From the Analysis of Anatomy and Locomotor Function of Biological Foot Systems to the Design of Bionic Foot: An Example of the Webbed Foot of the Mallard.

This study utilized the mallard's foot as the subject, examining the bone distribution via computed tomography (CT) and analyzing pertinent parameters of the tarsometatarsal bones. Additionally, gross anatomy methods were employed to elucidate the characteristics of the toes and webbing bio-structures and their material composition. Biologically, the mallard's foot comprises tarsometatarsal bones and 10 phalanges, enveloped by fascia, tendons, and skin. Vernier calipers were used to measure the bones, followed by statistical analysis to acquire structural data. Tendons, originating in proximal muscles and terminating in distal bones beneath the fascia, facilitate force transmission and systematic movement of each segment's bones. Regarding material composition, the skin layer serves both encapsulation and wrapping functions. Fat pads, located on the metatarsal side of metatarsophalangeal joints and each phalanx, function as cushioning shock absorbers. The correlation between the force applied to the tarsometatarsal bones and the webbing opening angle was explored using a texture analyzer. A simplified model describing the driving force behind the webbing opening angle was introduced. Furthermore, we designed a bionic foot, contributing a foundational reference for anti-sinking bionic foot development.

Full study of characteristics of morphological adaptations in response to chronic exercise across musculoskeletal tissues: a systematic review / Estudio completo de adaptaciones morfológicas en respuesta al ejercicio crónico en los tejidos osteomusculares: una revisión sistemática

León, F., Mestre. A., Priego, L., & Vera, J.C. (2023). Full study of Morphological adaptations in response to chronic exercise across musculoskeletal tissues: a systematic review. PENSAR EN MOVIMIENTO: Revista de Ciencias del Ejercicio y la Salud, 21(1), 1-21. To date, there is no systematic review that summarizes the morphological adaptations of the musculoskeletal system in response to chronic exercise. This systematic review selected original articles published in English between 2000 and 2020, with a clear exercise intervention and presenting a morphological change in the tissue under study, and covering human participants irrespective of age, gender or health condition. In total, 2819 records were identified. After removal of duplicates, title and abstract screening and full-text review, 67 records were included in the final analysis (6 for inter-vertebral disc, 6 for cartilage, 36 for bone, 2 for ligament, 9 for tendon and 7 for muscle). The most used interventions were aerobic, resistance, and plyometric exercise. Population ranged from children and healthy active people to individuals with a health condition. In conclusion, as a response to chronic exercise there are morphological adaptations in the tissues of the musculoskeletal system which vary from increased stiffness to an increase in cross-sectional area. Although tissues can adapt, several questions still linger, such as optimal dose and type of exercise, whether adaptations can occur in an injured tissue, and functional implications of these adaptations. Future research should address these questions.

León, F., Mestre. A., Priego, L. y Vera, J.C. (2023). Estudio complete de Adaptaciones morfológicas en respuesta al ejercicio crónico en los tejidos osteomusculares: una revisión sistemática. PENSAR EN MOVIMIENTO: Revista de Ciencias del Ejercicio y la Salud, 21(1), 1-21. Hasta la fecha, no existe una revisión sistemática que resuma las adaptaciones morfológicas del sistema osteomuscular en respuesta al ejercicio crónico. Esta revisión sistemática seleccionó artículos originales, con fecha de publicación de 2000 a 2020, idioma de publicación en inglés, con una clara intervención de ejercicio y que presentaron un cambio morfológico en el tejido estudiado. Participantes humanos independientemente de la edad, el género o condición de salud. Se identificaron 2819 registros. Después de eliminar los duplicados, la selección de títulos y resúmenes y la revisión de texto completo, se incluyeron 67 registros en el análisis final (6 para disco intervertebral, 6 para cartílago, 36 para hueso, 2 para ligamento, 9 para tendón y 7 para músculo). Los resultados destacan que las intervenciones más utilizadas fueron ejercicio aeróbico, contra resistencia y pliométrico. La población abarcó desde niños y personas sanas activas hasta personas con alguna condición de salud. Se concluye que como respuesta al ejercicio crónico existen adaptaciones morfológicas en los tejidos del sistema musculoesquelético, que pueden variar desde un aumento de rigidez hasta un aumento de área. Aunque los tejidos pueden adaptarse, aún quedan varias preguntas, como la dosis y tipo de ejercicio óptimo, si pueden ocurrir adaptaciones en un tejido lesionado y las implicaciones funcionales de estas adaptaciones. La investigación futura debe abordar estas preguntas.

León, F., Mestre. A., Priego, L. e Vera, J.C. (2023). Estudo completo de Adaptações morfológicas em resposta ao exercício crônico nos tecidos osteomusculares: uma revisão sistemática. PENSAR EN MOVIMIENTO: Revista de Ciencias del Ejercicio y la Salud, 21(1), 1-21. Até o momento, não há uma revisão sistemática que resuma as adaptações morfológicas do sistema osteomuscular em resposta ao exercício crônico. Esta revisão sistemática selecionou artigos originais, com data de publicação de 2000 a 2020, idioma de publicação em inglês, com clara intervenção de exercícios e que apresentaram alteração morfológica no tecido estudado. Participantes humanos, independentemente da idade, sexo ou condição de saúde. Foram identificados 2.819 registros. Após eliminar os artigos duplicados, triagem de título e resumo e revisão do texto completo, 67 registros foram incluídos na análise final (6 para disco intervertebral, 6 para cartilagem, 36 para osso, 2 para ligamento, 9 para tendão e 7 para músculo). Os resultados destacam que as intervenções mais utilizadas foram exercícios aeróbicos, resistidos e pliométricos. A população variou de crianças e pessoas saudáveis ativas a pessoas com alguma condição de saúde. Conclui-se que, em resposta ao exercício crônico, ocorrem adaptações morfológicas nos tecidos do sistema musculoesquelético, que podem variar desde um aumento de rigidez até um aumento de área. Embora os tecidos possam se adaptar, várias questões permanecem, como a dose ideal e o tipo de exercício, se adaptações podem ocorrer no tecido lesado e as implicações funcionais dessas adaptações. Pesquisas futuras devem abordar essas questões.

