scholarly journals Disentangling the roles of demographic and temporal changes in the incidence and prevalence of musculoskeletal disorders: a systematic review.

Author(s):  
Hanifa Bouziri ◽  
Alexis Descatha ◽  
Yves Roquelaure ◽  
William Dab ◽  
Kévin Jean

Background: Musculoskeletal disorders (MSDs) accounted for nearly 1.71 billion people worldwide in 2019 with an estimate of over 126.6 million Americans (or one in two adults) affected and 40 million European workers in 2017. Since age constitutes an important risk factor for MSDs, the overall aging of the working population is expected to influence the burden of disease. However, factors other than aging may play a role in the global trends in MSDs We conducted a systematic review to summarize the evidence on the role of demographic and temporal changes in the occurrence of MSDs. Methods: The study protocol was registered in PROSPERO with the number CRD42020221499. Following the PRISMA guidelines, we searched PubMed, ScienceDirect and Web of Science over the 1990-2020 period for articles reporting temporal trends in MSDs incidence or prevalence in the general working-age population. We only included articles controlling for age in the analysis. To ensure the quality of the articles, the bias risk was assessed using the RoB-SPEO tool. The main indicators we extracted were age-controlled time trends in MSDs incidence or prevalence. Results: Among 966 articles, 16 fulfilled the inclusion criteria, representing 23 results according to the indicators extracted. No study was found with a high risk of bias. Nine used a definition of MSDs based on pain and 14 based on repercussions on work or social life. Twelve results presented time trends in prevalence and 11 in incidence. After controlling for age, temporal trends in MSDs presented some heterogeneity. Indeed, 10 results documented increases and 12 reported non-monotonic changes. Only 1 result reported a decreasing trend in the incidence of MSDs. Several factors other than aging were suggested to explain temporal trends in MSDs, mainly trends in obesity, changing occupational exposures, and cultural factors regarding pain tolerance. Conclusion: This review shows that factors in addition to aging of the working population may contribute to varying or increasing trends in MSDs. Results also highlight the scarcity of available evidence on time trends in the burden of MSDs and their underlying causes.

2020 ◽  
Author(s):  
Tsiwaye Gebreyesus ◽  
Balamurugan Janakiraman ◽  
Kalkidan Nigussie

Abstract Background: Musculoskeletal disorders among the working population are a major public health problem, resulting in significant personal and national economic loss. However, in Ethiopia, the cloud of infectious and non-communicable diseases has led to a lack of attention to work-related musculoskeletal disorders and empirical under-representation. This systematic review and meta-analysis will provide the pooled prevalence of musculoskeletal disorders and its determinant factors among the adult working population in Ethiopia.Method: The electronic databases MEDLINE, PubMed, CINAHL, Science Direct index, SCOPUS, PEDro, and Google Scholar will be systematically searched. In addition, the grey literature resources such as databases or websites of dissertations and theses will be searched. The reference list of screened articles will also be hand searched. All observational studies reporting on the prevalence of work-related musculoskeletal pain of any bodily region among adult Ethiopians will be included. Random and quality effects models will be used to calculate pooled prevalence with a 95 % confidence interval. Subgroup and sensitivity analyses will be performed. Publication bias and heterogeneity between the included studies will also be assessed and reported.Discussion: The proposed systematic review and meta-analysis will provide valid insight into the pooled prevalence of multi-regional work-related musculoskeletal pain and factors associated to assist policymakers in occupational health and health care sectors. And further, we strongly believe that the data will also immensely help the understanding of the factors associated and in developing evidence-based musculoskeletal health promotion, work exposure implementations,and prevention programs in workplaces.


