scholarly journals The burden of musculoskeletal disorders in the countries of the Eastern Mediterranean region of the World Health Organization (EMRO): Study period 2000-2017

Author(s):  
Jafar Yahyavi Dizaj ◽  
Manijeh Soleimanifar ◽  
Reza Hashempour ◽  
Ali Kazemi Karyani ◽  
Fateh Mohsen ◽  
...  

Abstract Background: MSK health is imperative for the active participation of an individual in society and MSK related disorders more direly affects a person's quality of life compared other non-communicable disease while it also negatively effects the health system and economy of a country. The current manuscript analyzed and describes the disease burden of MSK disorders in the EMRO region.Methods: This was a cross-sectional descriptive-analytical study conducted based on data published by the Global Burden of Disease Database for MSK disorders up to 2017. The study target comprised population from all countries of the EMRO region of World Health Organization. The present study considered, MSK disorders such as (rheumatoid arthritis), (osteoarthritis), (Low back pain), (neck pain), (gout) and (other Musculoskeletal disorders. The DALY index was used to measure total disease burden.Results: MSK disorders in the world and in the EMRO region was ranked 5th (4% of total disease burden) and 7th (5% of total disease burden) among all diseases in 2017, respectively. Women over 30 years of age in the EMRO region had the highest risk of MSK disorders compared to other regions and in addition, the DALY lost in EMRO region due to MSK disorders was higher in women of all age categories than men. According to the results of this study, Low back pain, Other musculoskeletal disorders and Neck pain had the highest prevalence and burden of disease in the EMRO region and the world. Bahrain, Iran, and Morocco had the highest incidence of MSK DALY score in the EMRO region, and Somalia, Djibouti, and Afghanistan had the lowest incidence of MSK disorders and DALY score, respectively.Conclusion: With the increase in geriatric population and obesity especially in developing countries, consequently, more people tend to suffer from MSK disorders and it is predicted that this spike will continue in the coming decades. Taking in to account the high prevalence and burden of MSK disorders, forces government and health-policy makers to focus more on preventive cares and rehabilitation.

Author(s):  
Agnieszka Ćwirlej-Sozańska ◽  
Agnieszka Bejer ◽  
Agnieszka Wiśniowska-Szurlej ◽  
Anna Wilmowska-Pietruszyńska ◽  
Alessandro de Sire ◽  
...  

The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) is considered by the World Health Organization (WHO) to be a useful tool for assessing the functioning and disability of the general population as well as the effectiveness of the applied interventions. Until this study, no data regarding the validity of the 36-item WHODAS 2.0 in chronic low back pain (LBP) in Poland have been explored. This study was conducted on 92 patients suffering from chronic LBP admitted to the rehabilitation ward. The Polish version of the 36-item WHODAS 2.0, the Sf-36 Health Survey (SF-36), the Oswestry Disability Index (ODI), the Hospital Anxiety and Depression Scale (HADS) and the Visual Analogue Scale (VAS) questionnaires were applied to assess patients. The scale score reliability of the entire tool for the study population was very high. The Cronbach’s alpha test result for the entire scale was 0.92. For the overall result of the WHODAS 2.0, the Intraclass Correlation Coefficient (ICC1,2) was 0.928, which confirmed that the scale was consistent over time. The total result and the vast majority of domains of the 36-item WHODAS 2.0 correlated negatively with domains of the SF-36 questionnaire; thus, a higher WHODAS 2.0 score was associated with a lower score on the SF-36 questionnaire. We found that the minimal clinically important difference (MCID) for the total WHODAS 2.0 score in patients after rehabilitation for LBP was 4.87. Overall, the results indicated that the Polish version of the 36-item WHODAS is suitable for assessing health and disability status in patients with LBP.


2021 ◽  
Vol 6 (5) ◽  
pp. e005847
Author(s):  
Mamata Tamrakar ◽  
Priti Kharel ◽  
Adrian Traeger ◽  
Chris Maher ◽  
Mary O'Keeffe ◽  
...  

IntroductionCompleteness of Global Burden of Disease (GBD) Study data is acknowledged as a limitation. To date, no study has evaluated this issue for low back pain, a leading contributor to disease burden globally.MethodsWe retrieved reports, in any language, based on citation details from the GBD 2017 study website. Pairs of raters independently extracted the following data: number of prevalence reports tallied across countries, age groups, gender and years from 1987 to 2017. We also considered if studies enrolled a representative sample and/or used an acceptable measure of low back pain.ResultsWe retrieved 488 country-level reports that provide prevalence data for 103 of 204 countries (50.5%), with most prevalence reports (61%) being for high-income countries. Only 16 countries (7.8%) have prevalence reports for each of the three decades of the GBD. Most of the reports (79%) did not use an acceptable measure of low back pain when estimating prevalence.ConclusionWe found incomplete coverage across countries and time, and limitations in the primary prevalence studies included in the GBD 2017 study. This means there is considerable uncertainty about GBD estimates of low back pain prevalence and the disease burden metrics derived from prevalence.