Morphological adaptations in response to chronic exercise across musculoskeletal tissues: a systematic review / Adaptaciones morfológicas en respuesta al ejercicio crónico en los tejidos osteomusculares: una revisión sistemática

León, F., Mestre. A., Priego, L., & Vera, J.C. (2023). Morphological adaptations in response to chronic exercise across musculoskeletal tissues: a systematic review. PENSAR EN MOVIMIENTO: Revista de Ciencias del Ejercicio y la Salud, 21(1), 1-28. To date, there is no systematic review that summarizes the morphological adaptations of the musculoskeletal system in response to chronic exercise. This systematic review selected original articles published in English between 2000 and 2020, with a clear exercise intervention and presenting a morphological change in the tissue under study, and covering human participants irrespective of age, gender or health condition. In total, 2819 records were identified. After removal of duplicates, title and abstract screening and full-text review, 67 records were included in the final analysis (6 for inter-vertebral disc, 6 for cartilage, 36 for bone, 2 for ligament, 9 for tendon and 7 for muscle). The most used interventions were aerobic, resistance, and plyometric exercise. Population ranged from children and healthy active people to individuals with a health condition. In conclusion, as a response to chronic exercise there are morphological adaptations in the tissues of the musculoskeletal system which vary from increased stiffness to an increase in cross-sectional area. Although tissues can adapt, several questions still linger, such as optimal dose and type of exercise, whether adaptations can occur in an injured tissue, and functional implications of these adaptations. Future research should address these questions.

León, F., Mestre. A., Priego, L. y Vera, J.C. (2023). Adaptaciones morfológicas en respuesta al ejercicio crónico en los tejidos osteomusculares: una revisión sistemática. PENSAR EN MOVIMIENTO: Revista de Ciencias del Ejercicio y la Salud, 21(1), 1-28. Hasta la fecha, no existe una revisión sistemática que resuma las adaptaciones morfológicas del sistema osteomuscular en respuesta al ejercicio crónico. Esta revisión sistemática seleccionó artículos originales, con fecha de publicación de 2000 a 2020, idioma de publicación en inglés, con una clara intervención de ejercicio y que presentaron un cambio morfológico en el tejido estudiado. Participantes humanos independientemente de la edad, el género o condición de salud. Se identificaron 2819 registros. Después de eliminar los duplicados, la selección de títulos y resúmenes y la revisión de texto completo, se incluyeron 67 registros en el análisis final (6 para disco intervertebral, 6 para cartílago, 36 para hueso, 2 para ligamento, 9 para tendón y 7 para músculo). Los resultados destacan que las intervenciones más utilizadas fueron ejercicio aeróbico, contra resistencia y pliométrico. La población abarcó desde niños y personas sanas activas hasta personas con alguna condición de salud. Se concluye que como respuesta al ejercicio crónico existen adaptaciones morfológicas en los tejidos del sistema musculoesquelético, que pueden variar desde un aumento de rigidez hasta un aumento de área. Aunque los tejidos pueden adaptarse, aún quedan varias preguntas, como la dosis y tipo de ejercicio óptimo, si pueden ocurrir adaptaciones en un tejido lesionado y las implicaciones funcionales de estas adaptaciones. La investigación futura debe abordar estas preguntas.

León, F., Mestre. A., Priego, L. e Vera, J.C. (2023). Adaptações morfológicas em resposta ao exercício crônico nos tecidos osteomusculares: uma revisão sistemática. PENSAR EN MOVIMIENTO: Revista de Ciencias del Ejercicio y la Salud, 21(1), 1-28. Até o momento, não há uma revisão sistemática que resuma as adaptações morfológicas do sistema osteomuscular em resposta ao exercício crônico. Esta revisão sistemática selecionou artigos originais, com data de publicação de 2000 a 2020, idioma de publicação em inglês, com clara intervenção de exercícios e que apresentaram alteração morfológica no tecido estudado. Participantes humanos, independentemente da idade, sexo ou condição de saúde. Foram identificados 2.819 registros. Após eliminar os artigos duplicados, triagem de título e resumo e revisão do texto completo, 67 registros foram incluídos na análise final (6 para disco intervertebral, 6 para cartilagem, 36 para osso, 2 para ligamento, 9 para tendão e 7 para músculo). Os resultados destacam que as intervenções mais utilizadas foram exercícios aeróbicos, resistidos e pliométricos. A população variou de crianças e pessoas saudáveis ativas a pessoas com alguma condição de saúde. Conclui-se que, em resposta ao exercício crônico, ocorrem adaptações morfológicas nos tecidos do sistema musculoesquelético, que podem variar desde um aumento de rigidez até um aumento de área. Embora os tecidos possam se adaptar, várias questões permanecem, como a dose ideal e o tipo de exercício, se adaptações podem ocorrer no tecido lesado e as implicações funcionais dessas adaptações. Pesquisas futuras devem abordar essas questões.

Percepção de sintomas osteomusculares e sua repercussão nas atividades de vida diária em intérpretes de língua de sinais / Musculoskeletal symptoms perception and its impact on language interpreters' daily lives

Resumo Objetivo: analisar a percepção de sintomas osteomusculares e sua repercussão nas atividades de vida diária referidas por intérpretes da língua brasileira de sinais (libras). Métodos: pesquisa qualitativa de natureza descritiva-analítica, utilizando a análise de conteúdo categorial temática. Foi aplicado questionário sociodemográfico e realizada entrevista semiestruturada com 12 profissionais intérpretes de libras, atuantes nas redes de ensino nos níveis fundamental, médio e superior do município de Goiânia, convidados via redes sociais, no primeiro semestre de 2021. Resultados: foram identificadas três categorias temáticas: percepção álgica, percepção de cansaço e atividades de vida diária. Os profissionais estavam trabalhando remotamente devido à pandemia da doença COVID-19, cujo regime permitiu uma flexibilização do processo de trabalho com aulas on-line, eventos, palestras e congressos a partir do domicílio do trabalhador. Houve um aumento expressivo da demanda física e psicológica, devido ao aumento das atividades a serem cumpridas e por estarem ausentes os limites entre ambiente de "trabalho" e "casa". Conclusão: os participantes apresentaram percepções negativas em todos os aspectos avaliados, evidenciando a existência de sobrecarga na atuação como intérprete de língua de sinais.

Abstract Objective: to analyze the perception of musculoskeletal symptoms and their repercussion in the activities of daily living reported by professional Brazilian sign language interpreters (LIBRAS). Methods: descritive-analytical qualitative research, using thematic categorical content analysis. We used a sociodemographic questionnaire and a semi-structured interview with 12 professional LIBRAS interpreters, working in the primary, secondary, and superior education in the municipality of Goiânia. They were invited via social media, in the first half of 2021. Results: we identified three thematic categories: pain perception, perception of tiredness, and activities of daily living. The professionals were working remotely due to the COVID-19 pandemic. This allowed flexibility in the work schedule, with online classes, events, lectures, and congresses participation from the worker's home. Conclusion: the participants had negative perceptions in all aspects evaluated, evidencing an overload in acting as a sign language interpreter in educational activities.

[Cervicothoracic neuroblastomas : benefits of transmanubrial osteomuscular-sparing approach]. / Neuroblastomes cervico-thoraciques : les avantages de l'approche transmanubriale avec épargne ostéo-musculaire.

We report the case of a child suffering from a neonatal cervicomediastinal neuroblastoma encasing the left subclavian artery and the left vertebral artery. There is only a few pediatric tumors extending from the neck to the upper part of the thorax. Because of the complex vascular and neurological anatomy of this area, the surgical excision of these cervicothoracic neuroblastomas is a real challenge. It is why, when we decided to propose a surgical management, we used the Transmanubrial Osteomuscular-Sparing Approach (TOSA), of which technique and benefits will be explained in this article.

