scholarly journals Presenteeism and musculoskeletal symptoms among nursing professionals

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Heloisa Ehmke Cardoso dos Santos ◽  
Maria Helena Palucci Marziale ◽  
Vanda Elisa Andres Felli
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Shoulder Pain ◽  
Work Performance ◽  
Musculoskeletal Symptoms ◽  
Musculoskeletal Symptom ◽  
Low Back ◽  
Human Research Ethics ◽  
Before And After ◽  
Nursing Professionals

ABSTRACT Objective: to identify the prevalence of musculoskeletal symptoms in two stages (before and after six months of the first stage) and its association with presenteeism among nursing professionals. Method: longitudinal study with quantitative data conducted in a Brazilian teaching hospital with 211 nursing professionals. The instruments used for data collection were: Cultural and Psychosocial Influences on Disability - CUPID Questionnaire, used to identify the musculoskeletal symptoms and the Stanford Presenteeism Scale, used to verify presenteeism. The instruments were validated for Brazilian Portuguese. The study was approved by the Human Research Ethics Committee. Descriptive statistics, Mann Whitney test and regression analysis were used to analyze the data. Results: 158 (74.9%) professionals experienced presenteeism and 151 (71.6%) reported low back pain as musculoskeletal symptom. Professionals with low back pain had lower scores on the presenteeism scale and shoulder pain was related to loss of concentration during work. Conclusion: presenteeism lead to a reduction in work performance and was manifested in the presence of musculoskeletal symptoms. In addition, shoulder pain caused loss of concentration at work.

The Effects of a Digital Health Program Using Chatbot Through a Mobile Messaging App on Musculoskeletal Problems: Randomized Controlled Trial of the Self-Management Program in Workers with Neck/Shoulder Pain/Stiffness and Low Back Pain (Preprint)

2021 ◽  
Author(s):  
Tomomi Anan ◽  
Shigeyuki Kajiki ◽  
Hiroyuki Oka ◽  
Tomoko Fujii ◽  
Kayo Kawamata ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Shoulder Pain ◽  
Health Program ◽  
Digital Health ◽  
Intervention Group ◽  
Musculoskeletal Symptoms ◽  
Control Group ◽  
Low Back ◽  
Musculoskeletal Problems

BACKGROUND Musculoskeletal symptoms, such as neck and shoulder pain and stiffness and low back pain, are common health problems in the working population. They are the leading causes of presenteeism (employees being physically present at work but unable to be fully engaged). However, current medical systems do not spare sufficient resources for non-specific musculoskeletal problems. OBJECTIVE This study aimed to evaluate the improvements in musculoskeletal symptoms after use of an exercise-based artificial intelligence (AI)-assisted interactive health promotion system that operates through a mobile messaging app (the AI-assisted health program). METHODS We conducted a two-armed, randomized, controlled, and unblinded trial in workers with neck/shoulder stiffness and/or low back pain. We recruited participants with these symptoms through email notifications. We obtained 48 participants in the intervention group and 46 in the control group. The intervention group received the AI-assisted health program, in which the chatbot sent messages to users with the exercise instructions at a fixed time every day through the smart phone’s chatting app (LINE) for 12 weeks. The exercises could be performed within 1 minute. The control group continued with their usual care routines, which included exercising for 3 minutes at recess time provided by the company to prevent stiff shoulders and back pain. We assessed the subjective severities of the neck and shoulder pain/stiffness and low back pain in participants using a scoring scale of 1 to 5 for both the intervention and the control group at baseline and after 12 weeks of intervention using an online form. RESULTS We analyzed 47 patients in the intervention group and 40 in the control group. The participants in the intervention group showed significant improvements in the severities of the neck/shoulder pain/stiffness and low back pain compared to those in the control group (OR 12.74, P <.001). Based on the subjective assessment of the improvement of the pain/stiffness at 12 weeks, 36 (77%) participants in the intervention group and 3 (8%) in the control group had improved (improved, slightly improved) (OR 54.23, P <.001). CONCLUSIONS This study showed that the short exercises provided by the AI-assisted health program improved both neck/shoulder pain/stiffness and low back pain in 12 weeks. Digital health programs are low cost and safe and can save experts’ working hours and labor costs. Further studies are needed to identify the elements of the AI-assisted health program that worked. CLINICALTRIAL University hospital Medical Information Network-Clinical Trials Registry (UMIN-CTR) 000033894; https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000038307.

