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Sari M, Unver B, Kilinc HE, Tunc AR, Bek N. Effects of computer use on upper limb musculoskeletal disorders and function in academicians. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2024:1-6. [PMID: 38766735 DOI: 10.1080/10803548.2024.2349408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/22/2024]
Abstract
Objectives. This study aimed to investigate the effects of academician's demographic characteristics and computer usage habits on upper limb musculoskeletal disorders (MSDs) and function. Methods. A cross-sectional observational study was conducted with 100 academicians. Data were collected using questionnaires, which included the patient-rated wrist evaluation questionnaire - Turkish version (PRWE-T), the Cornell musculoskeletal discomfort questionnaire - Turkish version (CMDQ-T), the upper extremity functional index - Turkish version (UEFI-T), demographic characteristics and average daily computer usage time. Results. A low-level significant correlation was found between the age of the individuals and the CMDQ-T forearm (p = 0.044; r = 0.202) and CMDQ-T wrist (p = 0.001; r = 0.337) scores. Women had higher CMDQ-T neck scores and lower UEFI-T scores than men (p < 0.05). Academicians who used computers for 6 h a day or more had higher PRWE-T and CMDQ-T neck, shoulder, upper arm and forearm scores, and had a lower UEFI-T score (p < 0.05). Conclusion. Neck, shoulder, upper arm and forearm symptoms were higher and upper extremity function was impaired in academicians who used computers for 6 h a day or more. Besides, gender and age were associated with upper limb MSDs and function, but occupation duration did not affect those outcomes in academicians.
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Affiliation(s)
- Mustafa Sari
- Department of Physiotherapy and Rehabilitation, Faculty of Health Science, Lokman Hekim University, Turkey
| | - Banu Unver
- Department of Physiotherapy and Rehabilitation, Faculty of Health Science, Lokman Hekim University, Turkey
| | - Hasan Erkan Kilinc
- Physical Therapy and Rehabilitation Faculty, Hacettepe University, Turkey
| | - Azize Reda Tunc
- Department of Physiotherapy and Rehabilitation, Faculty of Health Science, Lokman Hekim University, Turkey
| | - Nilgun Bek
- Department of Physiotherapy and Rehabilitation, Faculty of Health Science, Lokman Hekim University, Turkey
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Alyousef YS, Ross MH, Johnston V, Smith MD. Experiences of Working with Lower Limb Osteoarthritis: A Qualitative Study. JOURNAL OF OCCUPATIONAL REHABILITATION 2023:10.1007/s10926-023-10158-8. [PMID: 37995059 DOI: 10.1007/s10926-023-10158-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 11/07/2023] [Indexed: 11/24/2023]
Abstract
PURPOSE Pain and disability associated with lower limb osteoarthritis (OA) may contribute to difficulties at work. This study aimed to understand the perspectives of workers with lower limb OA on difficulties, concerns, and coping strategies used at work. METHODS Twenty-two individuals with lower limb OA who were working in paid employment participated in semi-structured interviews. Data were qualitatively analyzed using an inductive thematic approach. Codes were identified and refined through review of interview transcripts and discussion with the research team. RESULTS Six themes were identified in relation to experiences working with lower limb OA. Themes were as follows: weight-bearing physical demands are challenging; lower limb OA can affect work performance; emotional consequences of pain; concerns about work in the future; positive experiences of supportive colleagues and managers; and minimal effects on sedentary work. Three themes were identified relating to strategies to manage at work: adjustments at work help manage pain and avoid exacerbations; regular strategies to manage pain; and healthcare professionals are consulted, but usually not specifically for work. CONCLUSIONS Workers with lower limb OA experience physical and emotional difficulties at work that can impact work performance. Workers are concerned about longevity and job security and use a range of strategies to manage symptoms and remain at work. Employers, employees, and healthcare professionals may need to work together to create workplace accommodations to help workers with lower limb OA confidently remain in work.
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Affiliation(s)
- Yousef S Alyousef
- School of Health and Rehabilitation Sciences, Physiotherapy, The University of Queensland, Brisbane, QLD, Australia
- College of Applied Medical Sciences, Majmaah University, Al Majma'ah, Saudi Arabia
| | - Megan H Ross
- School of Health and Rehabilitation Sciences, Physiotherapy, The University of Queensland, Brisbane, QLD, Australia
| | - Venerina Johnston
- School of Health and Rehabilitation Sciences, Physiotherapy, The University of Queensland, Brisbane, QLD, Australia
- School of Health and Medical Sciences, University of Southern Queensland, Ipswich, QLD, Australia
- Centre for Health Research, University of Southern Queensland, Toowoomba, QLD, Australia
| | - Michelle D Smith
- School of Health and Rehabilitation Sciences, Physiotherapy, The University of Queensland, Brisbane, QLD, Australia.
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A Cross-Sectional Study of the Association Between Telecommuting Environments and Shoulder Pain Among Japanese Telecommuting Workers. J Occup Environ Med 2023; 65:e101-e104. [PMID: 36477020 PMCID: PMC9987648 DOI: 10.1097/jom.0000000000002765] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
OBJECTIVE The aim of this study was to investigate the association between telecommuting environments and shoulder pain in Japanese telecommuters. METHODS We conducted an Internet-monitored, cross-sectional study and analyzed 2537 participants who mainly telecommuted at least 4 days per week. We assessed the presence of shoulder pain using a numerical rating scale and the characteristics of the telecommuting environment by asking eight questions. We used multilevel logistic regression analysis with the city of residence as a random effect. RESULTS Inadequate desk brightness (odds ratio [OR], 1.39; 95% confidence interval [CI], 1.09-1.78), inadequate foot space (OR, 1.27; 95% CI, 1.02-1.58), and uncomfortable temperature and humidity (OR, 1.41; 95% CI, 1.16-1.72) were associated with shoulder pain in multilevel logistic regression analysis. CONCLUSIONS Inappropriate telecommuting environments were associated with an increase in the prevalence of shoulder pain in Japanese telecommuters.
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Chim JMY, Chen TL. Prediction of Work from Home and Musculoskeletal Discomfort: An Investigation of Ergonomic Factors in Work Arrangements and Home Workstation Setups Using the COVID-19 Experience. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:3050. [PMID: 36833747 PMCID: PMC9967171 DOI: 10.3390/ijerph20043050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/31/2022] [Revised: 02/07/2023] [Accepted: 02/07/2023] [Indexed: 06/18/2023]
Abstract
The COVID-19 pandemic provided an opportunity for office workers to experience work from home (WFH). The aims of this study are to investigate the prevalence rate of musculoskeletal discomfort (MSD) and the work conditions of homeworkers during WFH as well as to evaluate the association and predicted risk of ergonomic factors and MSD. A total of 232 homeworkers completed questionnaires. Chi-square test and logistic regression were used to analyze the association and prediction of work arrangements and home workstation setups and musculoskeletal outcomes. The result showed that 61.2% of homeworkers reported MSD while WFH. Because of the small living spaces in Hong Kong, 51% and 24.6% of homeworkers worked in living/dining areas and bedrooms, respectively, potentially affecting their work and personal life. Additionally, homeworkers adopted a flexible work style, but prolonged computer use while WFH. Homeworkers who used a chair without a backrest or a sofa could predict a significantly higher risk of MSD. The use of a laptop monitor posed about a 2 to 3 times higher risk of suffering from neck, upper back, and lower back discomfort than the use of a desktop monitor. These results provide valuable information to help regulators, employers, homeworkers, and designers create better WFH guidelines, work arrangements, and home settings.
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Affiliation(s)
- Justine M. Y. Chim
- College of Design, National Taipei University of Technology, Taipei 10608, Taiwan
- Chim’s Ergonomics and Safety Limited, Hong Kong SAR, China
| | - Tien Li Chen
- College of Design, National Taipei University of Technology, Taipei 10608, Taiwan
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Talapatra S, Parvez M, Saha P, Kibria MG, Hoque A. Musculoskeletal risk factors assessment based on exploratory factor analysis and fuzzy analytical hierarchy process. THEORETICAL ISSUES IN ERGONOMICS SCIENCE 2022. [DOI: 10.1080/1463922x.2022.2157065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Affiliation(s)
- S. Talapatra
- Department of Industrial Engineering and Management, Khulna University of Engineering & Technology, Khulna, Bangladesh
| | - M.S. Parvez
- Department of Industrial Engineering and Management, Khulna University of Engineering & Technology, Khulna, Bangladesh
| | - P. Saha
- Department of Industrial Engineering and Management, Khulna University of Engineering & Technology, Khulna, Bangladesh
| | - M. G. Kibria
- Department of Industrial Engineering and Management, Khulna University of Engineering & Technology, Khulna, Bangladesh
| | - A.S.M. Hoque
- Department of Industrial and Production Engineering, Jashore University of Science and Technology, Jashore, Bangladesh
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Gosain L, Ahmad I, Rizvi MR, Sharma A, Saxena S. Prevalence of musculoskeletal pain among computer users working from home during the COVID-19 pandemic: a cross-sectional survey. BULLETIN OF FACULTY OF PHYSICAL THERAPY 2022. [PMCID: PMC9800234 DOI: 10.1186/s43161-022-00110-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Abstract
Background
Office employees are at a greater risk for musculoskeletal disorders (MSD) due to their prolonged computer use. In the context of COVID-19, an unanticipated shift to working from home is likely to increase MSD due to a lack of an ergonomic workspace and longer workdays.
Aim
To explore the prevalence of MSD with work-related risk factors among the computer users working from home during the COVID-19 pandemic.
Study design
Cross-sectional survey.
Methods
Computer users working from home for more than 6 hours per day during the COVID-19 lockdown were assessed for possible work-related MSD using web-based survey—Google forms for Nordic Musculoskeletal Questionnaire.
Results
One hundred twenty one responses from 53 (43.8%) females (25.47 ± 5.72 years) and 68 (56.2%) males (28.65 ± 4.68 years) were included. The female participants were more prone to musculoskeletal pain as compared to males. The neck pain (60.3%), lower back pain (59.5%), and shoulder pain (49.6%) were the most reported body regions affected by work-related MSD. The elbow (18.2%), wrist/hand (35.5%), upper back (42.1%), hips (24.8%), knee (23.1%), and ankle/feet (14%) were the least affected regions. The risk factors associated with MSP includes lack of workplace at home during lockdown, stress after being in one posture, stress in eyes, and mental stress due to work.
Conclusions
During the lockdown phase, the transition of computer workers from working office environment to home increased the prevalence of MSD more commonly in females than males. There is a need to investigate early detection, prevention, and management options to enhance health outcomes.
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Zenbaba D, Sahiledengle B, Dibaba D, Tufa T, Mamo A, Atlaw D. Work-Related Musculoskeletal Symptoms and Associated Factors Among Academic Staff in Ethiopian Universities. ENVIRONMENTAL HEALTH INSIGHTS 2022; 16:11786302221131690. [PMID: 36325376 PMCID: PMC9619926 DOI: 10.1177/11786302221131690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Accepted: 09/22/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND Work-related musculoskeletal symptoms (WMSs) are common injuries or pains that primarily affect various body structures. It is difficult to estimate the burden of WMSs in developing countries such as Ethiopia due to a lack of evidence, particularly among university academic staff. There is a universal and rapidly growing need for information about WMSs, as this is the main challenge to public health and economic burden. The purpose of this study was to determine the magnitude of work-related musculoskeletal symptoms and their associated factors among academic staff in Ethiopian universities. METHODS From February 2 to March 24, 2021, a web-based cross-sectional study was conducted among 422 academic staff members working in Ethiopian universities. A structured and self-administered Google Form questionnaire was sent and shared with the academic staff via their email addresses, Facebook, and Telegram accounts. Using a p-value of <0.05 and a 95% confidence interval, multivariable logistic regression was used to identify factors associated with the outcome variable. RESULTS Around 321 (77.2%) of the 416 participants were reported to have work-related musculoskeletal symptoms at least in one part of the body (95% CI: 73.1, 81.5%), with 28.1% reporting lower back pain. Respondents working in second-stage universities (AOR = 7.35, 95% CI 3.21, 16.79), being 44 years old or older (AOR = 7.89, 95% CI 2.10, 21.57), having a Ph.D. (AOR = 7.09, 95% CI 1.50, 17.93), engaging in physical activity (AOR = 3.32, 95% CI 1.43, 7.74), and working on a computer (AOR = 6.89, 95% CI 2. 0.72, 19.15) were the factors associated with work-related musculoskeletal symptoms. CONCLUSION Almost three-quarters of academic staff reported work-related musculoskeletal symptoms in this survey. Factors such as university establishment stage, age, educational status, physical activity, and frequent computer use were found to be significantly associated with work-related musculoskeletal symptoms.