Nous rapportons le cas d'un enfant présentant un neuroblastome cervico-médiastinal néonatal engaînant les artères sous-clavière et vertébrale gauches. Les tumeurs s'étendant du cou à la partie supérieure du thorax sont rares en pédiatrie. De plus, l'anatomie vasculo-nerveuse complexe de cette région rend l'exérèse difficile. C'est pourquoi, à l'âge de 20 mois, lorsqu'une prise en charge chirurgicale a été décidée, nous avons utilisé l'approche transmanubriale avec épargne ostéo-musculaire ou TOSA (Transmanubrial Osteomuscular-Sparing Approach) dont nous détaillons la technique et les avantages.

Riscos biomecânicos e ocupacionais em uma central de materiais e esterilização / Biomechanical and occupational risks in a material and sterilization central

INTRODUÇÃO: Os profissionais que atuam na central de material e esterilização (CME) possuem a função de recepcionar, limpar, esterilizar, embalar e armazenar utensílios utilizados em cirurgias no hospital. Trata-se, assim, de uma profissão de grande exigência física e mental, com alta carga de trabalho e estresse. OBJETIVO: Analisar os riscos biomecânicos e os sintomas osteomioarticulares de servidores da CME de um complexo hospitalar público. MATERIAIS E MÉTODOS: Estudo observacional prospectivo que foi desenvolvido em um hospital público do sul do país. Participaram 20 profissionais, tais como auxiliares, técnicos e enfermeiros. Os critérios de inclusão foram que o indivíduo atuasse na CME, ser auxiliar, técnico ou enfermeiro da CME ao menos há 6 meses, idade igual ou maior que 18 anos, de ambos os sexos, e exercer qualquer função. Os critérios de exclusão foram estar em período de férias ou licença saúde/capacitação no período de coleta de dados, trabalhar no setor há menos de 6 meses. Instrumentos de coleta: questionário sociodemográfico internacional de atividade física (IPAQ) - versão curta e o Nórdico de Sintomas Osteomusculares. RESULTADOS: Verificou-se que 85% dos profissionais são do sexo feminino; a idade média foi de 47 anos; 70% são auxiliares de enfermagem; 85% dos profissionais possuem filhos; 35% apresentaram dores em pescoço, punhos/mãos e quadril/coxas; 85% sentem dores de cabeça recorrentes; 50% já sofreram algum acidente de trabalho, sendo 80% com perfurocortantes. CONCLUSÃO: Conclui-se que os servidores de CME têm riscos biomecânicos e ocupacionais. Assim, medidas preventivas devem ser adotadas para minimizar riscos à saúde física e mental dos mesmos.

INTRODUCTION: Professionals working in the Material and Sterilization Central (MSC) have the function of receiving, cleaning, sterilizing, packing, and storing utensils used in hospital surgeries. It is thus a profession of great physical and mental demand with high workload and stress. OBJECTIVE: To investigate the biomechanical and osteomioarticular symptoms of employees of a CME in a hospital complex. METHODS: It is characterized as observational and prospective, developed in a public hospital in the south of the country. Twenty professionals participated, such as assistants, technicians, and nurses, who answered the sociodemographic, international physical activity questionnaires (IPAQ) - short and Nordic Musculoskeletal Symptoms. RESULTS: It was found that 85% of professionals are female; the mean age was 47 years; 70% are nursing assistants; 85% of the professionals have children; 35% had neck pain, wrists/hands, and hip/thighs; 85% experience recurrent headaches; 50% have already suffered some work accident, 80% with sharps. CONCLUSION: It is concluded that MSC servers have biomechanical and occupational risks and that preventive measures should minimize risks to their physical and mental health.

Twelve-year experience in mandibular reconstruction using osteo-muscular dorsal scapular pedicled flaps.

Primary mandibular reconstruction after tumor removal or osteoradionecrosis treatment is a standard procedure. The most common reconstruction techniques are fibula, scapula, and iliac crest free flaps. Nevertheless, all patients are not eligible for microsurgery. In this study, we assess 12 years of mandibular reconstruction using an osteo-muscular dorsal scapular pedicled flap (OMDS). We included 40 patients operated on using an OMDS flap. We collected parameters such as length of hospital stay, recurrence risk, and need for secondary flap for oral cutaneous fistula (OCF) treatment. Flap bone volume was assessed by segmenting the scapula on postoperative CT-scans using dedicated software. Forty patients were included. Indications for OMDS flaps were severe cardiovascular history (27%), preoperative radiotherapy with a radiation neck and potentially unreliable blood vessel sutures (20%), previous fibula free flap failure (15%), and patient refusing free tissue transfer (8%). Aside from these medical indications, OMDS flaps were performed in 30% of cases due to organizational concerns. The mean flap length was 73±16 mm, with a maximum of 109 mm. Flap bone volume was stable over time, with negligible resorption (p = 0.761). Secondary pedicled flaps were used to treat OCF in 5 patients (12%). Secondary esthetic procedures were performed in 9 patients (22%). None of the 40 flaps were removed. None of the patients had long-term scarring complications in donor sites. OMDS flaps merit consideration for mandibular reconstruction when free tissue transfer is contraindicated or impossible due to organizational issues.

Distúrbios osteomusculares e dor em profissionais de enfermagem que atuam em centro de material e esterilização / Musculoskeletal disorders and pain in nursing professionals working in a material and sterilization center

