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1.
Yonsei Med J ; 60(9): 870-875, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31433585

RESUMO

PURPOSE: The aim of this study was to examine the prevalence of upper extremity musculoskeletal (MSK) diseases and to identify factors influencing disability among fruit tree farmers in Korea. MATERIALS AND METHODS: Of the 1150 subjects of the Namgaram study, 460 fruit tree farmers completed a questionnaire and underwent clinical evaluations, including physical assessments, laboratory tests, simple radiographic examinations, and magnetic resonance imaging studies of the upper extremities. Disability was assessed using the Disabilities of the Arm, Shoulder, and Hand outcome measure. Data were analyzed with descriptive statistics and regression analyses using SPSS Win 24.0. RESULTS: The prevalences of upper extremity MSK diseases were 60.4% for rotator cuff tear, 20.9% for golf elbow, 40.9% for tennis elbow, and 58.0% for hand osteoarthritis. Disability in fruit farmers was associated with female sex (B=-4.47, p<0.001), smoking (B=-4.00, p=0.026), depression (B=2.83, p<0.001), working hours (B=0.96, p=0.001), injuries of the arms (B=10.78, p<0.001) and shoulders (B=6.75, p<0.001), and numbers of upper extremity MSK diseases (B=2.02, p=0.001), with 26.5% of the variance explained (R²=0.265, Durbin-Watson test=1.81, p<0.001). CONCLUSION: Fruit tree farmers remain at risk for MSK diseases of the upper extremities. Disability tended to worsen with more MSK diseases. It is necessary to not only educate farmers about prevention strategies, but also to develop an effective management system for agricultural work-related MSK diseases and a surveillance system at the government level for the health problems of farmers.


Assuntos
Doenças dos Trabalhadores Agrícolas/epidemiologia , Fazendeiros , Doenças Musculoesqueléticas/epidemiologia , Extremidade Superior/fisiopatologia , Adulto , Doenças dos Trabalhadores Agrícolas/etiologia , Estudos Transversais , Avaliação da Deficiência , Feminino , Frutas , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Musculoesqueléticas/diagnóstico , Osteoartrite/epidemiologia , Prevalência , República da Coreia/epidemiologia , Lesões do Manguito Rotador/epidemiologia , Inquéritos e Questionários , Cotovelo de Tenista/epidemiologia , Árvores
2.
Work ; 63(3): 389-403, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31282450

RESUMO

BACKGROUND: The manual brick field industry is one of the most important and oldest industries in India, where millions of male and female workers make their livelihood. OBJECTIVE: To estimate the different ergonomic risk factors associated with brick making, identify potential gender differences and the prevalence of Work-related musculoskeletal disorders (WMSDs), physiological and psychological stress among the brickfield workers. METHODS: Brickfield workers - 152 male and 148 female were randomly selected from the 12 brickfields. The Modified Nordic Questionnaire was applied to assess the discomfort reported among both groups of brickfield workers. Objective measurement of physiological parameters and lung function values were also recorded. RESULTS: From this study, it was revealed that there is significantly higher discomfort reported in hands, lower back and knees among female brick molders than male brick molders. The physiological parameters did not show any significant change between male brickfield workers and female brickfield workers. The mean values of FVC, FEV1 and PEFR for females were lower than those for male brickfield workers. CONCLUSION: This study concludes that female brickfield workers reported more discomfort than male brickfield workers; perhaps in part due to their additional domestic work responsibilities.


Assuntos
Indústria da Construção/métodos , Doenças Musculoesqueléticas/classificação , Fatores Sexuais , Estresse Fisiológico/fisiologia , Adulto , Análise de Variância , Índice de Massa Corporal , Feminino , Humanos , Índia/epidemiologia , Masculino , Doenças Musculoesqueléticas/epidemiologia , Medição da Dor/métodos , Postura/fisiologia , Prevalência , Inquéritos e Questionários
3.
J Laryngol Otol ; 133(8): 713-718, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31317837

RESUMO

OBJECTIVE: The main objective of this study was to determine the prevalence of work-related musculoskeletal symptoms in otolaryngology and head and neck surgery specialists and trainees in Spain, and to measure the effect that physical exercise could have on muscular discomfort. METHOD: A cross-sectional survey was administered between September and December 2017 to practising otolaryngologists. RESULTS: Four hundred and three ENT surgeons responded, with a median age of 44.9 years, and 89.8 per cent reported discomfort or physical symptoms that they attributed to surgical practice. More female surgeons reported musculoskeletal symptoms (92.8 per cent vs 87.1 per cent; p = 0.04). When the level of physical activity was compared with the frequency of physical discomfort, no significant difference was found. CONCLUSION: This study has shown a high prevalence of musculoskeletal disorders among ENT surgeons in Spain but has failed to demonstrate an important role of physical exercise in the prevention of musculoskeletal disorders.


