Occupational-Related Shoulder and Neck Pain Among the Working Population of Ethiopia: Systematic Review and Meta-Analysis

Background: Currently, work-related musculoskeletal disorders are a significant public health concern and are one of the leading causes of disability-adjusted life years and reduced quality of life. Therefore, the current study aimed to determine the country-wide prevalence of work-related musculoskeletal disorders, particularly shoulder and neck pain, in Ethiopia.Methods: This study considered studies conducted in Ethiopia, written in English and published in 2017-2020 and searched using electronic databases such as PubMed/MEDLINE, Web of Science, Google Scholar, CINAHL, SCOPUS, Embase, African Index Medicus, and African Journals Online database. The quality assessment of the studies was done using Joanna Briggs Institute Critical Assessment tools to determine the relevance of each included article to the study.Results: The study found that the pooled prevalence of shoulder and neck pain in the previous year represented 37.9% [95% CI:26.5, 50.8%] and 29.9% [95% CI: 20.1, 41.9], respectively. Based on the subgroup analysis, the pooled prevalence of shoulder pain in the last year based on the study population, publication year and study region was 47.6% [95% CI: 45.8, 49.4%], 49.8% [95% CI: 45.7, 53.9%] and 44.6% [95% CI: 41.4, 47.8%], respectively, while the pooled prevalence of neck pain in the last year based on the study population, publication year and study area was 39.1% (95% CI: 37.5, 40.7%], 25.1% [ 95% CI: 20.8, 29.9%] and 32.6% [95% CI: 29.8, 35.5%], respectively.Conclusions This study found that at least one third of the study participants had experienced occupational-related shoulder and/or neck pain in the previous year. The study suggests that there is a need to implement occupational health and safety measure to reduce work-related musculoskeletal disorders and other hazards.

Occupational Related Shoulder and Neck Pain Among Working Population of Ethiopia: Systematic Review and Meta-Analysis

Background: Currently, work-related musculoskeletal disorders are a significant public health concern and are one of the leading causes of disability-adjusted life years and reducing quality of life. Therefore, the current study aimed to provide the country-wide prevalence of work-related musculoskeletal disorders, particularly shoulder and neck pain, in Ethiopia.Methods: This study considered studies conducted in Ethiopia, written in English and published in 2017-2020 and searched using included electronic databases such as PubMed/MEDLINE, Web of Science, Google Scholar, CINAHL, SCOPUS, Embase, African Index Medicus, and African Journals Online database. The quality assessment of the studies was done using Joanna Briggs Institute Critical Assessment tools to determine the relevance of each included article to the study.Results: The study found that the pooled prevalence of shoulder and neck pain in the previous year represented 37.9% [95% CI:26.5, 50.8%] and 29.9% [95% CI: 20.1, 41.9], respectively. Based on the subgroup analysis, the pooled prevalence of shoulder pain in the last year based on the study population, publication year and study region was 47.6% [95% CI: 45.8, 49.4%], 49.8% [95% CI: 45.7, 53.9%] and 44.6% [95% CI: 41.4, 47.8%], respectively, while the pooled prevalence of neck pain in the last year based on the study population, publication year and study area was 39.1% (95% CI: 37.5, 40.7%], 25.1% [ 95% CI: 20.8, 29.9%] and 32.6% [95% CI: 29.8, 35.5%], respectively.Conclusions This study found that at least one third of the study participants had experienced occupational-related shoulder and/or neck pain the previous year. The study suggests that there is a need to implement occupational health and safety to reduce work-related musculoskeletal disorders and other hazards.

Occupational Related Shoulder and Neck Pain Among Working Population of Ethiopia: Systematic Review and Meta-Analysis

Background: Currently, work-related musculoskeletal disorders are a significant public health concern and are one of the leading causes of disability-adjusted life years and reducing quality of life. Therefore, the current study aimed to provide the country-wide prevalence of work-related musculoskeletal disorders, particularly shoulder and neck pain, in Ethiopia.Methods: This study considered studies conducted in Ethiopia, written in English and published in 2017-2020 and searched using included electronic databases such as PubMed/MEDLINE, Web of Science, Google Scholar, CINAHL, Cochrane Library, SCOPUS, Embase, African Index Medicus, and African Journals Online database. The quality assessment of the studies was done using Joanna Briggs Institute Critical Assessment tools to determine the relevance of each included article to the study.Results: The study found that the pooled prevalence of shoulder and neck pain in the previous year represented 37.9% [95% CI:26.5, 50.8%] and 29.9% [95% CI: 20.1, 41.9], respectively. Based on the subgroup analysis, the pooled prevalence of shoulder pain in the last year based on the study population, publication year and study region was 47.6% [95% CI: 45.8, 49.4%], 49.8% [95% CI: 45.7, 53.9%] and 44.6% [95% CI: 41.4, 47.8%], respectively, while the pooled prevalence of neck pain in the last year based on the study population, publication year and study area was 39.1% (95% CI: 37.5, 40.7%], 25.1% [ 95% CI: 20.8, 29.9%] and 32.6% [95% CI: 29.8, 35.5%], respectively.Conclusions This study found that at least one third of the study participants had experienced occupational-related shoulder and/or neck pain the previous year. The study suggests that there is a need to implement occupational health and safety to reduce work-related musculoskeletal disorders and other hazards.