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Affiliation(s)
- Demisu Zenbaba
- Madda Walabu University Goba Referral
Hospital, School of Health Sciences, Department of Public Health, Bale-Goba,
Ethiopia
| | - Biniyam Sahiledengle
- Madda Walabu University Goba Referral
Hospital, School of Health Sciences, Department of Public Health, Bale-Goba,
Ethiopia
| | - Diriba Dibaba
- Madda Walabu University Goba Referral
Hospital, School of Health Sciences, Department of Public Health, Bale-Goba,
Ethiopia
| | - Tilahun Tufa
- Madda Walabu University Goba Referral
Hospital, School of Health Sciences, Department of Public Health, Bale-Goba,
Ethiopia
| | - Ayele Mamo
- Madda Walabu University Goba Referral
Hospital, School of Medicine, Department of Pharmacy, Bale-Goba, Ethiopia
| | - Daniel Atlaw
- Madda Walabu University Goba Referral
Hospital, School of Medicine, Department Biomedical, Bale-Goba, Ethiopia
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Abusamak M, Jaber HM, Alrawashdeh HM. The Effect of Lockdown Due to the COVID-19 Pandemic on Digital Eye Strain Symptoms Among the General Population: A Cross-Sectional Survey. Front Public Health 2022; 10:895517. [PMID: 35812520 PMCID: PMC9256929 DOI: 10.3389/fpubh.2022.895517] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2022] [Accepted: 05/30/2022] [Indexed: 11/13/2022] Open
Abstract
Repetitive prolonged use of digital devices without regular breaks has detrimental effects on ocular health and quality of vision. Individuals with chronic eye problems and refractive errors are at higher risk of developing digital eye strain (DES). Correction of refractive errors, adopting healthy practices will reduce its risk. The survey examined the effect of prolonged lockdown on the development and increased severity of digital eye strain (DES) symptoms among the general population. An online survey was conducted in March 2020 on social media platforms in Jordan. Data from 1,460 responders were analyzed. About half of the respondents were between 30–49 years, 28.4% were retired, 21% had chronic systemic illness, and 23% reported chronic eye problems. A rise in the use of digital devices during lockdown was reported by 957 participants, with 33% of them used digital devices more than 4 h a day. The most common symptoms before and during lockdown were headache and neck / shoulder pain have the highest associations (X2 = 280.0, 271.3, df = 4, p < 0.001 respectively). Female gender, existence of chronic eye problems and systemic diseases, and duration of using digital devices were found to be statistically significant factors associated with increasing severity of eye symptoms during lockdown. Not taking enough regular breaks from digital devices showed significant association with blurred vision at distance and near (X2 = 13.03, 10.74, df = 4, P = 0.011, 0.03, respectively). People with chronic eye problems and increased time using devices during lockdown developed new eye complaints three times more than before the lockdown and males were two times more likely than females to have more severe eye symptoms.
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Affiliation(s)
- Mohammad Abusamak
- Department of Surgery, School of Medicine, Al-Balqa Applied University, Amman, Jordan
- Department of Public Health, Amman Eye Clinic, Amman, Jordan
- *Correspondence: Mohammad Abusamak
| | - Hatim M. Jaber
- Department of Community Medicine, School of Medicine, Al-Balqa Applied University, Amman, Jordan
| | - Hamzeh Mohammad Alrawashdeh
- Department of Community Medicine, School of Medicine, Al-Balqa Applied University, Amman, Jordan
- Ophthalmology Department, Sharif Eye Centers, Amman, Jordan
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Yazdanirad S, Pourtaghi G, Raei M, Ghasemi M. Development and validation of a tool for the comprehensive risk assessment of musculoskeletal disorders (CRAMUD) among employees of a steel industry. THEORETICAL ISSUES IN ERGONOMICS SCIENCE 2022. [DOI: 10.1080/1463922x.2022.2086643] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Saeid Yazdanirad
- School of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran
| | - Gholamhossein Pourtaghi
- Health Research Center, Lifestyle Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Mehdi Raei
- Health Research Center, Lifestyle Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Mohammad Ghasemi
- Health Research Center, Lifestyle Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
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Li J, Huang S, Wang F, Chen S, Zheng H. Ergonomic assessment method of risk factors for musculoskeletal disorders associated with sitting postures. INT J PATTERN RECOGN 2022. [DOI: 10.1142/s0218001422560171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Khoshakhlagh AH, Majdabadi MA, Yazdanirad S. The impact of ergonomic-educational interventions on reduction of musculoskeletal symptoms among employees of oil and gas installations in Iran. Work 2022; 71:651-660. [DOI: 10.3233/wor-205231] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND: Musculoskeletal disorders can cause increased absenteeism, costs, and injuries. OBJECTIVE: The present study was aimed to investigate the impact of ergonomic-educational interventions on the reduction of musculoskeletal symptoms among employees of oil and gas installations. METHODS: This interventional study was conducted on 1243 male workers of oil and gas installations in the south of Iran. The Nordic questionnaire and quick exposure check (QEC) method were used to evaluate the risk of developing musculoskeletal disorders in the participants. Then, the educational interventions via training sessions, designed educational booklets and leaflets, and prepared educational film were performed. Data were collected at the times of two months before and six months after the interventions. RESULTS: The prevalence of musculoskeletal symptoms, at least in one of the body areas, was equal to 71.28%. The results showed that the prevalence of these symptoms significantly decreased in all body areas after the educational interventions (P <0.028). The highest reduction rate occurred in the regions of wrists and hands (52.77%), knees (47.17%), and waist (47.13%), respectively. Moreover, the results indicated that the mean value of the total score of quick exposure check (QEC) had a meaningful decrease from 0.92 to 0.54 after the educational interventions (P <0.0001). CONCLUSION: The planned educational interventions efficiently reduced the prevalence of musculoskeletal symptoms and the ergonomic risk levels estimated by QEC in the research population.
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Affiliation(s)
- Amir Hossein Khoshakhlagh
- Department of Occupational Health Engineering, School of Health, Kashan University of Medical Science, Kashan, Iran
| | - Masoud Askari Majdabadi
- Department of Occupational Health Engineering, School of Health, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
| | - Saeid Yazdanirad
- School of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran
- Social Determinants of Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
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The impact of e-learning during COVID-19 pandemic on students' body aches in Palestine. Sci Rep 2021; 11:22379. [PMID: 34789843 PMCID: PMC8599456 DOI: 10.1038/s41598-021-01967-z] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Accepted: 11/08/2021] [Indexed: 11/10/2022] Open
Abstract
Musculoskeletal pain is a major concern in our life due to its negative effects on our ability to perform daily functions. During COVID-19 pandemic, several countries switched their teaching programs into e-learning, where students spend long hour using electronic devices. The use of these devices was associated with several musculoskeletal complains among the students. The aim of this study is to evaluate the different body aches associated with e-learning on university students. The subjects of this study were students from An-Najah University in Palestine. 385 questionnaires were filled using Google forms questionnaire and all the subjects were using e-learning due to COVID-19 pandemic. Our study showed that a large percentage of participants used electronic devices for e-learning during the pandemic. The Duration of these devices use was correlated with duration and degree of pain, and associated with the difficulty in ability to perform several daily activities. Furthermore, most of the students used the sitting position with supine bent forward during the device usage. Thus, the university students that participated in this study had an increase in body aches during the e-learning process, and the aches duration and severity increases if the duration of electronic devices usage increase.
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Kadri Filho FE, São-João TIM, Alexandre NMC, de Lucca SR, Gallasch CH, Rodrigues RCM, Cornélio ME. Musculoskeletal symptoms, psychosocial factors and work ability in Brazilian labor justice workers. Work 2021; 69:917-926. [PMID: 34219687 DOI: 10.3233/wor-213524] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND The implementation of the electronic judicial process (PJe) in recent years is associated with an increase in workload and stricter control through productivity targets in the Brazilian labor judiciary. OBJECTIVES To evaluate the relations between musculoskeletal symptoms, psychosocial factors and work ability in civil servants of a labor justice body in the context of the PJe. METHODS A cross-sectional exploratory study with a quantitative approach involving 449 workers. Sociodemographic, occupational and related data were collected through questionnaires validated in the Brazilian context. Data analysis was conducted by descriptive and inferential statistics: Mann-Whitney test, Spearman's correlation coefficient and multiple linear regression. RESULTS There was a correlation between musculoskeletal symptoms and psychosocial factors (p < 0.05), as well as between both musculoskeletal symptoms and psychosocial factors with reduced work ability (p < 0.05). The multiple linear regression model pointed to the female gender and the dimensions "demands", "control" and "peer support" as related to the musculoskeletal symptoms. CONCLUSION We highlight the importance of a broader approach, involving psychosocial factors in preventive actions related to musculoskeletal disorders considering the important relationship with work ability.
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Kalahasthi R, Bagepally BS, Barman T. Association between Musculoskeletal Pain and Bone Turnover Markers in Long-Term Pb-Exposed Workers. J Res Health Sci 2021; 21:e00522. [PMID: 34698656 PMCID: PMC8957687 DOI: 10.34172/jrhs.2021.55] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Revised: 06/29/2021] [Accepted: 06/27/2021] [Indexed: 11/23/2022] Open
Abstract
Background: On chronic exposure, Lead (Pb) deposits in the skeletal system, replaces calcium ions, and alters the normal physiological processes, which in turn, lead to stunting, delayed fracture healing, and high resorption of collagen molecules. The present study aimed to assess the association of musculoskeletal pain and discomfort with bone turnover markers (BTMs) among long-term Pb-exposed workers.
Study design: A cross-sectional study.
Methods: The study recruited 176 male Pb-exposed workers and 80 control subjects who were matched for age, gender, and socio-economic status. Blood lead levels (BLLs), bone growth markers, such as serum osteocalcin (OC), alkaline phosphatase (ALP), bone alkaline phosphatase (BAP), and bone resorption markers: serum pyridinoline (Pry), deoxypyridinoline (DPry), tartrate-resistant acid phosphatase-5b(TRACP-5b), and hydroxyproline in urine (HyP-U) of participants were investigated. Pain and discomfort in the musculoskeletal system were assessed using Nordic Musculoskeletal Questionnaire.
Results: Pb-exposure was significantly associated with musculoskeletal discomfort of the lower back (P<0.001), upper back (P<0.001), and ankle/foot (P=0.011). Among bone formation markers, serum OC was significantly lower in musculoskeletal discomfort of elbows (P=0.033) and ankle/foot (P=0.042). Among bone resorption markers, serum DPry was significantly lower in musculoskeletal discomfort of the neck (P=0.049) and shoulders (P=0.023). HyP-U was significantly higher in musculoskeletal discomfort of shoulders (P=0.035) and lower back (P=0.036).
Conclusion: As evidenced by the obtained results, Pb-exposure was associated with musculoskeletal discomfort of the lower back, upper back, and ankle/foot. Lower bone formation (serum OC) marker was noted with musculoskeletal discomfort of elbows and ankle/foot. Furthermore, bone resorption markers were associated with musculoskeletal discomfort of the neck, shoulders, and lower back. The findings of the present study suggested that long-term Pb-exposure and BTMs were associated with musculoskeletal discomfort.
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Affiliation(s)
- Ravibabu Kalahasthi
- Department of Biochemistry, Regional Occupational Health Centre (Southern), Indian Council of Medical Research, ICMR Complex, Karnataka, India.
| | | | - Tapu Barman
- Department of Bacteriology, National Institute of Cholera and Enteric Diseases, Beleghata, Kolkata, West Bengal, India
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Soria-Oliver M, López JS, Torrano F, García-González G. Do psychosocial factors mediate the appearance of musculoskeletal symptoms? Evidence of an empirical study about the role of mental workload in computer workers. PLoS One 2021; 16:e0252179. [PMID: 34138890 PMCID: PMC8211229 DOI: 10.1371/journal.pone.0252179] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Accepted: 05/11/2021] [Indexed: 11/26/2022] Open
Abstract
The emergence of musculoskeletal symptoms (MSSs) in computer workers is a relevant occupational health problem. This study tests a multilevel model of analysis of risk factors in the appearance of musculoskeletal pain and discomfort in computer workers that integrates indicators from different areas: temporal usage patterns, ergonomic factors, psychosocial factors, and individual variables, specifically testing the possible mediating role of the mental workload. A cross-sectional study was performed through online registration with a non-probabilistic sample of 1198 workers from Spanish organizations. The results show that mental workload has a higher association than the rest of the factors with the onset of pain and discomfort in various body areas: neck in men, neck, shoulders and upper back in women. They also support the mediation role of mental workload in the relationship between usage patterns and the appearance of musculoskeletal symptoms. The use of multilevel theoretical models that adequately consider the complexity of the relationships between the different risk factors is necessary for a better understanding and intervention on MSSs in computer workers.
