Queixas musculoesqueléticas em uma Unidade Básica de Saúde: implicações para o planejamento das ações em saúde e fisioterapia

Abstract

| Objective: The aim of this study was to analyze the prevalence musculoskeletal complaints in adults in a Health Center. Methods: There were evaluated users seen in spontaneous reception in the period of 2010 March to 2011 May. Altogether there were studied 1.023 individuals. The characterization of the complaints was conducted through a questionnaire with socio demographic data and the reason for the demand for care. Results: Data from this study showed that most users were women (71.2%), aged 31 to 60 years (50.0%), single (31.6%), retired (14.2%) and had complaints in various systems (77.1%). The musculoskeletal system was the most affected (14.4%), representing the second reason for seeking treatment (31.0%). Analyzing the odds ratios of occurrence of musculoskeletal complaints in relation to the variables studied, we found that people aged 40 to 59 years were 3.49 (95%CI 2.17-5.57) times more likely to occur in association with these pains than older and younger persons. There was no association between other systems and the variables studied. Conclusion: The high prevalence of musculoskeletal complaints requires a new look from health managers to meet these demands, thinking about the possibility of including the physiotherapist in primary health care unit to treat less complex pains.Keywords | health services needs and demand; primary health care; health centers; physical therapy specialty.Musculoskeletal complaints in a health unit: implications for health planning and physical therapy

Associação do diagnóstico clínico com a situação ocupacional de usuários de um serviço de fisioterapia

“…The complexity and multiple causes of the harms to health are still little explored in Physical Therapy as a result of the professional practice that, historically, focused on biological aspects and on rehabilitation, neglecting the knowledge on the process that caused the lesion 2,3 . In Brazil, one of the major causes of outpatient medical consultations are musculoskeletal complaints, influenced by work overload, which determine a large part of the demands on Physical Therapy 4,5 . In the context of occupational health, the instrument used to record and control notifications is the Work Accident Notification (Comunicação de Acidente de Trabalho -CAT), which records the harms suffered by workers and allows the characterization of the relation with work by Social Security, providing legal leave of workers for them to recover their health.…”

Queixas musculoesqueléticas no ombro: características dos usuários e dos atendimentos na atenção primária

“…Among the referrals to different specialties, physical therapy and orthopedics were highlighted, and 86% received no referral. Considering the resolutiveness level of primary care, only 20% of the demand is admitted to referral 14 .…”

“…National studies investigating the demand for medical consultations in primary care indicate pain as the main reason for seeking this service, and musculoskeletal discomfort is the type of pain most frequently reported, with prevalence ranging from 14.5% to 15.7% 14,15 . Little is known about the extent of shoulder pain cases in primary care in Brazil, which complicates the identification of the population's health needs and the subsequent intervention planning.…”

Doenças Crônicas Não Transmissíveis Em Usuários De Unidades De Saúde Da Família - Prevalência, Perfil Demográfico, Utilização De Serviços De Saúde E Necessidades Clínicas

“…. As prevalências relatadas na literatura científica são semelhantes às encontradas neste estudo para distúrbios musculoesqueléticos (14%), diabetes (9%) e problemas respiratórios (5%) 23 . As necessidades clínicas investigadas como: realizar intervenção clínica, fazer uso de medicação, realizar reeducação alimentar, obter encaminhamento para nível especializado, foram maiores no grupo com DCNT.…”