Impact of the Groningen Exercise Therapy for Symphony Orchestra Musicians Program on Perceived Physical Competence and Playing-Related Musculoskeletal Disorders of Professional Musicians

The goal of the Groningen Exercise Therapy for Symphony Orchestra Musicians (GETSOM) program is to change the limited repetitive motion and playing habits of musicians and stimulate their motion repertoire to reduce the effects of physical overload. The research was motivated directly by the high rate of absences due to illness in a regional symphony orchestra resulting from playing-related musculoskeletal disorders (PRMDs). The secondary preventive effects of the GETSOM program on perceived physical competence and PRMDs were studied in a clinical trial in which 45 professional musicians of a symphony orchestra were included and randomized to an experimental (n = 17) and a control group (n = 28). To decrease PRMDs, the GETSOM program focuses on enhancing the perceived physical competence of musicians. The program pays special attention to relaxation, postural exercises for the shoulder, neck, and lower back; and exercises to enhance physical workload and deal with mental stress. Participation in the 15-week GETSOM program has shown a statistically significant (p < 0.05) and clinically relevant (d > 0.20) increase in perceived physical competence and a decrease in PRMDs in the experimental group compared with the control group. According to a multiple regression analysis, 45% of the decrease in PRMDs was explained by an increase in physical competence. There is evidence that the GETSOM program is efficacious in promoting changes in perceived physical competence and a decrease in PRMDs.

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CORE STABILITY EXCERCISE LEBIH BAIK DIBANDINGKAN MCKENZIE EXCERCISE DALAM PENURUNAN DISABILITAS PASIEN NON-SPECIFIC LOW BACK PAIN

Sport and Fitness Journal ◽

10.24843/spj.2017.v05.i03.p05 ◽

2017 ◽

Author(s):

Ganesa Puput Dinda Kurniawan ◽

I Made Muliarta ◽

Sugijanto ◽

I Made Ady Wirawan ◽

Susy Purnawati ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Exercise Therapy ◽

Core Stability ◽

Control Group ◽

Low Back ◽

The Core ◽

Lower Back ◽

Significant Difference ◽

Better Than

Non-specific low back pain is the symptom of lower back pain that occurs without an obvious cause, the diagnosis is based on exclusion of specific pathology. Non-specific low back pain can result in pain, muscle spasm and muscle imbalance, it can decrease the stability of the abdominals and lower back, limitation in lumbar mobility , changes posture, and it’s couse make disability in patients with non-specific low back pain. Exercise therapy for non-specific low back pain is high recommend to increased stability and correct posture of the spine, for this case thsth can be used for exercise therapy is like McKenzie exercises and core stability exercise. The purpose of this study is to determine the core stability excercise better than McKenzie excercise for release in reduce patient disability in non-specific low back pain. This research applied experimental research method with Pre and Post Test Control Group Design. The research was conducted in Dr Soeradji Tirtonegoro Klaten. There were 32 subjects taken for this research. Disability was measured by oswestry disability index (ODI) before and after treatment. They were divided into two treatment groups consisting of core stability 16 subject for the Mckenzie exercise is 16 and the frequens are 2 times a weak in a month. Statistical test results obtained, have a decline ODI score at the first group have done with a value of p = 0.000 and the second gorup with p = 0.000. it means that both of the group are significantly improve functional activity. From the comparative test data by t-test using the data difference in both groups p value <0.05, which means indicated that there is a significant difference. Therefore, the conclusion of this research indicated thar the core stability excercise better than McKenzie excercise for release in reduce patient disability in non-specific low back pain. The study is expected to benefit in patients with non-specific low back pain in reducing disability.

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Musculoskeletal pain in professional symphony orchestra musicians

HIGHER SCHOOL’S PULSE ◽

10.5604/01.3001.0015.0633 ◽

2021 ◽

Vol 15 (2) ◽

pp. 1-6

Author(s):

Antonina Kaczorowska ◽

Agata Mroczek ◽

Ewelina Lepsy ◽

Magdalena Kornek ◽

Agnieszka Kaczorowska ◽

...

