Prevalence of Musculo-skeletal Discomfort and Level of Functional Limitations among Physiotherapists in Karachi City

Introduction: Musculoskeletal discomfort is one of the most prevalent muscular pain condition hindering normal activities reported by physical therapists and health care professionals generally engaged in handling and mobilizing patients. The study was conducted to find the prevalence of musculoskeletal discomfort and level of functional limitations in physiotherapists. Method: This research was questionnaire based cross sectional study conducted in Karachi city from January to April 2019.Data collection was completed from registered physical therapists employed in different institutions. Two questionnaires were filled by the physiotherapists. Questionnaire 01, including thirteen questions on functional activities of daily life which are potentially related to functional areas of Neck Disability Index (NDI). Questionnaire 02 was based on 1987 version of Nordic musculoskeletal questionnaire. Results: Participation of 80 physical therapists in the study.75% was directly involved with patient handling and 25% were teachers. A total of 35% therapists reported 7 days symptoms prevalence with a higher prevalence in cervical (77.1%), lower back (68.6%) and upper back (51.4%).Similarly 65% workers showed previous 12 month symptoms with higher prevalence in neck (72.3%). Gender prevalence of 7days and 12 months was high in female therapist. Conclusion: It has been concluded that 12 month prevalence of musculoskeletal discomfort was 65%, whereas 7 days was 35% and level of functional limitation from activities was insignificant. Keywords: Epidemiology, musculoskeletal discomfort, Severity, Physical therapy,

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Limited activity and social participation after hospital discharge from leprosy treatment in a hyperendemic area in north Brazil

Revista Brasileira de Epidemiologia ◽

10.1590/1415-790x201400010008eng ◽

2014 ◽

Vol 17 (1) ◽

pp. 91-104 ◽

Cited By ~ 11

Author(s):

Lorena Dias Monteiro ◽

Carlos Henrique Alencar ◽

Jaqueline Caracas Barbosa ◽

Candice Cristiane Barros Santana Novaes ◽

Rita de Cássia Pereira da Silva ◽

...

Keyword(s):

Social Participation ◽

Functional Limitations ◽

Functional Limitation ◽

Cross Sectional Study ◽

Activity Limitation ◽

Cross Sectional ◽

Dermatological Examination ◽

Safety Awareness ◽

North Brazil ◽

Operational Classification

INTRODUCTION: Neural damages are among the main factors that contribute to physical disability in leprosy. Systematic monitoring using a broad physical, psychological and social approach is necessary. OBJECTIVE: The objective of this study was to characterize the limitation of activity and social participation and its correlation with disabilities and/or impairment in individuals after being discharged from a multidrug leprosy therapy. METHOD: A cross-sectional study conducted in Araguaína, state of Tocantins, which is a leprosy hyperendemic municipality. We included cases of patients who were discharged from treatment considered as cured from January 2004 to December 2009. We performed dermatological examination and applied the Screening Activity Limitation and Safety Awareness (SALSA) and social participation scales. RESULTS: We included 282 individuals (mean age: 45.8 years old). The paucibacillary operational classification was more common (170; 60.3%). The eye-hand-foot score ranged from 0 to 12 (mean: 0.7). A total of 84 (29.8%) individuals presented limited activity. A slight restriction in social participation occurred in 18 (6.3%) cases. There was a statistically significant correlation between activity limitation, age (r = 0.40; p < 0.0001) and degree of functional limitation (r = 0.54; p < 0.0001), as well as of restricted social participation, activity limitation (r = 0.56, p < 0.0001) and functional limitations (r = 0.54, p < 0.0001). CONCLUSION: Functional limitation due to leprosy had an impact on the conduct of activities and social participation after the discharge from a leprosy treatment. The association between Screening of Activity Limitation and Safety Awareness and participation scales will assist in designing evidence-based assistance measures.

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Neck Pain and Disability: Are They Related to Dysfunctional Breathing and Stress?

