Prevalence of musculoskeletal symptoms among Hong Kong nurses

2005 ◽  
Vol 4 (3) ◽  
pp. 199-208
Author(s):  
Simon S. Yeung ◽  
Ash Genaidy ◽  
Linda Levin

This study aims to investigate how different prevalence selection criteria affect the prevalence rates of musculoskeletal symptoms in single and multiple body regions among female nurses working in a hospital setting in the Hong Kong area. Results showed that the 12-month prevalence rate for each body region was consistently higher than the 1-month prevalence rate. The 1-month prevalence rate for lower back was 59%, and 30–39% for lower extremity, upper back and neck, and the corresponding values for 12-month prevalence rates were 98% for lower back, and 89–91% for lower extremity, upper back, and neck. A similar trend was recorded for the 12-month prevalence of musculoskeletal disorder cases (MSD) (a case was defined as a reported symptom by the study participant, which is characterized by high frequency and/or intensity symptom) in the lower back (42%), knees/lower legs (30%), upper back (23%), hips – thigh (21%), and shoulders (21%). The 12-month MSD prevalence rates for lower back and one other body region ranged from 6% to 17%. The prevalence of MSD in the lower back – knees – and hips or ankles ranged from 11% to 12%. In addition, MSD cases in the lower back regions were significantly associated with those in the upper back, hip, knee, and hand regions. It is concluded that musculoskeletal symptoms are prevalent in single and multiple body regions, and symptoms originating from one body region may be associated with those in other body regions. A holistic approach in the evaluation and prevention of musculoskeletal problems for high-risk occupations is needed.

Author(s):  
K. Saraswathi Krishnan ◽  
Gunasunderi Raju ◽  
Omar Shawkataly

Purpose—This study aimed to estimate the prevalence and risk factors of MSD pain in various anatomical regions among nurses. Method—A cross-sectional study involving a self-administered questionnaire by registered nurses with clinical experience. Data was collected using convenience sampling after obtaining informed consent. The results were drawn from a total of 300 nurses. Results—The nurses presented with occasional mental exhaustion (44.3%) and often physical exhaustion (44.0%). Almost all (97.3%) the nurses complained of having work-related pain during the last 12 months. Body parts with the most pain were the lower back (86.7%), ankles (86.7%), neck (86.0%), shoulders (85.0%), lower legs (84.7%) and upper back (84.3%). The pain frequency was rated as occasional pain for the neck and upper back, pain was often felt for the rest of the parts. Nurses complained of severe pain in the lower back (19.7%), right shoulder (29.7%) and left shoulder (30.3%). The frequency of having musculoskeletal symptoms in any body region was increased with age, lower education level, female gender, high BMI, job tenure and lifestyle. Conclusions—Nurses’ WRMSD complaints should be taken seriously to curb further risk and musculoskeletal hazards.


Work ◽  
2021 ◽  
Vol 70 (1) ◽  
pp. 209-217
Author(s):  
Mina Babashahi ◽  
Farnaz Bagherifard ◽  
Hadi Daneshmandi ◽  
Rohollah Khoshbakht ◽  
Omid Jaberi ◽  
...  

BACKGROUND: Municipality cleaners are exposed to food insecurity, Musculoskeletal Symptoms (MSs), and fatigue. OBJECTIVE: This study aimed to investigate the effect of food insecurity on MSs, fatigue, and productivity among municipality cleaners. METHODS: This study was conducted on 399 Iranian male municipality cleaners with at least one year of working experience. The data were gathered via a demographic/occupational questionnaire, the Persian version of the Household Food Insecurity Access Scale (P-HFIAS), the Persian version of Nordic Musculoskeletal Questionnaire (P-NMQ), the Persian version of the Multidimensional Assessment of Fatigue scale (P-MAF), and the Persian version of Health and Work Questionnaire (P-HWQ). Data were analyzed using descriptive statistics, multiple logistic regression (Forward Wald), and multiple linear regression (Stepwise). RESULTS: The findings revealed that 42.6%of the municipality cleaners were in the ‘severely food insecure’ category. The highest prevalence of MSs in the past week were related to knees (35.8%), lower back (35.1%), and ankles/feet (28.8%). Based on the results, the chance of MSs in the shoulders (OR = 1.66) and ankles/feet (1.60) regions, and MSs at least in one body region (OR = 1.47) was higher in the individuals with severe food insecurity than the others. Considering the P-MAF, food insecurity was associated with the ‘degree and severity’, ‘distress that it causes’, and ‘timing of fatigue’ subscales and ‘total fatigue’. Considering the P-HWQ, food insecurity was associated with ‘productivity’, ‘other’s assessment’, ‘concentration/focus’, ‘supervisor relations’, ‘non-work satisfaction’, and ‘impatience/irritability’ subscales. CONCLUSION: The study revealed an association between food insecurity and MSs in some body regions and fatigue and productivity subscales among the municipality cleaners. Nutritional and ergonomic programs are recommended to reduce municipality cleaners’ food insecurity, MSs, and fatigue and enhance their productivity.