Gait Analysis of Patients with Low Back Pain Before and After Surgery

Spine ◽  
1993 ◽  
Vol 18 (11) ◽  
pp. 1451-1455
Author(s):  
Soussan Khodadadeh ◽  
Stephen M. Eisenstein
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Gait Analysis ◽  
Low Back ◽  
Before And After

Low Back Pain and Its Correlations with Poor Sleep Quality Among Healthcare Providers

2021 ◽  
pp. 31
Author(s):  
Rayan Buhalim
Keyword(s):  
Saudi Arabia ◽  
Low Back Pain ◽  
Back Pain ◽  
Sleep Quality ◽  
Healthcare Providers ◽  
Reciprocal Relationship ◽  
Musculoskeletal Symptom ◽  
Poor Sleep ◽  
Low Back ◽  
Poor Sleep Quality

Introduction: Low back pain is found to be the most common occupational and work-related musculoskeletal symptom worldwide. Its prevalence was found to be almost twice among healthcare providers (HCPs) than in other occupations. It is observed that the prevalence of poor sleep quality is higher in HCPs than the general population. To the best of our knowledge, this reciprocal relationship is still unresolved. Thus, this study aims to establish the relationship between low back pain and sleep quality among HCPs in Saudi Arabia. Methodology: An anonymous cross-sectional questionnaire-based study was performed on HCPs in Saudi Arabia. The questionnaire consisted of three sections. The first section included the biographical data of the participants; the second included Oswestry Disability Index (ODI) and Nordic musculoskeletal questionnaire for low back pain; and the third section was the Pittsburgh Sleep Quality Index (PSQI). Informed consent from each participant and ethical approval were taken before the commencement of the study. Result: Four hundred and forty-two respondents participated and completed the questionnaire. Nearly two-thirds of the respondents were male (62.7%) while the rest were female (37.3%). Most of the respondents were living in either the central (23.3%) or the northern (23.3%) regions. It was found that the correlation between global PSQI and ODI score was positively highly statistically significant (r = 0.235; p < 0.001). The correlation between ODI score and PSQI components including subjective sleep quality (r = 0.229; p = 0.007), habitual sleep efficiency (r = 0.229; p < 0.01), and daytime dysfunction were also positively highly statistically significant. Conclusion: HCPs in Saudi Arabia with higher low back pain disability rating demonstrated poorer overall sleep quality and vice versa. However, further research is needed to investigate whether this relationship is dependent on each other in terms of causality.

scholarly journals Association of Serum Serotonin and Pain in Patients with Chronic Low Back Pain before and after Spinal Surgery

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Afshin Farhanchi ◽  
Behrouz Karkhanei ◽  
Negar Amani ◽  
Mashhood Aghajanloo ◽  
Elham Khanlarzadeh ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Low Back ◽  
Significant Difference ◽  
Before And After ◽  
Postoperative Serum ◽  
Serum Serotonin

