scholarly journals Assessment of risk factors for the development of musculoskeletal disorders among working women

Author(s):  
Deepti Shettar ◽  
Mayur S. Sherkhane

Background: Musculoskeletal disorders (MSDs) account for 33% of all work-related illnesses and are the most frequent cause of all health-related absence from work. Working women particularly are at more risk of developing MSDs since they are involved in household activities and childcare along with office work. Psychosocial stress and comfort level at work also play a major role in development of MSDs. So, this study was done to assess the risk factors for the development of MSDs.Methods: Cross sectional study was conducted among 60 women clerical staff of a tertiary care hospital, who participated on voluntary basis. Data was collected using semi structured questionnaire. Information on MSDs was collected using Nordic scale. Descriptive statistics, chi square and odds ratio was used for data analysis.Results: Mean age of study participants was 33.88±6.97 years and mean BMI was 23.74±4.15 kg/m2. 81.7% were working 6-8 hours per day, 36.7% working in static posture for longer periods and 28.3% had sleep disturbances. Majority of women had low back pain both in last seven days (56.7%) and twelve months (35.0%). Those who complained of sleep disturbance were nine times and seven times at higher risk of developing pain in last seven days (p=0.015, OR=9.48) and twelve months (p=0.005, OR=7.85).Conclusions: Low-back pain was commonest among MSDs, significantly associated with sleep disturbance. Counseling sessions should be conducted regarding work ergonomics and Occupational Health Departments should be established to avoid untoward events that develop in their productive life. 

Cureus ◽  
2020 ◽  
Author(s):  
Mukesh Kumar ◽  
Masroor Ahmed ◽  
Ghulam Hussain ◽  
Muhammad Bux ◽  
Naveed Ahmed ◽  
...  

Author(s):  
VINEELA KARTHIK NAGURI ◽  
RAVI BABU KOMARAM ◽  
TAMILISETTI VIDYA SAGAR

Objective: The objective of the study was to assess and compare the efficacy and tolerability of flupirtine versus tramadol in patients with chronic moderate low back pain (LBP). Materials and Methods: A prospective study was conducted in the outpatient department of orthopaedics at tertiary care hospital, Rajamahendravarm. After meeting the inclusion criteria, a total of 60 patients were randomly allocated to tablet flupirtine 100 mg in Group A and tablet tramadol 50 mg in Group B. The efficacy of the study drugs was assessed at baseline and the end of treatment by numerical rating scale11, visual analog scale-100 mm, physician’s, and patient’s global assessment. Statistical analysis was done using paired and unpaired t-test and data were presented as mean±standard deviation. Adverse drug reactions were monitored during the treatment. Results: The study results showed that 90% of the patients in Group A and 78% of the patients in Group B had shown a good response to their respective drugs. 30% of flupirtine group patients reported adverse drug reactions which were mild. Conclusion: Both the drugs are effective in the treatment of moderate chronic LBP, but the advantage of flupirtine was, the incidence of adverse drug reactions was less when compared to tramadol group.


Author(s):  
Rishabh Gupta ◽  
Shavi Mahajan ◽  
Deepika Dewan ◽  
Rajat Gupta

Background: Backache is a national, personal and clinical problem. It is experienced by most of the population at some time and is a drain on the nation’s resources. Personally, it is distressing because it can remain a major unresolved dilemma and clinically it poses challenges in diagnosis and treatment.Methods: The present cross sectional study was conducted among 200 patients presenting with chronic low back pain, in the OPD of Post Graduate Department of Orthopaedics, Govt. Medical College, Jammu over a period of one year from November 2006 to October 2007.Results: The average age of patients was 38.39 years with slight male predominance. Majority of the patients were non-sedentary workers. In majority of the cases (58%), duration of low backache was from 3 months to 1 year with the average of 25.8 months (2.158 years). The commonest mode of presentation was low back pain with radiation to lower limbs. Seasonal variation in the intensity of pain was observed in 50% of the cases. Tenderness of the spine was the commonest physical sign. Disc degenerative disease was found to be commonest cause of low backache, being present in 72% of the cases.Conclusions: Low back pain is common in 3rd and 4th decade of life. The commonest mode of presentation was low back pain with radiation to lower limbs. Disc degenerative disease was found to be commonest cause of low backache, being present in 72% of the cases.