2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Kristin Yeoman ◽  
Mary B. O’Connor ◽  
Sara Sochor ◽  
Gerald Poplin

Abstract Background Transportation events are the most common cause of offshore fatalities in the oil and gas industry, of which helicopter accidents comprise the majority. Little is known about injury distributions in civilian helicopter crashes, and knowledge of injury distributions could focus research and recommendations for enhanced injury prevention and post-crash survival. This study describes the distribution of injuries among fatalities in Gulf of Mexico oil and gas industry-related helicopter accidents, provides a detailed injury classification to identify potential areas of enhanced safety design, and describes relevant safety features for mitigation of common injuries. Methods Decedents of accidents during 2004–2014 were identified, and autopsy reports were requested from responsible jurisdictions. Documented injuries were coded using the Abbreviated Injury Scale (AIS), and frequency and proportion of injuries by AIS body region and severity were calculated. Injuries were categorized into detailed body regions to target areas for prevention. Results A total of 35 autopsies were coded, with 568 injuries documented. Of these, 23.4% were lower extremity, 22.0% were thorax, 13.6% were upper extremity, and 13.4% were face injuries. Minor injuries were most prevalent in the face, neck, upper and lower extremities, and abdomen. Serious or worse injuries were most prevalent in the thorax (53.6%), spine (50.0%), head (41.7%), and external/other regions (75.0%). The most frequent injuries by detailed body regions were thoracic organ (23.0%), thoracic skeletal (13.3%), abdominal organ (9.6%), and leg injuries (7.4%). Drowning occurred in 13 (37.1%) of victims, and drowning victims had a higher proportion of moderate brain injuries (7.8%) and lower number of documented injuries (3.8) compared with non-drowning victims (2.9 and 9.4%, respectively). Conclusions Knowledge of injury distributions focuses and prioritizes the need for additional safety features not routinely used in helicopters. The most frequent injuries occurred in the thorax and lower extremity regions. Future research requires improved and expanded data, including collection of detailed data to allow characterization of both injury mechanism and distribution. Improved safety systems including airbags and helmets should be implemented and evaluated for their impact on injuries and fatalities.


Author(s):  
Peregrin Spielholz ◽  
Steven F. Wiker

Regional discomfort questionnaires were administered to apprentice carpenters at three month intervals for a duration of six months following an ergonomics awareness training as part of apprenticeship school. Reports of frequent musculoskeletal discomfort were reported by between 20 and 29 percent of carpenters for each of the nine body regions with the exception of higher levels for the lower back. Severity ratings and frequency of discomfort were highest for the lower back and hands/wrists. There was no significant difference in reports of musculoskeletal discomfort among the baseline and follow-up questionniares (p > 0.05). The lower back was the only body region showing a decrease in the ratings of discomfort severity during follow-up. Further study of training effects on work methods and discomfort are recommended.


2018 ◽  
Vol 11 (6) ◽  
pp. 395-410 ◽  
Author(s):  
Manoj Kumar Sain ◽  
M.L. Meena

Purpose Prolonged working in repetitive and awkward postures can result in musculoskeletal disorders among workers involved in labour-intensive jobs like those of brick kiln workers. Unlike other labour-intensive sectors, workers in this particular sector have a lack of awareness about musculoskeletal problems. Therefore, the purpose of this paper is to explore musculoskeletal issues and associated risk-factors among brick kiln workers. Design/methodology/approach A questionnaire survey was conducted among 217 male and 111 female workers aged between 17 and 53 years. They were employed in traditional brick kiln units situated in Rajasthan, India. Postures were analysed by Rapid Upper Limb Assessment and Rapid Entire Body Assessment methods. Binary logistic regression was used to find the association between musculoskeletal problems and risk-factors. Findings For the mould evacuating task, wrist (76.2 per cent) and lower back (56 per cent) issues were the most frequently reported musculoskeletal problems, while in spading task, lower back (62.4 per cent) and shoulder (57.7 per cent) problems were prominent. Musculoskeletal symptoms in one or more body regions were associated with personal and work-related factors including the type of task and experience. Research limitations/implications Kiln workers are exposed to high musculoskeletal and postural risks, particularly in spading and mould filling tasks. To reduce these risks, ergonomic interventions are needed. Originality/value It is recognised that the musculoskeletal health of brick kiln workers is a cause for concern. The present study provides the evidence of the prevalence of musculoskeletal symptoms experienced by brick kiln workers and the association of symptoms with various risk-factors, which has not been addressed in previous studies.


