that musculoskeletal symptoms in the upper extremity are very common among office workers. The aim of this study was to examine the effects of individual, work-related physical and psychosocial factors on the prevalence of shoulder, elbow and wrist/hand symptoms attributed to work in office workers. A self-administered questionnaire was delivered to 2,000 office workers in 54 workplaces in Bangkok, registered at the Social Security Office of Thailand. A total of 1,428 subjects (71%) returned the questionnaire, of whom 1,185 were eligible for the study. Alcohol consumption, frequency of working in an uncomfortable posture and relationships with colleagues were each significantly related to the prevalence of experiencing shoulder symptoms. No significant association between the investigated factors and the prevalence of experiencing elbow symptoms was found. Frequency of working in the position that hands were above the shoulder level and self-rated perception of air circulation in the office were significantly associated with the prevalence of experiencing wrist/hand symptoms. Various individual, work-related and psychosocial factors were identified to be associated with high prevalence of musculoskeletal symptoms attributed to work in the shoulder and wrist/hand among office workers. Further research investigating the causal relation between these factors and musculoskeletal symptoms should be conducted.

The influence of socioeconomic status on the reporting of regional and widespread musculoskeletal pain: results from the 1958 British Birth Cohort Study

Objective:This study aims to determine to what extent the reporting of pain in adulthood varies by adult socioeconomic status, whether there are additional long-term effects of socioeconomic status in childhood...

Trapezius muscle activity as a risk indicator for shoulder and neck pain in female service workers with low biomechanical exposure

Electromyographic activity of the upper trapezius muscles was recorded over the workday for two groups of service workers, shopping centre (n = 22) and healthcare workers (n = 44), both with low observed biomechanical exposure. Static and median EMG activity level, number of EMG gaps and gap time were determined. The variability of these variables over the workday was examined by calculating the coefficient of variation (CV) and the intraclass correlation coefficient (ICC) of 1-h consecutive recording periods. All variables except gap time showed acceptable reliability (ICC = 0.69-0.78), i.e. the largest fraction of variance in the data set was due to intersubject variance, despite relatively large hour-to-hour variation (CV = 0.21-0.62). The EMG activity level in the trapezius muscles was low (static activity level < 1% EMGmax), despite the high prevalence of shoulder and neck pain for both groups of workers. In addition to the work recordings, tests were performed to determine intersubject variation in muscle activity when adopting a standardized resting posture, and in a dynamic muscle activity pattern during paced arm movement. Neither the EMG variables from the work recordings nor the tests with EMG recording indicated higher trapezius EMG activity levels for workers with pain in the shoulders and neck in this study. The low EMG levels are interpreted to indicate a low risk of developing shoulder and neck complaints due to biomechanical exposure for both groups of workers. The possibility of pain-initiating mechanisms, associated with stress and not mediated through muscle activity, is considered in the discussion.

A prospective, longitudinal study of pain in head and neck cancer patients.

Little is known about the epidemiology of pain in head and neck cancer, the effects of curative treatment on this pain, and the impact that pain experience may have on patients' quality of life (QL). The prevalence and severity of pain was studied in 93 patients who were first seen with a diagnosis of head and neck cancer, were treated, and remained disease free at two years. QL assessment utilised the life-satisfaction scale and the General Health Questionnaire as specific measures. Pain was assessed by a linear analogue scale anchored by words and numbers. Forty-eight percent had head and neck pain when first seen, whereas only 25% and 26% had such pain at 12 and 24 months. Approximately 8% of patients rated the pain as "severe" when first seen, whereas 3% had severe pain at 12 months and 4% at 2 years. The prevalence of shoulder and arm pain increased from 14% at diagnosis to 37% at a year and 26% at 24 months, but the percentage of patients with severe pain at any stage postoperatively was only 5% and 2%, respectively. Any pain (pain in either in the head and neck or shoulder and arm or both) at 2 years was strongly predicted by earlier posttreatment pain (at 3 months or at 12 months.) Shoulder and arm pain at 2 years was strongly correlated with surgical treatment of the neck, although no difference in pain experience was noted between those who had radical neck dissections and those who had more conservative procedures. There was no correlation between radiotherapy to the neck and subsequent shoulder and arm pain. Pain had an adverse effect on the general well-being and psychological distress of head and neck cancer patients who were free of disease. Pain is common among those presenting with curable head and neck cancer. Pain can be reduced by curative treatment but neck dissection may cause increased shoulder and arm pain. Ongoing pain is predictable and impacts adversely on patients QL.

Upper extremity musculoskeletal disorders in hospital workers

Seventy-six women who worked in a hospital were surveyed for symptoms and signs of upper limb musculoskeletal disorders. The investigation was originally intended to study the effects of repetitive manual work that was performed by a group of garment assembly workers. Hospital workers were selected as the referent group on the assumption that they were unexposed to ergonomic stressors. However, the study showed that the prevalence of shoulder, wrist, and hand pain in these workers was sufficiently high (32%) to require that this assumption be reexamined. The hospital workers that were affected the most were employed in the nursing field and in manual work, i.e., food preparation, serving, and laundry. The women with upper limb pain were older and had been employed somewhat longer in hospital work than those without pain. Several jobs were observed to identify possible occupational risk factors for cumulative trauma disorders (CTDs). In addition to repetitive motion, these factors included forceful manual exertions and awkward postures required by work station design and layout.