2015 ◽  
Vol 5;18 (5;9) ◽  
pp. E853-E862
Author(s):  
Dipika Bansal

Background: Vitamin D has a significant role to play in bone metabolism and neuromuscular function. Several researchers have indicated that Vitamin D deficiency may be possibly related to chronic musculoskeletal pain including chronic low back pain (CLBP). Objectives: The present study was conducted to determine the prevalence of hypovitaminosis D and its contribution to chronic lower back pain. Study Design: Controlled study Setting: Outpatient pain clinic of tertiary care hospital. Methods: Data presented in this manuscript are from patients who were screened for inclusion in an open label, single arm clinical trial aimed to assess the effectiveness of vitamin D supplementation in patients with CLBP. Consecutive patients visiting the outpatient pain clinic of a tertiary care hospital with a diagnosis of CLBP with or without leg pain were recruited. A visual analogue scale (VAS) was used to measure low back pain intensity, and the Modified Oswestry disability questionnaire (MODQ) was used to measure functional ability. Plasma 25-OHD levels of all patients were measured and the prevalence of hypovitaminosis D was calculated. The multivariate logistic regression model was used to investigate the association between vitamin D deficiency and patient characteristics. Results: A total of 328 patients were included in the study. Mean age of the study population was 43.8 years. Two hundred eighty-two (86%) (men 153/172 [89%], women 129/156 [83%]) of patients had below normal plasma vitamin D levels. Among these, 217 (66%) (men 126 [73%], women 91 [58%]) were found to be deficient and 65 (20%) (men 27 [16%], women 38 [24%]) were had insufficient levels. Multivariate regression analysis found that men were significantly more prone to have deficiency as compared to women (OR = 1.78 (1.10 – 2.88), P = 0.02). We also found a significantly positive relationship between vitamin D deficiency and increased functional disability (OR = 1.53 (1.24 – 1.87), P = 0.01). However, we did not find any relationship with pain severity, presence of other co-morbidities and educational level. Limitations: Not possible to access a good quality data on sun exposure and vitamin D dietary inake dieat in study population. No bone scans were performed. Conclusion: The result of this study provides a message about the high prevalence of hypovitaminosis D in the Indian CLBP population. Clinical guidelines for managing CLBP should include assessment of vitamin D status, together with advice on appropriate vitamin D supplementation in those found to be deficient. Clinical trial registration: CTRI/2014/03/004459 Key words: Chronic low back pain, disability, hypovitaminosis D, India, pain severity, prevalence, vitamin D, visual analogue scale


2013 ◽  
Vol 2 (2) ◽  
pp. 38-44
Author(s):  
Saima Javed ◽  
Anum Jawaid Sultan ◽  
M. Usman Khan ◽  
Maria Rahim

To find out the frequency of work, related to Low Back Pain (LBP) among physical therapist of tertiary care hospital of Karachi. To analyze the effects of physical activity level, sub-specialty areas and Body Mass Index (BMI) on Work Related Low Back Pain (WRLBP) as well. A cross-sectional survey was conducted with non-probability convenience sampling technique was used. The study included 265 Physical Therapist working in Tertiary Care Hospitals of Karachi. Data was collected throughpre-tested, structured and self-administered questionnaire and then,wasanalyzed on SPSS version 17. This study reported that prevalence of WRLBP was 66.4%. The rate was higher in femalephysiotherapist, that is, 42.6%. Data revealed that, 69% of respondents experienced WRLBP within 2 years of their practices. Moreover, the manual therapy was found to be the most common cause for WRLBP. No significant association was found between BMIand physical activitylevel of physical therapist, but interestingly, it was found that sub-specialty area of work was correlated with WRLBP. The rate of WRLBP has been found to be high in physical therapists due to their profession. It is therefore, required to build up an effective ergonomic strategy, strengthen training for prevention at undergraduate level in order to reduce and prevent WRLBP.


Sign in / Sign up

Export Citation Format

Share Document