Physiotherapy Canada ◽

10.3138/ptc-2020-0085 ◽

2021 ◽

Author(s):

Sarah Stephen ◽

Corlia Brandt ◽

Benita Olivier

Keyword(s):

Neck Pain ◽

Rating Scale ◽

Hold Time ◽

Neck Disability Index ◽

Numeric Rating Scale ◽

Cross Sectional Study ◽

Breath Hold ◽

Cross Sectional ◽

Dysfunctional Breathing ◽

Neck Disability

Purpose: People with neck pain are likely to have negative respiratory findings. The purpose of this study was to investigate the relationship between neck pain and dysfunctional breathing and to examine their relationship to stress. Method: This cross-sectional study included 49 participants with neck pain and 49 age- and sex-matched controls. We measured neck pain using the numeric rating scale (NRS); neck disability using the Neck Disability Index (NDI); dysfunctional breathing using the Nijmegen Questionnaire (NQ), Self-Evaluation of Breathing Questionnaire (SEBQ), breath hold time, and respiratory rate (RR); and stress using the Perceived Stress Scale (PSS). Results:Participants with neck pain scored higher on the NQ ( p < 0.001) and the SEBQ ( p < 0.001) than controls. NQ and SEBQ scores correlated moderately with NDI scores ( r > 0.50; 95% CI: 0.25, 0.68 and 0.33, 0.73, respectively) and PSS scores ( r > 0.50; 95% CI: 0.29, 0.78 and 0.31, 0.73, respectively). SEBQ scores showed a fair correlation with NRS scores and RR a fair correlation with NDI scores. Conclusions: Participants with neck pain had more dysfunctional breathing symptoms than participants without neck pain, and dysfunctional breathing was correlated with increased neck disability and increased stress. The NQ and SEBQ can be useful in assessing dysfunctional breathing in patients with neck pain.

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Prevalencia de las limitaciones funcionales durante el envejecimiento en la población española y su relación con el índice de masa corporal (Prevalence of functional limitations during aging in a representative sample of Spanish population and its relati

Retos ◽

10.47197/retos.v0i34.58958 ◽

2018 ◽

pp. 200-204

Author(s):

Raquel Leirós-Rodríguez ◽

Vicente Romo-Pérez ◽

Anxela Soto-Rodríguez ◽

José L García-Soidán

Keyword(s):

Body Mass Index ◽

Body Mass ◽

Functional Limitations ◽

Functional Limitation ◽

Great Difficulty ◽

Cross Sectional Study ◽

Study Data ◽

Cross Sectional ◽

Las Mujeres ◽

Age Range

Objetivo: describir la prevalencia de las limitaciones funcionales y examinar las asociaciones entre IMC, edad, sexo y limitaciones funcionales. Material y Método: en este estudio transversal se emplearon los datos de 5.970 personas mayores de 65 años (rango de edad: 65-94 años) procedentes de la Encuesta Europea de Salud 2014 (EES14) realizados por el Instituto Nacional de Estadística y el Ministerio de Sanidad, Servicios Sociales e Igualdad del Gobierno español. Resultados: los datos mostraron que los hombres tenían una mejor percepción de sus limitaciones funcionales que las mujeres. En todas las variables analizadas, los hombres (sin importar la edad) reportaron menos limitaciones que las mujeres. El índice de masa corporal no obtuvo correlación significativa con el grado de limitación funcional en ninguna de las actividades evaluadas. Conclusiones: las mujeres de 75 años o más y los hombres a partir de los 85 años mostraron una gran dificultad para caminar, subir escaleras, agacharse y transportar cargas de peso medio. De hecho, la edad obtuvo correlaciones significativas con el grado de limitación funcional, al contrario que el índice de masa corporal.Abstract. Objective: to describe the prevalence of functional limitations and examine its association with BMI, age, and sex. Method: in this cross-sectional study, data from 5,970 people aged 65 and over (age range 65-94 years) was retrieved from the European Health Survey 2014 (EES14) conducted by the National Statistics Institute and the Ministry of Health, Services Social and Equality of the Spanish Government. Results: the data showed that men had a better perception of their functional limitations than women. In all variables analyzed, men (regardless of age) reported fewer limitations than women. Body mass index did not correlate significantly with the degree of functional limitation in any of the evaluated activities. Conclusions: women aged 75 years and over and men over 85 years of age showed great difficulty walking, climbing stairs, bending over, and carrying medium weight loads. In fact, age correlated significantly with the degree of functional limitation, unlike body mass index.