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Affiliation(s)
- María Soria-Oliver
- Facultad de Ciencias de la Salud, Universidad Pública de Navarra, Pamplona, Navarra, Spain
- * E-mail: (JSL); (MSO)
| | - Jorge S. López
- Facultad de Ciencias de la Salud, Universidad Pública de Navarra, Pamplona, Navarra, Spain
- IdiSNA-Instituto de Investigaciones Sanitarias de Navarra, Pamplona, Spain
- * E-mail: (JSL); (MSO)
| | - Fermín Torrano
- UNIR-Universidad Internacional de la Rioja, Logroño, La Rioja, Spain
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Incidence of work related musculoskeletal disorders in medical dosimetry. Med Dosim 2021; 46:377-381. [PMID: 34039527 DOI: 10.1016/j.meddos.2021.04.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2020] [Revised: 04/09/2021] [Accepted: 04/13/2021] [Indexed: 11/24/2022]
Abstract
Musculoskeletal disorders (MSDs) account for almost 70 million physician office visits per year in the United States and are the most common workplace injuries. These are conditions involving the nerves, tendons, muscles, and supporting structures of the body. Previous studies have concluded that computer users are at high risk of developing work-related musculoskeletal disorders (WRMSDs). As computer users, medical dosimetrists are at risk of developing WRMSDs, yet there is a lack of information regarding the incidence of WRMSDs among medical dosimetrists. The purpose of this study was to determine the incidence of WRMSDs and variables of workstation ergonomics that contribute to the increased risk of WRMSDs in medical dosimetrists. A Qualtrics survey was created to support the 3 research questions guiding this study. The survey was distributed to 2,646 full members of the American Association of Medical Dosimetrists (AAMD), which included only certified medical dosimetrists (CMDs), via email. The distribution of email surveys sent through the AAMD email distribution list resulted in 988 emails opened, for a contact rate of 37% (988/2646). One hundred sixty-four responses were recorded yielding a completion rate of 17% (164/988). Fifty-five percent (90/163) of participants responded that they have experienced WRMSDs. Forty-four percent (289/652) of responses indicated WRMSDs have a slight or moderate interference on work. Sixty-two percent (94/152) of participants felt that their workstations were not ergonomically designed; even greater 68% (104/153) did not feel their workstations were designed for their individually needs. Of those respondents 64% (98/152) would like to see further adaptations made to their workspaces.
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Kadri-Filho FE, São-João TM, Alexandre NMC, Rodrigues RCM, Cornélio ME. Musculoskeletal symptoms and work ability in a context of electronic judicial process. Rev Bras Med Trab 2021; 19:3-12. [PMID: 33986775 PMCID: PMC8100759 DOI: 10.47626/1679-4435-2021-497] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Introduction The recent transformations undergone by Brazilian labor court, especially with the introduction of electronic process of law (processo judicial eletrônico [PJe]), had a significant influence on how people work. Objectives This study aimed to evaluate the occurrence of musculoskeletal symptoms and work ability in public sector employees working in a specialized labor court body. Methods A cross-sectional study was conducted with 449 workers, who provided demographic and occupational information and completed the Nordic Musculoskeletal Questionnaire (NMQ) and the Work Ability Index (WAI). Results Symptoms occurred more frequently in wrists/hands (62.4%), shoulders (62.1%), and neck (60.4%) in the past 12 months, and in the neck (29.8%), shoulders (29.4%), and wrists/hands (29.2%) in the past 7 days. The mean WAI score was 38.7 (6.4), and 31.4% of participants had poor or moderate work ability. WAI scores were poorer when participants had previous problems, and the number of body segments involved in complaints was greater among those with inadequate work ability. Conclusions Higher frequency of musculoskeletal symptoms in wrists/hands, shoulders, and neck may be related to using PJe for work and is associated with poorer work ability scores, highlighting the importance of preventive interventions for work-related musculoskeletal disorders.
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Redivo VS, Olivier B. Time to re-think our strategy with musculoskeletal disorders and workstation ergonomics. SOUTH AFRICAN JOURNAL OF PHYSIOTHERAPY 2021; 77:1490. [PMID: 33604477 PMCID: PMC7876947 DOI: 10.4102/sajp.v77i1.1490] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Accepted: 09/03/2020] [Indexed: 11/16/2022] Open
Abstract
Background The dramatic increase in visual display units (VDU) in the workplace over a 20-year period is linked to the increased prevalence of musculoskeletal disorders (MSDs). Objectives The objective of our study was to compare ergonomic risk factors and work-related psychosocial factors in VDU users with and without MSD. Methods Participants, with and without MSD, working with VDU for more than 4 h a day completed the Nordic Musculoskeletal Questionnaire and the Effort-Reward Imbalance Model and Over-commitment Questionnaire. The workstation of each participant was assessed for ergonomic risk factors using the Rapid Office Strain Assessment (ROSA). Results Sixty-eight VDU users with and 68 without MSDs participated. The workstation ergonomic risk factors as measured with the ROSA were similar for the two groups: 4.5 ± 1.0 for the MSD group and 4.3 ± 0.8 for the reference group (p = 0.10). The work-related psychosocial factors, namely over-commitment, were higher in the MSD group (14.9 ± 3.1) than in the reference group (13.8 ± 3.4; p = 0.041). Conclusions As over-commitment is an indication of intrinsic factors and personal characteristics, the significant difference between the MSD group’s over-commitment score and that of the reference group suggests that interventions to empower individuals are needed. Clinical implications Physiotherapists should only adjust ergonomic workstation risk factors when established as contributory to MSD, and should be cognisant of work-related or individual psychosocial factors that may impact the patient with MSD. The use of ergonomic advice to patients with MSD should be performed with caution, taking all the work place risk factors for MSD into account.
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Affiliation(s)
- Vanessa S Redivo
- Department of Physiotherapy, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Benita Olivier
- Department of Physiotherapy, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
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Nakatsuka K, Tsuboi Y, Okumura M, Murata S, Isa T, Kawaharada R, Matsuda N, Uchida K, Horibe K, Kogaki M, Ono R. Association between comprehensive workstation and neck and upper-limb pain among office worker. J Occup Health 2021; 63:e12194. [PMID: 33534962 PMCID: PMC7857724 DOI: 10.1002/1348-9585.12194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2020] [Revised: 11/03/2020] [Accepted: 11/16/2020] [Indexed: 11/11/2022] Open
Abstract
OBJECTIVES Our study aimed to investigate the association between comprehensive workstations and neck and upper-limb pain (NUP) among office workers. METHODS This cross-sectional study included 307 office workers (median age, 39 years; 88% men). Workstations (presence of armrest, armrest position, number of monitors used, mouse position, mouse usage, keyboard usage, and keyboard position) were investigated in terms of 17 items and judged as "adequate" or "inadequate." NUP was assessed using a numerical rating scale. NUP locations included the neck, shoulder, elbow, and wrist. In the statistical analysis, outcome variables were the presence of pain in each part, while explanatory variables were the number of inadequate workstations. Logistic regression analyses were conducted with adjustment for age, gender, working duration, and exercise habit. RESULTS The prevalence of neck pain was 47% (n = 143), shoulder pain was 50% (n = 153), elbow pain was 7.2% (n = 22), and wrist pain was 13% (n = 40). In the adjusted model, the number of inadequate workstations had significant positive associations with elbow pain (odds ratio [OR], 1.39; 95% confidence interval [CI], 1.06.1.81) and wrist pain (OR, 1.80; 95% CI, 1.17.2.26). However, the number of inadequate workstations was not significantly associated with neck pain or shoulder pain. CONCLUSIONS Workstation-related factors (presence of armrest, armrest position, mouse usage, and keyboard usage) were significantly associated with elbow and wrist pain. Our findings suggest that workstations can contribute to elbow and wrist pain in office workers.
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Affiliation(s)
- Kiyomasa Nakatsuka
- Department of Public HealthGraduate School of Health SciencesKobe UniversityKobeJapan
| | - Yamato Tsuboi
- Department of Public HealthGraduate School of Health SciencesKobe UniversityKobeJapan
- Japan Society for the Promotion of ScienceChiyodaJapan
| | - Maho Okumura
- Division of Rehabilitation MedicineKobe University HospitalKobeJapan
| | - Shunsuke Murata
- Department of Preventive Medicine and EpidemiologyNational Cerebral and Cardiovascular Center Research InstituteOsakaJapan
| | - Tsunenori Isa
- Department of Public HealthGraduate School of Health SciencesKobe UniversityKobeJapan
| | - Rika Kawaharada
- Department of Public HealthGraduate School of Health SciencesKobe UniversityKobeJapan
| | - Naoka Matsuda
- Division of Rehabilitation MedicineKobe Mariners HospitalKobeJapan
| | - Kazuaki Uchida
- Department of Public HealthGraduate School of Health SciencesKobe UniversityKobeJapan
| | - Kana Horibe
- Department of Public HealthGraduate School of Health SciencesKobe UniversityKobeJapan
| | | | - Rei Ono
- Department of Public HealthGraduate School of Health SciencesKobe UniversityKobeJapan
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Sahu M, Gnanaraj Solomon D, Vijay SJ, Sudhahar JC. Ergonomic evaluation of the risk factors causing pain in the upper part of the body among IT professionals in India. Work 2020; 67:993-1005. [DOI: 10.3233/wor-203349] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND: In developing countries, the recent increase in computer-related work has considerably increased the occupational complaint of pain. OBJECTIVE: To examine the effects of workstation design, posture and ergonomic awareness on the prevalence of pain for a year in the upper part of the body (eyes, hands, arms, shoulders, lower back, and upper back) among IT professionals in India. METHOD: To investigate the association of risk factors with the prevalence of pain in different body parts, a newly designed online questionnaire titled “A Questionnaire based on ergonomics for IT Professionals” was developed. The psychometric properties of this questionnaire were tested. 110 computer office workers were recruited from IT companies from major cities in India. RESULTS: The confirmation of reliability and lack of redundancy of items was provided by the calculation of internal consistency (Cronbach’s alpha 0.804) and cross-validation. 60% of participants was male. Mean age was 29.73±6.09 years. The prevalence of pain for a year in the upper part of the body was 38.2%. The frequently reported pains were in the neck (22.7%), lower back area (22.7%), and eye strain (21.8%). CONCLUSION: It was identified that long working hours, excessive usage of smartphones, lack of exercise, incorrect workstation adjustments, and incorrect posture were the risk factors for the prevalence of pain.
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Affiliation(s)
- Mona Sahu
- Karunya Institute of Technology and Sciences, Coimbatore, Tamil Nadu, India
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Work-Related Musculoskeletal Disorders Among a sample of Iranian Computer Users. INTERNATIONAL JOURNAL OF MUSCULOSKELETAL PAIN PREVENTION 2020. [DOI: 10.52547/ijmpp.5.3.367] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Shin SS, Lee MR, Yoo WG. The Intertester Reliability of a Modified Movement System Impairment Classification System Used to Evaluate Individuals With Prolonged Sitting: A Preliminary Study. J Manipulative Physiol Ther 2020; 43:294-302. [PMID: 32709517 DOI: 10.1016/j.jmpt.2019.10.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2018] [Revised: 05/02/2019] [Accepted: 10/22/2019] [Indexed: 01/16/2023]
Abstract
OBJECTIVE Prolonged sitting while working at a computer leads to poor sitting postures, which can aggravate low back pain in many individuals. We examined the intertester reliability of using the modified musculoskeletal impairment schema for classifying participants sitting at computers for prolonged times. METHODS Fifty participants were examined independently by each therapist using a test-retest design. Each therapist assigned an musculoskeletal impairment classification upon completion of the examination. The agreement percentages and the kappa coefficient were used to evaluate intertester reliability in classifying participants with prolonged sitting. RESULTS The percentage agreement between the 2 examiners for participants who maintained the sitting posture for prolonged times was 84%. The calculated kappa coefficient was 0.73, reflecting a substantial level of agreement. CONCLUSIONS The present findings provide some evidence to support the classification of individuals who sit at computers for prolonged times and participants with rotation with flexion pattern would need to manage asymmetry pattern in a subclinical group.
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Affiliation(s)
- Sun-Shil Shin
- Department of Physical Therapy, College of Biomedical Science and Engineering, Inje University, Gimhae-si, Gyeongsangnam-do, Republic of Korea
| | - Mi-Ra Lee
- Department of Rehabilitation and Science, The Graduate School, Inje University, Gimhae-si, Gyeongsangnam-do, Republic of Korea
| | - Won-Gyu Yoo
- Department of Physical Therapy, College of Biomedical Science and Engineering, Inje University, Gimhae-si, Gyeongsangnam-do, Republic of Korea.
