Musculoskeletal health complaints: A growing concern that should be investigated elaborately in Bangladesh

Ferdous, Jannatul; Pranto, Nujaim Khan; Mehedi, Md Murad Hossain; Akter, Marium; Akter, Marjan; Hossain, Md Imran; Amran, Naheean Hossain; Siddiq, Md Abu Bakar; Ali, Mohammad

doi:10.1016/j.amsu.2022.104660

Cited by 3 publications

(3 citation statements)

References 12 publications

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“…A study finds 26 that 21.4% of post-COVID cases had neck pain compared to non-COVID cases (8.9%), similarly, the increasing prevalence was noted for people with a history of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in arm pain (10.3% vs 4.3%, P = .001), upper back pain (16.6% vs 7.5%, P ≤ .001), and shoulder pain (17.1% vs 3.2%, P ≤ .001). These health complaints warrant intensive investigation and appropriate treatment approaches, 27 and physiotherapy interventions are recommended as first-line management. However, in reality, 12% of Bangladeshi physiotherapists always follow appropriate recommendations for treating musculoskeletal cases.…”

Section: Discussionmentioning

confidence: 99%

Physiotherapy versus pain medication for managing chronic cervical radiculopathy: protocol for a multi-arm parallel-group randomized clinical trial

et al. 2023

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Background: Cervical radiculopathy (CR) is one of the prevalent causes of neck pain and disability. Physiotherapy and pain medications are the common nonoperative management, and in physiotherapy, there are many concepts of assessment and management. This study aims to determine the comparative effectiveness of three specialized physiotherapy approaches or only pain medications for managing CR cases. Methods: A prospective, assessor, and participant-blind, four-arm randomized control trial (RCT) has been planned to conduct on 160 patients with chronic cervical radiculopathy in 4 specialized centers of Dhaka city recruited between July and December 2022. Four groups (n=40) will be treated through structural diagnosis and management concept (SDM), regional approaches (RA), McKenzie mechanical diagnosis and therapy (MDT) concept prescribed by advanced practice physiotherapist (APP), or pain medications prescribed by the specialist physician for 4 weeks. The outcome will be evaluated in baseline, intermediate test (14 days), and post-treatment (28 days) through Brief Pain Inventory (BPI) for pain, Goniometer reading for cervical range of motion (ROM), and Neck disability index (NDI) as the primary outcome. The secondary outcome will be quality of life measured at baseline and post-treatment by the WHO quality of life questionnaire WHOQOL-BREF. Discussion: The study will compare the efficacy of the three physiotherapy approaches with pain medications when treating chronic cervical radiculopathy. The findings will provide evidence when demining the best conservative management approach for CR. Clinical Trial Registry India: CTRI/2022/03/040922 (08/03/2022)

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Section: Discussionmentioning

confidence: 99%

Physiotherapy versus pain medication for managing chronic cervical radiculopathy: protocol for a multi-arm parallel-group randomized clinical trial

et al. 2023

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“…Both Regional approaches and SDM concentrates on the overall cervico-dorsal and upper-cross-region, the treatment approaches and sequences are different. 27 Regional approach (RA) is an open-ended theoretical basis of assessment and figuring out what chain mechanism is impaired and treating a region or multiple joints/structures. 13 Structural diagnosis and management (SDM) is a structured process that can detect the specific structure(s) involved in the impairment and measure the extent of involvement.…”

Section: Discussionmentioning

confidence: 99%

"Outcome evaluation of physiotherapy & drug management for chronic cervical radiculopathy"