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Association of Self-Reported Functional Limitations among a National Community-Based Sample of Older United States Adults with Pain: A Cross-Sectional Study

Journal of Clinical Medicine ◽

10.3390/jcm10091836 ◽

2021 ◽

Vol 10 (9) ◽

pp. 1836

Author(s):

David R. Axon ◽

Darlena Le

Keyword(s):

United States ◽

Medical Expenditure Panel Survey ◽

Functional Limitations ◽

Functional Limitation ◽

Cross Sectional Study ◽

Medical Expenditure ◽

Outcome Variable ◽

Sectional Study ◽

Cross Sectional ◽

Logistic Regression Models

The characteristics of self-reported functional limitations among older United States (US) adults with pain are currently unknown. This cross-sectional study aimed to determine the characteristics associated with functional limitations among non-institutionalized older (≥50 years) US adults with pain using 2017 Medical Expenditure Panel Survey (MEPS) data. Eligible subjects were alive for the calendar year, aged ≥50 years, and experienced pain within the past four weeks. Hierarchical logistic regression models were utilized to determine significant characteristics associated with functional limitations (outcome variable; yes, no). Functional limitations included difficulty with bending, stooping, climbing stairs, grasping objects, lifting, reaching overhead, standing for long periods of time, or walking. Extrapolation of national data values was possible by adjusting for the complex MEPS design. We found approximately 22 million of the 57 million older US adults (≥50 years) who reported pain had a functional limitation in 2017. Characteristics associated with functional limitations included: gender, race, ethnicity, employment status, marital status, pain intensity, physical health, number of chronic conditions, and frequent exercise status. Knowledge of characteristics associated with functional limitations may provide an opportunity to identify and resolve gaps in patient care among this population.

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Are Moderate and Vigorous Leisure-Time Physical Activity Associated With Musculoskeletal Pain? A Cross-Sectional Study Among 981 Physical Therapists

American Journal of Health Promotion ◽

10.1177/0890117119870365 ◽

2019 ◽

Vol 34 (1) ◽

pp. 67-70 ◽

Cited By ~ 1

Author(s):

Y. Ezzatvar ◽

J. Calatayud ◽

L.L. Andersen ◽

J. Casaña

Keyword(s):

Physical Activity ◽

Musculoskeletal Pain ◽

Health Care Professionals ◽

Leisure Time ◽

Online Survey ◽

Physical Therapists ◽

Leisure Time Physical Activity ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

Purpose: Musculoskeletal pain (MP) is common among workers, especially for health-care professionals. Paradoxically, many of those rehabilitating patients for pain—that is, physical therapists (PTs)—also have pain. Adequate levels of physical activity are recommended for cardiovascular and musculoskeletal health. However, the association between physical activity and MP among PTs remains unknown. This study aims to determine the association between moderate and vigorous leisure-time physical activity levels and MP in PTs. Design: Cross-sectional study. Setting: Workplace. Participants: Nine hundred eighty-one PTs. Measures: Data on MP and leisure-time physical activity were collected using an online survey. Analysis: The odds for having lower level of MP as a function of physical activity were estimated using binary logistic regression controlled for various confounders. Results: Performing ≥75 min/week of vigorous leisure-time physical activity increased the odds of experiencing lower levels of neck–shoulder pain (odds ratio = 1.43, 95% confidence interval, 1.05-1.94). No association was found neither between vigorous nor between moderate leisure-time physical activity and MP in the arm-hand or back. Conclusion: Performing ≥75 min/week of vigorous leisure-time physical activity is associated with lower levels of MP in neck and shoulders among PTs. No associations were found between vigorous or moderate leisure-time physical activity and MP in arm-hand and back.

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Factors associated with activity limitation in new leprosy cases in a hyperendemic municipality in the Northeast, Brazil: a cross-sectional study

10.5327/1516-3180.292 ◽

2021 ◽

Author(s):

Gibson Barros de Almeida Santana ◽

Thiago Cavalcanti Leal ◽

Leonardo Feitosa da Silva ◽

Lucas Gomes Santos ◽

Anderson da Costa Armstrong ◽

...