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Basakci Calik B, Yagci N, Oztop M, Caglar D. Effects of risk factors related to computer use on musculoskeletal pain in office workers. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2020; 28:269-274. [PMID: 32374214 DOI: 10.1080/10803548.2020.1765112] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Purpose. Work-related musculoskeletal disorders (WMSDs) are increasing due to overuse of desktop computers. This investigation examined musculoskeletal pain in office workers. Methods. Sociodemographic factors were recorded for 362 participants (female, 50.8%; male, 49.2%; mean age 37.35 ± 8.43 years). Participants were questioned for their daily working time, computer usage time and years, whether musculoskeletal pain was related to their job and whether pain disturbed their activities of daily living (ADLs). Working postures were observed and pain severity was evaluated by visual analog scale. Results. Participants more frequently had upper back pain (69.6%), neck pain (65.2%) and lower back pain (LBP) (64.1%) during the last 12 months; 60.5% of participants reported pain after they started work. LBP (32.9%), back pain (28.2%) and neck pain (22.9%) restricted participants' daily life. We found positive correlations between daily computer use and neck/upper back, and LBP. Conclusions. The most painful areas of participants using desktop computers were the upper back, neck, lower back and shoulder, and the pain in these regions affected ADLs negatively. This pain mostly occurred after the current job and these individuals experience more intense pain. Ergonomic approaches could reduce WMSDs and make workers more independent in ADLs and prevent chronicity.
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Affiliation(s)
| | - Nesrin Yagci
- School of Physical Therapy and Rehabilitation, Pamukkale University, Turkey
| | - Mucahit Oztop
- School of Physical Therapy and Rehabilitation, Pamukkale University, Turkey
| | - Derya Caglar
- Güneysu School of Physical Therapy and Rehabilitation, Recep Tayyip Erdoğan University, Turkey
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ZAMRI EN, HOE VCW, MOY FM. Predictors of low back pain among secondary school teachers in Malaysia: a longitudinal study. INDUSTRIAL HEALTH 2020; 58:254-264. [PMID: 31666460 PMCID: PMC7286713 DOI: 10.2486/indhealth.2019-0106] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
Low back pain (LBP) is prevalent among workers both in developed and developing countries. School teachers represent a high proportion of the working population in Malaysia. However, there is a lack of longitudinal study on predictors and course of LBP among teachers. Therefore, this study aimed to determine the predictors and course of LBP among secondary school teachers. Longitudinal data of 701 teachers in Selangor, Malaysia were collected from May 2015 to October 2016. Associations between predictors and LBP were analysed using logistic regression and reported as odds ratio (OR) and 95% confidence interval (CI). At 12-month of follow-up, 44% (95%CI: 40.6%, 48.0%) of the participants reported having LBP. In the regression model that included all risk factors, only LBP at baseline (OR 10.43, 95%CI: 6.19, 17.58) was associated with LBP at 12-month follow-up. When LBP at baseline was removed from the model, anxiety symptom (OR 2.51, 95%CI: 1.19, 5.30) and lifting heavy weights (OR 4.16, 95%CI: 1.40, 12.30) were found to be significantly associated with LBP at 12-month follow-up. In conclusion, issues on anxiety and lifting heavy weights should be addressed to reduce the occurrence of LBP despite the presence of health condition itself (LBP at baseline).
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Affiliation(s)
- Eva Nabiha ZAMRI
- Centre for Epidemiology and Evidence-Based Practice,
Department of Social & Preventive Medicine, Faculty of Medicine, University of Malaya,
Malaysia
- Cluster of Lifestyle Science, Advanced of Medical &
Dental Institute, Malaysia
| | - Victor Chee Wai HOE
- Centre for Epidemiology and Evidence-Based Practice,
Department of Social & Preventive Medicine, Faculty of Medicine, University of Malaya,
Malaysia
- Centre for Occupational and Environmental Health-UM,
Department of Social & Preventive Medicine, Faculty of Medicine, University of Malaya,
Malaysia
| | - Foong Ming MOY
- Centre for Epidemiology and Evidence-Based Practice,
Department of Social & Preventive Medicine, Faculty of Medicine, University of Malaya,
Malaysia
- *To whom correspondence should be addressed. E-mail:
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Tchir DR, Szafron ML. Occupational Health Needs and Predicted Well-Being in Office Workers Undergoing Web-Based Health Promotion Training: Cross-Sectional Study. J Med Internet Res 2020; 22:e14093. [PMID: 32452806 PMCID: PMC7284409 DOI: 10.2196/14093] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2019] [Revised: 11/28/2019] [Accepted: 02/28/2020] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Office workers face workplace-related health issues, including stress and back pain, resulting in considerable cost to businesses and health care systems. Workplace health promotion attempts to prevent these health issues, and the internet can be used to deliver workplace health promotion interventions to office workers. Data were provided by Fitbase GmbH, a German company, which specializes in workplace health promotion via the internet (Web-based health). The Web-based health intervention allowed workers to focus on different health categories by using information modules (reading health information) and/or completing practical exercises (guided, interactive health tutorials). OBJECTIVE This study aimed to identify the extent to which office workers have workplace-related health issues, assess whether office workers who differ in their health focus also differ in their improved well-being, and assess whether completing practical exercises is associated with improved well-being compared with reading information modules. METHODS Fitbase GmbH collected data for the period of February 2016 to May 2017 from health insurance employees undergoing Web-based health training in Hamburg, Germany. The data consisted of a needs assessment examining health issues faced by office workers, a wellness questionnaire regarding one's perception of the Web-based health intervention, and activity logs of information modules and practical exercises completed. Through logistic regression, we determined associations between improved well-being from Web-based health training and differences in a worker's health focus and a worker's preferred intervention method. RESULTS Nearly half of the office workers had chronic back pain (1532/3354) and felt tense or irritated (1680/3348). Over four-fifth (645/766) of the office workers indicated that the Web-based health training improved their well-being (P<.001). Office workers who preferred practical exercises compared with information modules had 2.22 times greater odds of reporting improved well-being from the Web-based health intervention (P=.01; 95% CI 1.20-4.11). Office workers with a focus on practical exercises for back health had higher odds of improved well-being compared with other health foci. Office workers focused on practical exercises for back pain had at least two times the odds of having their well-being improved from the Web-based health intervention compared with those focused on stress management (P<.001), mindfulness (P=.02), stress management/mindfulness (P=.005), and eye health (P=.003). No particular health focus was associated with improved well-being for the information modules. CONCLUSIONS Office workers frequently report having back pain and stress. A focus on Web-based health training via practical exercises and practical exercises for back health predict an improvement in office workers' reported well-being.
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Moreira-Silva I, Azevedo J, Rodrigues S, Seixas A, Jorge M. Predicting musculoskeletal symptoms in workers of a manufacturing company. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2020; 27:1136-1144. [DOI: 10.1080/10803548.2019.1693112] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Affiliation(s)
- Isabel Moreira-Silva
- Escola Superior de Saúde, Universidade Fernando Pessoa, Portugal
- Faculdade de Desporto, Universidade do Porto, Portugal
| | - Joana Azevedo
- Escola Superior de Saúde, Universidade Fernando Pessoa, Portugal
| | - Sandra Rodrigues
- Escola Superior de Saúde, Universidade Fernando Pessoa, Portugal
| | - Aderito Seixas
- Escola Superior de Saúde, Universidade Fernando Pessoa, Portugal
- Faculdade de Desporto, Universidade do Porto, Portugal
| | - Mota Jorge
- Faculdade de Desporto, Universidade do Porto, Portugal
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Caieiro TTM, de Assis DB, Mininel VA, Rocha FLR, Hortense P. Musculoskeletal pain: comparison between administrative and production employees of a poultry farming company. Rev Bras Med Trab 2020; 17:30-38. [PMID: 32270101 DOI: 10.5327/z1679443520190277] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2018] [Accepted: 01/07/2019] [Indexed: 11/05/2022] Open
Abstract
Background Work-related musculoskeletal disorders are the most frequently reported group of diseases in Brazil, their occurrence being favored by work in the industrial sector. The present study is justified by the need to investigate more thoroughly the occurrence of musculoskeletal symptoms among poultry farming workers, since this subject is scarcely explored in the Brazilian literature. Objective To analyze the prevalence of musculoskeletal symptoms among production and administrative employees of a poultry farming company, describe the sociodemographic and occupational profile of both groups of workers and test associations between pain and sociodemographic and occupational variables. Methods Cross-sectional correlational study which included sociodemographic and occupational characterization and administration of the Nordic Musculoskeletal Questionnaire and a numeric pain rating scale. Results The sample comprised 154 production employees and 24 administrative workers. Pain was the single musculoskeletal symptom reported, with prevalence of over 85% in both groups. Female production employees exhibited 2.9 times higher odds of pain compared to the males. The body sites most frequently involved were the neck and upper and lower back among the administrative employees and the shoulders and the upper and lower back among the production workers. Conclusion Pain was the most prevalent musculoskeletal symptom in the analyzed sample of poultry farming workers. Statistically significant difference was not found between the groups despite their different work processes. Both groups exhibited extremely high rates of illness, which points to the need for more thorough investigation of the causal relationships of musculoskeletal symptoms.
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Affiliation(s)
| | | | - Vivian Aline Mininel
- Department of Nursing, Universidade Federal de São Carlos - São Carlos (SP), Brazil
| | | | - Priscilla Hortense
- Department of Nursing, Universidade Federal de São Carlos - São Carlos (SP), Brazil
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Parry SP, Coenen P, Shrestha N, O'Sullivan PB, Maher CG, Straker LM. Workplace interventions for increasing standing or walking for decreasing musculoskeletal symptoms in sedentary workers. Cochrane Database Syst Rev 2019; 2019:CD012487. [PMID: 31742666 PMCID: PMC6953379 DOI: 10.1002/14651858.cd012487.pub2] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
BACKGROUND The prevalence of musculoskeletal symptoms among sedentary workers is high. Interventions that promote occupational standing or walking have been found to reduce occupational sedentary time, but it is unclear whether these interventions ameliorate musculoskeletal symptoms in sedentary workers. OBJECTIVES To investigate the effectiveness of workplace interventions to increase standing or walking for decreasing musculoskeletal symptoms in sedentary workers. SEARCH METHODS We searched the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, OSH UPDATE, PEDro, ClinicalTrials.gov, and the World Health Organization (WHO) International Clinical Trials Registry Platform (ICTRP) search portal up to January 2019. We also screened reference lists of primary studies and contacted experts to identify additional studies. SELECTION CRITERIA We included randomised controlled trials (RCTs), cluster-randomised controlled trials (cluster-RCTs), quasi RCTs, and controlled before-and-after (CBA) studies of interventions to reduce or break up workplace sitting by encouraging standing or walking in the workplace among workers with musculoskeletal symptoms. The primary outcome was self-reported intensity or presence of musculoskeletal symptoms by body region and the impact of musculoskeletal symptoms such as pain-related disability. We considered work performance and productivity, sickness absenteeism, and adverse events such as venous disorders or perinatal complications as secondary outcomes. DATA COLLECTION AND ANALYSIS Two review authors independently screened titles, abstracts, and full-text articles for study eligibility. These review authors independently extracted data and assessed risk of bias. We contacted study authors to request additional data when required. We used GRADE considerations to assess the quality of evidence provided by studies that contributed to the meta-analyses. MAIN RESULTS We found ten studies including three RCTs, five cluster RCTs, and two CBA studies with a total of 955 participants, all from high-income countries. Interventions targeted changes to the physical work environment such as provision of sit-stand or treadmill workstations (four studies), an activity tracker (two studies) for use in individual approaches, and multi-component interventions (five studies). We did not find any studies that specifically targeted only the organisational level components. Two studies assessed pain-related disability. Physical work environment There was no significant difference in the intensity of low back symptoms (standardised mean difference (SMD) -0.35, 95% confidence interval (CI) -0.80 to 0.10; 2 RCTs; low-quality evidence) nor in the intensity of upper back symptoms (SMD -0.48, 95% CI -.096 to 0.00; 2 RCTs; low-quality evidence) in the short term (less than six months) for interventions using sit-stand workstations compared to no intervention. No studies examined discomfort outcomes at medium (six to less than 12 months) or long term (12 months and more). No significant reduction in pain-related disability was noted when a sit-stand workstation was used compared to when no intervention was provided in the medium term (mean difference (MD) -0.4, 95% CI -2.70 to 1.90; 1 RCT; low-quality evidence). Individual approach There was no significant difference in the intensity or presence of low back symptoms (SMD -0.05, 95% CI -0.87 to 0.77; 2 RCTs; low-quality evidence), upper back symptoms (SMD -0.04, 95% CI -0.92 to 0.84; 2 RCTs; low-quality evidence), neck symptoms (SMD -0.05, 95% CI -0.68 to 0.78; 2 RCTs; low-quality evidence), shoulder symptoms (SMD -0.14, 95% CI -0.63 to 0.90; 2 RCTs; low-quality evidence), or elbow/wrist and hand symptoms (SMD -0.30, 95% CI -0.63 to 0.90; 2 RCTs; low-quality evidence) for interventions involving an activity tracker compared to an alternative intervention or no intervention in the short term. No studies provided outcomes at medium term, and only one study examined outcomes at long term. Organisational level No studies evaluated the effects of interventions solely targeted at the organisational level. Multi-component approach There was no significant difference in the proportion of participants reporting low back symptoms (risk ratio (RR) 0.93, 95% CI 0.69 to 1.27; 3 RCTs; low-quality evidence), neck symptoms (RR 1.00, 95% CI 0.76 to 1.32; 3 RCTs; low-quality evidence), shoulder symptoms (RR 0.83, 95% CI 0.12 to 5.80; 2 RCTs; very low-quality evidence), and upper back symptoms (RR 0.88, 95% CI 0.76 to 1.32; 3 RCTs; low-quality evidence) for interventions using a multi-component approach compared to no intervention in the short term. Only one RCT examined outcomes at medium term and found no significant difference in low back symptoms (MD -0.40, 95% CI -1.95 to 1.15; 1 RCT; low-quality evidence), upper back symptoms (MD -0.70, 95% CI -2.12 to 0.72; low-quality evidence), and leg symptoms (MD -0.80, 95% CI -2.49 to 0.89; low-quality evidence). There was no significant difference in the proportion of participants reporting low back symptoms (RR 0.89, 95% CI 0.57 to 1.40; 2 RCTs; low-quality evidence), neck symptoms (RR 0.67, 95% CI 0.41 to 1.08; two RCTs; low-quality evidence), and upper back symptoms (RR 0.52, 95% CI 0.08 to 3.29; 2 RCTs; low-quality evidence) for interventions using a multi-component approach compared to no intervention in the long term. There was a statistically significant reduction in pain-related disability following a multi-component intervention compared to no intervention in the medium term (MD -8.80, 95% CI -17.46 to -0.14; 1 RCT; low-quality evidence). AUTHORS' CONCLUSIONS Currently available limited evidence does not show that interventions to increase standing or walking in the workplace reduced musculoskeletal symptoms among sedentary workers at short-, medium-, or long-term follow up. The quality of evidence is low or very low, largely due to study design and small sample sizes. Although the results of this review are not statistically significant, some interventions targeting the physical work environment are suggestive of an intervention effect. Therefore, in the future, larger cluster-RCTs recruiting participants with baseline musculoskeletal symptoms and long-term outcomes are needed to determine whether interventions to increase standing or walking can reduce musculoskeletal symptoms among sedentary workers and can be sustained over time.