Assuntos
Terapia por Exercício/métodos , Doenças Musculoesqueléticas/epidemiologia , Doenças Profissionais/reabilitação , Adulto , Idoso , Estudos Transversais , Ergonomia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Musculoesqueléticas/etiologia , Doenças Musculoesqueléticas/prevenção & controle , Doenças Profissionais/complicações , Doenças Profissionais/epidemiologia , Prevalência , Espanha/epidemiologia , Cirurgiões , Inquéritos e Questionários , Falha de Tratamento
4.
Work ; 63(2): 261-268, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31156207

RESUMO

BACKGROUND: In the US, as the demands for rehabilitation services increase, work-related musculoskeletal disorders (WMSDs) have increased among rehabilitation practitioners. This trend has been noticed among physical therapists (PTs) in the State of Kuwait. OBJECTIVE: The purpose of this study was to determine the prevalence and risk factors associated with WMSDs among PTs in Kuwait over a 12-month period. In addition, the result compared across countries and health care professions. METHODS: A descriptive cross-sectional design was used in this study. A self-administered questionnaire was distributed to the PT departments at Kuwait government hospitals and schools. A total of 312 returned questionnaires (69.3% response rate) were received. RESULTS: Results showed that 149 (48%) PT respondents experienced WMSDs. The lower back and muscle spasm were the most common area of the body injured and type of injury, respectively. Manual therapy techniques and patient transfers were most common activities associated with injuries. CONCLUSIONS: The prevalence of PTs with WMSDs in Kuwait was high and similar to other studies of PTs with WMSDs working in other countries. The performance of work activities was the leading risk factor for WMSDs, and WMSDs were prevalent among industrialized, industrially developing, and underdeveloped countries. Education of PTs regarding ergonomic and biomechanical principles as well as hands-on training of patient handling are the key tools to help prevent WMSDs.


Assuntos
Traumatismos Ocupacionais/diagnóstico , Fisioterapeutas/estatística & dados numéricos , Trabalho/fisiologia , Adulto , Estudos Transversais , Feminino , Humanos , Kuweit/epidemiologia , Masculino , Pessoa de Meia-Idade , Doenças Musculoesqueléticas/diagnóstico , Doenças Musculoesqueléticas/epidemiologia , Traumatismos Ocupacionais/epidemiologia , Fatores de Risco , Inquéritos e Questionários , Trabalho/normas
5.
Lancet ; 394(10204): 1145-1158, 2019 09 28.
Artigo em Inglês | MEDLINE | ID: mdl-31248666

RESUMO

BACKGROUND: Public health is a priority for the Chinese Government. Evidence-based decision making for health at the province level in China, which is home to a fifth of the global population, is of paramount importance. This analysis uses data from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017 to help inform decision making and monitor progress on health at the province level. METHODS: We used the methods in GBD 2017 to analyse health patterns in the 34 province-level administrative units in China from 1990 to 2017. We estimated all-cause and cause-specific mortality, years of life lost (YLLs), years lived with disability (YLDs), disability-adjusted life-years (DALYs), summary exposure values (SEVs), and attributable risk. We compared the observed results with expected values estimated based on the Socio-demographic Index (SDI). FINDINGS: Stroke and ischaemic heart disease were the leading causes of death and DALYs at the national level in China in 2017. Age-standardised DALYs per 100 000 population decreased by 33·1% (95% uncertainty interval [UI] 29·8 to 37·4) for stroke and increased by 4·6% (-3·3 to 10·7) for ischaemic heart disease from 1990 to 2017. Age-standardised stroke, ischaemic heart disease, lung cancer, chronic obstructive pulmonary disease, and liver cancer were the five leading causes of YLLs in 2017. Musculoskeletal disorders, mental health disorders, and sense organ diseases were the three leading causes of YLDs in 2017, and high systolic blood pressure, smoking, high-sodium diet, and ambient particulate matter pollution were among the leading four risk factors contributing to deaths and DALYs. All provinces had higher than expected DALYs per 100 000 population for liver cancer, with the observed to expected ratio ranging from 2·04 to 6·88. The all-cause age-standardised DALYs per 100 000 population were lower than expected in all provinces in 2017, and among the top 20 level 3 causes were lower than expected for ischaemic heart disease, Alzheimer's disease, headache disorder, and low back pain. The largest percentage change at the national level in age-standardised SEVs among the top ten leading risk factors was in high body-mass index (185%, 95% UI 113·1 to 247·7]), followed by ambient particulate matter pollution (88·5%, 66·4 to 116·4). INTERPRETATION: China has made substantial progress in reducing the burden of many diseases and disabilities. Strategies targeting chronic diseases, particularly in the elderly, should be prioritised in the expanding Chinese health-care system. FUNDING: China National Key Research and Development Program and Bill & Melinda Gates Foundation.


Assuntos
Carga Global da Doença , Morbidade , Mortalidade , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Poluição do Ar/estatística & dados numéricos , Causas de Morte , Criança , Pré-Escolar , China/epidemiologia , Dieta/estatística & dados numéricos , Feminino , Humanos , Hipertensão/epidemiologia , Lactente , Recém-Nascido , Neoplasias Hepáticas/epidemiologia , Neoplasias Hepáticas/mortalidade , Neoplasias Pulmonares/epidemiologia , Neoplasias Pulmonares/mortalidade , Masculino , Transtornos Mentais/epidemiologia , Pessoa de Meia-Idade , Doenças Musculoesqueléticas/epidemiologia , Isquemia Miocárdica/epidemiologia , Isquemia Miocárdica/mortalidade , Material Particulado , Doença Pulmonar Obstrutiva Crônica/epidemiologia , Doença Pulmonar Obstrutiva Crônica/mortalidade , Anos de Vida Ajustados por Qualidade de Vida , Fatores de Risco , Fumar/epidemiologia , Acidente Vascular Cerebral/epidemiologia , Acidente Vascular Cerebral/mortalidade , Adulto Jovem
6.
Phys Ther ; 99(2): 183-193, 2019 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-31222334