Keyword(s):

Physical Disability ◽

Functional Limitations ◽

Functional Limitation ◽

Cross Sectional Study ◽

Activity Limitation ◽

Northeastern Brazil ◽

Sectional Study ◽

Cross Sectional ◽

Reference Center ◽

Factors Associated

Background: Leprosy is a neglected, chronic and infectious tropical disease, caused by Mycobacterium leprae. It presents with skin and peripheral nerves alterations, responsible for irreversible physical disabilities. Brazil is one of the main countries endemic for the disease, persisting as a public health problem; its position is the first in the world in terms of prevalence coefficient. Objectives: To analyze the magnitude and factors associated with activity limitation in new leprosy cases diagnosed in the reference center in northeastern Brazil. Methods: This is a cross-sectional study, carried out in a reference center located in the municipality of Juazeiro - Bahia, between January and June 2018, involving 50 people diagnosed with leprosy. Clinical and sociodemographic variables were collected in addition to the application of the SALSA scale (Screening of Activity Limitation and Safety Awareness) for the analysis of functional limitation. The data were structured using Microsoft Excel software and, for analysis, IBM SPSS Statistics for Windows was used. Logistic regression was used with the calculation of the Odds Ratio to identify the factors associated with functional limitation. A 95% confidence interval and a 5% significance level were adopted. Results: The presence of functional limitations was registered in 32% (n = 16) of the cases analyzed, especially female (56.3%), elderly (37.5%), low education (87.6%), dimorphic form (62.5%), multibacillary classification (75.0%) and degree 2 of physical disability (50.0%). Functional limitation was associated with: age group ≥ 45 years (OR 3.80; p = 0.047), multibacillary age (OR 4.28; p = 0.021) and OMP score ≥ 6 (OR 4.69; p = 0.041). 75% of individuals with limitations were aged ≥ 45 years and were multibacillary. Conclusions: The factors associated with functional limitation were age equal to or greater than 45 years, multibacillary classification and OMP score greater than or equal to six. Early diagnosis and timely treatment in the routine of health services can contribute to the prevention of physical disability and functional limitations.

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The correlation of duration of cervical flexion per day with neck disability index scores in office workers: a cross sectional study

10.21203/rs.3.rs-34223/v4 ◽

2021 ◽

Author(s):

Zhang Jinlong ◽

Fang Yunyun ◽

Gao Lijie ◽

Chen Jian ◽

Wang Cheng ◽

...

Keyword(s):

Neck Disability Index ◽

Smart Phone ◽

Cross Sectional Study ◽

Office Workers ◽

Low Back ◽

Sectional Study ◽

Cross Sectional ◽

Curve Line ◽

Working Age ◽

Neck Disability

Abstract Background: An increasing number of office workers complain of neck pain after extended smart phone use. We conducted this study to examine the correlation between the duration of cervical flexion per day (DCF) during smart phone use and neck disability index scores (NDI) scores of office workers in China.Methods: In this cross-sectional study, 1791 individuals responded to an on line questionnaire. For our study, we included responses of 498 [27.8%] office workers. Excluded from the study were 1293 [72.9%] individuals including building workers, students, non-office workers, and those who did not complete the questionnaire. Participants completed an online questionnaire survey from May 29, 2019 to April 10, 2020. The NDI scores were used to evaluate cervical symptoms. Linear regression, threshold saturation effect analysis, t-test, and Pearson’s chi-square tests were used to analyze the data.Results: We analyzed questionnaire results of the 498 office workers. The t-test showed no significant differences among the gender groups for age, working age, and NDI scores (P>0.05). While low back pain had a strong correlation with NDI scores [β (95%CI):2.40 (1.49, 3.31), P <0.0001]. When adjusting for age, working age, and low back pain covariates, DCF had a positive correlation with NDI scores. In addition, DCF had a curve line correlation with NDI scores-a monotone increasing relationship; the fold point was 6 (P<0.05).Conclusions: DCF had a positive curve line correlation with the NDI scores suggesting that office workers should limit DCF to a maximum of 6 hours to decrease NDI scores.