Introduction. In this study we are aiming to evaluate the changes of serum serotonin and its association with pain in patients suffering from chronic low back pain before and after lumbar discectomy surgery. Patients and Methods. A prospective study was performed on the patients referring to the outpatient clinic in Besat hospital, Hamadan University of Medical Sciences, Hamadan, Iran, during 2016. A 2 mL fasting blood sample was collected from each patient at preoperative day 1 and postoperative day 14 and they were measured for level of serum serotonin. Besides, all patients were asked for severity of their low back pain in preoperative day 1 and postoperative day 14 and scored their pain from zero to ten using a Numerical Rating Scale. Results. Forty patients with the mean age of 47 ± 13 yrs/old (range 25–77) including 15 (37.5%) males were enrolled into the study. The overall mean score of preoperative pain was significantly decreased from 7.4 ± 2.18 (range 4–10) to the postoperative pain score 3.87 ± 2.92 (range 0–10) (P < .001). The overall levels of pre- and postoperative serum serotonin were 3.37 ± 1.27 (range 1.1–6.4) and 3.58 ± 1.32 (range .94–7.1) ng/mL, respectively, with no significant difference (P = .09). The levels of pre- and postoperative serum serotonin were significantly higher in males and patients older than 50 yrs/old compared to the females and patients younger than 50 yrs/old, respectively (P = .03 and .005, respectively). A significant inverse correlation between the postoperative levels of pain and serum serotonin was observed (r = -.36 and P = .02). Conclusion. A negative medium strength linear relationship may exist between the postoperative serum serotonin and low back pain.

scholarly journals EFFECTIVENESS OF LUMBAR MANIPULATION (HIGH VELOCITY LOW AMPLITUDE) FOR THE TREATMENT OF LOW BACK PAIN IN COMPARISON TO BACK STRETCHING EXERCISES

2012 ◽  
Vol 1 (1) ◽  
pp. 23-27
Author(s):  
Syed Abid Mehdi Kazmi ◽  
Nabiha Mujahid Faruq ◽  
Sumaira Imran Farooqui ◽  
Jharna Devi
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
High Velocity ◽  
Low Back ◽  
Before And After ◽  
History Of ◽  
Group A ◽  
Group B ◽  
Low Amplitude ◽  
Stretching Exercises

OBJECTIVES To assess the effectiveness of lumbar manipulation (high velocity low amplitude) for the treatment of low back pain in comparison to back stretching exercises. Randomized Control Trial (Experimental Study) The study was conducted on 200 patients at the Physiotherapy Department of Ziauddin Hospital among patients with history of low back pain of acute, sub acute or chronic origin. In this study, patients were divided into two groups, group A and group B equally. Group A of 100 patients received Lumbar Manipulation (High Velocity Low Amplitude) and at the same time Group B of 100 patients were treated by back stretching exercises. A pre tested and structured questionnaire was used to collect data. Data was entered and analyzed by using SPSS. Pain was measured on Visual Analogue Scale before and after the given treatment. The study showed significant results for both the interventions in the treatment of low back pain but Lumbar Manipulation has been more effective in different types of low back pain while stretching exercises are less effective. On the basis of this study, we are very confident that lumbar manipulation is more effective for the treatment of low back pain compared to back stretching

scholarly journals PENGARUH AKUPRESUR TITIK BLADDER 23 TERHADAP INTENSITAS NYERI PUNGGUNG BAWAH IBU HAMIL TRIMESTER III DI UPTD PUSKESMAS I DENPASAR UTARA

2020 ◽  
Vol 2 (2) ◽  
pp. 75
Author(s):  
Ni Luh Putu Sentania Widhi Permana Putri ◽  
Ni Wayan Suarniti ◽  
Ni Nyoman Budiani
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pregnant Women ◽  
Mean Value ◽  
Lumbar Region ◽  
Low Back ◽  
Third Trimester ◽  
Purposive Sampling ◽  
Before And After ◽  
Pharmacological Method