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Affiliation(s)
- Sharon P Parry
- Curtin UniversitySchool of Physiotherapy and Exercise ScienceKent StreetBentleyPerthWest AustraliaAustralia6102
| | - Pieter Coenen
- Curtin UniversitySchool of Physiotherapy and Exercise ScienceKent StreetBentleyPerthWest AustraliaAustralia6102
- VU University Medical CenterDepartment of Public and Occupational Health, EMGO Institute for Health and Care Researchvan der Boechorststraat 7AmsterdamNetherlands1081BT
| | - Nipun Shrestha
- Victoria UniversityInstitute for Health and Sport (IHES)MelbourneVictoriaAustralia
| | - Peter B O'Sullivan
- Curtin UniversitySchool of Physiotherapy and Exercise ScienceKent StreetBentleyPerthWest AustraliaAustralia6102
| | - Christopher G Maher
- University of SydneySydney School of Public HealthLevel 10 North, King George V Building, Missenden Road, CamperdownSydneyNSWAustralia2050
| | - Leon M Straker
- Curtin UniversitySchool of Physiotherapy and Exercise ScienceKent StreetBentleyPerthWest AustraliaAustralia6102
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Coggon D, Ntani G, Walker-Bone K, Felli VE, Harari F, Barrero LH, Felknor SA, Rojas M, Cattrell A, Serra C, Borchini R, Solidaki E, Merisalu E, Habib RR, Sadeghian F, Kadir MM, Peiris-John RJ, Matsudaira K, Nyantumbu-Mkhize B, Kelsall HL, Harcombe H. Determinants of international variation in the prevalence of disabling wrist and hand pain. BMC Musculoskelet Disord 2019; 20:436. [PMID: 31533791 PMCID: PMC6749621 DOI: 10.1186/s12891-019-2791-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2018] [Accepted: 08/27/2019] [Indexed: 11/16/2022] Open
Abstract
Background Previous research has indicated that wide international variation in the prevalence of disabling low back pain among working populations is largely driven by factors predisposing to musculoskeletal pain more generally. This paper explores whether the same applies to disabling wrist/hand pain (WHP). Methods Using data from the Cultural and Psychosocial Influences on Disability (CUPID) study, we focused on workers from 45 occupational groups (office workers, nurses and other workers) in 18 countries. Among 11,740 participants who completed a baseline questionnaire about musculoskeletal pain and potential risk factors, 9082 (77%) answered a further questionnaire after a mean interval of 14 months, including 1373 (15%) who reported disabling WHP in the month before follow-up. Poisson regression was used to assess associations of this outcome with baseline risk factors, including the number of anatomical sites other than wrist/hand that had been painful in the 12 months before baseline (taken as an index of general propensity to pain). Results After allowance for other risk factors, the strongest associations were with general pain propensity (prevalence rate ratio for an index ≥6 vs. 0: 3.6, 95% confidence interval 2.9–4.4), and risk rose progressively as the index increased. The population attributable fraction for a pain propensity index > 0 was 49.4%. The prevalence of disabling WHP by occupational group ranged from 0.3 to 36.2%, and correlated strongly with mean pain propensity index (correlation coefficient 0.86). Conclusion Strategies to prevent disability from WHP among working populations should explore ways of reducing general propensity to pain, as well as improving the ergonomics of occupational tasks.
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Affiliation(s)
- David Coggon
- Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK. .,Arthritis Research UK/MRC Centre for Musculoskeletal Health and Work, University of Southampton, Southampton, UK.
| | - Georgia Ntani
- Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.,Arthritis Research UK/MRC Centre for Musculoskeletal Health and Work, University of Southampton, Southampton, UK
| | - Karen Walker-Bone
- Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.,Arthritis Research UK/MRC Centre for Musculoskeletal Health and Work, University of Southampton, Southampton, UK
| | - Vanda E Felli
- School of Nursing, University of São Paulo, São Paulo, Brazil
| | - Florencia Harari
- Corporación para el Desarrollo de la Producción y el Medio Ambiente Laboral - IFA (Institute for the Development of Production and the Work Environment), Quito, Ecuador
| | - Lope H Barrero
- Department of Industrial Engineering, School of Engineering, Pontificia Universidad Javeriana, Bogotá, Colombia
| | - Sarah A Felknor
- Southwest Center for Occupational and Environmental Health, The University of Texas Health Science Center at Houston School of Public Health, Houston, TX, USA.,Center for Disease Control and Prevention/National Institute for Occupational Safety and Health, Atlanta, USA
| | - Marianela Rojas
- Program Health, Work and Environment in Central America, Institute for Studies on Toxic Substances (IRET), National University of Costa Rica, Heredia, Costa Rica
| | - Anna Cattrell
- North East London NHS Foundation Trust, Goodmayes Hospital, Ilford, Essex, UK
| | - Consol Serra
- Center for Research in Occupational Health (CiSAL), Universitat Pompeu Fabra, Barcelona, Spain.,CIBER of Epidemiology and Public Health, Barcelona, Spain.,IMIM (Hospital del Mar Research Institute), Barcelona, Spain.,Occupational Health Service, Parc de Salut MAR, Barcelona, Spain
| | | | - Eleni Solidaki
- Department of Social Medicine, Medical School, University of Crete, Heraklion, Greece
| | - Eda Merisalu
- Institute of Technology, Estonian University of Life Sciences, Tartu, Estonia
| | - Rima R Habib
- Department of Environmental Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
| | - Farideh Sadeghian
- Center for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran
| | - M Masood Kadir
- Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan
| | - Roshini J Peiris-John
- Section of Epidemiology and Biostatistics, School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand
| | - Ko Matsudaira
- Department for Medical Research and Management for Musculoskeletal Pain, 22nd Century Medical and Research Center, Faculty of Medicine, The University of Tokyo Hospital, Tokyo, Japan
| | - Busisiwe Nyantumbu-Mkhize
- National Health Laboratory Service, National Institute for Occupational Health, Johannesburg, South Africa.,Faculty of Health Sciences, School of Public Health, University of Witwatersrand, Johannesburg, South Africa
| | - Helen L Kelsall
- Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
| | - Helen Harcombe
- Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand
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30
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Soria-Oliver M, López JS, Torrano F, García-González G, Lara Á. New Patterns of Information and Communication Technologies Usage at Work and Their Relationships with Visual Discomfort and Musculoskeletal Diseases: Results of a Cross-Sectional Study of Spanish Organizations. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16173166. [PMID: 31480256 PMCID: PMC6747498 DOI: 10.3390/ijerph16173166] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/04/2019] [Revised: 08/15/2019] [Accepted: 08/27/2019] [Indexed: 11/16/2022]
Abstract
This cross-sectional study analyses the usage patterns of the new communication and information technologies (ICTs) and their relationship with visual discomfort and musculoskeletal diseases in an intentional sample of 1259 workers of Spanish organizations. The usage pattern with the greatest incidence of visual and muscular-skeletal disorders, especially in the wrist and neck, combines the use of laptops and desktops during long working hours. However, the group of workers primarily using mobile devices and working mostly at mobile posts does not appear to be particularly vulnerable to the musculoskeletal diseases and visual fatigue. The ratio of taking a short pause per hour and the implantation of certain technical and preventive measures is related to lower incidence of disorders in the workers as a whole. Current usage of ICTs is very complex and should be addressed using empirical analysis of the different forms of usage and their impacts on health.
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Affiliation(s)
- María Soria-Oliver
- Facultad de Ciencias de la Salud, UNIR-Universidad Internacional de la Rioja, Av. de la Paz, 137, 26006 Logroño, Spain
| | - Jorge S López
- Departamento de Ciencias de la Salud, Facultad de Ciencias de la Salud, Universidad Pública de Navarra, Campus de Arrosadía s/n, 31006 Pamplona, Spain.
| | - Fermín Torrano
- Escuela Superior de Ingeniería y Tecnología, UNIR-Universidad Internacional de la Rioja, Av. de la Paz, 137, 26006 Logroño, Spain
| | - Guillermo García-González
- Facultad de Derecho, UNIR-Universidad Internacional de la Rioja, Av. de la Paz, 137, 26006 Logroño, Spain
| | - Ángel Lara
- Instituto Nacional de Seguridad y Salud en el Trabajo, CNNT. C/Torrelaguna, 73, 28027 Madrid, Spain
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31
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Shin D. Characteristics of musculoskeletal disorders and satisfaction with in-house physical therapy clinics in office workers. Work 2019; 63:369-374. [PMID: 31256106 DOI: 10.3233/wor-192943] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Musculoskeletal disorders are not properly managed in office workers because of their busy work life. In-house physical therapy is a good way to manage the musculoskeletal disorders in office workers. Despite the numerous advantages of in-house physical therapy, the establishment and research of in-house physical therapy were insufficient. OBJECTIVE The purpose this study was to determine the characteristics of musculoskeletal disorders in office workers and to investigate their satisfaction with in-house physical therapy clinics and the associated factors. METHODS In this study, 664 office workers who used in-house physical therapy clinics were surveyed for characteristics of musculoskeletal disorders and satisfaction with in-house physical therapy clinics. RESULTS Of these office workers, the most common causes of damage were nontraumatic (36.8%) and the most common lesion sites were the neck (30.3%) and lower back (25.6%). In the empirical characteristics of in-house physical therapy clinics, basic thermoelectric treatments were the most common (46.8%). The satisfaction with in-house physical therapy clinic was generally high. In addition, the cause of damage and treatment contents affected treatment-related and functional return-related satisfaction. CONCLUSION In-house physical therapy, including therapeutic exercises and self-management education, is a good system to manage musculoskeletal disorders in office workers.