Introdução: O estudo teve como objeto os Distúrbios Osteomusculares (DOM) e dor em profissionais de enfermagem que atuavam em Centro de Material e Esterilização (CME). Objetivo geral: Analisar as implicações do trabalho do CME na ocorrência de distúrbios osteomusculares e dor nos profissionais de enfermagem que atuavam neste setor. Objetivos específicos: Identificar a presença de distúrbios osteomusculares em profissionais de enfermagem que atuavam em CME; Identificar a presença, localização e intensidade da dor em profissionais de enfermagem que atuavam em CME; Analisar a associação das características sociodemográficas, laborais e de saúde com a presença de distúrbios osteomusculares; Analisar a presença de dor com distúrbios osteomusculares nos profissionais de enfermagem que atuavam em CME; e Discutir os distúrbios osteomusculares no profissional de enfermagem na perspectiva dos DORT no trabalho em CME. Metodologia: Tratou-se de um estudo transversal, do tipo descritivo exploratório, com abordagem quantitativa. Os locais de estudo foram os Centros de Material e Esterilização de um Centro de Alta complexidade em Oncologia (CACON) da cidade do Rio de Janeiro. A população do estudo foi composta por 36 profissionais de enfermagem. Foi aplicado um questionário para obtenção do perfil sociodemográfico, laboral, de hábitos de vida, saúde e ambiente de trabalho e o diagrama de áreas dolorosas de Corlett e Manenica (1980). Foi realizada análise estatística com auxílio dos softwares Statistical Package for the Social Sciences (SPSS) versão 21.0, Programa R versão 2.7.1, Microsoft Excel ® e o nível de significância utilizado foi de 5%. Resultados: observou-se predomínio do sexo feminino (87,5%), da raça não branca (54,2%), que vivia sem companheiro (62,5%), com nível de escolaridade do ensino médio (41,7%), com filhos (70,8%). A prevalência de DOM foi em 66,7% dos participantes. Quando associada às características do trabalho com os distúrbios osteomusculares, observou-se que 91,7% dos profissionais eram auxiliares/técnicos de enfermagem, que trabalhavam no turno diurno (70,8%), plantonistas de 12 horas (62,5%), utilizavam transporte público até o trabalho (77,3%), gastavam em média 69,6 minutos para chegarem ao trabalho e com tempo de atuação no CME entre 1 e 5 anos (62,5%). Destacou-se que 79,2% dos participantes relataram que ficavam "sempre" na posição de pé para realizar as atividades no CME. Os que pegavam peso representaram 54,2% dos participantes, os que consideraram o trabalho "repetitivo" foram 87,5% dos participantes e os que referiram que o trabalho realizado era "cansativo" representaram 95,8% dos participantes. Os participantes que disseram que "não consideravam o ambiente de trabalho com condições ergonômicas adequadas para a realização das atividades" representaram 91,7%. Com relação à queixa dolorosa, 75,0% referiram como "presente" na avaliação inicial e, na avaliação final, foram 95,8%. Quanto à intensidade, 50,0% relataram dor leve na avaliação inicial e 35,3%, de dor aguda/muito aguda na avaliação final. Quanto à localização da dor, a região da coluna lombar correspondeu a 50% dos participantes que referiram dor nesta região na avaliação inicial. Na avaliação final, houve presença de dor nas regiões da coluna, juntamente com região da perna/pé, e corresponderam igualmente a 83,3% dos participantes, seguida pela região do pescoço, com 70,8%. Conclusão: Concluiu-se que existia forte relação entre o trabalho realizado no CME, acometimento por DOM e presença de dor em várias regiões do corpo, sendo necessário um olhar voltado à prevenção de exposição ocupacional de ordem osteomuscular. Ações educativas e a ginástica laboral podem ser adotadas, assim como ações de controle gerenciais para minimizar a sobrecarga física causada pelo retrabalho e, assim, prevenir o acometimento por DORT a longo prazo, pela especificidade do trabalho realizado neste setor.

Introduction: The study had as its object the Musculoskeletal Disorders (MSDs) in nursing professionals who worked in the Central Sterile Supply Departments (CSSD) and as a research question, whether there is an association between sociodemographic, occupational, health, and lifestyle variables and the presence of MSDs in professionals working in CSSD? Objectives: To analyze the implications of CSSD work on the occurrence of MSDs and pain in nursing professionals working in CSSD; and the specific objectives: Identify the presence of MSDs in nursing professionals working in CSSD; Identify the presence, location and intensity of pain in nursing professionals working in CSSD; To analyze the association of sociodemographic, work and health characteristics with the presence of MSDs. To analyze the the presence of pain with MSDs, in nursing professionals working in CSSD; Discuss MSDs in nursing professionals from the perspective of Work-related musculoskeletal disorders (WMSDs) at work in CSSD. Methodology: This was a cross-sectional, descriptive exploratory study with a quantitative approach. The study site was the Central Sterile Supply Departments of a High Complexity Oncology Center (HCOC), in the city of Rio de Janeiro. The study population consisted of 36 nursing professionals. A questionnaire was applied to obtain the sociodemographic, work, lifestyle, health and work environment profiles and the diagram of painful areas by corlett and manenica (1980). Statistical analysis was performed using Statistical Package for Social Sciences (SPSS) version 21.0, Program R version 2.7.1, Microsoft Excel ® and the significance level used was 5%. Results: there was a predominance of females (87.5%), non-white (54.2%), living without a partner (62.5%), with high school education level (41.7%), with children (70.8%). The prevalence of MSDs was 66.7% of the participants. When the characteristics of work were associated MSDs, it was observed that 91.7% of the professionals were nursing assistants/technicians, working the day shift (70.8%), 12-hour on-duty (62.5%), used public transport to work (77.3%), spent an average of 69.6 minutes to get to work and had worked at the CSSD between 1 and 5 years (62.5%). It was highlighted that 79.2% of the participants reported that they were "always" in the standing position to carry out activities at the CSSD; Those who picked up weight represented 54.2% of the participants, those who considered the work "repetitive" were 87.5% of the participants and those who reported that the work performed was "tiring" represented 95.8% of the participants; Participants who said that "they did not consider the work environment to be ergonomically suitable for carrying out activities" accounted for 91.7%. Regarding the pain complaint, 75.0% would refer as "present" in the initial assessment and in the final assessment, 95.8%. As for intensity, 50.0% reported mild pain in the initial assessment and 35.3% acute/very acute pain in the final assessment. As for the location of pain, the lumbar spine region corresponded to 50% of the participants who reported pain in this region in the initial assessment. In the final evaluation, there was the presence of pain in the regions of the lumbar spine again, together with the leg/foot region and they corresponded equally to 83.3% of the participants, followed by the neck region with 70.8%. Conclusion: It was concluded that there is a strong relationship between the work carried out at the CSSD, involvement by MSDs and the presence of pain in various regions of the body, requiring a look towards the prevention of occupational exposure of a musculoskeletal order. Educational actions and labor gymnastics can be adopted, as well as management control actions to minimize the physical overload caused by rework and thus prevent the onset of MSDs in the long term, due to the specificity of the work carried out in this sector.

Síndrome congénito de Klippel-Trenaunay-Weber: caso clínico / Congenital Klippel-Trenaunay-Weber syndrome: clinical case

RESUMEN: El síndrome de Klippel-Trenaunay-Weber (SKTW) es una enfermedad congénita poco frecuente caracterizada por hipertrofia de un miembro que afecta a los huesos y a las partes blandas, con extensos angiomas planos, várices y otras anomalías vasculares, como fístulas arteriovenosas. Su incidencia es de 1:100.000 personas. El objetivo fue describir un caso raro de SKTW bilateral, confirmado con hallazgos clínicos e imagenológicos en un niño de 9 años de edad, de sexo masculino, con antecedentes de sangrado digestivo bajo, herniorrafía inguinal izquierda y orquidopexia ipsilateral. En ambos miembros inferiores se identificaron lesiones hemangiomatosas e hipertrofia muscular y edema en miembro inferior izquierdo con ausencia de segundo y tercer dedos del pie izquierdo por antecedente quirúrgico de amputación. Adicionalmente, presentaba adenopatías cervicales e inguinales. Dentro de los hallazgos radiográficos importantes, se observó una cortical ósea delgada en el fémur del miembro inferior izquierdo. El SKTW afecta típicamente a los miembros inferiores de forma unilateral; este es un caso infrecuente de afección bilateral (con predominio izquierdo). Algunos pacientes, registran compromiso visceral con hemorragia digestiva baja, además de alteraciones genitourinarias, presentes en el 30% de los casos. La presentación de adenopatías es inusual.

