The management of work-related musculoskeletal injuries in an occupational health setting: the role of the physical therapist

Prall, J. Adair; Ross, Michael D.

doi:10.12965/jer.1836636.318

Cited by 40 publications

(36 citation statements)

References 20 publications

(25 reference statements)

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“…They include a wide range of inflammatory or degenerative diseases (6). According to the statement of the World Health organization, WMSD is acute or chronic and can be caused by many different (combinations of ) factors (7). Oakman et al (8) divided risk factors into individual factors (gender, age, the body mass index [BMI], etc.…”

Section: Introductionmentioning

confidence: 99%

Work-related musculoskeletal disorders among Slovenian physiotherapists

Meh

Bizovičar

Kos

et al. 2020

JHSCI

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Introduction: Work-related musculoskeletal disorders (WMSDs) represent a major problem for society, employers, and employees. These kinds of problems can cause discomfort, pain, and poor work performance. Among physiotherapists, the 1-year prevalence of WMSD ranges from 28 to 96%. Most problems occur in the lower back, with a 1-year prevalence of up to 83%. This study aimed to determine the prevalence of WMSD on a sample of physiotherapists from Slovenia and to identify associations between demographic/anthropometric variables, job satisfaction, and physical activity with WRMD aiming to contribute to the development of effective prevention and control strategies. Methods: The extended Nordic musculoskeletal questionnaire was used to obtain data from a sample of 102 physiotherapists. Data were presented with descriptive statistics and processing was performed with the Spearman’s rank correlation coefficient for non-parametric variables. The level of statistical significance was set as p ≤ 0.05. Results: The 1-year prevalence of WMSD was 92.2%. One-year prevalence of WMSD was highest for the neck (64%) and lower back (63%). Higher age and more years of practice were correlated with WMSD for shoulders and ankles/feet areas. Several patients treated by a physiotherapist were a risk factor for difficulties in the neck and multiple body areas. The level of physical activity was not correlated with WMSD in different body areas. Conclusion: The prevalence of WMSD found in our study sample was among the highest compared to other countries, despite probably having similar working conditions as elsewhere in Europe. The first WMSD of Slovenian physiotherapists mostly did not occur in the first 5 years of practice as other studies reported, which could be explained as a result of a good educational training of young physiotherapists. Possible reasons for the high prevalence of WMSD could be that our study sample represented only secondary and tertiary levels of health care; another reason could also be non-ergonomic and hard working conditions during their careers. Physiotherapists are mostly adequately physically active, however, that did not turn out to be effective WMSD prevention in our sample. The relatively high prevalence is indicating the need for better interventions and prevention of WMSD in Slovenian physiotherapists.

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Section: Introductionmentioning

confidence: 99%

Work-related musculoskeletal disorders among Slovenian physiotherapists

Meh

Bizovičar

Kos

et al. 2020

JHSCI

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“…The current results have confirmed the importance of integrating ergonomic interventions into the clinical management of these patients and the training program needs to be transformed into actual workplace strategies [39]. Physiotherapists in the clinical setting as well as in the workplace setting should adopt this approach, and it will produce more long-term benefits for this group of patients [40]. When starting a course of treatment for such patients, physiotherapists should assess the work demands and ergonomic risks to musculoskeletal disorders of the patient in more details and design the exercise-training program and provide ergonomic advice to match the job demand.…”

Section: Integrating Ergonomics and Motor Control Interventionsmentioning

confidence: 54%

“…No firm conclusion can be drawn on the cost-effectiveness of the EM intervention program based on this result. Nonetheless, it has been suggested in the literature that multi-component interventions are warranted to manage occupational health problems and it is important to examine the "health economics" of these interventions [40].…”

Section: Cost-effectiveness Of Ergomotor Approachmentioning

confidence: 99%

Effects of Ergomotor Intervention on Improving Occupational Health in Workers with Work-Related Neck-Shoulder Pain

