Explaining functioning outcomes across musculoskeletal conditions: a multilevel modelling approach
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Purpose. To determine whether changes in health outcomes result from changes in domains of functioning and relevant environmental factors in musculoskeletal conditions.Method. Longitudinal observational study on a convenience sample of 291 patients with low back pain, osteoarthritis, osteoporosis, rheumatoid arthritis and chronic widespread pain. The study was part of the MHADIE project. Data collection was performed at baseline, after 4 and 8 weeks using the ICF Core Sets for the corresponding musculoskeletal conditions. Multilevel models for change were used to determine which ICF categories explain the variability and change over time of the general, physical and mental health according to the SF-36.Results. There are only small fluctuations in the health outcomes. These are related to functions of the locomotor apparatus, such as muscle power, and to activities and participation domains related to them, such as lifting and carrying objects. A large amount of baseline variance is explained with a relatively small number of ICF categories of functioning.Conclusions. This study presents a list of functioning problems and environmental factors relevant to map out both the patterns and the variations in the experience of living with a chronic and painful condition. These are intervention targets common across MSC conditions.Keywords:
Musculoskeletal pain
Musculoskeletal disorder
Objective: To examine the relationship of musculoskeletal pain and depressive symptoms, occurring alone or both together, with self-rated current work ability and thoughts of early retirement. Methods: In a nationally representative sample drawn in 2000–2001, we studied actively working subjects aged 30 to 64 years (n = 4009). Results: Musculoskeletal pain was associated with moderate/poor physical work ability (adjusted odds ratio [OR] = 2.9; 95% confidence interval [CI], 2.0 to 4.2) and mental work ability (OR = 1.6; 95% CI, 1.2 to 2.2). Depressive symptoms were associated with moderate/poor mental work ability only (adjusted OR = 4.2; 95% CI, 2.3 to 7.9). Moreover, only musculoskeletal pain was associated with thoughts of early retirement (OR = 1.4; 95% CI, 1.1 to 1.8). There was an interaction between musculoskeletal pain and depressive symptoms regarding physical work ability and thoughts of early retirement. Conclusion: Co-occurrence of musculoskeletal pain and depressive symptoms is strongly related to poor self-rated physical work ability.
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Background and Purpose: Embroidery, a fine craft, requires individuals to sit in a static posture for prolonged period which may predispose to musculoskeletal disorders. The primary aim of this study was to evaluate the musculoskeletal pain and posture amongst embroidery workers.
Methodology: Thirty-nine embroidery workers were recruited. A self designed questionnaire was used to evaluate the demographic characteristics, work profile and musculoskeletal pain in the workers. Static working posture was evaluated using Rapid Upper Limb Assessment. Dynamic working posture was evaluated using Assessment of Repetitive Task Tool. Statistical analysis was performed using SPSS version 16.
Results: Out of 39 participants, 27 (69.23%) were males and 12 (30.77%) females with mean age of 32.7± 9.06years respectively. Majority participants complained of pain in low back (53.85%) followed by neck (38.46%), fingers (33.33%) and shoulder (28.21%). Static working posture evaluation using Rapid Upper Limb Assessment showed that 58.97% workers were at medium risk of developing musculoskeletal disorders. Whereas, dynamic posture evaluation using Assessment of Repetitive Task Tool concluded 66.67% workers were at high risk and required further investigations urgently.
Conclusion: Low back and neck were found to be the most commonly affected sites of musculoskeletal pain amongst embroidery workers of Mumbai. None of the workers reported to have acceptable posture.
Musculoskeletal pain
Neck pain
Musculoskeletal disorder
Back Pain
Cross-sectional study
Office workers
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Background: Among the workers in the catering industry, the chef is reported to have the highest prevalence of Work-related Musculoskeletal Disorders (WMSD).Even though working posture was documented as one of the risk factors, the analysis of working posture and musculoskeletal pain was not extensively studied in Malaysia. Objectives: The objectives of this study were to determine the prevalence of musculoskeletal painand to assess the working posture to determine the risk of getting musculoskeletal disorders among restaurant chef. Methodology: This cross-sectional study was completed with convenience sampling of restaurant chef from Johor and Melaka state. Musculoskeletal pain was recorded using aGeneral questionnaire of the Nordic Musculoskeletal Questionnaire (NMQ) and working posture was assessed by the Rapid Entire Body Assessment (REBA). Results: Total of 126 participants were analysed in this study. Ankle and foot pain (59.5%), Lower back pain (52.4%) and shoulder pain (48.5%) was the most prevalent pain among restaurant chefs. The majority (64.3%) of the participants having a medium risk of getting musculoskeletal disorders as per the REBA score. Conclusion: All the chefs in this study reported musculoskeletal pain. As the majority of them are having a medium risk of developing WMSD proper ergonomic education and job modification has to be considered for the prevention of musculoskeletal pain.
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This chapter discusses basic principles that appear to be useful in the treatment and rehabilitation of musculoskeletal injuries. It provides some specific advice for reducing the risk of developing musculoskeletal disorders in the occupational setting. The chapter describes procedures that may help reduce the pain and promote the healing process when an injury does occur. It then focuses on some of the lifestyle habits that have been shown to be of benefit to musculoskeletal health. Dietary factors appear to be important with respect to musculoskeletal health. Obesity is a risk factor for musculoskeletal disorders in general. There are many ways in which cumulative damage may accrue. The cumulative damage development might be the result of a mono-task job, or more often, jobs comprised of multiple tasks. Adoption of non-neutral postures may have an important role in increasing stress on musculoskeletal tissues, which has an important impact on the fatigue life of tissues.