RESUMO

BACKGROUND: Patient/resident-handling tasks are physically demanding and associated with musculoskeletal disorders (MSDs) among nursing personnel. The routine performance of such tasks by physical therapists and occupational therapists during treatment can cause similar problems. OBJECTIVE: This study characterized the magnitude of MSDs and the risk factors for MSDs in physical therapists, occupational therapists, physical therapist assistants, and occupational therapist assistants (collectively called "therapy personnel" for this study) and compared them with those of other nursing home workers, especially nursing staff. DESIGN: This was a cross-sectional study. METHODS: Workers' compensation claim (WCC) data from 1 year of experience in a long-term care company were used to compute claim rates by body region, nature, and cause of injury, and the costs per case and per full-time-equivalent employee. Data regarding musculoskeletal symptoms, use of patient/resident-lifting equipment, and perceived physical and psychological job demands were obtained from a concurrent cross-sectional survey of workers from 24 long-term care facilities. RESULTS: About 80% of the WCCs were related to musculoskeletal incidents in nursing aides and therapy personnel. WCC costs paid per case for therapy personnel were more than twice those for nursing staff for both ergonomic and resident-handling incidents. Prevalence of low back pain in therapy personnel was the same as in nursing aides (48%) but involved more chronic, milder pain. About half of therapy personnel reported "never" or "rarely" using patient/resident-lifting equipment. Therapy personnel, nursing aides, and housekeeping/dietary/maintenance personnel reported the highest physical job demands. LIMITATIONS: Causal inference cannot be determined due to the cross-sectional nature of the survey data. Study findings are relevant only to therapy work in long-term care settings because exposures vary in other health care settings (hospitals, outpatient, and others). CONCLUSIONS: MSD prevalence and claim costs in therapy personnel are high enough to deserve more attention. The low use of patient/resident-lifting equipment in therapy could increase the risk for MSDs. Future studies with comprehensive ergonomic analysis of therapist tasks and recommendations to reduce injuries are warranted.


Assuntos
Doenças Musculoesqueléticas/economia , Doenças Profissionais/economia , Terapeutas Ocupacionais/estatística & dados numéricos , Assistentes de Fisioterapeutas/estatística & dados numéricos , Fisioterapeutas/estatística & dados numéricos , Indenização aos Trabalhadores/economia , Adulto , Estudos Transversais , Feminino , Humanos , Assistência de Longa Duração/economia , Masculino , Pessoa de Meia-Idade , Doenças Musculoesqueléticas/epidemiologia , Doenças Profissionais/epidemiologia , Exposição Ocupacional/economia , Fatores de Risco , Indenização aos Trabalhadores/estatística & dados numéricos , Carga de Trabalho/economia
7.
BMC Musculoskelet Disord ; 20(1): 187, 2019 May 03.
Artigo em Inglês | MEDLINE | ID: mdl-31053119

RESUMO

BACKGROUND: Musculoskeletal (MSK) conditions are a common presentation in primary care. This study sought to determine the prevalence of MSK conditions in primary care in Ontario and to validate the extent to which health administrative date billing codes accurately represent MSK diagnoses. METHODS: De-identified electronic medical records (EMR) from the DELPHI database in southwestern Ontario, which contains 2493 patients (55.6% female, mean age 50.3 years (SD = 22.2)) and 21,964 encounters (July 1, 2006-June 30, 2010) were used for the analyses. Outcomes included: validation measures of agreement between International Classification of Diseases (ICD-9) diagnostic codes (health administrative data) and International Classification of Primary Care (ICPC) diagnoses defined as the reference standard, time to first ICD-9 code, prevalence, and healthcare utilization. RESULTS: There were 2940 true positive MSK encounters with primary care practitioners for 998 patients. Performance of the ICD-9 diagnostic codes included sensitivity = 76.5%, specificity = 95.2%, PPV = 94.6%, and NPV = 78.7%, compared to the ICPC reference standard. The majority of 998 patients were coded with both an ICPC and ICD-9 MSK code at their first or second encounter (67.4%). However, 23.5% of patients with the ICPC reference standard MSK were never coded with ICD-9. Four-year prevalence of MSK was 52.3% and varied by age (4.5% 0-17 years, 20.1% 18-44, 42.7% 45-64, and 32.7% 65+). Patients at MSK encounters had a higher number of: investigations (17.9% compared to 9.1%, p < .0001); referrals (17.6% compared to 14.3%, p < .0001); and prescriptions for opioids (17.2% compared to 5.3%, p < .0001). CONCLUSIONS: This study determined the prevalence of musculoskeletal conditions in primary care in Ontario using a reference standard definition. The study highlighted the value of using primary care ICPC codes to validate a definition for musculoskeletal conditions. Health administrative data can be used to ascertain the presence of musculoskeletal conditions; however, ICD-9 codes may underrepresent the prevalence of MSK conditions.