2017 ◽  
Vol 76 (8) ◽  
pp. 1365-1373 ◽  
Author(s):  
Maziar Moradi-Lakeh ◽  
Mohammad H Forouzanfar ◽  
Stein Emil Vollset ◽  
Charbel El Bcheraoui ◽  
Farah Daoud ◽  
...  

ObjectivesWe used findings from the Global Burden of Disease Study 2013 to report the burden of musculoskeletal disorders in the Eastern Mediterranean Region (EMR).MethodsThe burden of musculoskeletal disorders was calculated for the EMR's 22 countries between 1990 and 2013. A systematic analysis was performed on mortality and morbidity data to estimate prevalence, death, years of live lost, years lived with disability and disability-adjusted life years (DALYs).ResultsFor musculoskeletal disorders, the crude DALYs rate per 100 000 increased from 1297.1 (95% uncertainty interval (UI) 924.3–1703.4) in 1990 to 1606.0 (95% UI 1141.2–2130.4) in 2013. During 1990–2013, the total DALYs of musculoskeletal disorders increased by 105.2% in the EMR compared with a 58.0% increase in the rest of the world. The burden of musculoskeletal disorders as a proportion of total DALYs increased from 2.4% (95% UI 1.7–3.0) in 1990 to 4.7% (95% UI 3.6–5.8) in 2013. The range of point prevalence (per 1000) among the EMR countries was 28.2–136.0 for low back pain, 27.3–49.7 for neck pain, 9.7–37.3 for osteoarthritis (OA), 0.6–2.2 for rheumatoid arthritis and 0.1–0.8 for gout. Low back pain and neck pain had the highest burden in EMR countries.ConclusionsThis study shows a high burden of musculoskeletal disorders, with a faster increase in EMR compared with the rest of the world. The reasons for this faster increase need to be explored. Our findings call for incorporating prevention and control programmes that should include improving health data, addressing risk factors, providing evidence-based care and community programmes to increase awareness.


BMC Medicine ◽  
2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Dongze Wu ◽  
Priscilla Wong ◽  
Cui Guo ◽  
Lai-Shan Tam ◽  
Jieruo Gu

Abstract Background With increasing life expectancy in China, no large population-based studies have been done on the trend for musculoskeletal disorders in China. We have investigated the pattern and trend of five major musculoskeletal disorders in China from the Global Burden of Disease Study 2017 and its association with sociodemographic index (SDI). Methods The main outcome measures were incidence, prevalence, and disability-adjusted life years (DALYs) for rheumatoid arthritis, osteoarthritis, low back pain, neck pain, and gout. Average annual percent change (AAPC) and annual percent change (APC) between 1990 and 2017 were analyzed with Joinpoint regression. Results The age-standardized rate of incidence, prevalence, and DALYs for the five major musculoskeletal disorders increased with age. For SDI, the age-standardized rate of DALYs was zigzagged increasing for rheumatoid arthritis and curvilinear increasing for gout, curvilinear decreasing for low back pain, and reaching to the highest point for osteoarthritis and neck pain with an SDI value of 0.61. The AAPC in age-standardized rate of DALYs indicated an increasing trend for rheumatoid arthritis (0.20, 95% CI 0.07, 0.34), osteoarthritis (0.26, 95% CI 0.20, 0.31), neck pain (0.09, 95% CI 0.07, 0.12), and gout (0.25, 95% CI 0.23, 0.27), but a decreasing trend for low back pain (− 0.96, 95% CI − 0.98, − 0.93). The AAPC of risk factors indicated a decreasing trend in smoking (− 0.14, 95% CI − 0.24, − 0.04) for rheumatoid arthritis, smoking (− 0.22, 95% CI − 0.24, − 0.19) and occupational ergonomic factors (− 1.25, 95% CI − 1.29, − 1.21) for low back pain, and impaired kidney function (− 0.95, 95% CI − 1.00, − 0.90) for gout, but an increasing trend in high body-mass index for osteoarthritis (3.10, 95% CI 3.03, 3.17), low back pain (3.07, 95% CI 2.99, 3.14), and gout (3.12, 95% CI 3.04, 3.20). Comparing the burden of five musculoskeletal diseases in China with the 19 countries of G20, China ranked first to second in the number of DALYs, and 12th to 16th in age-standardized rate of DALYs. Conclusion There are remarkably complex temporal patterns in disease burden and risk factors for five major musculoskeletal disorders across past three decades. Population-wide initiatives targeting high body-mass index may mitigate the burden of musculoskeletal disorders.