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Affiliation(s)
- DooChul Shin
- Department of Physical Therapy, Kyungnam University, 7 Kyungnamdaehak-ro, Masanhappo-gu, Gyeongsangnam-do, Changwon 51767, Republic of Korea. Tel.: +82 55 249 2017; Fax: +82 505 999 2173; E-mail:
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32
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Shariat A, Cardoso JR, Cleland JA, Danaee M, Ansari NN, Kargarfard M, Mohd Tamrin SB. Prevalence rate of neck, shoulder and lower back pain in association with age, body mass index and gender among Malaysian office workers. Work 2019; 60:191-199. [PMID: 29865103 DOI: 10.3233/wor-2738] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
BACKGROUND Malaysian office workers often experience Musculoskeletal Discomfort (MSD) which is typically related to the low back, shoulders, and neck. OBJECTIVES The objective of this study was to examine the occurrence of lower back, shoulder, and neck pain among Malaysian office workers. METHODS 752 subjects (478 women and 274 men) were randomly selected from the Malaysian office workers population of 10,000 individuals. The participants were aged between 20-50 years and had at least one year of work experience. All participants completed the Cornell Musculoskeletal Discomfort Questionnaire (CMDQ). Instructions to complete the questinnaire were given to the participants under the researchers supervision in the morning before they started a day of work. The participants were then classified into four categories based on body mas index (BMI) (BMI:≤18.4, 18.5-24.99, 25-29.99, ≥30) and age (Age: 20-29, 30-39, 40-49, ≥50). RESULTS There was a significant association between pain severity in gender and right (p = 0.046) and left (p = 0.041) sides of the shoulders. There was also a significant association between BMI and severity of pain in the lower back area (p = 0.047). It was revealed that total pain score in the shoulders was significantly associated with age (p = 0.041). CONCLUSIONS The results of this study demonstrated that a significant correlation existed between pain servity for gender in both right and left shoulder. These findings require further scientific investigation as do the identification of effective preventative stratgies.
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Affiliation(s)
- Ardalan Shariat
- Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.,Department of Occupational Health, Faculty of Medicine and Health Sciences, University Putra Malaysia, Malaysia
| | - Jefferson Rosa Cardoso
- Laboratory of Biomechanics and Clinical Epidemiology, PAIFIT Research Group, Universidade Estadual de Londrina, Londrina, PR - Brazil
| | | | - Mahmoud Danaee
- University of Malaya Centre of Addiction Sciences (Umcas), Malaysia
| | - Noureddin Nakhostin Ansari
- Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.,Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
| | - Mehdi Kargarfard
- Department of Exercise Physiology, Faculty of Physical Education and Sport Sciences, University of Isfahan, Isfahan, Iran
| | - Shamsul Bahri Mohd Tamrin
- Department of Occupational Health, Faculty of Medicine and Health Sciences, University Putra Malaysia, Malaysia
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33
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Kashora FK, Charles DA. Online-learning: exploring practices among Foundation doctors. JOURNAL OF ADVANCES IN MEDICAL EDUCATION & PROFESSIONALISM 2019; 7:14-19. [PMID: 30697544 PMCID: PMC6341455 DOI: 10.30476/jamp.2019.41040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/14/2018] [Accepted: 10/28/2018] [Indexed: 06/09/2023]
Abstract
INTRODUCTION Postgraduate medical education involves the use of online-learning tools. However, there is a paucity of data on the use of online-learning among doctors who are in their 1st and 2nd years of professional work after graduating from medical school (also known as Foundation doctors). Our aim was to explore the use of online-learning among Foundation doctors. METHODS A cross-sectional study was carried out, using convenience sampling. During one month, 66 Foundation doctors from across 2 district hospitals and 1 teaching hospital in Southeast England filled out a specially designed questionnaire. Data were collected and analyzed using Microsoft Excel™, and reported in numbers and percentages. RESULTS The majority of Foundation doctors (86.4% (n=57)) reported using online-learning packages. These are the tools which consist of key information on a particular topic, and may be interactive and broken down into several smaller modules. Less than half embarked on online-learning in their 1st month of employment, with a decline in the numbers who started in the later months. Of those who reported completing online-learning packages, 57.9% (n=33) reported completing non-compulsory modules, 66.7% (n=38) reported completing a range of 0-15 modules per week, and 75.4% (n=43) completed the modules without skipping components. More Foundation doctors reported using online-learning for lifelong learning (63.6% (n=42)) and filling knowledge gaps (51.5% (n=34)) than improving their practice following a mistake (24.2% (n=16)). Additionally, online-learning was used less frequently than medical websites or search engines, for the aforementioned purposes. CONCLUSION Most Foundation doctors use online-learning, but this needs to be incorporated into their postgraduate learning activities earlier in their career and directed more towards improving their clinical practice.
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Affiliation(s)
- Florence Kudzai Kashora
- Core Surgical Trainee/CT2, University Hospitals of Leicester NHS Trust, Infirmary Square, Leicester LE1 5WW, UK
| | - Debbie-Anne Charles
- Consultant, General Medicine/Endocrinology, Queen Elizabeth Hospital Woolwich, London, SE18 4QH, UK
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34
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Evaluating Short-Term Musculoskeletal Pain Changes in Desk-Based Workers Receiving a Workplace Sitting-Reduction Intervention. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15091975. [PMID: 30201930 PMCID: PMC6164528 DOI: 10.3390/ijerph15091975] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/20/2018] [Revised: 08/29/2018] [Accepted: 09/07/2018] [Indexed: 11/16/2022]
Abstract
This paper explores changes in musculoskeletal pain among desk-based workers over three months of a workplace-delivered, sitting-reduction intervention. Participants (n = 153, 46% female; mean ± SD aged 38.9 ± 8.0 years) were cluster-randomized (n = 18 work teams) to receive an organizational change intervention, with or without an activity tracker. A modified Nordic Musculoskeletal Questionnaire assessed pain intensity (0–9; none–worst possible) in the neck, upper and lower back, upper and lower extremities, and in total. The activPAL3 (7 days, 24 h/day protocol) measured sitting and prolonged sitting in ≥30 min bouts at work. Mixed models adjusting for cluster and intervention arm examined changes in pain (n = 104), and their associations with reductions in sitting and prolonged sitting (h/10 h at work) (n = 90). Changes in pain were nonsignificant (p ≥ 0.05) and small for total pain (−0.06 [95% CI: −0.27, 0.16]) and for each body area (−0.26 [−0.66, 0.15] for upper back to 0.09 [−0.39, 0.56] for lower back). Sitting reduction was associated with reduced lower back pain (−0.84 [−1.44, −0.25] per hour, p = 0.005); other effects were small and non-significant. No substantial average changes in pain were seen; some improvement in lower back pain might be expected with larger sitting reductions. Larger samples and diverse interventions are required for more definitive evidence.
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35
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Abaraogu UO, Okorie PN, Duru DO, Ezenwankwo EF. Individual and work-related risk factors for musculoskeletal pain among computer workers in Nigeria. ARCHIVES OF ENVIRONMENTAL & OCCUPATIONAL HEALTH 2018; 73:162-168. [PMID: 28287924 DOI: 10.1080/19338244.2017.1305325] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/22/2016] [Accepted: 03/07/2017] [Indexed: 06/06/2023]
Abstract
We investigated the prevalence of musculoskeletal pain (MSP) and the association of 1-month prevalence with individual and work-related factors among commercial typists in Enugu. Participants responded to a questionnaire about occurrences of MSP and a 75.6% (242/320) response rate was achieved. Prevalence was summarized in frequencies and percentages while associations between MSPs and risk factors were explored using chi-square. MSP was most common in the low back (58.3%), and low back pain limited 51.7% from activities between 1 and 30 days. Advancing age was significantly associated with MSP in the low back (x2 = 19.885; p = .001), neck (x2 = 28.309; p < .001), shoulder (x2 = 13.122; p = .011), but not wrist/hand (p = .075). Working 1-5 years in this job was associated with increasing prevalence of MSP in all body regions studied. Lesser job control was associated with increased prevalence of wrist/hand pain. Prevalence of MSDs among computer operators in Enugu, Nigeria, is high and highlights the importance of workplace intervention.
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Affiliation(s)
- Ukachukwu Okoroafor Abaraogu
- a Department of Medical Rehabilitation, College of Medicine , University of Nigeria Enugu , Nsukka , Nigeria
- b School of Health and Life Sciences , Glasgow Caledonian University , Glasgow, Scotland , United Kingdom
| | - Paschal Nzubechukwu Okorie
- a Department of Medical Rehabilitation, College of Medicine , University of Nigeria Enugu , Nsukka , Nigeria
| | - Deborah Onyinyechukwu Duru
- a Department of Medical Rehabilitation, College of Medicine , University of Nigeria Enugu , Nsukka , Nigeria
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36
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Sánchez-González MC, Pérez-Cabezas V, López-Izquierdo I, Gutiérrez-Sánchez E, Ruiz-Molinero C, Rebollo-Salas M, Jiménez-Rejano JJ. Is it possible to relate accommodative visual dysfunctions to neck pain? Ann N Y Acad Sci 2018. [PMID: 29524355 DOI: 10.1111/nyas.13614] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
The aim of this study was to establish whether there is a relationship between conditions of accommodative visual dysfunctions and cervical complaints. Fifty-two participants were included. Variables were accommodative amplitude, positive and negative relative accommodation (NRA), accommodative response, and accommodative facility. Subjects were classified as accommodative insufficiency, accommodative excess, or normal. Neck complaints were measured with the Neck Disability Index, the Visual Analogue Scale, and by cervical range of motion, deep flexor muscle activation score, and performance index. We found the following significant relationships: between NRA and both performance index and left-side bending; accommodative amplitude right-eye with right-side bending and with left-side bending; accommodative amplitude left-eye with right-side bending; and accommodative facility left-eye with both performance index and left-side bending. In accommodative amplitude right-eye, aIl participants showed significant values and greater than those with accommodative excess. In both groups, performance index values were decreased. Greater pain and lower right-rotation were found in participants with accommodative excess than in those with accommodative insufficiency. We conclude that accommodative dysfunctions are related to low performance index, decreased range of motion, as well as greater neck pain.
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Affiliation(s)
| | - Verónica Pérez-Cabezas
- Department of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Cadiz, Cadiz, Spain
| | | | | | - Carmen Ruiz-Molinero
- Department of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Cadiz, Cadiz, Spain
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37
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Eloqayli H, Al-Yousef A, Jaradat R. Vitamin D and ferritin correlation with chronic neck pain using standard statistics and a novel artificial neural network prediction model. Br J Neurosurg 2018; 32:172-176. [PMID: 29447493 DOI: 10.1080/02688697.2018.1436691] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
AIM Despite the high prevalence of chronic neck pain, there is limited consensus about the primary etiology, risk factors, diagnostic criteria and therapeutic outcome. Here, we aimed to determine if Ferritin and Vitamin D are modifiable risk factors with chronic neck pain using slandered statistics and artificial intelligence neural network (ANN). METHODS Fifty-four patients with chronic neck pain treated between February 2016 and August 2016 in King Abdullah University Hospital and 54 patients age matched controls undergoing outpatient or minor procedures were enrolled. Patients and control demographic parameters, height, weight and single measurement of serum vitamin D, Vitamin B12, ferritin, calcium, phosphorus, zinc were obtained. An ANN prediction model was developed. RESULTS The statistical analysis reveals that patients with chronic neck pain have significantly lower serum Vitamin D and Ferritin (p-value <.05). 90% of patients with chronic neck pain were females. Multilayer Feed Forward Neural Network with Back Propagation(MFFNN) prediction model were developed and designed based on vitamin D and ferritin as input variables and CNP as output. The ANN model output results show that, 92 out of 108 samples were correctly classified with 85% classification accuracy. CONCLUSIONS Although Iron and vitamin D deficiency cannot be isolated as the sole risk factors of chronic neck pain, they should be considered as two modifiable risk. The high prevalence of chronic neck pain, hypovitaminosis D and low ferritin amongst women is of concern. Bioinformatics predictions with artificial neural network can be of future benefit in classification and prediction models for chronic neck pain. We hope this initial work will encourage a future larger cohort study addressing vitamin D and iron correction as modifiable factors and the application of artificial intelligence models in clinical practice.