Szeto

Lau

et al. 2019

IJERPH

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(1) Background: Work-related neck and shoulder pain (WRNSP) are common problems, and past occupational research has focused on ergonomic interventions such as adjusting workstations while physiotherapists have traditionally focused on teaching exercises to improve posture and movement control in the clinical setting. The current study aimed to integrate these two approaches and evaluate the immediate and long-term effects of such interventions on occupational exposure outcomes. (2) Methods: A total of 101 patients diagnosed with WRNSP were randomized into 2 groups: Control (CO) group (n = 50) and ergomotor (EM) group (n = 51). Participants in the control group had 12 weeks of usual care (conventional physiotherapy) while participants in the EM group received an integrated program with tailor-made motor control training and ergonomic advice for 12 weeks. (3) Results: Both groups achieved significant improvement in pain and functional outcomes at post-intervention. The EM group also reported significantly improved scores in terms of perceived exertion in the job-related physical demands (JRPD) and the short form workstyle questionnaires compared to the control group. (4) Conclusions: The results suggest that ergomotor intervention may be more effective in producing favorable occupational health outcomes compared to conventional physiotherapy.

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“…According to world statistics, musculoskeletal injuries rank second place among disability and mortality causes [1]. According to the forecast of Lopes et al, the annual fracture number in Europe will increase by 28% by 2025 (from 3.5 to 4.5 million cases) [2].…”

Section: Introductionmentioning

confidence: 99%

Morphological Characteristics and Correction of Long Tubular Bone Regeneration under Chronic Hyperglycemia Influence

Dudchenko

Maksymova

Pikaliuk

et al. 2020

Analytical Cellular Pathology

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Introduction. Unsatisfactory consequences of bone regeneration disorders in diabetes mellitus (DM) patients, their high prevalence, complication number, and difficulties in treatment require further study and deeper understanding of reparative osteogenesis mechanisms under chronic hyperglycemia and finding new effective and affordable approaches to their treatment. Therefore, the aim of our work was to study the histological, ultramicroscopic, and histomorphometric features of reparative osteogenesis in rats with chronic hyperglycemia (CH), as well as to investigate the possibility of platelet-rich plasma (PRP) use in a fracture area in order to correct the negative effects of CH on reparative osteogenesis processes. Study Object and Methods. The studies were performed on 70 white laboratory rats, mature males, which were divided into the following groups: control group, animals with posttraumatic tibial defect under conditions of CH exposure, rats with experimental CH that were administered with PRP into the bone defect, and animals for the assessment of glucose homeostasis and confirmation of simulated CH. Light microscopy was performed using an Olympus BH-2 microscope (Japan). Ultramicroscopic examination was performed using REM-102 scanning electron microscope. The statistical analysis was performed using SPSS-17 software package. Results. The formation of new bone tissue in animals with CH did not occur after two weeks. Only on the 30th day of reparative osteogenesis the newly formed woven bone tissue was 61.54% of the total regenerated area. It was less than the reference value by 22.89% (P<0.001). On the 14th day of reparative osteogenesis, the regenerated area in a group of animals with CH and PRP injection consisted of connective tissue by 68.94% (4.94% less than in animals with CH (P<0.001)) and woven bone tissue by 31.06%, (13.51% less than in the control group (P<0.001)). On the 30th day, the area of woven bone tissue in a regenerate of this group was less than that of the control group by 12.41% (P<0.001). Conclusion. Thus, chronic hyperglycemia contributes to inflammation delay within the bone defect site, which makes the process of reparative osteogenesis more prolonged. The results of chronic hyperglycemia effect on bone regeneration are also impairment of osteogenic cell proliferation and shift of their differentiation towards the fibrocartilage regenerate formation. The PRP corrects the negative impact of chronic hyperglycemia on reparative osteogenesis, promoting more rapid inflammatory infiltrate removal from the bone defect site and osteogenic beam formation and remodeling of woven bone into lamellar membranous bone tissue.

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The management of work-related musculoskeletal injuries in an occupational health setting: the role of the physical therapist

Cited by 40 publications

References 20 publications

Work-related musculoskeletal disorders among Slovenian physiotherapists

Work-related musculoskeletal disorders among Slovenian physiotherapists

Effects of Ergomotor Intervention on Improving Occupational Health in Workers with Work-Related Neck-Shoulder Pain

Morphological Characteristics and Correction of Long Tubular Bone Regeneration under Chronic Hyperglycemia Influence

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