2021 ◽  
Author(s):  
Dechasa Adare Mengistu ◽  
Yohannes Mulugeta Demmu ◽  
Addisu Alemu

Abstract Background: Occupational-related musculoskeletal disorders (MSDs) are a major public health problem and result in the growing demands for utilization of healthcare services, causing temporary and permanent disability and reduced quality of life. In developing countries, particularly Ethiopia, there is no adequate evidence on the overall prevalence of occupational-related MSDs and remains less prioritized and empirically unrepresented. Thus, this study aimed to determine the pooled prevalence of occupational-related musculoskeletal disorders, particularly low and upper back pain among the working population of Ethiopia.Methods: This systematic review and meta-analysis considered studies conducted in Ethiopia, written in English, and published in 2017-2020. The articles were searched using the following electronic databases such as Web of Science, SCOPUS, PubMed, Google Scholar, CINAHL, Cochrane Library, African Index Medicus, African Journals Online database, and Science directly using a combination of Boolean logic operators, Medical Subject Headings, and main keywords. The quality assessment of the articles was performed using the Joanna Briggs Institute Critical Appraisal tools to determine the relevance of the articles to the study.Results: In the current study, the pooled prevalence of occupational-related upper and lower back pain in the previous year was 27.1% [95% of the CI: 18.4, 37.9%] and 54.2% [95% of the CI: 48.2, 60.0%], respectively. However, the pooled prevalence of occupational-related upper back pain in the previous year according to the publication year, the study population and the study area was 43.8% [95% of CI: 39.3, 47.7%], 34.7%[95% of CI: 33.1, 36.2%] and 36.2% [95% of CI: 33.6, 39.0%] respectively while the prevalence of low back pain in the previous year according to the publication year, the study population and the study area was 61.8% [95% of CI: 58.9, 64.6%], 52.8% [95% of CI: 51.3, 54.3%] and 55.2% [95% of CI: 51.4, 59.0%] respectively.Conclusions: This systematic review and meta-analysis found that more than half of the included study participants had experienced low back pain in the previous year, while more than one-fourth of the included participants had experienced upper back pain. Therefore, the application of occupational health and safety practices in the workplace plays an important role in reducing MSDs related to work and other occupational hazards.


2020 ◽  
Author(s):  
Tsiwaye Gebreyesus ◽  
Balamurugan Janakiraman ◽  
Kalkidan Nigussie ◽  
Moges Gashaw Getnet

Abstract Background: Musculoskeletal disorders among the working population are a major public health problem, resulting in significant personal and national economic loss. However, in Ethiopia, the cloud of infectious and non-communicable diseases has led to a lack of attention to work-related musculoskeletal disorders and empirical under-representation. This systematic review and meta-analysis will provide the pooled prevalence of musculoskeletal disorders and its determinant factors among the adult working population in Ethiopia. Method: The electronic databases MEDLINE, PubMed, CINAHL, Science Direct index, SCOPUS, PEDro, and Google Scholar will be systematically searched. In addition, the grey literature resources such as databases or websites of dissertations and theses will be searched. The reference list of screened articles will also be hand searched. All observational studies reporting on the prevalence of work-related musculoskeletal pain of any bodily region among adult Ethiopians will be included. Random and quality effects models will be used to calculate pooled prevalence with a 95 % confidence interval. Subgroup and sensitivity analyses will be performed. Publication bias and heterogeneity between the included studies will also be assessed and reported. Discussion: The proposed systematic review and meta-analysis will provide valid insight into the pooled prevalence of multi-regional work-related musculo-skeletal pain and factors associated to assist policymakers in occupational health and health care sectors. And further, we strongly believe that the data will also immensely help the understanding of the factors associated and in developing evidence-based musculo-skeletal health promotion, work exposure implementations,and prevention programs in workplaces.


2020 ◽  
Author(s):  
Tsiwaye Gebreyesus ◽  
Balamurugan Janakiraman ◽  
Kalkidan Nigussie

Abstract Background: Musculoskeletal disorders among the working population are a major public health problem, resulting in significant personal and national economic loss. Yet there is a lack of consensus estimates of the prevalence of musculoskeletal disorders among the working population in Ethiopia. This systematic review and meta-analysis will provide the pooled prevalence of musculoskeletal disorders and its determinant factors among the adult working population in Ethiopia.Method: The electronic databases MEDLINE, PubMed, CINAHL, Science Direct index, SCOPUS, PEDro, and Google Scholar will be systematically searched. In addition, the grey literature resources such as databases or websites of dissertations and theses will be searched. The reference list of screened articles will also be hand searched. All observational studies reporting on the prevalence of work-related musculoskeletal pain of any bodily region among adult Ethiopians will be included. Random and quality effects models will be used to calculate pooled prevalence with a 95 % confidence interval. Subgroup and sensitivity analyses will be performed. Publication bias and heterogeneity between the included studies will also be assessed and reported.Discussion: The proposed systematic review and meta-analysis will provide valid insight into the pooled prevalence of multi-regional work-related musculoskeletal pain and factors associated to assist policymakers in occupational health and health care sectors. And further, we strongly believe that the data will also immensely help the understanding of the factors associated and in developing work exposure implementations,and prevention programs in workplaces.