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Affiliation(s)
- Haytham Eloqayli
- a Department of Neurosurgery, Faculty of Medicine , Jordan University of Science and Technology (JUST) , Irbid , Jordan
| | - Ali Al-Yousef
- b Computer Department , Computer and Information Technology Collage, Jerash University , Jersah , Jordan
| | - Raid Jaradat
- a Department of Neurosurgery, Faculty of Medicine , Jordan University of Science and Technology (JUST) , Irbid , Jordan
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38
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Borhany T, Shahid E, Siddique WA, Ali H. Musculoskeletal problems in frequent computer and internet users. J Family Med Prim Care 2018; 7:337-339. [PMID: 30090774 PMCID: PMC6060916 DOI: 10.4103/jfmpc.jfmpc_326_17] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Aim: This study was carried out to see the frequency of musculoskeletal problems in frequent Computer and Internet Users. Methods: This was a Cross Sectional Study performed in the community and we chose Office workers and students aged 18 to 50 years using Computers and Internet for not less than 3 hours per day. After a verbal consent, they were given a questionnaire in English. People having prior diagnosed musculoskeletal problems were excluded. Results: Total number of participants were 150, out of which 80% were males, and 67 (44.7%) suffered from musculoskeletal problems, affecting at least one of the four anatomical sites (low back, neck, shoulder, wrist/hand). Common symptoms were Headache, which was seen in 46% and neck pain in 41.3% of subjects. Whereas wrist pain was least commonly seen in 16% of subjects. Independent t test was used to compare the musculoskeletal problems with duration of computer use which has a significant value i.e. less than 0.05. Conclusion: Musculoskeletal symptoms are quite common, headache and back pain being most common symptoms. These symptoms are associated with prolonged use of computer and internet and often left unreported and unrelated.
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Affiliation(s)
| | - Erum Shahid
- Department of Ophthalmology, KMDC, Abbasi Shaheed Hospital, Pakistan
| | | | - Hussain Ali
- Dow University of Health Sciences, Chand Bibi Road Karachi, Pakistan
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39
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Shariat A, Cardoso JR, Cleland JA, Danaee M, Ansari NN, Kargarfard M, Mohd Tamrin SB. Prevalence rate of neck, shoulder and lower back pain in association with age, body mass index and gender among Malaysian office workers. Work 2018. [PMID: 29865103 DOI: 10.3233/wor-182738] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND Malaysian office workers often experience Musculoskeletal Discomfort (MSD) which is typically related to the low back, shoulders, and neck. OBJECTIVES The objective of this study was to examine the occurrence of lower back, shoulder, and neck pain among Malaysian office workers. METHODS 752 subjects (478 women and 274 men) were randomly selected from the Malaysian office workers population of 10,000 individuals. The participants were aged between 20-50 years and had at least one year of work experience. All participants completed the Cornell Musculoskeletal Discomfort Questionnaire (CMDQ). Instructions to complete the questinnaire were given to the participants under the researchers supervision in the morning before they started a day of work. The participants were then classified into four categories based on body mas index (BMI) (BMI:≤18.4, 18.5-24.99, 25-29.99, ≥30) and age (Age: 20-29, 30-39, 40-49, ≥50). RESULTS There was a significant association between pain severity in gender and right (p = 0.046) and left (p = 0.041) sides of the shoulders. There was also a significant association between BMI and severity of pain in the lower back area (p = 0.047). It was revealed that total pain score in the shoulders was significantly associated with age (p = 0.041). CONCLUSIONS The results of this study demonstrated that a significant correlation existed between pain servity for gender in both right and left shoulder. These findings require further scientific investigation as do the identification of effective preventative stratgies.
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Affiliation(s)
- Ardalan Shariat
- Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
- Department of Occupational Health, Faculty of Medicine and Health Sciences, University Putra Malaysia, Malaysia
| | - Jefferson Rosa Cardoso
- Laboratory of Biomechanics and Clinical Epidemiology, PAIFIT Research Group, Universidade Estadual de Londrina, Londrina, PR - Brazil
| | | | - Mahmoud Danaee
- University of Malaya Centre of Addiction Sciences (Umcas), Malaysia
| | - Noureddin Nakhostin Ansari
- Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
- Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
| | - Mehdi Kargarfard
- Department of Exercise Physiology, Faculty of Physical Education and Sport Sciences, University of Isfahan, Isfahan, Iran
| | - Shamsul Bahri Mohd Tamrin
- Department of Occupational Health, Faculty of Medicine and Health Sciences, University Putra Malaysia, Malaysia
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Xu X, Robertson M, Chen KB, Lin JH, McGorry RW. Using the Microsoft Kinect™ to assess 3-D shoulder kinematics during computer use. APPLIED ERGONOMICS 2017; 65:418-423. [PMID: 28395854 DOI: 10.1016/j.apergo.2017.04.004] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/07/2016] [Revised: 02/20/2017] [Accepted: 04/04/2017] [Indexed: 05/28/2023]
Abstract
Shoulder joint kinematics has been used as a representative indicator to investigate musculoskeletal symptoms among computer users for office ergonomics studies. The traditional measurement of shoulder kinematics normally requires a laboratory-based motion tracking system which limits the field studies. In the current study, a portable, low cost, and marker-less Microsoft Kinect™ sensor was examined for its feasibility on shoulder kinematics measurement during computer tasks. Eleven healthy participants performed a standardized computer task, and their shoulder kinematics data were measured by a Kinect sensor and a motion tracking system concurrently. The results indicated that placing the Kinect sensor in front of the participants would yielded a more accurate shoulder kinematics measurements then placing the Kinect sensor 15° or 30° to one side. The results also showed that the Kinect sensor had a better estimate on shoulder flexion/extension, compared with shoulder adduction/abduction and shoulder axial rotation. The RMSE of front-placed Kinect sensor on shoulder flexion/extension was less than 10° for both the right and the left shoulder. The measurement error of the front-placed Kinect sensor on the shoulder adduction/abduction was approximately 10° to 15°, and the magnitude of error is proportional to the magnitude of that joint angle. After the calibration, the RMSE on shoulder adduction/abduction were less than 10° based on an independent dataset of 5 additional participants. For shoulder axial rotation, the RMSE of front-placed Kinect sensor ranged between approximately 15° to 30°. The results of the study suggest that the Kinect sensor can provide some insight on shoulder kinematics for improving office ergonomics.
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Affiliation(s)
- Xu Xu
- Edward P. Fitts Department of Industrial and Systems Engineering, North Carolina State University, Raleigh, NC 27695, USA.
| | - Michelle Robertson
- Liberty Mutual Research Institute for Safety, 71 Frankland Road, Hopkinton, MA 01748, USA
| | - Karen B Chen
- Edward P. Fitts Department of Industrial and Systems Engineering, North Carolina State University, Raleigh, NC 27695, USA
| | - Jia-Hua Lin
- Safety and Health Assessment and Research for Prevention (SHARP) Program, Washington State Department of Labor and Industries, WA 98504, USA
| | - Raymond W McGorry
- Liberty Mutual Research Institute for Safety, 71 Frankland Road, Hopkinton, MA 01748, USA
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Rodrigues MS, Leite RDV, Lelis CM, Chaves TC. Differences in ergonomic and workstation factors between computer office workers with and without reported musculoskeletal pain. Work 2017; 57:563-572. [DOI: 10.3233/wor-172582] [Citation(s) in RCA: 42] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- Mirela Sant’Ana Rodrigues
- Rehabilitation and Functional Performance Post-graduation Program, Ribeirão Preto School of Medicine, University of São Paulo, Brazil
| | - Raquel Descie Veraldi Leite
- Rehabilitation and Functional Performance Post-graduation Program, Ribeirão Preto School of Medicine, University of São Paulo, Brazil
| | - Cheila Maira Lelis
- Rehabilitation and Functional Performance Post-graduation Program, Ribeirão Preto School of Medicine, University of São Paulo, Brazil
| | - Thaís Cristina Chaves
- Rehabilitation and Functional Performance Post-graduation Program, Ribeirão Preto School of Medicine, University of São Paulo, Brazil
- Department of Neuroscience and Behavioural Sciences, Ribeirão Preto Medical School, University of São Paulo, Brazil
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Genebra CVDS, Maciel NM, Bento TPF, Simeão SFAP, Vitta AD. Prevalence and factors associated with neck pain: a population-based study. Braz J Phys Ther 2017; 21:274-280. [PMID: 28602744 PMCID: PMC5537482 DOI: 10.1016/j.bjpt.2017.05.005] [Citation(s) in RCA: 74] [Impact Index Per Article: 10.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/15/2016] [Revised: 07/01/2016] [Accepted: 09/26/2016] [Indexed: 01/02/2023] Open
Abstract
The study population shows high prevalence of neck pain. The factors were widowed, income, educational level, sitting posture and diseases. Prevention should emphasize sociodemographic, behavioral, and ergonomic factors.
Background Neck pain is a musculoskeletal condition with high prevalence that may affect the physical, social, and psychological aspects of the individual, contributing to the increase in costs in society and business. Objective To determine the prevalence of neck pain and associated factors in a population-based sample of adults aged 20 and more. Methods Cross-sectional study based on a population survey. A total number of 600 individuals were interviewed in their homes, and the following data were collected: (1) participant characteristics (demographic, socioeconomic, and work-related aspects) using a pre-coded questionnaire; (2) physical activity level using the IPAQ; and (3) musculoskeletal symptoms using the Nordic questionnaire. Descriptive, bivariate, and Poisson regression analyses were performed. Results The prevalence of neck pain was 20.3% (95% CI 17.3–23.7). The adjusted analyses showed that individuals who were widowers or separated (PR = 2.26; 1.42–5.88), had a low income (PR = 1.32; 1.22–6.27) or low educational level (PR = 1.83; 1.02–5.26), worked while sitting and leaning (PR = 1.55; 1.08–2.40), and who reported having two or more diseases (PR = 1.71; 1.55–6.31) remained associated with neck pain. Conclusion This study reveals the high prevalence of neck pain and remarkable association with widowed/separated people who have low income and low educational level, who perform their occupational activities in sitting and leaning positions, and who reported having two or more diseases. Knowledge of these risk factors will contribute to the development of forms of assistance in which neck pain can be prevented and better managed.
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Affiliation(s)
| | - Nicoly Machado Maciel
- Programa de Mestrado em Fisioterapia na Saúde Funcional, Universidade do Sagrado Coração (USC), Bauru, SP, Brazil
| | | | | | - Alberto De Vitta
- Programa de Mestrado em Fisioterapia na Saúde Funcional, Universidade do Sagrado Coração (USC), Bauru, SP, Brazil.
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Lasrado OE, Møllerløkken OJ, Moen BE, Van den Bergh G. Musculoskeletal symptoms among hospital cleaners. ARCHIVES OF ENVIRONMENTAL & OCCUPATIONAL HEALTH 2017; 72:87-92. [PMID: 26954259 DOI: 10.1080/19338244.2016.1160862] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/12/2015] [Accepted: 02/28/2016] [Indexed: 06/05/2023]
Abstract
Studies have indicated that cleaners are at risk for musculoskeletal symptoms (MSS). In 2001, the Norwegian Labor Inspectorate suggested improvements in cleaners' work environment to reduce MSS. We estimate prevalence of MSS among cleaners in a Norwegian hospital that had implemented improvements to reduce risk of MSS and calculate relative risk of MSS among cleaners compared to a group of office workers. Data were collected from 255 participants. MSS were investigated using the Nordic Questionnaire for Analysis of Musculoskeletal Symptoms. Cleaners reported a significantly higher prevalence of MSS compared to office workers but a lower prevalence compared to similar studies among cleaners in other countries. This may indicate that working conditions in Norway are better than in other countries; further studies are needed to compare MSS and working conditions in different settings.
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Affiliation(s)
- Olivia Edna Lasrado
- a Department of Global Public Health and Primary Care , Faculty of Medicine and Dentistry, University of Bergen , Bergen , Norway
| | - Ole Jacob Møllerløkken
- a Department of Global Public Health and Primary Care , Faculty of Medicine and Dentistry, University of Bergen , Bergen , Norway
| | - Bente Elisabeth Moen
- b Centre for International Health, Department of Global Public Health and Primary Care , Faculty of Medicine and Dentistry, University of Bergen , Bergen , Norway
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Rathore FA, Attique R, Asmaa Y. Prevalence and Perceptions of Musculoskeletal Disorders Among Hospital Nurses in Pakistan: A Cross-sectional Survey. Cureus 2017; 9:e1001. [PMID: 28280654 PMCID: PMC5325761 DOI: 10.7759/cureus.1001] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
INTRODUCTION Nursing is a professionally demanding job, and nurses are prone to develop musculoskeletal disorders. However, no data is available regarding its prevalence among Pakistani nurses. This study was conducted to document the pattern of work-related musculoskeletal disorders (WRMDs) in Pakistani nurses and their perceptions about contributing factors and management of WRMDs. METHODS A questionnaire-based, cross-sectional survey was conducted in six hospitals in Lahore and Rawalpindi, which were selected using a convenient sampling technique. A four-part questionnaire comprised of demographic data, experience of musculoskeletal disorders, and perception of management and contributing factors of WRMDs was distributed among 150 nurses. One hundred and seventeen nurses returned completed forms. Data was analyzed using SPSS Statistics v20 (IBM, Armonk, New York, USA). Ethics review committee approval was obtained by CMH Lahore Medical College and the Institute of Dentistry, and informed consent was obtained. RESULTS The prevalence of musculoskeletal disorders over a 12-month period was 31.6%, with the most common site being the low back (32%) followed by the shoulder (20%), upper back, and knees (10%). Among those affected, 60.6% sought professional help. Married nurses were more prone to WRMDs (p=0.0001). Regarding management, most (94%) agreed that rest is required to get better, neglecting problems of this kind can cause permanent health problems (89.7%), and physical activity should be avoided (38.7%). Working in the same positions for long periods (93.1%), attending an excessive number of patients in one day (81.2%), and working in awkward and cramped positions (78.6%) were the most commonly perceived risk factors for WRMDs. CONCLUSION About one-third of Pakistani nurses in this cohort reported work-related musculoskeletal disorders with the low back most commonly affected. There is a need to increase awareness regarding ergonomics and posture maintenance to reduce WRMDs and improve patient care. This can be achieved by workshops and seminars on ergonomics and WRMDS.
