Burden of musculoskeletal disorders in Iran during 1990–2017: estimates from the Global Burden of Disease Study 2017

Shahrezaee, Mostafa; Keshtkari, Sara; Moradi‐Lakeh, Maziar; Abbasifard, Mitra; Alipour, Vahid; Amini, Saeed; Arabloo, Jalal; Arzani, Afsaneh; Bakhshaei, Mohammad Hossein; Barzegar, Akbar; Bijani, Ali; Dianatinasab, Mostafa; Eskandarieh, Sharareh; Gheshlagh, Reza Ghanei; Ghashghaee, Ahmad; Heidari‐Soureshjani, Reza; Irvani, Seyed Sina Naghibi; Lahimchi, Amitis; Maleki, Shokofeh; Manafi, Navid; Mansournia, Mohammad Alì; Mohammadian-Hafshejani, Abdollah; Bandpei, Mohammad Ali Mohseni; Moradzadeh, Rahmatalah; Naderi, Mehdi; Pakshir, Keyvan; Rafiei, Alireza; Rashedi, Vahid; Rezaei, Nima; Rezapour, Aziz; Sahraian, Mohammad Ali; Shahabi, Saeed; Shamsi, MohammadBagher; Soheili, Amin; Soroush, Ali; Zamani, Mohammad; Mohajer, Bahram; Farzadfar, Farshad

doi:10.1007/s11657-020-00767-8

Cited by 15 publications

(12 citation statements)

References 27 publications

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“…1,2 These conditions are typically characterized by pain and limitations in mobility, dexterity, and functional capacity. Musculoskeletal disorders are the main contributors to disability worldwide, 3 with low back pain being the primary global cause. 1,4 Furthermore, one in five people suffers from musculoskeletal pain.…”

Section: Introductionmentioning

confidence: 99%

Musculoskeletal disorders in basketball players and associated factors: a systematic review protocol with meta-analysis

Borges

Fernandes²,

Noll

et al. 2021

F1000Res

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Introduction: Musculoskeletal disorders play an important role in athletes’ health and success in sports; they are the main contributors to disability, and back pain is a common problem in athletes. Back pain and spinal injuries occur in players because of the repetitive and unilateral body overload during sports practice. Reviews focused on musculoskeletal disorders in basketball players are scarce in the literature. We describe a systematic review protocol for assessing the prevalence of musculoskeletal disorders and the associated factors in basketball players. Methods and analysis: The protocol will be based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) items and articles will be searches in the databases EMBASE, PubMed, and Scopus. Studies will be included if they are written in English and without restriction regarding the search period. All research stages will be performed by two independent reviewers and will be conducted using Rayyan. Potential disagreements will be analyzed by a third reviewer. The inter-rater reliability will be determined through the Cohen's kappa coefficient. Evidence quality will be ascertained by using the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) system, while the Downs and Black checklist will be used for assessing the risk of bias. A descriptive summary and presentation of the characteristics and findings of all included studies will be provided in a table. Regarding these data, if there are sufficient high-quality studies, we plan to perform a meta-analysis. Discussion: The obtained results might possibly relate back pain to postural changes in this population. In addition, the data will be compared based on gender and different age groups. It is expected that the results can support the implementation of programs and actions for prevention, ultimately aiming at improving health, quality of life, and sports performance. Registration: PROSPERO CRD42020201653 on August, 31, 2020.

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Section: Introductionmentioning

confidence: 99%

Musculoskeletal disorders in basketball players and associated factors: a systematic review protocol with meta-analysis

Borges

Fernandes²,

Noll

et al. 2021

F1000Res

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“…Since non-use of oral rehydration salt (ORS) powder had caused severe muscle cramps in individuals, medical science centers of border provinces were advised to widely distribute powdered ORS packages to pilgrims in the coming years. However, it was shown that in Iran musculoskeletal disorders (MSDs) caused disability (2020) (22) for the population over 50 years during 1990-2017. The aforementioned results confirmed that a low level of back pain is the greatest contributor to disability-adjusted life years (DALYs) due to 4.5% DALYs.…”

Section: Discussionmentioning

confidence: 99%

“…The aforementioned results confirmed that a low level of back pain is the greatest contributor to disability-adjusted life years (DALYs) due to 4.5% DALYs. It was observed that the female population experienced a considerably higher burden of MSDs, with years of life lost (YLLs) and years lived with a disability (YLDs) rates of 115% and 48% per 100,000 (YLLs=28.7; YLDs=2629.1) individuals in comparison to males (YLLs=13.2; YLDs=1766.1), respectively (22). Contrary to the results of this study, musculoskeletal problems were more common in men (n=7,121; 59.61%), compared to that reported for women (n=4,824; 40.39%).…”