SUMMARY: Klippel-Trenaunay-Weber syndrome (KTWS) is a rare congenital disease characterized by limb hypertrophy affecting bones and soft tissues, with extensive flat angiomas, varicose veins, and other vascular abnormalities, such as arteriovenous fistulas. Its incidence is 1: 100,000 people. The aim of this work was to describe a rare case of bilateral KTWS, confirmed with clinical and imaging findings in a 9-year-old male, with a history of lower gastrointestinal bleeding, left inguinal herniorrhaphy and ipsilateral orchidopexy. In both lower limbs, hemangiomatous lesions and muscle hypertrophy were identified, and in the left lower limb edema was identified with absence of the second and third toes due to a surgical history of amputation. Additionally, the patient presented cervical and inguinal lymphadenopathy. Among the important radiographic findings, in the left lower limb femur a thin bony cortex was observed. KTWS typically affects the lower limbs unilaterally; this is an infrequent case of bilateral affection (predominantly left). Some patients have visceral involvement with lower gastrointestinal bleeding, as well as genitourinary alterations, present in 30 % of cases. The presentation of lymphadenopathy is unusual.

Reverse "L" surgical approach for the management of giant tumors of the cervicothoracic junction.

BACKGROUND: An isolated cervical or thoracic surgical approach provides insufficient exposure for achieving complete resection of tumors of the cervicothoracic junction. This study examines reverse "L" thoracotomy as a surgical approach to these tumors. Additionally, the feasibility, safety, and effectiveness of reverse "L" surgical incision for tumor resection was also analyzed. METHODS: Patients with cervicothoracic tumors were identified from an internal database. Subjects were selected on the basis of undergoing reverse "L" thoracotomy from August 2014 to August 2018. The tumor characteristics, surgical technique, completeness of resection, morbidity, and patient outcome were reviewed. RESULTS: All patients successfully underwent resection through reverse "L" surgical approach. No patients needed to undergo full sternotomy. There were 6 neurogenic tumors, 4 thyroid adenocarcinomas, 4 bronchogenic tumors, and 7 other cases in the study. The median operative time was 191.0 min (range, 113.0-348.0 min) and postoperative in-hospital stay ranged from 3 to 7 days. Horner syndrome was observed in 1 case. Hoarseness and lymphatic leakage were evident in 3 and 1 case(s), respectively. Hemidiaphragm paralysis was observed in 1 case. Three cases were unsuccessful in achieving R0 resection. The duration of follow-up ranged from 6 to 42 months. Eleven of 13 patients who underwent resection had no evidence of tumor recurrence. Two patients with metastatic disease died of distant progression within 15 months. CONCLUSIONS: Applying reverse "L" surgical approach is safe, feasible, and effective for the resection of giant tumors of the cervicothoracic junction.

Prevalence of congenital malformations and deformities of the osteomuscular system in live newborns in Mexico, 2008-2017.

BACKGROUND: From 2009 to 2010 in Mexico. CMDOMS prevalence was 27.4/10,000 births. The first places were congenital deformation of the feet with a prevalence of 8.0 and congenital deformation of the hip with 6.7/10,000 births. OBJECTIVE: To estimate for Mexico the national prevalence of CMDOMS in live births, by state and municipality, as well as to analyze spatial distribution by these same territorial delimitations. METHOD: A database of 20,175,422 newborns (NB) alive from 2008 to 2017 was integrated. Percentages and prevalence were calculated at the national level, federal entities and municipalities, with confidence intervals at 95%. Maps were made and prevalence was stratified. RESULTS: The congenital malformation prevalence rate was 77.8/10,000 NB. CMDOMS were in first place with 40.8% and a prevalence of 31.8/10,000 NB. Prevalence by federal entity presented a range of 8.0-75.8/10,000 NB, were stratified by states and municipalities for presentation on maps. CONCLUSION: In Mexico for the years 2008-2017 an increase in CMDOMS prevalence was observed globally and in particular of some specific causes.

ANTECEDENTES: En México, de 2009 a 2010, la prevalencia de las malformaciones y deformidades congénitas del sistema osteomuscular (MDCSOM) fue de 27.4 por 10,000 nacimientos. Los primeros lugares los ocuparon la deformación congénita de los pies, con una prevalencia de 8.0, y la deformación congénita de la cadera, con 6.7 por 10,000 nacimientos. OBJETIVO: Estimar para México la prevalencia nacional de MDCSOM en nacidos vivos (NV), por entidad federativa y municipio, y analizar su distribución espacial por esas mismas delimitaciones territoriales. MÉTODO: Se integró una base de datos de 20,175,422 NV en 2008-2017. Se calcularon porcentajes y prevalencias por ámbito nacional, entidades federativas y municipios, con intervalos de confianza al 95%. Se elaboraron mapas y se estratificaron las prevalencias. RESULTADOS: La tasa de prevalencia de malformaciones congénitas fue de 77.8 por 10,000 NV. Se ubicaron en el primer lugar las MDCSOM, con un 40.8% y una prevalencia de 31.8 por 10,000 NV. Las prevalencias por entidad federativa presentaron un rango de 8.0 a 75.8 por 10,000 NV; se estratificaron por estados y municipios para su presentación en mapas. CONCLUSIÓN: En México, para los años 2008-2017, se observa un incremento en las prevalencias de las MDCSOM en forma global y en particular por algunas causas específicas.

Are body posture and self-reported musculoskeletal symptoms different between employees in the healthcare and administrative sectors?

BACKGROUND: Several professionals in hospitals can be affected by work-related musculoskeletal disorders (WMSDs). OBJECTIVE: To evaluate and compare the body posture and self-reported musculoskeletal symptoms of employees in the healthcare and administrative section of a university hospital. METHODS: Body posture and self-reported musculoskeletal symptoms of 106 employees were quantitatively evaluated. The sample was divided into two groups: health care group (HCG) composed of 57 professionals (88% were females) with an average age of 34±7 years, mass of 66.52±14.78 kg, height of 1.62±0.07 m, and body mass index (BMI) of 25.37±4.50 kg/m2; and the administrative section group (ADMG) composed of 49 professionals (57% were females) with an average age of 30±7 years, mass of 74.90±14.12 kg, height of 1.68±0.09 m, and BMI of 26.76±4.40 kg/m2. RESULTS: The only significant difference between groups for the body posture was the greater right Q-angle in the CG (p = 0.039). Self-reported musculoskeletal symptoms in the seven days prior to assessment were not associated with work section. CONCLUSION: The work section within the university hospital did not influence body posture or self-reporting of musculoskeletal symptoms among the healthcare and administrative staff.