Keyword(s):

Pain Intensity ◽

Musculoskeletal Disorders ◽

Musculoskeletal Pain ◽

Body Mass ◽

Musculoskeletal System ◽

Symphony Orchestra ◽

Body Height ◽

Future Research ◽

Professional Musicians ◽

Positive Correlations

Background: A musician’s many years of professional experience may contribute to the development of pain and musculoskeletal disorders. There are a few studies in Poland on gender differences in musculoskeletal pain among adult professional musicians. Aim of the study: This study aimed to assess and compare pain in Polish women and men who are professional musicians, as well as to analyze the relationships between the intensity and frequency of pain and the time spent playing each week and the experience of playing the instrument in years. Material and methods: Sixty professional musicians were examined (26 men and 34 women). Pain intensity was assessed using the visual analog scale (VAS). Participants reported the frequency of musculoskeletal system ailments, the location of the pain, the number of hours of playing the instrument per week, and the playing experience in years. In addition, body weight and height were measured and body mass index (BMI) was calculated. Results: Most of the participants (94% of women and 69% of men) reported pain in the musculoskeletal system (p=0.010). Women experienced significantly greater pain in the musculoskeletal system assessed using the VAS (p=0.036), and also declared pain significantly more often compared to men (p=0.002). Significant positive correlations were found between frequency of symptoms per week with the number of hours of playing per week (r=0.28), year of playing the instrument (r=0.38), and pain assessment on the VAS (r=0.57). Moreover, negative correlations were found between frequency of symptoms per week with body height (r=–0.45) and body mass (r=–0.36). Conclusions: Musculoskeletal disorders are very common among professional musicians, especially among women. In general, the greater the number of hours playing per week and the longer the history of playing, the greater the pain intensity. Future research should aim to evaluate the prevalence and risk factors of musculoskeletal disorders associated with playing an instrument in different groups of musicians.

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Forces Loaded on the Back of Manual Material Handling Tasks' Workers of Food Industries in Malard Using"3D Static Strength Prediction Program”

Occupational Hygiene and Health Promotion ◽

10.18502/ohhp.v2i3.143 ◽

2018 ◽

Author(s):

Sayedtaghi MIRMOHAMMADI ◽

Ali GHOLIZADEH ABBASABAD ◽

Seyednourddin MOUSAVINASAB ◽

Seyed Esmaeil HOSSEINI NEJAD ◽

Homira ALIZADEH

Keyword(s):

Musculoskeletal Disorders ◽

Material Handling ◽

Physical Workload ◽

Shear Forces ◽

Manual Lifting ◽

Food Industries ◽

Prediction Program ◽

Manual Material Handling ◽

Lower Back

Introduction: Manual Material Handling tasks can cause fatigue in the short term and increase physical workload and musculoskeletal injuries in the long term. The present study was conducted to determine the amount of forces entered to the lower back in workers with manual material handling tasks.Methods: This descriptive-analytic study was conducted on 100 workers in food industries in Malard city in 2017. The Nordic questionnaire was used to determine the frequency of musculoskeletal disorders. The 3DSSPP was also applied to determine the amount of forces entered to the lower back of manual material handling tasks workers. Data analysis was conducted using SPSS (version 23)Results: we found that 24percent of workers had discomfort in at least one of their nine musculoskeletal muscles. The results of 3DSSPP showed that 30 and 34 percent of the compressive forces entered into L5/S1 and L4/L5 discs, respectively. In addition, the shearing force loaded on the L5/S1 disc was also found to be higher than the permissible limit eight percent of the participants. No significant relationship was found between the frequency of musculoskeletal disorders and the amount of compressive and shear forces entered to the lower back of workers.Conclusion: Based on NIOSH recommended limits, the amount of compressive and shear forces entered to the lower back in 3DSSPP showed that in 30 percent of manual lifting load tasks, the risk of injury to the lower back was moderate and this risk was low in 70 percent of tasks.