Author(s):  
Joia S. Mukherjee

This chapter defines terms used to describe the health of populations, such as incidence, prevalence, morbidity, and mortality. It introduces the concept of the burden of disease: that is, the quantity and impact of diseases and conditions that affect the health of populations. The Global Burden of Disease project, first launched in 1990 by the World Health Organization (WHO) seeks to measure disease burden on a regular basis. This chapter also examines the epidemiological transition, a concept that describes changes in causes of morbidity and mortality associated with economic development. The limitations of this concept and the need to address the entirety of the disease burden and achieve Universal Health Coverage are also discussed.


Author(s):  
N. Vanhauter ◽  
A. van Erck ◽  
M. Anciaux ◽  
A. Pollefliet ◽  
E. Joos

BACKGROUND: The World Health Organization states that low back pain is the leading cause for disability worldwide. Patients with chronic low back pain (CLBP) show important decreases in lumbar strength and can now be assessed by using the new isokinetic dynamometer BioniX Sim3 Pro which offers very detailed measurements. OBJECTIVE: To compare lumbar flexion and extension strength values, as well as extension-flexion ratio (EFR) based on isokinetic velocity and gender, for patients with CLBP on the BioniX Sim3 Pro. METHODS: A retrospective analysis was performed on data from 20 men and 22 women with CLBP. Maximum torque in flexion and extension was measured isometrically and isokinetically. Statistical analysis was performed on these parameters. RESULTS: EFR shows a downward trend with increasing speed of measurement (isometric to isokinetic 30∘/s and isokinetic 30∘/s to isokinetic 90∘/s, respectively): in men from 1.21 to 1.04 (p< 0.001) and from 1.04 to 0.93 (p= 0.207). In women, EFR decreased from 1.41 to 1.13 (p< 0.001) and from 1.13 to 1.00 (p= 0.144). CONCLUSIONS: Patients with CLBP have a decreased strength in lumbar extension and flexion compared to the age-corrected normal values of Bionix Sim3 Pro. With increasing speed of testing protocol, a decrease in EFR is observed in this population.


2020 ◽  
Vol 1 (2) ◽  
pp. 71-76
Author(s):  
Fariza Hasyati ◽  
Novira Parawansa ◽  
Nadya Anggun Pratiwi ◽  
Tilka Rahmatia Quddusi

The World Health Organisation (WHO) defined low back pain (LBP) as pain or discomfort that is localized between the costal margin and above the inferior gluteal folds, with or without leg pain. In the world, it is estimated that the prevalence of LBP ranges from 1.4% to 20.0%. In 2013, around 24.7% of workers in Indonesia had experienced occupational diseases caused by low back pain. Based on the Riset Kesehatan Dasar (RKD) survey pada in 2018, 31.4% of Indonesians have used traditional medicine, with manual treatment skill, the type of traditional medicine effort, most widely used (65.3%) and one of it is cupping therapy. Cupping (therapy) also named Hijamah. Cupping therapy is one of the alternative medicines that uses vacuum cups on the cupping point of the skin surface. Although the mechanism of action of cupping therapy is still unclear, there are several reported effects of cupping therapy including increasing skin blood flow, changing skin biomechanical properties, increasing the pain threshold, increasing local anaerobic metabolism, reducing inflammation, and modulating the immune system. cellular. According to research conducted by Volpato et al. (2019) demonstrated the effectiveness of cupping therapy in reducing pain perception and improving function in individuals with low back pain.  