2012 ◽  
Vol 2 (3) ◽  
pp. 180-194
Author(s):  
R. Clijsen ◽  
J. Taeymans ◽  
J. P. Baeyens ◽  
A. O. Barel ◽  
P. Clarys

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
Pierre Côté ◽  
Jan Hartvigsen ◽  
Iben Axén ◽  
Charlotte Leboeuf-Yde ◽  
Melissa Corso ◽  
...  

Abstract Background A small proportion of chiropractors, osteopaths, and other manual medicine providers use spinal manipulative therapy (SMT) to manage non-musculoskeletal disorders. However, the efficacy and effectiveness of these interventions to prevent or treat non-musculoskeletal disorders remain controversial. Objectives We convened a Global Summit of international scientists to conduct a systematic review of the literature to determine the efficacy and effectiveness of SMT for the primary, secondary and tertiary prevention of non-musculoskeletal disorders. Global summit The Global Summit took place on September 14–15, 2019 in Toronto, Canada. It was attended by 50 researchers from 8 countries and 28 observers from 18 chiropractic organizations. At the summit, participants critically appraised the literature and synthesized the evidence. Systematic review of the literature We searched MEDLINE, Embase, the Cochrane Central Register of Controlled Trials, the Cumulative Index to Nursing and Allied Health, and the Index to Chiropractic Literature from inception to May 15, 2019 using subject headings specific to each database and free text words relevant to manipulation/manual therapy, effectiveness, prevention, treatment, and non-musculoskeletal disorders. Eligible for review were randomized controlled trials published in English. The methodological quality of eligible studies was assessed independently by reviewers using the Scottish Intercollegiate Guidelines Network (SIGN) criteria for randomized controlled trials. We synthesized the evidence from articles with high or acceptable methodological quality according to the Synthesis without Meta-Analysis (SWiM) Guideline. The final risk of bias and evidence tables were reviewed by researchers who attended the Global Summit and 75% (38/50) had to approve the content to reach consensus. Results We retrieved 4997 citations, removed 1123 duplicates and screened 3874 citations. Of those, the eligibility of 32 articles was evaluated at the Global Summit and 16 articles were included in our systematic review. Our synthesis included six randomized controlled trials with acceptable or high methodological quality (reported in seven articles). These trials investigated the efficacy or effectiveness of SMT for the management of infantile colic, childhood asthma, hypertension, primary dysmenorrhea, and migraine. None of the trials evaluated the effectiveness of SMT in preventing the occurrence of non-musculoskeletal disorders. Consensus was reached on the content of all risk of bias and evidence tables. All randomized controlled trials with high or acceptable quality found that SMT was not superior to sham interventions for the treatment of these non-musculoskeletal disorders. Six of 50 participants (12%) in the Global Summit did not approve the final report. Conclusion Our systematic review included six randomized clinical trials (534 participants) of acceptable or high quality investigating the efficacy or effectiveness of SMT for the treatment of non-musculoskeletal disorders. We found no evidence of an effect of SMT for the management of non-musculoskeletal disorders including infantile colic, childhood asthma, hypertension, primary dysmenorrhea, and migraine. This finding challenges the validity of the theory that treating spinal dysfunctions with SMT has a physiological effect on organs and their function. Governments, payers, regulators, educators, and clinicians should consider this evidence when developing policies about the use and reimbursement of SMT for non-musculoskeletal disorders.


2021 ◽  
pp. 110887
Author(s):  
Michael K. Odutola ◽  
Geza Benke ◽  
Lin Fritschi ◽  
Graham G. Giles ◽  
Marina T. van Leeuwen ◽  
...  

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