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Background: Physiotherapists in India are at a high risk of work-related musculoskeletal disorder (WRMSD). Faulty ergonomics and incorrect patient handling techniques are the common causes of WRMSDs. The disabilities caused due to musculoskeletal injuries are the frequent cause of absenteeism from work. Aim and Method: The aim of this cross-sectional survey is to investigate the occurrence of WRMSDs among physiotherapists in Maharashtra using Orebro Musculoskeletal Pain Questionnaire. Responses were obtained through Google forms and analyzed. Three hundred sixty physiotherapists who fulfilled the inclusion criteria were recruited for the study. All the participants responded to the questionnaire. Result: The prevalence of WRMSDs was found to be highest in age of 23-30 years (87.22%) and less in age of 41-50 years (2.22%). Most common affected area was neck (43.6%) and lower back (43.1%). Conclusion: This study highlights the high incidence of WRMSDs among physiotherapists in Maharashtra.
Musculoskeletal pain
Work-related musculoskeletal disorders
Musculoskeletal disorder
Cross-sectional study
Neck pain
Back Pain
Questionnaire
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Objective: This study was performed to investigate the prevalence of musculoskeletal disorders in auto workers of a mission assembly plants.BR Background: Most studies of musculoskeletal disorders have used car assembly line workers as their participants. However, little research has been done on musculoskeletal disorders afflictions of mission assembly line workers.BR Method: Through a focus group interview with an ergonomist and a manager at a mission assembly plant site, a questionnaire was developed for musculoskeletal disorders. The questionnaire consisted of five parts, demographic factors, musculoskeletal disorder symptoms, and musculoskeletal disorder experiences; 137 workers participated in this survey. The surveys were analyzed by correlation and Chi-squared analysis.BR Results: Musculoskeletal disorder symptoms and serious pain were reported in the neck, shoulder, back, and fingers. These problems were statistically related to various demographic factors, such as age, stature, stretching, and work satisfaction.BR Conclusion: Treatment of musculoskeletal disorders should consider the workers
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Abstract Background While exercise has been shown to be beneficial for some musculoskeletal pain conditions, construction workers who are regularly burdened with musculoskeletal pain may engage less in leisure‐time physical activity (LTPA) due to pain. In a small pilot study, we investigate how musculoskeletal pain may influence participation in LTPA among construction workers. Methods A sequential explanatory mixed‐methods design was employed using a jobsite‐based survey (n = 43) among workers at two commercial construction sites and one focus group (n = 5). Results Over 93% of these construction workers reported engaging in LTPA and 70% reported musculoskeletal pain. Fifty‐seven percent of workers who met either moderate or vigorous LTPA guidelines reported lower extremity pain (i.e., ankle, knee) compared with 21% of those who did not engage in either LTPA ( P = 0.04). Focus group analyses indicate that workers felt they already get significant physical activity out of their job because they are “moving all the time and not sitting behind a desk.” Workers also felt they “have no choice but to work through pain and discomfort [as the worker] needs to do anything to get the job done.” Conclusion Pilot study findings suggest that construction workers not only engage in either moderate or vigorous LTPA despite musculoskeletal pain but workers in pain engage in more LTPA than construction workers without pain. Am. J. Ind. Med. 57:819–825, 2014. © 2014 Wiley Periodicals, Inc.
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This study aimed to investigate whether a musculoskeletal health climate, expressing the shared perceptions among workers concerning musculoskeletal health, is associated with number of musculoskeletal pain sites and sickness absence.Cross-sectional study.Six slaughterhouses from 2 companies in Denmark and 6 home-nursing units and 12 nursing homes from 1 municipality in Jutland, Denmark.A total of 1092 slaughter house workers and 410 care workers completed an online questionnaire from February to October 2019.The exposure variable was musculoskeletal health climate assessed by two domains; (1) perceived management priority of musculoskeletal health measured by a modified subscale from the Nordic Safety Climate Questionnaire and (2) work group pain acceptance which was a modified version of the activity engagement subscale of the chronic pain acceptance scale. Outcomes variables were number of musculoskeletal pain sites (0-6) and days with sickness absence.The associations between the two subscales, number of musculoskeletal pain sites and sickness absence were calculated using mixed linear and generalised estimating equation regression models. Higher perceived management priority scores were associated with a lower number of musculoskeletal pain sites across both job groups: β=-.57 (95% CI -0.91 to -0.23) and sickness absence (>5 days) due to musculoskeletal pain prevalence ratio (PR) 0.79 (95% CI 0.57 to 1.08). In contrast higher work group pain acceptance scores were associated with higher number of musculoskeletal pain sites: β=0.38 (0.11 to 0.66), whereas associations with sickness absences seemed to be modified by job groups; PR 1.59 care workers and PR 0.86 slaughterhouse workers.The observed relationship between musculoskeletal health climate, musculoskeletal pain sites and sickness absence indicate that cultural factors should receive increased attention in work place preventive interventions.
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Cross-sectional study
Musculoskeletal disorder
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Moderation
Job control
Musculoskeletal pain
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Survey data collection
European Social Survey
Musculoskeletal disorder
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