Assuntos
Bases de Dados Factuais/estatística & dados numéricos , Registros Eletrônicos de Saúde/estatística & dados numéricos , Doenças Musculoesqueléticas/epidemiologia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Atenção Primária à Saúde/estatística & dados numéricos , Adulto , Idoso , Algoritmos , Feminino , Humanos , Classificação Internacional de Doenças , Masculino , Pessoa de Meia-Idade , Doenças Musculoesqueléticas/diagnóstico , Ontário/epidemiologia , Prevalência , Estudos Retrospectivos , Adulto Jovem
8.
Artigo em Inglês | MEDLINE | ID: mdl-31052153

RESUMO

We explored occupational class differences in disability retirement trends accounting for structural changes in the workforce induced by the recent economic crisis and the following economic stagnation. Using nationwide register data on the general Finnish population aged 30-59 years, we examined trends in disability retirement due to all causes, musculoskeletal diseases, and mental disorders in 2007, 2010, and 2013. Applying propensity score (PS) matching to control for bias induced by structural changes in the workforce over time, we obtained 885,807 matched triplets. In the original study population, all-cause and cause-specific disability retirement declined between 2007 and 2013 for most occupational classes. In the matched study population, the disability retirement among skilled and unskilled manual workers sharply increased in 2010 and then declined in 2013. PS matching considerably attenuated the decline in disability retirement, particularly between the years 2007 and 2010. In general, the differences in disability retirement between both skilled and unskilled manual workers and upper-level non-manual employees widened during the period of economic stagnation. In occupational epidemiology, structural changes in the workforce should be accounted for when analysing trends in ill-health. Controlling for these changes revealed widening occupational class differences in disability retirement during the period of economic stagnation.


Assuntos
Pessoas com Deficiência/estatística & dados numéricos , Transtornos Mentais/epidemiologia , Doenças Musculoesqueléticas/epidemiologia , Ocupações/classificação , Aposentadoria/tendências , Recursos Humanos/estatística & dados numéricos , Adulto , Feminino , Finlândia/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Pontuação de Propensão , Recursos Humanos/tendências
9.
Environ Health Prev Med ; 24(1): 34, 2019 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-31092202

RESUMO

BACKGROUND: Musculoskeletal symptoms often occur in more than one anatomical site. The present study aimed to define specific patterns of multisite musculoskeletal disorders and examine how these patterns are related to common psychological problems. METHODS: Using the data from an interview-based health survey of 358 samples of the industrial manufacturing male employees, we derived major patterns of musculoskeletal complaints using latent class analysis and investigated its association with psychological problems score extracted from depression, anxiety, and stress measured by Depression/Anxiety/Stress Scale (DASS-21). Musculoskeletal disorders were assessed by Nordic Musculoskeletal Questionnaire (NMQ). The statistical analysis was carried out by Mplus 8. RESULTS: Complaints in the lower back (42.1%) and neck (30.7%) had the highest prevalence, and in the hip (15.0%) and ankle (12.2%) the lowest. Three major patterns of musculoskeletal disorders were extracted using latent class analysis. Class 1 (12.9%) was characterized by a high rate of complaints in upper musculoskeletal sites, such as the neck, shoulder, and joints; class 2 (38.2%) was identified by a higher rate of complaints in the lower and upper back; and class 3 (48.9%) was marked by low rates of complaints in all musculoskeletal sites. After adjustment for confounding variables and specifying class 3 as the reference, it turned out that there was a statistically significant association between the psychological problems score and the chance of being in class 1 (OR = 2.47, 95% CI 1.66-3.68), but not a significant association with the chance of being in class 2 (OR = 1.51, 95% CI 0.83-2.72). CONCLUSION: Musculoskeletal disorders can be summarized in the latent class-derived patterns in the adult study population and provide additional prognostics. Common psychological problems are significantly associated with the type of musculoskeletal disorder patterns. The findings in this study could be useful for dealing with prevention and treatment programs.


Assuntos
Doenças Musculoesqueléticas/classificação , Doenças Musculoesqueléticas/psicologia , Doenças Profissionais/classificação , Doenças Profissionais/psicologia , Adulto , Ansiedade/epidemiologia , Estudos Transversais , Depressão/epidemiologia , Inquéritos Epidemiológicos , Humanos , Irã (Geográfico)/epidemiologia , Análise de Classes Latentes , Masculino , Indústria Manufatureira/estatística & dados numéricos , Pessoa de Meia-Idade , Doenças Musculoesqueléticas/epidemiologia , Doenças Profissionais/epidemiologia , Prevalência , Estresse Psicológico/epidemiologia
10.
BMC Public Health ; 19(1): 506, 2019 May 03.
Artigo em Inglês | MEDLINE | ID: mdl-31053064

RESUMO

BACKGROUND: Due to the progress in screening and cancer treatments, survivor's prognosis has improved enabling a more likely return to work. However, return to work after a cancer diagnosis may be complex because of an unbalanced health status and work demands relationship that may push them out of the labor market. The aim of this study is to assess the risk of dropping out of the labor market due to unemployment, partial retirement, and permanent disability during the year following an episode due to a malignant neoplasm compared to other non-malignant pathologies. METHODS: Cohort study of 9699 workers affiliated with the Social Security System in Catalonia, who had a sickness absence episode between 2012 and 2013 due to malignant neoplasm, mental, musculoskeletal disorders, cardiovascular diseases and injuries. Competing risk regression models were applied to assess the risk of dropping out of the labor market, by calculating subhazard ratios (SHR) in both sexes. Models were adjusted for age, occupational category, type of contract, economic activity, annual median salary and duration of the SA episode as potential confounders. RESULTS: Sickness absence due to malignant neoplasia represented 1.7% out of the 9699 episodes included between 2012 and 2013. Although, 80% of individuals continued working in the year following an episode due to malignant neoplasm, women showed a trend towards exiting the labor market because of partial retirement [SHR = 8.4(1.5-45.5)] and permanent disability [SHR = 5.8(1.5-22.9)] compared to non-malignant pathologies. There were no significant differences for unemployment either in women [SHR = 0.4(0.2-0.9)] and in men [SHR = 0.2(0.1-0.6)]. CONCLUSIONS: Although return to work is a common pathway among cancer survivors, partial retirement and permanent disability seem to be potential pathways to exit the labor market among women.