Nyeri punggung bawah pada kehamilan digambarkan sebagai nyeri pada daerah lumbar, diatas sakrum yang menyebabkan ketidaknyamanan selama kehamilan. Akupresur titik bladder 23 merupakan metode non-farmakologi yang dapat mengurangi nyeri punggung bawah. Tujuan penelitian ini untuk mengetahui pengaruh akupresur titik bladder 23 terhadapintensitas nyeri punggung bawah ibu hamil trimester III di UPTD Puskesmas I Dinas Kesehatan Kecamatan Denpasar Utara. Penelitian ini menggunakan pre eksperimental dengan rancangan one grup pretest-posttest design.Sampel yang digunakan yaitu 12 orang ibu hamil trimester III dengan usia kehamilan 37-39 minggu dan di pilih secara purposive sampling. Data diambil dengan melakukan observasi intensitas nyeri punggung bawah sebelum dan sesudah dilakukan akupresur titik bladder 23. Responden melakukan akupresur sebanyak dua kali seminggu dengan durasi dua detik sebanyak 30 kali tekanan. Hasil intensitas nyeri punggung bawah sebelum perlakuan diperoleh nilai mean 4,17 dan setelah perlakuan berubah menjadi 2,67 dengan nilai ρ = 0,000 < α (0,05) dan nilai t (9,950). Simpulannya adalah ada pengaruh akupresur titik bladder 23 terhadap intensitas nyeri punggung bawah ibu hamil trimester III di UPTD Puskesmas I Dinas Kesehatan Kecamatan Denpasar Utara.Lower back pain in pregnancy described as pain in the lumbar region, above the sacrum which causes discomfort during pregnancy.Acupressurepoint bladder 23 is a non-pharmacological method that canreduce low back pain.This study aims to determine the effect of acupressure point bladder 23 on the low back pain level in third semester pregnant women in UPTD Puskesmas I of the Health Departement of North Denpasar. This is pre-experimental research with one group pretest-posttest design. The samples were 12pregnant women on third trimester with 37-39 weeks gestational age and were selected by purposive sampling. Data were collected byobserving the intensity of low back pain before and after treatment. Respondents did acupressure twice a week with the duration two seconds for each 30 times pressure. The results of low back pain intensity before treatment obtained a mean value of 4.17 and after the treatment there was reduce to 2.67 with a value of ρ = 0,000 <α (0.05) and t value (9,950). The conclusion is that there is an influence of acupressurepoint bladder 23 on the low back painintensityin third trimester pregnant women in UPTD Puskesmas I of the Health Departement of North Denpasar.  

scholarly journals Physical and psychosocial work environmental risk factors of low-back pain: protocol for a 1 year prospective cohort study

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Rúni Bláfoss ◽  
Per Aagaard ◽  
Lars Louis Andersen
Keyword(s):  
Risk Factors ◽  
Cohort Study ◽  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Psychosocial Work ◽  
Before And After ◽  
Warehouse Workers ◽  
Trunk Extensor

Abstract Background Musculoskeletal disorders, and in particular low-back pain (LBP), are common among blue collar workers. In the work environment, both physical- and psychosocial risk factors exist. Working in warehouses in Denmark involve large quantities of occupational lifting, high work pace and a low degree of influence at work. This study investigates both acute and long-term associations between physical- and psychosocial work environmental factors and risk of LBP in warehouse workers. The specific study aims are to investigate 1) exposure-response associations between quantity of occupational lifting and short-term (day-to-day) changes in LBP, 2) the influence of accumulated workdays and rest days during a working week on LBP, 3) long-term association between occupational lifting exposure and LBP when assessed over 1 year, and 4) the role of psychological and social factors on the above associations. Methods The present study is designed as a 1-year prospective cohort study that will examine full-time warehouse workers from up to five retail chains in Denmark. Study aims 1 and 2 will be addressed using objective data based on company records with information on weight of all the goods handled by each warehouse worker during every single workday for 3 weeks. During this period, each worker will reply to text messages received before and after every workday (also on days off work) in which study participants will score their pain in the low back, bodily fatigue and perceived mental stress (scale 0–10). Long-term pain development is assessed using questionnaire surveys before and after 1 year. Further, pressure pain threshold (PPT) will be measured for selected trunk extensor muscles in approximately 50 workers using algometry along with measurements of maximal trunk extensor strength. Associations are modelled using linear mixed models with repeated measures between variables and LBP controlled for relevant confounders. Discussion This study provides knowledge about the acute and long-term associations between physical- and psychosocial work environmental factors and LBP. The obtained data will have the potential to provide recommendations on improved design of the working week to minimize the risk of LBP among warehouse workers, and may potentially enable to identify a reasonable maximum lifting threshold per day (ton lifted/day).