Section: Discussionmentioning

confidence: 99%

A Review of the Condition of OPD Patients in Arba’een On-foot Pilgrimage in 2019

Mohammadinia¹,

Sharifisadeh²,

Lashkari³

et al. 2021

ircmj

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Background: The annual religious ritual of Arba’een is the global largest mass gathering of pilgrims from different countries participating in a mass movement on an 80-km pathway to visit the Shrine of Imam Hussein, the grandson of Prophet Muhammad. The provision of health care for such a mass movement has always been an important vital issue for the health care system. Objectives: The current study investigated the common illnesses in addition to the quantity of health care services offered by temporary clinics and health stations located on the way to the shrine to such a mass gathering of on-feet pilgrims in Iraq in Arba’een 2019. Methods: This cross-sectional study was conducted at temporary clinics and health stations where pilgrims in need of nursing, midwifery, and pharmaceutical care were provided with services by general and expert physicians on the way from Najaf to Karbala in Iraq during a week in October 2019. Results: Imam Reza Temporary Clinic offered services to a total of 26,875 patients, including 9,934 females (36.96%) and 16,941 males (63.04%), on all days of the week. The most common chief complaint reported by the patients were musculoskeletal problems (n=11,945; 21.99%), foot blisters (n=11,372; 20.94%), and skin lesions (n=10,662; 19.62%). Conclusions: The present study highlighted the need for providing more organized services, especially in emergency health care, and necessity of paying further and closer attention to the significance of the health history of those pilgrims attending such religious mass gatherings in previous years.

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“…Despite the significant successes of Iran's PHC network and the implementation of numerous reforms in recent decades [29], the program still faces challenges, including the lack of effective integration of rehabilitation services [32][33][34]. According to the recent recommendations of WHO on strengthening rehabilitation services in health systems and the increased demand for rehabilitation services in Iran due to aging population, high prevalence of non-communicable diseases, musculoskeletal conditions, traffic collisions, and natural disasters in recent years [7,11,35], we conducted this qualitative study to determine policy solutions that might facilitate the integration of rehabilitation services into Iran's PHC Network. This study aimed to explore the current challenges and potential policy solutions for integrating rehabilitation services into the PHC system in Iran.…”

Section: Introductionmentioning

confidence: 99%

Integrating rehabilitation services into primary health care: policy options for Iran

Shahabi

Kiekens

Etemadi³

et al. 2022

BMC Health Serv Res

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Background Providing rehabilitation services in primary health care (PHC) is associated with numerous health, social, and economic benefits. Therefore, low and middle-income countries, such as Iran, should benefit from the advantages of integrating rehabilitation services into PHC. We conducted a qualitative study to determine policy solutions that could facilitate the integration of rehabilitation services into Iran’s PHC network. Methods Semi-structured interviews were conducted with 38 participants, including health policymakers, rehabilitation managers, faculty members, and rehabilitation practitioners. Purposive and snowball sampling strategies were adopted to recruit participants. The WHO Health System building blocks framework analysis was applied to analyze the collected data. Results Participants’ perspectives and experiences outlined potential policy options including: (1) stewardship: increasing political support, strengthening the leadership of the rehabilitation sector, and promoting inter-sectoral collaborations; (2) service delivery: increasing the knowledge of healthcare professionals, using local volunteers, deploying mobile rehabilitation teams, using telerehabilitation, and improving referral pathways; (3) financing: increasing government funding, preparing a package of rehabilitation services, and using appropriate payment mechanisms; (4) human resources: expanding rehabilitation workforce, training rehabilitation assistants, and enhancing employment and social opportunities; (5) information systems: establishing a comprehensive information system and an effective surveillance system; and (6) technologies: facilitating access to a range of rehabilitation equipment and raw materials, especially for prosthetics and orthotics services. Conclusion Based on the WHO six building blocks framework, this study identified several policy options for integrating rehabilitation services into the Iranian PHC Network. Some of the policy options include increasing political support, promoting inter-sectoral collaborations, increasing the skills and knowledge of healthcare workers, establishing effective referral pathways, strengthening team-working, and increasing government funding.

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Burden of musculoskeletal disorders in Iran during 1990–2017: estimates from the Global Burden of Disease Study 2017

Cited by 15 publications

References 27 publications

Musculoskeletal disorders in basketball players and associated factors: a systematic review protocol with meta-analysis

Musculoskeletal disorders in basketball players and associated factors: a systematic review protocol with meta-analysis

A Review of the Condition of OPD Patients in Arba’een On-foot Pilgrimage in 2019

Integrating rehabilitation services into primary health care: policy options for Iran

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