Assuntos
Absenteísmo , Hispano-Americanos/estatística & dados numéricos , Neoplasias/epidemiologia , Licença Médica/estatística & dados numéricos , Adulto , Doenças Cardiovasculares/epidemiologia , Estudos de Coortes , Pessoas com Deficiência , Feminino , Nível de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Musculoesqueléticas/epidemiologia , Desemprego/estatística & dados numéricos
11.
Acta Medica (Hradec Kralove) ; 62(1): 6-11, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30931890

RESUMO

This article is the second part of an evaluation of musculoskeletal disorders (MSDs) prevalence among dental students. As the majority of complaints are in the back region, there is an endeavor to analyze objectively the disorders in this region. One of the non-invasive and non-radiation methods is the spinal curve mapping using the Spinal Mouse® device (Idiag AG, Fehraltorf, Switzerland). The aim of this study was to determine a correlation between subjectively described complaints and the results of an objective examination of the spine using the Spinal Mouse® device. Information about the participants is given in the first part of the article. All the participants were examined with the Spinal Mouse® device in several body positions. Further, the Matthiass test was performed to evaluate neuromuscular stabilization of the axial skeleton in static conditions. Musculoskeletal pain occurred more often in students who had a higher range of motion (ROM) and had worse static stabilization of spine. Other assessed factors or measured parameters did not have any influence on musculoskeletal pain. Some of the parameters measured with the Spinal Mouse® device showed a correlation with the prevalence of musculoskeletal.


Assuntos
Doenças Musculoesqueléticas/diagnóstico por imagem , Doenças Musculoesqueléticas/epidemiologia , Doenças Profissionais/diagnóstico por imagem , Doenças Profissionais/epidemiologia , Amplitude de Movimento Articular/fisiologia , Estudantes de Odontologia/estatística & dados numéricos , Adulto , Dor nas Costas , República Tcheca , Diagnóstico por Imagem/instrumentação , Desenho de Equipamento , Humanos , Processamento de Imagem Assistida por Computador , Doenças Musculoesqueléticas/patologia , Cervicalgia , Doenças Profissionais/patologia , Sistemas Automatizados de Assistência Junto ao Leito , Prevalência , Reprodutibilidade dos Testes , Adulto Jovem
12.
BMC Musculoskelet Disord ; 20(1): 164, 2019 Apr 11.
Artigo em Inglês | MEDLINE | ID: mdl-30971232

RESUMO

We live in a world with an ever-increasing ageing population. Studying healthy ageing and reducing the socioeconomic impact of age-related diseases is a key research priority for the industrialised and developing countries, along with a better mechanistic understanding of the physiology and pathophysiology of ageing that occurs in a number of age-related musculoskeletal disorders. Arthritis and musculoskeletal disorders constitute a major cause of disability and morbidity globally and result in enormous costs for our health and social-care systems.By gaining a better understanding of healthy musculoskeletal ageing and the risk factors associated with premature ageing and senescence, we can provide better care and develop new and better-targeted therapies for common musculoskeletal disorders. This review is the outcome of a two-day multidisciplinary, international workshop sponsored by the Institute of Advanced Studies entitled "Musculoskeletal Health in the 21st Century" and held at the University of Surrey from 30th June-1st July 2015.The aim of this narrative review is to summarise current knowledge of musculoskeletal health, ageing and disease and highlight strategies for prevention and reducing the impact of common musculoskeletal diseases.


Assuntos
Envelhecimento/fisiologia , Efeitos Psicossociais da Doença , Saúde Global , Doenças Musculoesqueléticas/prevenção & controle , Fenômenos Fisiológicos Musculoesqueléticos , Conferências de Consenso como Assunto , Nível de Saúde , Envelhecimento Saudável/fisiologia , Humanos , Comunicação Interdisciplinar , Cooperação Internacional , Doenças Musculoesqueléticas/diagnóstico , Doenças Musculoesqueléticas/economia , Doenças Musculoesqueléticas/epidemiologia , Fatores de Risco
13.
BMC Musculoskelet Disord ; 20(1): 139, 2019 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-30935374

