Musculoskeletal Problems in Patients With COVID-19: A Review Study

Introduction: SARS-CoV-2 is a coronavirus, primarily targets the human respiratory system and causes symptoms similar to those of pneumonia. However, these patients do not only experience respiratory problems. Those with COVID-19 infection may show various signs and symptoms, including fever, shortness of breath, dry cough, nasal congestion, sore throat, nausea, vomiting, myalgia, arthralgia, fatigue (muscular and mental), joint swelling, headache, diarrhea, as well as some musculoskeletal symptoms. Therefore, this article aimed to investigate the major musculoskeletal problems in patients with COVID-19 through a review study. Materials and Methods: This study gathered the related published studies in PubMed, Web of Science, and Science Direct. The main keywords were “COVID-19”, “coronavirus”, and “musculoskeletal problem”. Results: The major musculoskeletal symptoms include muscle fatigue, myalgia, arthralgia, joint swelling (reactive arthritis), and such conditions as joint limitations, tendon shortening, and muscle weakness due to prolonged bed rest. However, their prevalence rates have not been investigated systematically. Conclusion: Our findings revealed that attention to musculoskeletal rehabilitation of patients with COVID-19 is as essential as their respiratory rehabilitation. Besides, it would be effective in reducing the physical complications of hospitalization, returning to independence and functional activities, and improving the quality of the patients’ life.

PREVALENCE OF MUSCULOSKELETAL PAIN AND DISCOMFORT DUE TO ONLINE TEACHING AND LEARNING METHODS DURING LOCKDOWN IN STUDENTS AND TEACHERS: OUTCOMES OF THE NEW NORMAL

Purpose: The sudden lockdown due to COVID-19 in India led to closure of schools and colleges. This resulted in an increased usage of online mode of study, with a more sedentary lifestyle. The survey study aimed to analyze the prevalence of any musculoskeletal problem in students and teachers due to the same. Methodology: A Google Form was distributed by a snowball sampling technique using various social media platforms. A total of 715 responses were received. Results: Maximum respondents were in the age range of 18–25 years. Eighty eight percent of participants in the survey were involved in the online mode of education, with 60.8% experiencing some form of musculoskeletal pain or discomfort; 71% of people believed that the cause of pain was online working. Neck pain (51.3%) followed by low back pain (33.4%) and headaches (29.8%) were commonly reported. University teachers reported maximum pain followed by university students, school teachers and school students. Of all the respondents, 60.8% people admitted to adopting awkward postures while at work, whereas only 27.6% of them exercised to relieve pain and discomfort. Conclusion: There is an urgent need to develop appropriate intervention strategies for people involved in sedentary online work to prevent the occurrence of musculoskeletal pain and discomfort. Physical therapy can play a major role in managing this lifestyle hazard.

Factors associated with hip pain in end-stage renal disease patients on prevalent hemodialysis: a cross-sectional study

Background Hemodialysis (HD) patients suffer from musculoskeletal disorders. The most reported musculoskeletal problem is arthralgia. Hip arthralgia has been commonly reported in patients undergoing HD. Hip pain can lead to a decrease in levels of physical activity, limitation in joint range of motion, and consequently difficulties in performing activities of daily living (ADL) and impair the quality of life (QoL). The aim of the study is to reveal the prevalence of hip pain and related factors in HD patients. This cross-sectional study included 73 patients on prevalent HD whose ages ranged from 25 to 65 years and who were on HD for more than 6 months. Physical examination and radiological imaging were done to every patient. Visual analog scale, Barthel Index, and Short Form-36 were used to evaluate pain, ADL, and QoL, respectively. Results Hip arthralgia was detected in 32 patients. Around 43% of which were diagnosed hip osteoarthritis, 34% greater trochanteric pain syndrome, 15% femoroacetabular impingement, and 6% soft tissue calcifications. Diabetes mellitus and hemodialysis duration were found to be significantly different between the groups of hip pain and without hip pain. Diabetes mellitus was identified as an independent risk factor for hip pain in hemodialysis patients. ADL and QoL were significantly lower in patients with hip pain compared to those without (p < 0.01; p < 0.05, respectively). Conclusions The results of our research show that HD patients should be screened for the presence of hip pain and other musculoskeletal disorders and that this is an area which requires further consideration and medical research.

Prevalence of musculoskeletal disorders among bus conductors in Nagpur city: An observational study

A wide range of inflammatory and degenerative conditions affecting muscles, tendons, joints, peripheral nerves, are categorized as “musculoskeletal disorders” (MSDs). Exposure to vibration and noises, the varying climatic conditions and the standing posture needs to be considered as a stress factor contributing to his/her health status. As conductors do constant work for 5 to 6 hours with 1-2 breaks in between while working they are constantly exposed to vibrational forces. : To assess the musculoskeletal problems in bus conductors of Nagpur city.: To assess the musculoskeletal problems in bus conductors in last one year (based on site of musculoskeletal problem using Nordic musculoskeletal questionnaire). : It was an observational study conducted on 100 bus conductors between age group of 20-50 years working with Nagpur Mahanagar Parivahan Limited (NMPL-AAPLI BUS). Nordic musculoskeletal questionnaire was used to assess musculoskeletal pain at various regions of body. : The most commonly affected area was knee joint (37%) followed by lower back (17%) and ankles/feet (11%).