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Prevalence of work-related musculoskeletal disorders among Egyptian printing workers evidenced by using serum biomarkers of inflammation, oxidative stress, muscle injury, and collagen type I turnover

Toxicology and Industrial Health ◽

10.1177/0748233720977399 ◽

2020 ◽

pp. 074823372097739

Author(s):

Basma Hussein Mourad

Keyword(s):

Musculoskeletal Disorders ◽

Serum Biomarkers ◽

High Rate ◽

Musculoskeletal Symptoms ◽

Individual Risk ◽

Control Group ◽

Type I ◽

Work Related ◽

Tnf Α ◽

Tissue Changes

Objective: Printing workers experience a high rate of musculoskeletal disorders (MSDs). This study aims to determine the prevalence of MSDs, estimate serum biomarkers denoting musculoskeletal tissue changes, and determine some individual risk factors for MSDs among Egyptian printing workers. Methods: Eighty-five male printing workers and 90 male administrative employees (control group) were recruited from a printing press in Giza. A validated version of the standardized Nordic questionnaire was used. Serum biomarkers of inflammation (interleukin (IL)-1α, IL-1β, IL-6, tumor necrosis factor (TNF)-α, and C-reactive protein (CRP)), cell stress or injury (malondialdehyde (MDA) and creatine kinase skeletal muscle (CK-MM)), and collagen metabolism (collagen-I carboxy-terminal propeptide (PICP) and type-I collagen cross-linked C-telopeptide (CTx)) were measured for all participants. Results: This study showed a significant ( p < 0.001) prevalence of the musculoskeletal symptoms (76.5%) and significant ( p < 0.001) elevation in the levels of all measured biomarkers among the printing workers (means ± SD: IL-1α = 1.55 ± 0.9, IL-1β = 1.53 ± 0.87, IL-6 = 1.55 ± 0.85, TNF-α = 4.9 ± 2.25, CRP = 6.78 ± 3.07, MDA = 3.41 ± 1.29, CK-MM = 132.47 ± 69.01, PICP = 103.48 ± 36.44, and CTx = 0.47 ± 0.16) when compared with their controls (prevalence: 34.4%; means ± SD: IL-1α = 0.88 ± 0.61, IL-1β = 0.96 ± 0.72, IL-6 = 1.03 ± 0.75, TNF-α = 2.56 ± 1.99, CRP = 2.36 ± 1.1, MDA = 0.85 ± 0.21, CK-MM = 53.48 ± 33.05, PICP = 56.49 ± 9.05, and CTx = 0.31 ± 0.06). Also, significant ( p < 0.001) positive strong associations were observed between age, body mass index (BMI), and the duration of employment with all measured biomarkers, where all correlation coefficients were >0.7. Conclusion: Printing workers suffer a high prevalence of work-related MSDs that might be related to some individual factors (age, BMI, and duration of employment). Consequently, preventive ergonomic interventions should be applied. Further studies should be done to elucidate the link between tissue changes and detected biomarkers to follow the initiation and progression of MSDs and study the effectiveness of curative interventions.

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Ergonomic risk factors and musculoskeletal disorders in bank staff: an interventional follow-up study in Iran

Journal of Egyptian Public Health Association ◽

10.1186/s42506-021-00097-8 ◽

2021 ◽

Vol 96 (1) ◽

Author(s):

Majid Motamedzadeh ◽

Mahdi Jalali ◽

Rostam Golmohammadi ◽

Javad Faradmal ◽

Hamid Reza Zakeri ◽

...