RESUMO

BACKGROUND: We have previously reported quantitative exposure-response relationships between physical exposures recorded by technical methods, and complaints and diagnoses in the neck/shoulders, and the elbows/hands, based on group data. In the present study the number of workers was doubled, and information on individual factors, and psychosocial working conditions was used. Relationships between various kinds of exposure and response have been analysed in this larger and more detailed sample. METHODS: The prevalence of complaints (Nordic Questionnaire) and diagnoses (clinical examination) were recorded in a number of occupational groups within which the participants had similar work tasks, 34 groups of female employees (N = 4733 women) and 17 groups of male employees (N = 1107 men). Age and other individual characteristics were recorded, as well as psychosocial work environment factors (job-content questionnaire) for most participants. Postures and velocities (inclinometry) of the head (N = 505) and right upper arm (N = 510), right wrist postures and velocities (electrogoniometry; N = 685), and muscular activity (electromyography; EMG) in the right trapezius muscle (N = 647) and forearm extensors (N = 396) were recorded in representative sub-groups. Exposure-response relationships between physical exposure and musculoskeletal disorders, adjusted for individual factors with Poisson regression were then calculated. The effect of introducing psychosocial conditions into the models was also assessed. RESULTS: Associations were found between head velocity, trapezius activity, upper arm velocity, forearm extensor activity and wrist posture and velocity, and most neck/shoulder and elbow/hand complaints and diagnoses. Adjustment for age, other individual characteristics and psychosocial work conditions had only a limited effect on these associations. For example, the attributable fraction for tension neck syndrome among female workers with the highest quintile of trapezius activity was 58%, for carpal tunnel syndrome versus wrist velocity it was 92% in men in the highest exposure quintile. CONCLUSIONS: Based on the findings, we propose threshold limit values for upper arm and wrist velocity.


Assuntos
Doenças Musculoesqueléticas/etiologia , Doenças Profissionais/etiologia , Exposição Ocupacional/efeitos adversos , Local de Trabalho/estatística & dados numéricos , Adulto , Artrometria Articular , Estudos de Coortes , Eletromiografia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Musculoesqueléticas/diagnóstico , Doenças Musculoesqueléticas/epidemiologia , Doenças Musculoesqueléticas/psicologia , Pescoço , Doenças Profissionais/diagnóstico , Doenças Profissionais/epidemiologia , Doenças Profissionais/psicologia , Prevalência , Amplitude de Movimento Articular , Inquéritos e Questionários/estatística & dados numéricos , Extremidade Superior , Local de Trabalho/psicologia
14.
BMC Musculoskelet Disord ; 20(1): 175, 2019 Apr 23.
Artigo em Inglês | MEDLINE | ID: mdl-31014316

RESUMO

BACKGROUND: Musculoskeletal disorders (MSDs) are prevalent in working populations and could result in a number of detrimental consequences. In China, healthcare professionals (HCP) in large hospitals may be likely to suffer from MSDs considering the facts of shortages in medical staff, the large Chinese population base, the aging of the population and patients' inclination to go to large hospitals. This study aimed to determine the prevalence and factors associated with MSDs among HCP working in tertiary hospitals. METHODS: A self-administered questionnaire incorporating the Nordic Musculoskeletal Questionnaire and the Dutch Musculoskeletal Questionnaire was conducted among 14,720 HCP in eight tertiary hospitals selected by random cluster sampling in Shandong, China. Multivariable logistic regression analysis was used to quantify the association of psychological, ergonomic, organizational and individual factors with MSDs. RESULTS: The 12-month period prevalence rate of experiencing an MSD in at least one body region for at least 24 h, experiencing an MSD for at least three months, and seeking health care for this condition were 91.2, 17.1 and 68.3%, respectively; these rates were highest for the lower back (72.8, 14.3, 60.3%) and knees (65.7, 8.1, 46.7%), followed by the shoulders (52.1, 6.2, 38.9%), neck (47.6, 4.8, 32.6%), wrists/hands (31.1, 3.2, 23.1%), ankles/feet (23.6, 1.9, 13.4%), upper back, hips/thighs and elbows. MSDs were associated with workload (work hours per week, break times during workday), psychological factors (psychological fatigue, mental stress), employment status and ergonomic factors. Regarding the ergonomic factors, lower back MSDs were associated with bending the trunk frequently, heavy or awkward lifting, and bending or twisting the neck; knee MSDs were associated with walking or standing for long periods of time; and shoulder MSDs were associated with maintaining shoulder abduction for long periods of time and bending or twisting the neck. CONCLUSIONS: MSDs among HCP in tertiary hospitals in Mainland China were highly prevalent. The many factors listed above should be considered in the prevention of MSDs in HCP.


Assuntos
Pessoal de Saúde/estatística & dados numéricos , Doenças Musculoesqueléticas/epidemiologia , Doenças Profissionais/epidemiologia , Centros de Atenção Terciária/estatística & dados numéricos , Carga de Trabalho/estatística & dados numéricos , Adulto , China/epidemiologia , Estudos Transversais , Ergonomia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Musculoesqueléticas/diagnóstico , Doenças Musculoesqueléticas/prevenção & controle , Doenças Profissionais/diagnóstico , Doenças Profissionais/prevenção & controle , Prevalência , Inquéritos e Questionários/estatística & dados numéricos , Adulto Jovem
15.
Scand J Public Health ; 47(3): 375-382, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30973060