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Affiliation(s)
- Farooq A Rathore
- Department of Rehabilitation Medicine, PNS Shifa Hospital, DHA II, Karachi 75500, Pakistan ; Department of Rehabilitation Medicine, Bahria University Medical and Dental College, Bahria University, DHA -II, Karachi ; Department of Rehabilitation Medicine, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada
| | | | - Yumna Asmaa
- Department of Medicine, Combined Military Hospital, Lahore, Pakistan
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Classification of neck/shoulder pain in epidemiological research: a comparison of personal and occupational characteristics, disability, and prognosis among 12,195 workers from 18 countries. Pain 2017; 157:1028-1036. [PMID: 26761390 DOI: 10.1097/j.pain.0000000000000477] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
To inform case definition for neck/shoulder pain in epidemiological research, we compared levels of disability, patterns of association, and prognosis for pain that was limited to the neck or shoulders (LNSP) and more generalised musculoskeletal pain that involved the neck or shoulder(s) (GPNS). Baseline data on musculoskeletal pain, disability, and potential correlates were collected by questionnaire from 12,195 workers in 47 occupational groups (mostly office workers, nurses, and manual workers) in 18 countries (response rate = 70%). Continuing pain after a mean interval of 14 months was ascertained through a follow-up questionnaire in 9150 workers from 45 occupational groups. Associations with personal and occupational factors were assessed by Poisson regression and summarised by prevalence rate ratios (PRRs). The 1-month prevalence of GPNS at baseline was much greater than that of LNSP (35.1% vs 5.6%), and it tended to be more troublesome and disabling. Unlike LNSP, the prevalence of GPNS increased with age. Moreover, it showed significantly stronger associations with somatising tendency (PRR 1.6 vs 1.3) and poor mental health (PRR 1.3 vs 1.1); greater variation between the occupational groups studied (prevalence ranging from 0% to 67.6%) that correlated poorly with the variation in LNSP; and was more persistent at follow-up (72.1% vs 61.7%). Our findings highlight important epidemiological distinctions between subcategories of neck/shoulder pain. In future epidemiological research that bases case definitions on symptoms, it would be useful to distinguish pain that is localised to the neck or shoulder from more generalised pain that happens to involve the neck/shoulder region.
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46
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Parry SP, Coenen P, O'Sullivan PB, Maher CG, Straker LM. Workplace interventions for increasing standing or walking for decreasing musculoskeletal symptoms in sedentary workers. Hippokratia 2017. [DOI: 10.1002/14651858.cd012487] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Affiliation(s)
- Sharon P Parry
- Curtin University; School of Physiotherapy and Exercise Science; Kent Street Bentley Perth West Australia Australia 6102
| | - Pieter Coenen
- Curtin University; School of Physiotherapy and Exercise Science; Kent Street Bentley Perth West Australia Australia 6102
- VU University Medical Center; Department of Public and Occupational Health, EMGO Institute for Health and Care Research; van der Boechorststraat 7 Amsterdam Netherlands 1081BT
| | - Peter B O'Sullivan
- Curtin University; School of Physiotherapy and Exercise Science; Kent Street Bentley Perth West Australia Australia 6102
| | - Christopher G Maher
- Sydney Medical School, The University of Sydney; The George Institute for Global Health; PO Box M201 Missenden Road Sydney NSW Australia 2050
| | - Leon M Straker
- Curtin University; School of Physiotherapy and Exercise Science; Kent Street Bentley Perth West Australia Australia 6102
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Ardahan M, Simsek H. Analyzing musculoskeletal system discomforts and risk factors in computer-using office workers. Pak J Med Sci 2016; 32:1425-1429. [PMID: 28083038 PMCID: PMC5216294 DOI: 10.12669/pjms.326.11436] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVE This study analyzed the prevalence of work-related computer-user musculoskeletal discomforts, personal and computer-related risk factors. METHODS A cross-sectional survey on 395 office workers was made between July-September 2015. Musculoskeletal symptoms and risk factors were evaluated for participants' demographics and job attributes on the 21-item questionnaire and the Turkish-Cornell Musculoskeletal Discomfort Questionnaire. RESULTS Participants reported musculoskeletal symptoms in the neck (67.85%), back (66.33%), lower back (59.49%), right shoulder (45.32%) and left shoulder (43.54%) during the past week and work interference was 33.6%, 28.5%, 30.6%, 31.3% and 31.9%, respectively. Musculoskeletal discomfort risks were being male, increasing daily computer usage, feeling computer-usage discomfort, hours working at desk and having knowledge about ergonomic exercises. CONCLUSION Musculoskeletal symptoms are common in Turkish office workers and indicated the need for more attention to musculoskeletal disorders and designing effective preventive interventions.
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Affiliation(s)
- Melek Ardahan
- Dr. Melek Ardahan, Department of Public Health Nursing, Ege University, Faculty of Nursing, İzmir, Turkey
| | - Hatice Simsek
- Hatice Simsek, Department of Public Health Nursing, Ege University, Faculty of Nursing, İzmir, Turkey
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Kaliniene G, Ustinaviciene R, Skemiene L, Vaiciulis V, Vasilavicius P. Associations between musculoskeletal pain and work-related factors among public service sector computer workers in Kaunas County, Lithuania. BMC Musculoskelet Disord 2016; 17:420. [PMID: 27717347 PMCID: PMC5055679 DOI: 10.1186/s12891-016-1281-7] [Citation(s) in RCA: 50] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/27/2016] [Accepted: 10/01/2016] [Indexed: 11/18/2022] Open
Abstract
Background Information technologies in occupational activities have been developing very rapid. Epidemiological studies have shown that musculoskeletal disorders are widely prevalent among employees working with a computer. The aim of this study was to evaluate the prevalence of musculoskeletal pain in various anatomical areas and its associations with individual, ergonomic, and psychosocial factors among computer workers of the public sector in Kaunas County, Lithuania. Methods The investigation consisting of two parts – questionnaire study (Nordic Musculoskeletal Questionnaire and Copenhagen Psychosocial Questionnaire) and direct observation (evaluation of work ergonomics using the Rapid Upper Limb Assessment [RULA]) – was carried out in three randomly selected public sector companies of Kaunas County. The representative study sample comprised 513 public service office workers. The prevalence of musculoskeletal pain in five anatomical areas of the body (shoulders, elbows, wrists/hands, as well as upper and low back) was evaluated. Results The prevalence rates of shoulder, elbow, wrist/hand, upper and low back pain were 50.5 %, 20.3 %, 26.3 %, 44.8 %, and 56.1 %, respectively. Individual factors such as gender, age, computer work experience, and body mass index were found as significant for musculoskeletal pain in various musculoskeletal regions. The respondents reporting pain in shoulder, wrist/hand, upper back, and low back areas had a statistically significantly higher mean RULA score. The duration of working with a computer was found as a significant factor for shoulder pain. High quantitative demands were related to musculoskeletal pain in all investigated anatomical areas expect for the low back; weak social support was a significant predictor for complaints in upper and low back areas. Conclusion This study confirmed associations between musculoskeletal pain and work ergonomics; therefore, preventive measures at the workplace should be directed to the improvement in ergonomic work environment, education, and workload optimization.
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Affiliation(s)
- Gintare Kaliniene
- Department of Environmental and Occupational Medicine, Public Health Faculty, Lithuanian University of Health Sciences, Tilzes 18, Kaunas, LT-47181, Lithuania.
| | - Ruta Ustinaviciene
- Department of Environmental and Occupational Medicine, Public Health Faculty, Lithuanian University of Health Sciences, Tilzes 18, Kaunas, LT-47181, Lithuania
| | - Lina Skemiene
- Department of Environmental and Occupational Medicine, Public Health Faculty, Lithuanian University of Health Sciences, Tilzes 18, Kaunas, LT-47181, Lithuania
| | - Vidmantas Vaiciulis
- Department of Environmental and Occupational Medicine, Public Health Faculty, Lithuanian University of Health Sciences, Tilzes 18, Kaunas, LT-47181, Lithuania
| | - Paulius Vasilavicius
- Department of Environmental and Occupational Medicine, Public Health Faculty, Lithuanian University of Health Sciences, Tilzes 18, Kaunas, LT-47181, Lithuania
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Li S, Shen T, Liang Y, Bai B, Zhang Y. Miniscalpel-Needle Treatment Is Effective for Work-Related Neck and Shoulder Musculoskeletal Disorders. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE : ECAM 2016; 2016:5760240. [PMID: 27382406 PMCID: PMC4921642 DOI: 10.1155/2016/5760240] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/17/2016] [Accepted: 05/17/2016] [Indexed: 01/10/2023]
Abstract
Background. Work-related musculoskeletal disorders (MSDs) are a group of painful disorders of muscles, tendons, and nerves, such as neck and shoulder MSD. This study was designed to use miniscalpel-needle (MSN) technique as an intervention for work-related MSDs. Methods. Thirty-one patients with work-related MSDs and 28 healthy subjects were enrolled as controls in this study. The MSD symptoms of each patient were assessed by visual analog scale (VAS) and neck disability index (NDI). Blood samples were collected from control subjects and MSD patients before and after treatment. Serum levels of C-reactive protein (CRP) and tumor necrosis factor (TNF) were measured using ELISA. Results. Prior to MSN treatment, serum levels of CRP and TNF were significantly higher in the MSD patients than the healthy controls. Serum CRP levels correlated with VAS and NDI scores, and serum TNF levels correlated with NDI scores. Compared to pretreatment, VAS and NDI scores were significantly lower in MSD patients after MSN treatment, while serum CRP and TNF levels were significantly lower compared with the healthy control levels. Conclusions. Our results indicate that MSN may be an effective intervention for work-related MSDs and be associated with lower serum levels of inflammatory biomarkers.
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Affiliation(s)
- Shuming Li
- Department of Rehabilitation Medicine, First Affiliated Hospital of Guangzhou Medical University, No. 151, Yanjiang West Road, Guangzhou, Guangdong 510120, China
- Department of Orthopedics Medicine, First Affiliated Hospital of Guangzhou Medical University, No. 151, Yanjiang West Road, Guangzhou, Guangdong 510120, China
- Department of Orthopedics Medicine, Beijing Fengsheng Special Hospital of Traditional Medical Traumatology and Orthopaedics, No. 306, Fuchengmen Street, Beijing 100034, China
- Guangdong Key Laboratory of Orthopaedic Technology and Implant Materials, No. 151, Yanjiang West Road, Guangzhou, Guangdong 510120, China
| | - Tong Shen
- Department of Rehabilitation Medicine, First Affiliated Hospital of Guangzhou Medical University, No. 151, Yanjiang West Road, Guangzhou, Guangdong 510120, China
| | - Yongshan Liang
- Department of Rehabilitation Medicine, First Affiliated Hospital of Guangzhou Medical University, No. 151, Yanjiang West Road, Guangzhou, Guangdong 510120, China
| | - Bo Bai
- Department of Orthopedics Medicine, First Affiliated Hospital of Guangzhou Medical University, No. 151, Yanjiang West Road, Guangzhou, Guangdong 510120, China
- Guangdong Key Laboratory of Orthopaedic Technology and Implant Materials, No. 151, Yanjiang West Road, Guangzhou, Guangdong 510120, China
| | - Ying Zhang
- Department of Rehabilitation Medicine, First Affiliated Hospital of Guangzhou Medical University, No. 151, Yanjiang West Road, Guangzhou, Guangdong 510120, China
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Flexion–relaxation ratio in computer workers with and without chronic neck pain. J Electromyogr Kinesiol 2016; 26:8-17. [DOI: 10.1016/j.jelekin.2015.12.011] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2015] [Revised: 10/29/2015] [Accepted: 12/19/2015] [Indexed: 11/20/2022] Open
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