2018 ◽  
Vol 7 (3.24) ◽  
pp. 8
Author(s):  
Mohd Firdaus Mohd Taib ◽  
Myung Hwan Yun ◽  
Masine Md Tap

Musculoskeletal disorders (MSDs) have been recognized as one of the main occupational health problems among health care workers. Many studies have suggested the influence of psychosocial factors on MSDs. The objective of this study is to look into the association between psychosocial factors and the prevalence of MSDs symptoms among internship doctors. 86 internship doctors completed a questionnaire which consists of demographic data, physical and psychosocial factors as well as musculoskeletal discomfort. Results show that 32.6% of them reported that they have musculoskeletal discomfort at a single body region during the last year, 16.3% reported two regions and 9.3% reported three regions where the most prevalent region affected was the neck area where 27.9% of the respondent reported they experienced symptoms or pain in this region, followed by wrists / hands (26.7%), lower back (19.8%) and upper back (14.0%). Meanwhile, there were association found between psychosocial factors and prevalence of MSDs in certain body regions. For instance, musculoskeletal symptom at neck, wrist/hands, upper and lower back regions have been found to be associated with five psychosocial stressors examined in this study. The results obtained indicate the influence of psychosocial factors on MSDs. 


2020 ◽  
Vol 14 (Supplement_1) ◽  
pp. S577-S577
Author(s):  
N Pettersson ◽  
F Kragsbjerg ◽  
A Hamrin ◽  
H Forsblad-D′elia ◽  
P Karling

Abstract Background Musculoskeletal symptoms are common in patients with ulcerative colitis (UC) but there is no data on the prevalence of chronic regional pain (CRP) and chronic widespread pain (CWP) in patients with UC compared with control subjects. Methods From a national IBD Register (SWIBREG), all living patients with a confirmed UC diagnosis, aged 20–74 years, who were residents of two counties in Northern Sweden (n = 1164) were posted a validated questionnaire. Subjects (n = 3867) from a previous study using the same questionnaires was used as Controls (Bergman et al). The questionnaire comprises demography, history of pain and body localisation of pain. The disease activity of UC was measured by Patient- Simple Clinical Colitis Activity Index (P-SCCAI). CRP and CWP was defined as having pain for at least three months the last year. CWP was defined as having pain on both left and right side of the body and both above and below the waist, and in the axial skeleton. Results The response rate for the patients with UC was 43.6% and for the control subjects 62.7%. The patients were older than the control subjects (mean age 53.1 vs. 46.5 years; p < 0.001) but there was no difference in gender (men 50.7% vs. 46.7%; p = 0.108). The reported prevalence of any chronic pain, CRP and CWP was higher in patients with UC vs. controls (53.9% vs. 39.5%; p < 0.001; 33.5% vs. 24.2%; p < 0.001 and 19.7% vs. 12.5%; p < 0.001). The differences for reported chronic pain (any pain) was seen in all age groups. The patients with UC reported significant more pain in the regions ‘lower back’, ‘hip/upper leg’ and ‘lower leg/foot compared with controls (Table). The patients with P-SSCAI >5 (n = 110) reported more CWP than patients with P-SSCAI <5 (n = 411) (48.2% vs. 12.1%; p < 0.001) and controls (48.2% vs. 12.5%; p < 0.001) with significant differences for all body regions but there was no difference in CWP between patients with P-SSCAI <5 and controls (12.1% vs. 12.5%; p = 0.852). There was a slightly higher prevalence of reported ‘any chronic pain’ between patients with P-SSCAI <5 and controls (46.8% vs. 39.5%; p = 0.007). Conclusion Patients with UC reported more chronic pain than control subjects, especially from the lower back and hip region. Disease activity was associated with more pain included all body regions.


2020 ◽  
Vol 18 (4) ◽  
pp. 395-404
Author(s):  
Akram Shahbazi ◽  
◽  
Hamid Reza Mokhtarinia ◽  
Akbar Biglarian ◽  
Charles Philip Gabel ◽  
...  