RESUMO

AIMS: To investigate the associations between both high- and low-intensity leisure-time physical activity on physical-work ability and chronic musculoskeletal complaints among manual workers aged 50-70 years. METHODS: In this cross-sectional study, 1763 manual workers (mean age 57.1, SD ± 4.7 years) replied to questions about leisure-time physical activity, physical-work ability, chronic musculoskeletal complaints as well as health and lifestyle factors. Ordinal and binomial logistic regression models were constructed to assess the influence of the duration of both low- and high-intensity physical activity on physical-work ability and chronic musculoskeletal complaints, respectively. Models were adjusted for gender, age, smoking, alcohol intake, body mass index, physical-work demand, work experience, chronic disease and, regarding physical-work ability, also for chronic musculoskeletal complaints. RESULTS: A statistically significant association between greater physical-work ability and high-intensity physical activity was found for workers engaged in 3-4 h/wk and ⩾ 5 h/wk (OR 1.59, 95% CI 1.15-2.19 and OR 1.56, 95% CI 1.10-2.22, respectively). For both high- and low-intensity physical activity, a duration of 3-4 h/wk was associated with lower odds of reporting chronic musculoskeletal complaints in the knees (OR 0.65, 95% CI 0.42-1.00 and OR 0.61, 95% CI 0.38-0.99, respectively). CONCLUSIONS: Engaging in ⩾ 3 h/wk of high-intensity leisure-time physical activity was associated with greater physical-work ability among manual workers aged 50-70 years. Both high- and low-intensity physical activity related to lower odds of having chronic musculoskeletal complaints in the knees.


Assuntos
Exercício/fisiologia , Atividades de Lazer/psicologia , Doenças Musculoesqueléticas/epidemiologia , Doenças Profissionais/epidemiologia , Ocupações/estatística & dados numéricos , Avaliação da Capacidade de Trabalho , Idoso , Doença Crônica , Estudos Transversais , Dinamarca/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários
16.
Workplace Health Saf ; 67(7): 326-337, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30836855

RESUMO

Immigrants account for a significant proportion of the nursing workforce in the United States (U.S.). Although different cultural backgrounds may affect immigrant nurses' perceptions of work and occupational health risks, little research has been conducted. Defining immigrant nurses as those who received initial nursing education in foreign countries, this study examined the differences in work-related perceptions and experiences of musculoskeletal (MS) symptoms and injuries between U.S.-educated and foreign-educated nurses. We analyzed data from a cross-sectional study using a statewide random sample of 419 California registered nurses. Foreign-educated nurses reported a more positive safety climate (p = .017) and perceived their jobs as less demanding (p = .008) than did U.S.-educated nurses. The prevalence of work-related MS symptoms was significantly lower in foreign-educated nurses than in U.S.-educated nurses (p = .044), but the difference was not significant in the multivariable analyses. Positive safety climate was significantly associated with a decreased risk of work-related MS symptoms and injuries, and this relationship was greater among U.S.-educated nurses than among foreign-educated nurses. Our findings suggest that immigrant nurses may have different perceptions about safety climate and job demand, which may modify their occupational health risks.


Assuntos
Enfermeiras Internacionais/psicologia , Percepção , Trabalho/psicologia , Adulto , California/epidemiologia , Estudos Transversais , Feminino , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Doenças Musculoesqueléticas/epidemiologia , Doenças Musculoesqueléticas/psicologia , Traumatismos Ocupacionais/epidemiologia , Traumatismos Ocupacionais/psicologia
17.
Chiropr Man Therap ; 27: 18, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30923610

RESUMO

Background: Chiropractors are a unique group of health care professionals who are at risk for developing work-related musculoskeletal injuries. Diversity of daily practice imposes different physical demands on the chiropractor. This study aimed to determine the prevalence of work-related musculoskeletal injuries in chiropractors in eThekwini municipality and selected risk factors associated with these work-related musculoskeletal injuries. Methods: The design was a quantitative, cross-sectional, descriptive study utilising a self-administered questionnaire, developed specifically for this research. The questionnaire contained sections on personal and practice demographics, with questions pertaining to the single most severe work-related musculoskeletal injury, as well as the second and third most severe work-related musculoskeletal injury. Results: A response rate of 64% was obtained (n = 62). The life-time prevalence of work-related musculoskeletal injuries was 69% with a predominance of injuries to the upper extremity (50%) and lower back (28.3%). The hand/wrist was the most common anatomical site of injury (31.5%) followed by the lower back (28.3%). Number of years in practice was considered a risk factor as most injuries occurred within the first five years of practice (41.6%). The majority of injuries affected the soft tissue, including ligament sprains (27.5%) and muscle strains (26.6%) and occurred while the practitioner was performing manipulation (38.2%) of the lumbosacral (80.8%) area with the patient in the side posture (61.5%). Conclusions: The results concur with other studies on work-related musculoskeletal injuries in chiropractors and add insight into risk factors predisposing this population to injury.


Assuntos
Quiroprática , Pessoal de Saúde , Doenças Musculoesqueléticas/epidemiologia , Sistema Musculoesquelético/lesões , Exposição Ocupacional/efeitos adversos , Traumatismos Ocupacionais/epidemiologia , Adulto , Quiroprática/métodos , Estudos Transversais , Feminino , Humanos , Masculino , Manipulação da Coluna , Doenças Musculoesqueléticas/etiologia , Traumatismos Ocupacionais/etiologia , Postura , Prevalência , Fatores de Risco , África do Sul/epidemiologia
18.
Artigo em Inglês | MEDLINE | ID: mdl-30857258

RESUMO

Lower back musculoskeletal disorders (MSDs) are an important public health problem and the leading cause of disability worldwide, but with yet unknown prevalence among shellfish gatherers. To investigate the prevalence and work-related factors associated with lower back MSD in a population of female shellfish gatherers, an epidemiological cross-sectional study was carried out in Saubara, Bahia-Brazil, in 2013. The Brazilian version of the Job Content Questionnaire (JCQ) and the Nordic Musculoskeletal Questionnaire (NMQ), in addition to a questionnaire containing the physical demands adapted to the artisanal work, were applied to a random sample of 209 female shellfish gatherers. The prevalence of lower back MSD was 72.7%. Using multivariate logistic regression, the shellfish gatherers who had worked for more than 26 years in the activity showed a prevalence of 1.22 (95% CI: 1.04⁻1.44) times higher compared to those unexposed. Lower back MSD was 1.24 (95% CI: 1.08⁻1.42) times higher among those more exposed to work sitting with trunk flexion. Those performed manual handling and muscle force with the arms had a prevalence ratio of 1.18 (95% CI: 1.01⁻1.39). These results show the need for greater awareness of health and social welfare factors impacting workers in small-scale fisheries and will promote the elaboration of health care policies for this occupational class.