Sintomas osteomusculares, absenteísmo e fatores associados em citotecnologistas: estudo transversal / Musculoskeletal complaints, absenteeism and associated factors among cytotechnologists: cross-sectional study

Introdução: Citotecnologistas realizam leitura de lâminas citológicas utilizando o microscópio óptico. Postura estática, velocidade e repetição dos movimentos são fatores que acarretam o aparecimento de sintomas osteomusculares. Objetivos: Identificar os principais sintomas osteomusculares que afetam os citotecnologistas do Instituto Nacional de Câncer (INCA). Estudar possíveis associações entre absenteísmo de citotecnologistas por sintomas osteomusculares e variáveis individuais e profissionais. Caracterizar o absenteísmo por doenças dos citopatologistas do INCA, entre 2016 e 2017, no que tange o grupo de doenças do sistema osteomuscular. Método: Estudo transversal, baseado na aplicação do Questionário Nórdico de Sintomas Osteomusculares. Por meio dos dados do questionário, realizou-se a associação entre as variáveis de exposição e o absenteísmo. Além disso, foram analisados os registros de doenças na Divisão de Saúde do Trabalhador (DISAT) para verificar as principais doenças que resultaram em absenteísmo. As associações foram testadas por meio do Teste de Fisher utilizando o SPSS, versão 20.0, e a significância estatística considerada foi de p<0,05. Resultados: Do total, 34,4% relataram afastamento do trabalho por sintomas osteomusculares. As principais queixas musculoesqueléticas são na coluna cervical (18%). De acordo com os registros da DISAT, os principais motivos de absenteísmo foram por doenças do sistema osteomuscular e do tecido conjuntivo (25%). Observou-se relação estatisticamente significativa entre o tempo de trabalho, Índice de Massa Corporal (IMC) e o absenteísmo por sintomas osteomusculares. Conclusão: As doenças do sistema osteomuscular e do tecido conjuntivo foram os principais motivos de afastamento dos citotecnologistas, existindo associação do absenteísmo com tempo de serviço e IMC elevado.

Background: Cytotechnologists are laboratory professionals who analyze cytology slides under optical microscopes. Static postures, speed and repetitive movements are associated with occurrence of musculoskeletal complaints. Objective: To establish the main musculoskeletal complaints among cytotechnologists at the National Cancer Institute, Brazil, test associations between absenteeism due to musculoskeletal complaints and individual and occupational variables, and characterize absenteeism related to diseases of the musculoskeletal system in 2016 and 2017. Method: Cross-sectional study in which we administered the Nordic Musculoskeletal Questionnaire and tested associations between exposure variables and absenteeism. We also analyzed morbidity records kept at the Occupational Health Division (OHD) to establish the main disorders related to absenteeism. Associations were investigated by means of Fisher's test using SPSS version 20.0. The significance level was set to p<0.05. Results: 34.4% of the sample required sick leave due to musculoskeletal complaints. The most affected body site was the neck (18%). As per the OHD records, sickness absenteeism was mainly due to diseases of the musculoskeletal system and connective tissue (25%). We found statistically significant association of absenteeism with length in the job and body mass index. Conclusion: Diseases of the musculoskeletal system and connective tissue were the main reason for missing work days. Absenteeism was associated with length in the job and high body mass index.

Dor osteomuscular: uma comparação entre trabalhadores administrativos e de produção de uma indústria agroavícola / Musculoskeletal pain: comparison between administrative and production employees of a poultry farming company

INTRODUÇÃO: Distúrbios osteomusculares relacionados ao trabalho constituem o grupo de doenças ocupacionais mais registradas no Brasil, sendo as indústrias ambientes favoráveis para seu desenvolvimento. Este estudo justifica-se pela necessidade de aprofundar investigações sobre a manifestação de sintomas osteomusculares no ramo industrial agroavícola, temática pouco explorada na literatura nacional. OBJETIVOS: Analisar a prevalência de sintomas osteomusculares em trabalhadores da linha de produção e do setor administrativo de uma indústria agroavícola, caracterizar o perfil sociodemográfico e ocupacional dos dois grupos e identificar ocorrência de associações entre dor e variáveis sociodemográficas e ocupacionais. MÉTODO: Estudo correlacional e transversal, realizado por meio de caracterização sociodemográfica e ocupacional, Questionário Nórdico de Sintomas Osteomusculares e Escala Numérica de Intensidade da Dor. RESULTADOS: Participaram 154 trabalhadores do setor de produção e 24 do de administração. O único sintoma osteomuscular apresentado foi a dor, com prevalência superior a 85% para ambos os setores. Mulheres do setor de produção apresentaram 2,9 vezes mais chances de terem dor do que homens. As regiões mais afetadas no setor administrativo foram pescoço e partes inferior e superior das costas. Já no setor de produção, prevaleceram a região inferior das costas e dos ombros e a parte superior das costas. CONCLUSÕES: A dor foi descrita como o sintoma osteomuscular mais prevalente entre os trabalhadores da indústria agroavícola. Apesar das diferenças nos processos de trabalho entre os trabalhadores administrativos e produtivos, não houve diferenças estatisticamente significativas entre os setores. Por outro lado, ambos apresentaram um altíssimo nível de adoecimento, o que sugere a necessidade de aprofundamento em estudos da relação causal desses sintomas.

BACKGROUND: Work-related musculoskeletal disorders are the most frequently reported group of diseases in Brazil, their occurrence being favored by work in the industrial sector. The present study is justified by the need to investigate more thoroughly the occurrence of musculoskeletal symptoms among poultry farming workers, since this subject is scarcely explored in the Brazilian literature. OBJECTIVE: To analyze the prevalence of musculoskeletal symptoms among production and administrative employees of a poultry farming company, describe the sociodemographic and occupational profile of both groups of workers and test associations between pain and sociodemographic and occupational variables. METHODS: Cross-sectional correlational study which included sociodemographic and occupational characterization and administration of the Nordic Musculoskeletal Questionnaire and a numeric pain rating scale. RESULTS: The sample comprised 154 production employees and 24 administrative workers. Pain was the single musculoskeletal symptom reported, with prevalence of over 85% in both groups. Female production employees exhibited 2.9 times higher odds of pain compared to the males. The body sites most frequently involved were the neck and upper and lower back among the administrative employees and the shoulders and the upper and lower back among the production workers. CONCLUSION: Pain was the most prevalent musculoskeletal symptom in the analyzed sample of poultry farming workers. Statistically significant difference was not found between the groups despite their different work processes. Both groups exhibited extremely high rates of illness, which points to the need for more thorough investigation of the causal relationships of musculoskeletal symptoms

Dual approach for large mediastinal tumors in the thoracic outlet: transmanubrial osteomuscular sparing approach and video-assisted thoracoscopic surgery.