Association of musculoskeletal pain in other body parts with new-onset shoulder pain: a longitudinal study among survivors of the Great East Japan Earthquake

ObjectiveShoulder pain is a common health problem coexisting with other musculoskeletal pain. However, the effects of pre-existing musculoskeletal pain on the development of shoulder pain are not clear. The present study aimed to elucidate the association between coexisting musculoskeletal pain at other body sites and new-onset shoulder pain among survivors of the Great East Japan Earthquake (GEJE).DesignThis is a longitudinal study.SettingThe study was conducted at the severely damaged coastal areas in Ishinomaki and Sendai cities.ParticipantsThe survivors who did not have shoulder pain at 3 years after the GEJE were followed up 1 year later (n=2131).InterventionsMusculoskeletal pain (low back, hand and/or foot, knee, shoulder and neck pain) was assessed using self-reported questionnaires.Main outcome measuresThe outcome of interest was new-onset shoulder pain, which was defined as shoulder pain absent at 3 years but present at 4 years after the disaster. The main predictive factor for new-onset shoulder pain was musculoskeletal pain in other body parts at 3 years after the GEJE; this was categorised according to the number of pain sites (0, 1, ≥2). Multiple regression analyses were conducted to calculate the odds ratio (OR) and 95% confidence interval (CI) for new-onset shoulder pain due to musculoskeletal pain in other body parts.ResultsThe incidence of new-onset shoulder pain was 6.7% (143/2131). Musculoskeletal pain in other body parts was significantly associated with new-onset shoulder pain. Using the survivors without other musculoskeletal pain as reference, the adjusted OR and 95% CI for new-onset shoulder pain were 1.86 (1.18 to 2.94) for those with one body part and 3.22 (2.08 to 4.98) for those with ≥2 body parts presenting with musculoskeletal pain (p<0.001).ConclusionsPre-existing musculoskeletal pain in other body parts was significantly associated with new-onset shoulder pain among survivors; this provides useful information for clinical and public health policies.

Prevalence of Occupational Related Shoulder and Neck Pain Among Working Population in Ethiopia: Systematic Review and Meta-Analysis

Background Currently, work-related musculoskeletal disorders are a significant public health concern and are a leading cause of disability-adjusted life years and reducing the quality of life worldwide. In developing countries including Ethiopia, there is no adequate evidence on the overall prevalence of work-related musculoskeletal disorders and it remains less prioritized and unrepresented. Thus, the current study aimed to provide the country wide prevalence of work-related musculoskeletal disorders particularly shoulder and neck pain in Ethiopia. Methods This study considered the studies conducted in Ethiopia, written in English language and published from 2017–2020. The studies were searched using various electronic databases such as PubMed/MEDLINE, Web of Science, Google Scholar, CINAHL, Cochrane Library, SCOPUS, Embase, African Index Medicus, and African Journals Online database from 16 July 2020 to 22 August 2020. The articles were searched using a Boolean logic operator (“AND”, “OR”, “NOT”) in combination with Medical Subject Heading (MeSH), terms, and keywords. Quality assessment of the studies was done using Joanna Briggs Institute (JBI) Critical Appraisal tools to determine the relevance of each included article to the study. Results The current study found the pooled prevalence of work-related shoulder and neck pain in the previous one year accounted 37.9% [95% CI:26.5, 50.8%; P-value < 0.001] and 29.9% [95% CI:20.1, 41.9%; P-value = 0.002] respectively. Based on the subgroup analysis, the pooled prevalence of work-related shoulder pain in the last one year based on the study population, publication year, and study region was 47.6% [95% CI: 45.8, 49.4%], 49.8% [95% CI: 45.7, 53.9%] and 44.6% [95% CI: 41.4, 47.8%] respectively while the pooled prevalence of neck pain in the last one year based on study population, publication year, and study area was 39.1% (95% CI: 37.5, 40.7%], 25.1% [ 95% CI: 20.8, 29.9%] and 32.6% [95% CI: 29.8, 35.5%] respectively. Conclusion This study found that at least one-third of the study participants were experienced occupational-related shoulder and/or neck pain in the previous last one year. The study suggests that there is a need to improve and implement occupational health and safety in the working environments to reduce work-related musculoskeletal disorders such as shoulder and neck pain, and other, occupational hazards.