Siddique¹,

Rahman²,

Islam³

et al. 2023

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Background: Cervical radiculopathy (CR) is one of the prevalent causes of neck pain and disability. Physiotherapy and pain medications are the common nonoperative management, and in Physiotherapy, there are many concepts of assessment and management. This study aims to determine the comparative effectiveness of three specialized physiotherapy approaches or only pain medications for managing CR cases. Methods: A prospective, assessor, and participant-blind, four-arm Randomized control trial (RCT) has been conducted on 120 patients with chronic cervical radiculopathy in 4 specialized centers of Dhaka city recruited between July and December 2022. Four groups (n=30) was treated through structural diagnosis and management concept (SDM), regional approaches (RA), McKenzie mechanical diagnosis and therapy (MDT) concept prescribed by advanced practice physiotherapist (APP), or pain medications prescribed by the specialist physician for 4 weeks. Discussion: After 24 sessions every group shows improvement in neck pain, ROM, disability and quality of life. During intermediate analysis (14days), no group shows more significant changes than another. After post changes (24days) the pain severity score differ significantly only between Medication and RA, RA and Medication; mean pain affective interference score differ between Medication and RA, RA and Medication; and pain physical interference between Medication and RA; RA and Medication. Mean score of ROM were significantly different between medication and RA, Medication and SDM; MDT and RA, MDT and SDM; RA and Medication, RA and MDT; SDM and Medication, SDM and MDT. Besides mean score of WHOQOL Brief (physical) were significantly different between Medication and SDM (p=.000); MDT and SDM (p=.000); RA and SDM (p=.045); SDM and Medication (p=.000), SDM and MDT (p=.000), SDM and RA. Overall improvement (mean score changes) found in pain, ROM, disability, QOL among all groups. Trial registered to the Clinical Trial Registry India CTRI/2022/03/040922 on 08/03/2022.

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“…Consequently, MHC is becoming a significant public health problem in LMICs. Much data regarding MHC is required to understand the situation better and discuss the management and prevention strategies [8].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and predictors of musculoskeletal health complaints among sedentary, monotonous urban workers: A survey in Bangladesh

et al. 2023

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Background Monotonous and sedentary work is significantly associated with the worst health of workers. There is a scarcity of data investigating the musculoskeletal health of sedentary workers working in low-income and middle-income settings. This study aimed to measure the prevalence and predictors of musculoskeletal health complaints (MHC) among Bangladeshi shopkeepers. Methods This cross-sectional study was conducted in Dhaka, Bangladesh. Data from 1553 Bangladeshi shopkeepers aged 18 years and above were analyzed. MHC was measured using the musculoskeletal subscale of the subjective health complaints scale. The descriptive analysis helped to compute MHC prevalence and compare the prevalence across groups. Regression analysis revealed the predictors of MHC for the shopkeepers. Results The prevalence of MHC among shopkeepers was 58.0%. The prevalence of low back pain was the highest (55.5%), followed by neck pain (48.0%) and upper back pain (43.5%). Regression analysis identified sex (aOR 1.301, CI 0.996 to 1.700), age (aOR 1.405, CI 1.047 to 1.886), body mass index (aOR 0.495, CI 0.397 to 0.617), and substance abuse (aOR 1.998, CI 1.136 to 3.514) as independent predictors of MHC among the shopkeepers. Furthermore, significantly higher odds of MHC have been found among tobacco users (OR 1.234, CI 1.009 to 1.510). Conclusion This study revealed a high prevalence of MHC and unhealthy lifestyles among shopkeepers in Bangladesh. Shopkeepers should be provided with better health literacy to follow healthy lifestyles and prevent MHC among this cohort.

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Musculoskeletal health complaints: A growing concern that should be investigated elaborately in Bangladesh

Cited by 3 publications

References 12 publications

Physiotherapy versus pain medication for managing chronic cervical radiculopathy: protocol for a multi-arm parallel-group randomized clinical trial

Physiotherapy versus pain medication for managing chronic cervical radiculopathy: protocol for a multi-arm parallel-group randomized clinical trial

"Outcome evaluation of physiotherapy & drug management for chronic cervical radiculopathy"

Prevalence and predictors of musculoskeletal health complaints among sedentary, monotonous urban workers: A survey in Bangladesh

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