2022 ◽  
pp. 1476-1486
Author(s):  
Ilma Helmalia Putri ◽  
Sumiaty ◽  
Fatmah Afrianty Gobel

Data dari International Labour Organization tahun 2018 menyebutkan bahwa lebih dari 1,8 juta kematian akibat kerja terjadi setiap tahunnya di 156 kawasan Asia dan Pasifik. Menurut world health organization sekitar 70-80% penduduk di negara maju pernah mengalami low back pain, setiap tahun 15- 45% orang dewasa menderita low back pain. Faktor yang mempengaruhi low back pain adalah umur, lama kerja, beban kerja, sikap kerja, dan indeks masa tubuh, tujuan penelitian ini adalah untuk mengetahui faktor yang berhubungan dengan keluhan low back pain pada karyawan bagian line plywood di PT. Sumber Graha Sejahtera Luwu  Tahun 2021. Jenis penelitian adalah kuantitatif metode Cross-Sectional Study dengan pengambilan sampel menggunakan metode purposive sampling. Sampel penelitian sebanyak 122 orang. Data diambil dengan menggunakan kuesioner dianalisis dengan menggunakan uji Chi-square pada tingkat kepercayaan 95%. Hasil penelitian diperoleh ada hubungan antara umur dengan keluhan low back pain (p=0,000), ada hubungan antara lama kerja dengan keluhan low back pain nilai (p=0.047), ada hubungan antara beban kerja dengan keluhan low back pain nilai (p=0.000) dan ada hubungan antara sikap kerja dengan keluhan low back pain nilai (p=0.000) serta ada hubungan antara indeks masa tubuh dengan keluhan low back pain nilai (p=0.000). Diharapkan peneliti selanjutnya untuk lebih dapat menganalisis secara mendalam mengenai faktor yang berhubungan dengan keluhan low back pain pada karyawan.


2020 ◽  
Vol 8 (1) ◽  
pp. 887-894
Author(s):  
Heni Fa'riatul Aeni ◽  
Awaludin Awaludin

World Health Organization (WHO) mengatakan bahwa 2%-5% dari karyawan di negara industri tiap tahun mengalami Nyeri Punggung Bawah (NPB). Sebanyak 90% kasus nyeri punggung bukan disebabkan oleh kelainan organik, melainkan oleh kesalahan posisi tubuh dalam bekerja. Menggunakan komputer yang dilakukan dalam posisi duduk dalam waktu yang lama berisiko mengalami keluhan nyeri punggung bawah. Tujuan penelitian ini untuk mengetahui hubungan sikap kerja duduk dengan keluhan nyeri punggung bawah pada pekerja yang menggunakan komputer di Kantor Kesehatan Pelabuhan Kelas II Bandung tahun 2017. Jenis penelitian adalah survei analitik dengan rancangan cross-sectional. Populasi dalam penelitian ini adalah semua pekerja yang menggunakan komputer di Kantor Kesehatan Pelabuhan Kelas II Bandung tahun 2017 sebanyak 59 orang dan pengambilan sampel menggunakan metode total sampling. Pengambilan data penelitian dengan menggunakan observasi dan wawancara. Instrumen untuk pengambilan data dalam penelitian ini adalah lembar kuesioner dan lembar observasi. Analisa data menggunakan analisa univariat dengan persentase dan bivariat dengan uji Spearman Rho. Hasil penelitian menunjukkan bahwa sikap kerja duduk sebagian besar responden dengan dalam kategori sedang yaitu 29 orang (47,5) dan keluhan nyeri punggung bawah dalam kategori rendah yaitu 30 orang (50,8%). Hasil uji spearman rho menunjukan bahwa nilai p value = 0,010, maka p value < α (0,05) berarti Ho ditolak artinya ada hubungan yang signifikan antara sikap kerja duduk dengan keluhan nyeri punggung bawah pada pekerja yang menggunakan komputer. Kata Kunci             :     Sikap Kerja Duduk, Nyeri Punggung Bawah   ABSTRACTWorld Health Organization (WHO), says that 2% -5% of employees in industrialized countries each year to experience the Lower Back Pain (LBP). As many as 90% of cases of back pain is not caused by organic disorder, but by mistake body position at work. Using a computer that is done in a sitting position for a long time at risk of low back pain. The purpose of this study to determine the relationship sitting working attitude with complaints of low back pain in workers who use computers at the Harbor Health Office of Class II Bandung in 2017. This type of research is analytic survey research with cross-sectional design. The population in this study were all employees who use computers at the Port Health Office Class II Bandung in 2017 as many as 59 people and sampling using total sampling method. Data retrieval research using observation and interviews. Instruments for data collection in this study is a questionnaire and observation sheet Data were analyzed using univariate analysis with percentages and bivariate Spearman Rho test.The results showed that the attitude of the sit-down with the majority of respondents in the medium category is 29 (47.5) and low back pain in the low category were 30 people (50.8%). Spearman rho test results showed that the p value = 0.010, then the p value <α (0.05) means that Ho refused meaning that there is a significant correlation between sitting working attitude with complaints of low back pain in workers who use computers. Keywords                 :     Sitting Working Attitude, Low Back Pain


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