THE FREQUENCY OF SOME CLINICAL SYMPTOMS ACCORDING TO TRADITIONAL MEDICINE IN PATIENTS WITH SHOULDER AND NECK PAIN

Backgrounds: Shoulder and neck pain is a common disease in the world as well as in Viet Nam and tends to increasingly rejuvenate, it impacts on patient’s ability to work and quality of life. Surveying the clinical symptoms according to the traditional medicine on purpose of making diverse diagnostic and towards comprehensive treatment. Therefore, in this study we contribute to build standardization of diagnostic symptoms according to traditional medicine. Objectives: To survey the frequency of some clinical symptoms according to traditional medicine and find outseveral factors related with frequency appear clinical groups of shoulder and neck pain. Materials and Methods: Including 87 patients were diagnosed with shoulder and neck pain treatment at the Traditional Medicine Department of Hue Central Hospital and Thua Thien Hue Traditional Medicine Hospital. Research methodology is descriptive cross-sectional. Results: about the tongue body: higher abnormal group is 18.4% pale tongue, 27.6% enlarged tongue. About the tongue fur: 75.9% white fur, 58.6% thin fur, slippery fur (31%) is higher than dry fur (17.2%). Cold symptom are the most common: warm compress relieve pain (62.1%). Heat symptom are the most common: dry thirsty mouth (34.5%). About pain feature, common symptoms such as press relieve pain (64.4%), dull pain (71.3%) and persistent pain (69%). About the pulse: sunken pulse 65.5%, slow pulse (31.1%), moderate pulse (47.1%), weak pulse (55.2%). Conclusion: symptoms have high rate such as pink moist tongue, white fur, dull pain, sunken pulse. Symptoms have low rate such as bluish purple tongue, sticky slimy fur. There were significant relationships between clinical groups and age, gender, disease duration, warm compress relieve pain, body palpation and pulse frequency (p <0.05). Key words: frequency, symptoms, shoulder and neck pain, traditional medicine.

Other musculoskeletal pain is associated with new-onset low back pain: A longitudinal study among survivors of the Great East Japan Earthquake

Background Low back pain (LBP) is a common health problem experienced after natural disasters. LBP is often concurrent with other musculoskeletal pain; however, the effects of preexisting musculoskeletal pain on LBP are not clear. The purpose of this study was to elucidate the influence of other musculoskeletal pain on new-onset LBP among survivors of the Great East Japan Earthquake (GEJE). Methods A longitudinal study was conducted with survivors at three and four years after the GEJE (n = 1,782). Musculoskeletal pain, such as low back, hand and/or foot, knee, shoulder, and neck pain, were assessed with self-reported questionnaires. New-onset LBP was defined as LBP absent at three years but present at four years after the disaster. Musculoskeletal pain except for LBP at three years after the GEJE were categorized according to the number of pain sites (0, 1, ≥ 2). Multiple regression analyses were performed to calculate the odds ratio (OR) and 95% confidence interval (CI) for new-onset LBP due to the other musculoskeletal pain. Results The incidence of new-onset LBP was 14.1% (251/1,782). Other musculoskeletal pain were significantly associated with new-onset LBP. Using “0” as a reference, the adjusted OR and 95% CI for new-onset LBP were 1.69 (1.17-2.42) in ”1” and 2.85 (1.86-4.36) in “≥ 2” musculoskeletal pain (p < 0.001) Conclusions Preexisting other musculoskeletal pain was associated with new-onset LBP among survivors in the recovery period after the GEJE. Attention should be paid to other musculoskeletal pain sites to treat and prevent LBP after natural disasters.

Comparing the Effects of SUREE Programs on People With Scapular Downward Rotation Syndrome: A Randomized Clinical Trial

Context: Scapular downward rotation syndrome (SDRS) is an impaired alignment that causes shoulder and neck pain. Interventions may lead to the reduction of pain intensity and joint position error (JPE) and improved range of motion (ROM). Objective: To evaluate the effects of 6-week Scapular Upward Rotation and Elevation Exercises (SUREE) with and without visual feedback on pain, ROM, and JPE in people with SDRS. Study Design: Randomized control trial. Setting: Institutional practice. Participants: Forty-two young and active subjects (22.61 [1.80] y; 27 males and 15 females) with unilateral SDRS randomly assigned into 3 groups (2 intervention groups and 1 control group). Interventions: SUREE without and with visual feedback programs. Main Outcome Measures: Pain, neck-flexion and rotation ROMs, and JPE were measured using visual analog scale (score), double inclinometer method, universal goniometer method (degrees), and a dual digital inclinometer (degrees), respectively, before and after interventions. Results: The results showed statistically significant changes within the experimental groups in all variables except for the neck rotation ROM in the SUREE intervention without visual feedback (P < .05). However, there were no changes in the control group before and after the interventions in all dependent variables (P < .05). Also, there were no significant differences between both experimental groups concerning all dependent variables except for the rotation ROM (P < .05). Conclusion: The results suggest that the 6-week SUREE with and without visual feedback programs result in decreased neck pain and improved flexion ROM and JPE during active neck motions in subjects with unilateral SDRS. However, the 6-week SUREE with visual feedback may improve the neck rotation ROM in subjects with unilateral SDRS. However, further studies are needed to confirm the results of this study.