Assuntos
Dor Lombar/epidemiologia , Doenças Musculoesqueléticas/epidemiologia , Doenças Profissionais/epidemiologia , Adulto , Brasil/epidemiologia , Estudos Transversais , Feminino , Pesqueiros , Humanos , Modelos Logísticos , Prevalência , Fatores de Risco , Alimentos Marinhos , Frutos do Mar , Inquéritos e Questionários
19.
Value Health ; 22(3): 355-361, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30832974

RESUMO

BACKGROUND: The distribution of EQ-5D-3L values (health state profiles, weighted by value sets) often shows two distinct groups, arising from both the distribution of profiles and the characteristics of value sets. To date, there is little evidence about the distribution of EQ-5D-5L values. OBJECTIVES: To explore the distribution of EQ-5D-5L profiles; to compare the distributions of EQ-5D-5L values arising from the English value set (EVS) and a 'mapped' value set (MVS); and to develop further the methods used to investigate clustering within EQ-5D data. METHODS: We obtained data from Cambridgeshire Community Services NHS Trust containing EQ-5D-5L profiles before treatment for three patient groups: community rehabilitation (N=6919); musculoskeletal physiotherapy (N=19999); and specialist nursing services (N=3366). Values were calculated using the EVS and MVS. Clusters were examined using the k-means method and Calinski-Harabasz pseudo-F index stopping rule. RESULTS: We found no evidence for clustering of EQ-5D-5L values arising from the classification system and no strong or consistent evidence of clustering arising from the EVS. There was clearer evidence of clustering using the MVS, with two being the optimal number of clusters. The clusters that were found for the EVS were very different from the MVS clusters. CONCLUSIONS: Unlike the EQ-5D-3L, clustering of EQ-5D-5L values does not seem to be driven by clustering of its profile. This suggests the EQ-5D-5L is superior in that it is less likely to generate artefactual clusters - however, clusters may still result from using value sets such as MVS that have the tendency to generate them.


Assuntos
Serviços de Saúde Comunitária/normas , Doenças Musculoesqueléticas/reabilitação , Enfermeiras Clínicas/normas , Modalidades de Fisioterapia/normas , Inquéritos e Questionários/normas , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Análise por Conglomerados , Serviços de Saúde Comunitária/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Musculoesqueléticas/epidemiologia , Enfermeiras Clínicas/estatística & dados numéricos , Modalidades de Fisioterapia/estatística & dados numéricos , Inquéritos e Questionários/estatística & dados numéricos , Adulto Jovem
20.
Ying Yong Sheng Tai Xue Bao ; 30(1): 43-48, 2019 Jan 20.
Artigo em Chinês | MEDLINE | ID: mdl-30907524

RESUMO

Chronic exposure to fluoride is a public health problem worldwide. We explored the relationship between fluoride exposure, orthopedic injuries and bone formation markers alkaline phosphatase (ALP), bone Gla protein (BGP) in participants with coal-burning fluorosis in Hehua Village (coal-burning fluorosis endemic area) in Zhijin County of Guizhou Province and Zhangguan Village (non-fluoride contaminated area) in Anshun City of Guizhou Province. Environmental samples were collected and fluoride contents were examined using a fluoride ion-selective electrode. Dental fluorosis and skeletal fluorosis of 295 participants from Hehua Village and 85 participants from Zhangguan Village were diagnosed with informed consent. Urinary samples and peripheral blood samples were collected from the participants to determine urinary fluoride (UF), ALP acti-vity, and BGP content. The results showed that fluoride contents in rice, pepper, corn, drinking water, clay, vegetable-grown soil, coal and indoor and outdoor air were significantly higher than those in the control area, but lower than the previously reported values. With the increases of UF concentration, the ALP activity and BGP content significantly increased, the severity of skeletal fluorosis was greater, but with no significant changes in dental fluorosis. There was positive correlation between the severity of skeletal fluorosis and ALP activity, BGP content. These results indicated that low fluoride exposure could cause orthopedic injuries. ALP and BGP could be used to eva-luate the bone turnover in patients with skeletal fluorosis, which would be useful in the auxiliary diagnosis and therapeutic evaluation of skeletal fluorosis.


Assuntos
Exposição Ambiental/análise , Poluentes Ambientais/análise , Fluoretos/metabolismo , Doenças Musculoesqueléticas/metabolismo , Fosfatase Alcalina/metabolismo , China/epidemiologia , Carvão Mineral , Poluentes Ambientais/metabolismo , Poluentes Ambientais/urina , Intoxicação por Flúor , Fluoretos/análise , Fluoretos/urina , Fluorose Dentária , Humanos , Doenças Musculoesqueléticas/epidemiologia , Osteogênese
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