BACKGROUND: Selecting the proper surgical approach for mediastinal tumors in the thoracic outlet is difficult. Video-assisted thoracoscopic surgery is ideal because of the less invasiveness; however, it is often difficult to resect tumors only by video-assisted thoracoscopic surgery due to the poor visualization of the cranial side of tumors. We report two successfully treated cases by using a dual approach consisting of the transmanubrial osteomuscular sparing technique and video-assisted thoracoscopic surgery for aiming both the less invasiveness and the good visualization of the cranial side of tumors. CASE PRESENTATIONS: We present two resected cases of the mediastinal tumor in the thoracic outlet. The first case was a 28-year-old woman and the second case was a 37-year-old man. They had a mediastinal tumor in the thoracic outlet which was detected on the roentgenogram. A definitive preoperative diagnosis was unavailable. The surgical resection was started with video-assisted thoracoscopic surgery in the both cases. After the dissection of the caudal side of the tumor, the dissection of the cranial side was judged to be difficult and risky because the tumor was located adjacent to major vessels and the good visualization of this side couldn't be acquired. Therefore, the transmanubrial approach was sequentially performed and complete resection was safely achieved. Postoperatively, although transient Horner syndrome appeared in both cases, they recovered from this syndrome and were discharged. The final diagnosis was schwannoma for both cases. Neither of the cases had any functional restriction of the upper extremity. CONCLUSIONS: This dual approach for mediastinal tumors in the thoracic outlet is useful in terms of safety and lower invasiveness.

Contralateral trapezius transfer to treat scapular winging: A case report and review of literature.

BACKGROUND: No dynamic technique, such as tendon transfer, has been described for scapular winging due to levator scapulae or rhomboid major and minor palsies resulting from an isolated dorsal scapular nerve injury. Thus, we evaluated how the contralateral trapezius compound osteomuscular flap transfer would work in stabilizing lateral scapular winging, and the case is reported here. A literature review was also conducted, and articles relevant to the case are presented. CASE SUMMARY: A 37-year-old male patient who had sustained an isolated dorsal scapular nerve injury underwent reconstructive surgery using the contralateral trapezius compound osteomuscular flap transfer technique to treat scapular winging and the consequent pain, and to restore function from the shoulder impairment. As a result, the involved shoulder showed an improved Constant-Murley score, from 19.5% to 81.88%. CONCLUSION: Contralateral trapezius osteomuscular flap transfer succeeded in stabilizing scapular winging in this case, improving shoulder function and affording pain relief.

Síntomas Osteomusculares y factores Individuales presentes En Los trabajadores de la bodega De En Una empresa de La Industria textil En Barranquilla / Osteomuscular Symptomsand Individual Factors Present in the Workers of the Warehouse of a Textile Industry Company in Barranquilla

Introducción: El síntoma osteomuscular se puedepresentar en cualquier momento de la vida ya que son algo inmanente al ser humano; sin embargo,estas molestias pueden aumentarse y permanecer pormás tiempo en el individuo debido a múltiples factores individuales. Objetivo: Determinar los síntomas osteomusculares y factores individuales presentes en los trabajadores de la bodega de unaempresa de industria textil en Barranquilla en el periodo comprendido de febrero a diciembre, 2017.Metodología: El método que se utilizo fue deductivo, con una población de 21 trabajadores en el año 2017. Se recolectaron datos socio-demográficos (sexo, edad y tiempo en el cargo) y factores individuales (IMC). Los síntomas osteomusculares fueron evaluados por mediode una encuestade síntomas y factores individuales. Resultados:Se observó que el 47,6% de la población presenta sobrepesoy el 19% restante se encuentra en obesidad tipo 1, Se destaca que el 66,66% de los trabajadores encuestados, tienen problemas con su peso. la población estudio se identificó que las edades prevalentes están 85,7% representa por edad adulta, mayores de 26 años y el 14,3% son jóvenes menores a 26 años. Conclusión: A partir de lo mencionado y evidenciado anteriormente escrito se encontróque la frecuencia de los síntomas es baja y prevalece la respuesta casi nunca o nunca. Síntomas específicos como Dolor de cabeza, cuello, muñeca izquierda, abdomen, lumbar y pierna derecha, son los que más variabilidad presentan en cuanto a su frecuencia.En general los trabajadores refieren que lleven un estilo de vida saludable, no fuman, ni consumen bebidas alcohólicas, duermen más de 6 horas diarias y no tienen antecedentes de cáncer. Se observó en particular que el 57,14% consume café diariamente, mientras que el 42,86% no consume café. El 19,05% manifiesta llevar hábitos de vida sedentarios

Introduction: Osteomuscularsymptoms can occur at any time in life since they are something immanent to the human being; however, these discomforts can be increased and remain longer in the individual due to multiple individual factors.Objective:To determine the osteomuscular symptoms and individual factors present in the workers of the winery of a textile industry company in Barranquilla in the period from February to December, 2017. Methodology:The method I used was deductive, with a population of 21 workers in 2017. Socio-demographic data (sex, age and time in office) and individual factors (BMI) were collected. Osteomuscular symptoms were evaluated by means of a survey of syphilis and individual factors.Results:It was observed that 47.6% of the population is overweight and the remaining 19% is in type 1 obesity. It is noted that 66.66% of the workers surveyed have problems with their weight. The study population identified that the prevailing ages are 85.7% represented by adult age, older than 26 years and 14.3% are younger than 26 years.Conclusions:From the aforementioned and evidenced previously written it was found that the frequency of symptoms is low and the answer prevails almost never or never. Specific symptoms such as headache, neck, left wrist, abdomen, lumbar and right leg are the most variable in their frequency. In general, workers report that they lead a healthy lifestyle, do not smoke, or consume alcoholic beverages, sleep more than 6 hours a day, and do not have a history of cancer. It was observed in particular that 57.14% consume coffee daily, while 42.86% do not consume coffee. 19.05% manifest sedentary lifestyle habits

Prevalencia de dolor musculoesquelético y factores asociados en odontólogos de la ciudad de Cuenca, Ecuador, 2016 / Prevalence of musculoskeletal pain and associated factors in dentists of the city of Cuenca, Ecuador, 2016