Keyword(s):

Risk Factors ◽

Musculoskeletal Disorders ◽

Intervention Program ◽

Control Group ◽

Office Work ◽

Static Mode ◽

Lower Back ◽

Bank Staff ◽

The Mean ◽

Bank Employees

Abstract Background Long-term use of computer in a static mode may cause musculoskeletal disorders (MSDs) in bank staff. Considering the high number of bank employees in different countries, such as Iran, the risk factors of these disorders should be investigated in order to implement interventions required to reduce the risk factors. This study aimed to examine the risk factors of MSDs using the Rapid Office Strain Assessment (ROSA) method and to perform an ergonomic intervention program with banking staff in Iran. Methods This interventional study was conducted on 277 bank employees in Iran. Subjects were randomly divided into three groups, including a control group (without any intervention), an educational intervention (EI) group, and a group receiving both educational and physical intervention (EPI). Before and after the intervention, the ROSA method and Nordic questionnaire were used to assess the risk factors of MSDs in office jobs and to investigate the prevalence of MSDs. Data were collected 2 weeks before and 9 months following the intervention. Results Before the intervention, the mean score of ROSA at workstations of all groups was above five with high risk. Nine months after the start of the intervention, there was a significant decrease in the mean ROSA score and its components in the two groups that received the intervention, which was statistically significant (P < 0.001). The results of the study of the prevalence of MSDs in the employees—before the intervention—indicate that the highest prevalence of MSDs in the control group was in areas of the neck (67.1%), back (64.4%), and lower back (63%). In the EI group, the highest prevalence of MSDs was in the neck (65.2%), lower back (61.6%), and back (60.7%) areas. In the EPI group, the discomfort areas were the neck (68.5%), shoulders (66.3%), and lower back (60.9%). Nine months after the intervention, there was a significant decrease in the prevalence of MSDs in the neck, shoulders, and lumbar regions of staff who received the intervention (P < 0.05). Conclusion Nine months after performing the interventions, there was a relative improvement in workstations and prevalence of MSDs in various areas within the bodies of the bank staff. This study showed that using the ROSA method is appropriate for assessing the risk factors of office work and that it can identify deficiencies in workstations. These defects can be addressed by designing and implementing an EI program together with physical interventions according to the components of the ROSA method.

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Prevalence of musculoskeletal disorders among handloom weavers of Uttarakhand : an ergonomic study

Journal of Applied and Natural Science ◽

10.31018/jans.v7i1.571 ◽

2015 ◽

Vol 7 (1) ◽

pp. 102-105 ◽

Cited By ~ 2

Author(s):

Heena Naz ◽

Seema Kwatra ◽

Pragya Ojha

Keyword(s):

Musculoskeletal Disorders ◽

High Rate ◽

Body Parts ◽

Work Related ◽

Body Regions ◽

Lower Back ◽

Working Postures ◽

High Prevalence ◽

Musculoskeletal Problems ◽

Upper And Lower Extremities

Long hours of static work with awkward working postures at traditionally designed looms can cause high prevalence of musculoskeletal disorders (MSDs) among handloom weavers. Because of incompatible working situations handloom weaver in textile industries are confronting with many work related musculoskeletal problems related to pain and discomfort in upper and lower extremities. Keeping this in view, the present study was planned to assess the prevalence of musculoskeletal disorders and postural discomfort among handloom weavers. For this study, 64 (male and female) handloom weavers aged 20-55 years were selected randomly from Almora and Nainital districts of Uttarakhand state. To collect the information, standardized Nordic questionnaire was used to assess pain and discomfort in different body regions of handloom weavers. It was observed that those workers worked continuously in awkward postures during weaving activities. Consequently they suffered from high discomfort in their different body parts. High rate of pain and musculoskeletal disorder was most prevalent in right wrist, left wrist, hip/thigh, neck and lower back of the workers. The data reveled that since last 12 months, total 76.56 percent workers were suffered with pain and discomfort in right hand and 73.44 percent workers had pain and discomfort in both elbows. During last month, 73.44 percent workers were suffered with pain and discomfort in upper back because of awkward working postures whereas during 7 days, total 59.38 percent workers had pain in lower back. The study indicates that the traditional handloom weaving demands immediate ergonomic intervention in the workstation and process design.