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A CROSS-SECTIONAL SURVEY ON PREVALENCE OF UPPER CROSS SYNDROME AND ITS CORRELATION TO WRMSDs IN WORKING PHYSIOTHERAPISTS

Pakistan Journal of Rehabilitation ◽

10.36283/pjr.zu.10.1/008 ◽

2021 ◽

Vol 10 (1) ◽

pp. 40-46

Author(s):

Mariyam Mubashir

Keyword(s):

Neck Disability Index ◽

Neck Region ◽

Sampling Technique ◽

Cross Sectional Study ◽

Large Sample Size ◽

Cross Sectional Survey ◽

Chi Square ◽

Cross Sectional ◽

Chi Square Analysis ◽

Neck Disability

BACKGROUND AND AIMS Upper Cross Syndrome (UCS) is stress over the neck region due to poor posture and ergonomics, particularly sitting or standing. This study aimed to determine the prevalence of UCS in working physiotherapists of Pakistan and its correlation of UCS with WRMSDs to gauge the burden of the Musculoskeletal disorders (MSDs). METHODOLOGY A cross-sectional study was conducted on working physiotherapists recruited through convenience sampling technique via email or social media platforms. A self-administered questionnaire constitutes of screening questions regarding posture and Modified Oswestry Neck Disability Index was used to collect data. RESULTS A total number of 148 physiotherapists participated in the study out of which 45 males and 103 females. The professionals were categorized on basis of their level of experience years 40 % beginners 32 % competent and 28% proficient. The screening revealed that 75(51.7 %) have forwarded head posture while 73 (49.3%) physiotherapists suffered from moderate disability. The chi-square analysis was found to have significant association (p<0.005) on gender, experience level and duration of working posture hour with disability. CONCLUSION It was concluded that UCS prevalence was found to be 27% in working physiotherapists whereas female and individuals working for prolonged duration were found to be more prone to develop UCS. Further studies should be conducted taking large sample size and confounding factors for the better understanding of the health-related outcomes.

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The correlation of duration of cervical flexion per day with neck disability index scores in office workers: a cross sectional study

10.21203/rs.3.rs-34223/v3 ◽

2020 ◽

Author(s):

Zhang Jinlong ◽

Fang Yunyun ◽

Gao Lijie ◽

Chen Jian ◽

Wang Cheng ◽

...

Keyword(s):

Neck Disability Index ◽

Smart Phone ◽

Cross Sectional Study ◽

Office Workers ◽

Low Back ◽

Sectional Study ◽

Cross Sectional ◽

Curve Line ◽

Working Age ◽

Neck Disability

Abstract Background: An increasing number of office workers complain of neck pain after extended smart phone use. We conducted this study to examine the correlation between the duration of cervical flexion per day (DCF) during smart phone use and neck disability index scores (NDI) scores of office workers in China.Methods: In this cross-sectional study, 1791 individuals responded to an on line questionnaire. For our study, we included responses of 498 [27.8%] office workers. Excluded from the study were 1293 [72.9%] individuals including building workers, students, non-office workers, and those who did not complete the questionnaire. Participants completed an online questionnaire survey from May 29, 2019 to April 10, 2020. The NDI scores were used to evaluate cervical symptoms. Liner regression, threshold saturation effect analysis, t-test, and Pearson’s chi-square tests were used to analyze the data. Results: We analyzed questionnaire results of the 498 office workers. The t-test showed no significant differences among the gender groups for age, working age, and NDI scores (P>0.05).] while low back pain had a strong correlation with NDI scores [β (95%CI):2.40 (1.49, 3.31), P <0.0001]. When adjusting for age, working age, and low back pain covariates, DCF had a positive correlation with NDI scores. In addition, DCF had a curve line correlation with NDI scores-a monotone increasing relationship; the fold point was 6 (P<0.05).Conclusions: DCF had a positive curve line correlation with the NDI scores suggesting that office workers should limit DCF to a maximum of 6 hours to decrease NDI scores.

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