Objectives: This study aimed to identify the annual and weekly prevalence of Musculoskeletal Disorders (MSDs) and their relation to demographic characteristics, such as Body Mass Index (BMI), work experience, and physical activity in spinner workers in the textile industry. We also conducted a comparison between the annual and weekly prevalence of MSDs. Methods: The study sample included 700 male spinner workers (Mean±SD age: 32.6±6.5 years) from 10 companies in Najaf Abad City, Isfahan Province, Iran. Information about MSDs was collected through the Extended Nordic Musculoskeletal Questionnaire (ENMQ) from November 2018 to September 2019. Demographic characteristics were collected using a demographic checklist through a direct interview by one investigator. Results: The present study findings suggested that the Mean±SD duration of work hours per week was 56.6±8.4 hours. The Mean±SD times of experiencing an injury equaled 27.8±33.1 months. The annual prevalence of MSDs was reported to be 74.4% for at least one of the 9 body regions. The highest annual prevalence rates belonged to the knees (54.0%), lower back (34.3%), and shoulders (23.1%). In contrast, the most weekly prevalent regions were the knees (44.6%), lower back (26.9%), and ankles (15.9%). Generally, the weekly prevalence was significantly lower than that of the annual prevalence (P<0.008). Job experience, marital status, and physical exercise presented a significant relationship with the annual prevalence of MSDs in the neck, shoulders, elbows, wrists, hands, knees, and ankle/foot. Contrarily, there was a significant relationship between job experience and the weekly prevalence of MSDs in the shoulder, lower back, and knee regions. The prevalence of neck, shoulders, wrists/hands, low back, knee, and ankle/foot pain was significantly increased in married workers. Furthermore, exercise history could cause a significant decrease in the prevalence of MSDs. Discussion: The high prevalence of MSDs in spinner workers is affected by some demographic characteristics; thus, such data should be considered in planning the prevention strategies within the textile industry.


2019 ◽  
Vol 90 ◽  
pp. 03001
Author(s):  
Johari Anwar ◽  
Abdul Hamid Nurul Haznita ◽  
Kamaruddin Mohd Johari ◽  
Hassim Mimi Haryani ◽  
Ngadi Norzita ◽  
...  

Work-related musculoskeletal disorders (MSDs) are often experienced by welders in the shipyard industry. A study was conducted in one of the shipyards in Malaysia to identify the prevalence of work-related MSDs among welders and the factors attributed to its increase in the workplace. The investigation was carried out using a modified Nordic questionnaire, in which 27 shipyard welders were interviewed. The questions ranged from demographic information to the prevalence of MSDs on parts of body region experiencing discomfort and pain. The results showed that the most affected body regions were neck, upper back, and lower back, which comprised of 74.1%, 70.4%, and 63.0%, respectively, of the respondents being interviewed. A further in-depth study was conducted for the three most affected body regions with respect to work activities such as working posture, repetitive work, and lifting of heavy objects during welding. The frequency of prevalence of work-related MSDs on these body regions experienced by the welders showed that 25.9% of the respondents had frequently encountered neck pain and another 11.1% of them sometimes experienced discomfort while performing repetitive actions. The study also showed that 22.2% of the respondents sometimes experienced shoulder pain whereas 3.7% of them had reported to seldom encountered it when performing welding operation in awkward positions. Almost half of the respondents (i.e., 48.50%) experienced discomfort and pain for both elbow/hand and wrist when lifting objects heavier than 5 kg.


2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S389-S389
Author(s):  
Katherine K Perez ◽  
Ty C Drake ◽  
Amaris Fuentes ◽  
Clare N Gentry

Abstract Background Collaborations between medication safety and antimicrobial stewardship programs (ASP) have not been well described despite many overlapping best practice initiatives. In partnership with medication safety, the ASP at Houston Methodist (HM) reviews patient safety events submitted by hospital staff and identified a best practice opportunity in allergy reporting practices. Our objective was to benchmark self-reported antibiotic allergies among hospitalized patients and compare the prevalence and characteristics among hospital settings. Methods We evaluated the prevalence of self-reported antibiotic allergies in the electronic medical record for adult patients admitted to any HM entity including 1 flagship referral center (933-beds) and 6 community-based hospitals (1,379-beds) in January 2019. Antibiotics were grouped by class into penicillins, sulfas, cephalosporins, tetracyclines, macrolides, quinolones, and others. Point-prevalence rates were calculated using the total patient count as the denominator. Results There were 4,730 patients admitted to HM in January 2019 of which 85% (n = 4,029) self-reported 9,186 active drug allergies. There were 2,353 (49.7%) individuals who self-reported 3,665 antibiotic allergies, of which 987 (21%) reported an allergy to ≥2 antibiotic classes. The prevalence rate for a penicillin allergy was highest at 26.1% (n = 1,235), followed by allergy to sulfa 15.9% (n = 751) and quinolones 7.9% (n = 411). Antibiotic allergies were most prevalent in patients aged 70–79 (11%, n = 518) and 60–69 (10%, n = 495). Antibiotic allergies were higher among females (61.6%; n = 1,679/2,724) compared with males (40.7%; n = 662/1,305) (P = 0.002). There was no difference in prevalence rates between community-based hospitals and the flagship institution (P = 0.51). Conclusion We identified an antibiotic allergy point prevalence rate of 49.7% among hospitalized patients, including a 26.1% rate to penicillin, across our 7-hospital system. This analysis provides a road map to deploy system-wide efforts to improve antibiotic detailing in patients regardless of the hospital setting. Disclosures All authors: No reported disclosures.


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