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CORE TRAINING UNDER SUSPENSION EXERCISE THERAPY ON TREATMENT OF LOW BACK PAIN

Revista Brasileira de Medicina do Esporte ◽

10.1590/1517-8692202127072021_0336 ◽

2021 ◽

Vol 27 (7) ◽

pp. 695-698

Author(s):

Lei Ye ◽

Chunyan Liu ◽

Cunxi Jiang ◽

Youshen Cao

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Exercise Therapy ◽

Lower Back Pain ◽

Core Stability ◽

Control Group ◽

Lumbar Region ◽

Low Back ◽

Lower Back ◽

Experimental Group

ABSTRACT Introduction: The main clinical feature of chronic nonspecific low back pain (CNLBP) is lower back pain, and suspension sports therapy has a specific effect in this case. Objective: To investigate the changes of flexion-relaxation phenomenon in patients with lower back pain after core control training of suspension exercise therapy (SET). Methods: 84 subjects who met the inclusion and exclusion criteria of chronic low back pain in this experiment were randomly divided into an experimental group and a control group. The experimental group was treated with suspension training. The control group only received acupuncture. We then determined the muscle fascia tension and core stability of the lower lumbar region. Results: The visual analog scale (VAS) and Oswestry dysfunction index (ODI) evaluations of the two groups of patients were different. Conclusion: Suspended core stabilization training has a significant long-term effect in reducing lower back pain and improving waist function in patients with chronic nonspecific low back pain. Level of evidence II; Therapeutic studies - investigation of treatment results.

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Peritoneal Fluid and Plasma Fibrinolytic Activity in Women with Pelvic Inflammatory Disease

Thrombosis and Haemostasis ◽

10.1055/s-0038-1656331 ◽

1992 ◽

Vol 68 (02) ◽

pp. 102-105 ◽

Cited By ~ 15

Author(s):

P J Dörr ◽

E J P Brommer ◽

G Dooijewaard ◽

H M Vemer

Keyword(s):

Pelvic Inflammatory Disease ◽

Inflammatory Disease ◽

Peritoneal Fluid ◽

Fibrinolytic Activity ◽

Degradation Products ◽

Adhesion Formation ◽

High Rate ◽

Control Group ◽

The Difference ◽

Fibrinolytic Parameters

SummaryPrevious studies have shown that the fibrinolytic activity of peritoneum is depressed in local inflammation. We measured fibrinolytic parameters in peritoneal fluid and in plasma of 10 women with pelvic inflammatory disease (PID). Nine women, in whom laparoscopy for sterilisation was performed, served as a control group.In the peritoneal fluid of women with PID, PAI-Ag, t-PA-Ag and u-PA-Ag were many times higher than in the control group. In contrast to the antigens which may be present in inert complexes, the potentially active compounds, measured as t-PA activity and plasmin-activable scu-PA, were not significantly different in the two groups, and in none of the samples was the active enzyme tcu-PA detectable. Nevertheless, the mean peritoneal fluid TDP and FbDP concentrations were about twenty times higher in the PID group than in the control group. In plasma of PID patients, none of the parameters except u-PA-Ag differed from those in the control group. The difference between control and patient plasma u-PA-Ag was statistically significant, but too small to attach any relevance to the observation.Our data suggest that, in contrast to the classical concept of decreased fibrinolytic activity as a cause of adhesion formation, intraperitoneal fibrinolysis is enhanced in peritoneal inflammation through stimulation of the local production of t-PA and u-PA. Despite concomitant production of PAI, fibrinolysis occurs at a high rate, resulting in high levels of fibrin degradation products. Since this activated fibrinolysis does not meet the demand, therapeutic enhancement should be considered to prevent adhesions.