A prospective study on the role of epidural steroidal injections in backache with radiculopathy

<p><strong>Background:</strong> Low backache (LBA) with lumbosacral radiculopathy is the most challenging musculoskeletal problem for its therapeutic management and cause of LBA with radiculopathy is a prolapsed disc. Epidural steroidal injection (ESI) are used in the management of the patients with sub-acute or chronic LBA with radiculopathy, not responding to conservative treatment. The most common cause being, lumbar disc disease, is confirmed via magnetic resonance imaging having high sensitivity and specificity. The aim of study was to check the efficacy of ESI in patients of sub-acute or chronic low backache with radiculopathy due to herniated disc.</p><p><strong>Methods:</strong> The study was conducted over 200 patients reporting our OPD during Dec 2017- Feb 2018 with complaints of LBA with radiculopathy, not responding to conservative treatment. Maximum of 3 ESI were given with two weeks of interval in between. The patients were assessed using VAS scoring system.</p><p><strong>Results:</strong> 77.5% patients got improvement in symptoms, according to the VAS scores, while 22.5% patients got very little relief or no relief at all. 53.5% patients got significant improvement with the first dose of injection itself. Patients had a good relief from radicular pain immediately; however, sense of satisfaction of well-being was only after few months.</p><p><strong>Conclusions:</strong> Though results supported the relative benefit of epidural steroid, however conservative management should also be recommended as initial treatment. ESI procedure is effective in treating patients of sub-acute LBA with radiculopathy and is recommended before a patient is considered for surgery.</p>

Ocular defect in children with cerebral palsy and its correlation with the types of cerebral palsy

Background: Cerebral palsy (CP) describes a group of permanent disorder of the development of movement and posture, causing activity limitation, that are attributed to non-progressive disturbance that occurred in the developing fetal or infant brain. The motor disorders of cerebral palsy are often accompanied by disturbances of sensation, perception, cognition, communication and behavior, by epilepsy, and secondary musculoskeletal problem. However, no known study has been found on this aspect. Objective of this study was to evaluate the ocular defect in children with cerebral palsy and to correlate with the types of CP.Methods: Study was done in the Paediatric Neurology unit of BSMMU from January 2012 to July 2012. One hundred thirty children with cerebral palsy were studied. The patients were randomly selected who full filled the inclusion criteria and ophthalmological examination was done.Results: Sixty four (64%) of CP patients had pathological finding and 36% percent had normal finding. Most of the abnormalities were squint (strabismus) (40%) and refractive error (36.9%). Most of the ocular defects were found in spastic cerebral palsy, mainly in spastic quadriplegia (34.6%) and spastic diplegia (29.2%).Conclusions: Ocular defect like squint and refractive error common associations of cerebral palsy. Spastic quadriplegic and diplegic children had more ocular defects.

Pelvic Tilt Exercise Against Lower Back Pain For Third Trimester Pregnant Women In Rejang Lebong Regency

Changes that occur during pregnancy may be difficult during pregnancy and during childbirth. Complications during pregnancy include back pain, low back pain, pelvic pain, and shortness of breath. One of the most common discomforts is back pain. Back pain is the most common musculoskeletal problem in pregnant women. It is estimated that 50% to 70% of pregnant women suffer from this problem. The purpose of this study was to determine the effect of pelvic tilt training on the reduction of back pain in third-trimester pregnant women in the Rejang Lebong Regency. The research variable was back pain in third-trimester pregnant women measured before and after pelvic tilt exercises. The research was conducted in May-July 2020. This type of research is Quasi-Experimental, the results of the sample calculation obtained a sample of 32 people. The statistical test used to see the reduction in back pain before and after Pelvic tilt exercise is non-parametric Wilcoxon. Results of back pain in the third trimester of pregnant women after being given pelvic tilt exercise with p <0.005. There is a difference in back pain in the third trimester of pregnant women after pelvic tilt exercises.

Factors that influence patient preferences for virtual consultations in an orthopaedic rehabilitation setting: a qualitative study

ObjectivesTo identify, characterise and explain factors that influence patient preferences, from the perspective of patients and clinicians, for virtual consultations in an orthopaedic rehabilitation setting.DesignQualitative study using semi-structured interviews and abductive analysis.SettingA physiotherapy and occupational therapy department situated within a tertiary orthopaedic centre in the UK.ParticipantsPatients who were receiving orthopaedic rehabilitation for a musculoskeletal problem. Occupational therapists, physiotherapists or therapy technicians involved in the delivery of orthopaedic rehabilitation for patients with a musculoskeletal problem.ResultsTwenty-two patients and 22 healthcare professionals were interviewed. The average interview length was 48 minutes. Four major factors were found to influence preference: the situation of care (the ways that patients understand and explain their clinical status, their treatment requirements and the care pathway), the expectations of care (influenced by a patients desire for contact, psychological status, previous care and perceived requirements), the demands on the patient (due to each patients respective social situation and the consequences of choice) and the capacity to allocate resources to care (these include financial, infrastructural, social and healthcare resources).ConclusionThis study has identified key factors that appear to influence patient preference for virtual consultations in orthopaedic rehabilitation. A conceptual model of these factors, derived from empirical data, has been developed highlighting how they combine and compete. A series of questions, based on these factors, have been developed to support identification of preferences in a clinical setting.