Introducción: el dolor es uno de los síntomas principales de los trastornos musculoesqueléticos y tiene alta frecuencia en los profesionales de la odontología. El objetivo del estudio fue determinar la prevalencia del dolor musculoesquelético y los factores sociodemográficos y laborales asociados en odontólogos que laboran en la ciudad de Cuenca, Ecuador. Materiales y métodos: se realizó un estudio transversal en 240 odontólogos inscritos en la Dirección Provincial de Salud del Azuay de la ciudad de Cuenca hasta el año 2015. Se usó el cuestionario de Kuorinka para determinar síntomas musculoesqueléticos. Se creó un formulario con variables sociodemográficas y las características del dolor para establecer asociaciones estadísticas. La información fue procesada en el programa SPSS versión 22. Resultados: el 58,7% eran mujeres. El promedio de edad fue de 37 años con una DE de 11,6. La prevalencia de dolor musculoesquelético fue del 73,3%. El 90,3% atribuyó el dolor a causas laborales. Los factores asociados al dolor fueron: sexo femenino, sedentarismo, trabajar en el sector público y carga horaria mayor a 30 horas semanales. El dolor musculoesquelético en los odontólogos está asociado estadísticamente a: sexo femenino (OR= 2,60; IC 95%= 1,35 ­ 4,99; p= 0,004), sedentarismo (OR= 2,42; IC 95%= 1,20 ­ 4,89; p= 0,013), ejercer en el área pública (OR= 2,97; IC 95%= 1,26 ­ 6,99; p= 0,012) y carga horaria mayor a 30 horas sema- nales (OR= 2,21; IC 95%= 1,15 ­ 4,21; p= 0,017). Conclusiones: el ejercicio de la práctica clínica odontológica constituye un factor de riesgo para la generación de trastornos musculoesqueléticos.

Association between musculoskeletal symptoms and perceived stress in public servants of a Federal University in the South of Brazil / Associação entre sintomas osteomusculares e estresse percebido em servidores públicos de uma Universidade Federal do Sul do Brasil

ABSTRACT BACKGROUND AND OBJECTIVES: In view of the high prevalence of pain complaints among workers in the country and their consequences in the quality of life and work, the objective of this study was to investigate the association between the perceived stress and the presence of musculoskeletal symptoms among public servants of the Federal University of Rio Grande. METHODS: Observational, transversal and quantitative study. The survey population comprised all active servants in the second semester of 2016 in any campuses of the Federal University of Rio Grande. Participants received a digital invitation to participate in the survey containing a link that would lead to the questionnaire generated by Google Docs. The questionnaire was composed of questions on demographic data, and two standardized instruments: the Nordic Musculoskeletal Questionnaire and the Perceived Stress Scale. The descriptive analysis was done by absolute and relative frequency. For the bivariate analysis, it was used the Fisher's Exact test. P values were reported for the linear trend test on associations between stress and pain. RESULTS: Of the total number of eligible servants (n=717), 36.6% participated in the study. The spine was the most reported area of the body with pain symptoms in the last 12 months, and in the last seven days. The least prevalent region of pain was hips / thighs. It was observed that the greater the perceived stress, the greater was the prevalence of musculoskeletal symptoms. It was observed a statistically significant linear trend in almost all assessed anatomic regions. CONCLUSION: There was a high prevalence of musculoskeletal symptoms in the analyzed population, as well as a strong association between the perceived stress and the presence of these symptoms.

RESUMO JUSTIFICATIVA E OBJETIVOS: Diante da alta prevalência das queixas de dor entre os trabalhadores no país e suas consequências para qualidade de vida e no trabalho. O objetivo deste estudo foi investigar a associação entre o estresse percebido e a presença de sintomas osteomusculares entre servidores públicos da Universidade Federal do Rio Grande. MÉTODOS: Estudo observacional, transversal e quantitativo. O público da pesquisa foi todos os servidores efetivos que estavam em atividade no segundo semestre de 2016 de qualquer dos campi da Universidade Federal do Rio Grande. Os participantes receberam, por via digital, um convite para participar da pesquisa contendo umlink que remetia ao questionário, gerado peloGoogle Docs. O questionário foi composto por perguntas que inquiriam dados demográficos e duas avaliações padronizadas:Nordic Musculoskeletal Questionnaire e Escala de Estresse Percebido. A análise descritiva tratou-se da frequência absoluta e relativa. Para análise bivariada, utilizou-se o Exato de Fisher. Foram reportados os valores p para o teste de tendência linear nas associações entre o estresse e a dor. RESULTADOS: Participaram do estudo 36,6% do número total dos servidores (n=717). A região das costas foi a mais prevalente de dor quanto aos sintomas nos últimos 12 meses, e nos últimos sete dias. A região menos prevalente foi quadril/coxas. Verificou-se que quanto maior o estresse percebido, maior foi a prevalência de sintomas osteomusculares. Observou-se tendência linear com significância estatística em quase todas as regiões anatômicas analisadas. CONCLUSÃO: Constatou-se elevada prevalência de sintomas osteomusculares na população estudada, além da forte associação entre o estresse percebido e a presença destes sintomas.

Risco Osteomuscular Relacionado ao Trabalho Doméstico / Musculoskeletal Risck Related to Housework

As Doenças Osteomusculares Relacionadas ao Trabalho têm sido discutidas há anos no Brasil, mas, ainda são causas de problemas de saúde ao longo da vida e do cotidiano de muitos trabalhadores. De acordo com a literatura, os profissionais do lar não têm acesso a medidas de segurança adequadas dentro do seu ambiente de trabalho e faltam fiscalização e controle oficial sobre essa condição. Além disso, as doenças ocupacionais relacionadas ao trabalho doméstico continuam negligenciadas. Com o objetivo de identificar fatores de risco para o desenvolvimento dessas doenças, observaram-se atividades cotidianas de uma trabalhadora doméstica durante um dia completo de sua jornada de trabalho. Os riscos mais comuns constituíram-se por posturas inadequadas, repetitividade de movimentos com flexão da coluna, tempo prolongado em posição ortostática, má organização das atividades e do ambiente de trabalho e falta de orientação adequada à trabalhadora sobre tais problemas. Concluiu-se pela necessidade da criação e da aplicação rotineira de protocolos e diretrizes padronizados para minimizar a ocorrência de doenças osteomusculares relacionas ao trabalho doméstico e o risco de acidentes, bem como estabelecer práticas assistenciais e políticas sociais que oportunizem qualificar a condição física, mental e trabalhista de quem vive e se ocupa como empregada do lar. (AU)

The Musculoskeletal Diseases related to work have been discussed for years in Brazil, but still are causes of health problems throughout life and the quotidian of many workers. In the case of those who work in the domestic sector, these houseworkers have no access to adequate security measures within their work environment and lack supervision and official control about this condition. In addition, the occupational diseases related to domestic work remain neglected. In order to identify risk factors for development of these diseases, were noticed the daily activities of a domestic worker for a full day in her workday. The most common risks were constituted by inadequate postures, repeatability of movements with spinal flexion, prolonged standing positions, bad organization of the activities and of the work environment and lack of adequate guidance to the worker on such problems. It was concluded for the need of creation and routine application of protocols and standardized guidelines to minimize the occurrence of musculoskeletal diseases related to the domestic work and to the risk of accidents, and to establish care practices and social policies that make possible to qualify the physical, mental and labor condition of those who live and occupy as domestic workers.(AU)