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Work-related musculoskeletal disorders in highway sanitary workers

Nigerian Journal of Medical Rehabilitation ◽

10.34058/njmr.v18i1.102 ◽

2015 ◽

Author(s):

Happiness Anulika Aweto ◽

Oluwatoyosi Babatunde Owoeye ◽

Korede Sunday Adegbite

Keyword(s):

Musculoskeletal Disorders ◽

Body Part ◽

Sudden Onset ◽

Work Related ◽

Significant Relationships ◽

Lower Back ◽

Gradual Onset ◽

The Mean ◽

Low Prevalence

Background: Highway sanitary workers are exposed to various health hazards in the course of duty. This study investigated the prevalence of work-related musculoskeletal disorders (WMSDs) among highway sanitary workers in Lagos Waste Management Authority (LAWMA), Lagos, Nigeria.Method: Two hundred fifty highway sanitary workers (46 males and 204 females) of LAWMA selected from four Local Government Areas of Lagos State, Nigeria completed a 26-item questionnaire that collected information on WMSDs.Results: The 12-month prevalence of WMSDs among the workers was 24.8%. The most commonly affected body part was the lower back (22.0%). Thirty-seven (59.7%) of the respondents reported gradual onset of musculoskeletal disorders (MSDs) while 25 (40.3%) reported sudden onset. The mean years of working experience was 3.22 + 0.23 years with 111 (44.4%) of the respondents having worked for 4 years and 7 (2.8%) having worked for 1year. The three major job risk factors identified were: continuing to work when injured (87.2%), working in the same position for long periods (53.6%) and lifting heavy materials (52.4%). Pearson’s Product Moment Correlation Coefficient analysis showed that there were significant relationships between prevalence of WMSDs and age (r = 0.42, p = 0.001*) and years on the job (r = 0.17, p = 0.01*).Conclusion: There was a low prevalence of WMSDs among highway sanitary workers of LAWMA. The most commonly affected body part was the lower back. Increasing age and years of working experience are significant factors that can contribute to the development of WMSDs among these workers.

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The Predictive Role of Biochemical Plasma Factors in Patients with Severe Traumatic Brain Injuries

Revista de Chimie ◽

10.37358/rc.19.5.7209 ◽

2019 ◽

Vol 70 (5) ◽

pp. 1754-1757

Author(s):

Marius Toma Papacocea ◽

Ioana Anca Badarau ◽

Mugurel Radoi ◽

Ioana Raluca Papacocea

Keyword(s):

Blood Pressure ◽

Heart Rate ◽

Blood Cell ◽

Brain Injuries ◽

Hematological Parameters ◽

Group Versus ◽

Public Health Problem ◽

Traumatic Brain Injuries ◽

High Rate ◽

Control Group

Traumatic brain injuries (TBI) represent a high impact public health problem due to a high rate of death , long term disability and occurrence especially in young adults. Despite several promising animal studies, several parameters were proposed as biological markers and were assessed for this aim. Our study proposes the study of the early biochemical changes in association to hematological parameters for severe TBI patients prognosis. 43 patients with acute TBI were included in study based on clinical, laboratory and imagistic findings. The severity of the TBI was established by Glasgow Coma Scale GCS 3-8. In all patients were evaluated hematologic parameters (Red blood cell count - RBC, Hematocrit, blood Hemoglobin, White blood cell - WBC, Platelet count and biochemical parameters (glucose, urea, creatinine, electrolytes). Outcome was expressed as Glasgow Outcome Scale (GOS), between 1-5. Values were compared to control group -15 cases. Significant early differences in body temperature, heart rate, and systolic blood pressure were observed in TBI group versus control (p[0.05). After correlation, laboratory findings significantly associated to severe outcome - GOS = 1, 2 - (p[0.05) were plasma Na decrease and significant glucose increase. An early increase of temperature and decrease of Na may predict a severe outcome in patients with acute TBI; association with shifts in heart rate and blood pressure, imposes aggressive treatment measures.

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