scholarly journals Assessment of movement and pain variation before and after a MDT treatment for patient with low back pain

2019 ◽  
Vol 22 (sup1) ◽  
pp. S487-S488
Author(s):  
J.-P. Deneuville ◽  
A. Germaneau ◽  
L. Fradet ◽  
T. Monnet ◽  
K. Aubert ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Before And After

scholarly journals Spinopelvic Alignment and Low Back Pain after Total Hip Replacement Arthroplasty in Patients with Severe Hip Osteoarthritis

2018 ◽  
Vol 12 (2) ◽  
pp. 325-334 ◽  
Author(s):  
Yawara Eguchi ◽  
Satoshi Iida ◽  
Chiho Suzuki ◽  
Yoshiyuki Shinada ◽  
Tomoko Shoji ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Japanese Orthopaedic Association ◽  
Hip Osteoarthritis ◽  
Direct Anterior Approach ◽  
Low Back ◽  
Lumbar Scoliosis ◽  
Total Hip ◽  
Replacement Arthroplasty ◽  
Before And After

<sec><title>Study Design</title><p>Retrospective observational study.</p></sec><sec><title>Purpose</title><p>We examined change in lumbrosacral spine alignment and low back pain (LBP) following total hip arthroplasty (THA) in patients with severe hip osteoarthritis (OA).</p></sec><sec><title>Overview of Literature</title><p>Severe hip osteoarthritis has been reported to cause spine alignment abnormalities and low back pain, and it has been reported that low back pain is improved following THA.</p></sec><sec><title>Methods</title><p>Our target population included 30 patients (29 female, mean age 63.5 years) with hip OA who underwent direct anterior approach THA. There were 12 cases with bilateral hip disease and 18 cases with unilateral osteoarthritis. Visual analogue scale (VAS) scores for LBP and coxalgia, the Roland-Morris Disability Questionnaire (RDQ), and the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) were assessed before and after surgery. Spinal alignment metrics were measured before and after surgery.</p></sec><sec><title>Results</title><p>VAS for LBP change from preoperative to final postoperative observation was significantly improved (p &lt;0.05), as was VAS for hip pain (<italic>p</italic>&lt;0.001). RDQ improved significantly (<italic>p</italic>&lt;0.01). All five domains of JOABPEQ were significantly improved (<italic>p</italic>&lt;0.05). In terms of coronal alignment, lumbar scoliosis change from preoperative to last observation was significantly reduced (<italic>p</italic>&lt;0.05). There were no significant changes in the sagittal alignment metrics. In addition, there was a correlation between before and after RDQ difference and before and after lumbar scoliosis difference (<italic>p</italic>&lt;0.05). VAS for LBP (<italic>p</italic>&lt;0.05) as well as RDQ (<italic>p</italic>&lt;0.05) were significantly improved only in unilateral OA. Lumbar scoliosis was significantly improved in cases of unilateral OA (<italic>p</italic>&lt;0.05), but alignment did not improve in cases of bilateral OA (<italic>p</italic>=0.29).</p></sec><sec><title>Conclusions</title><p>The present study demonstrates improvements in VAS for LBP, RDQ, and all domains of JOABPEQ. There were also significant reductions in lumbar scoliosis and an observed correlation of RDQ improvement with lumbar scoliosis improvement. We were able to observe improvements in lumbar scoliosis and low back pain only in cases of unilateral OA. It has been suggested that the mechanism of low back pain improvement following THA is related to compensatory lumbar scoliosis improvement.</p></sec>

Gait Analysis of Patients with Low Back Pain Before and After Surgery

Spine ◽  
1993 ◽  
Vol 18 (11) ◽  
pp. 1451-1455 ◽  
Author(s):  
Soussan Khodadadeh ◽  
Stephen M. Eisenstein
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Gait Analysis ◽  
Low Back ◽  
Before And After
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