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BACKGROUND: Desk-work-related musculoskeletal pain is more prevalent among female workers than male workers. This may be contributed to by sex and/or gender differences in postural variability however, the mechanisms underpinning these differences are poorly understood. This review investigates whether desk-based postural variability studies investigate sex-gender differences and, how they explain the mechanisms behind these differences. METHODS: A scoping review was conducted with four databases (PubMed, Embase, Scopus and ProQuest) searched in June and July 2023. Studies investigating postural variability among desk-based workers were included and a narrative approach used to synthesise results. RESULTS: 15 studies were included. Only four reported on sex-gender differences. None collected psychological or social information to explore reasons for sex-gender differences. CONCLUSION: The mechanisms behind postural variability differences between sexes and genders are complex and multifactorial. Studies largely do not consider sex and gender and do not collect the information necessary to explain their results.
This scoping review investigates desk-based postural variability, exploring sex-gender differences and underlying mechanisms. Among 15 studies, four address sex-gender disparities, while none consider psychological or social factors. Failing to recognize these differences leads to ineffective, generalized interventions .Tailored approaches, encompassing biomechanical, psychological, and social aspects, are crucial for effective interventions.
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Objectives. This study aimed to examine the effects of a short opponens splint and hand exercise program on pain, hand functionality, daily activities, and work efficacy in computer engineers with wrist pain. Methods. Forty-five engineers were randomized into three groups: group 1 (n = 15) utilized both splints and exercises, group 2 (n = 15) engaged in exercises only and group 3 (n = 15) received no treatment, across 8 weeks, thrice weekly. Only exercises were applied to group 2 (n = 15). No treatment was applied for group 3 (n = 15). The progress of subjects was controlled periodically each week. Outcome measurements including the Jamar hand dynamometer, pinchmeter, nine-hole peg test (9-NHPT), visual analog scale, Boston carpal tunnel syndrome questionnaire and Michigan hand outcome questionnaire (MHQ) were evaluated pre and post treatment during the study period. Results. Comparing the outcome measurements of the three groups showed a statistically significant difference between them except for the 9-NHPT and MHQ pain and esthetics (p < 0.05). According to post-hoc tests, groups 1 and 2 had more significant differences than group 3. Also, there was no statistically significant difference in any parameter between group 1 and group 2 (p > 0.017). Conclusion. Non-restrictive minimal orthosis or exercise programs are advisable for individuals with wrist pain.
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Férulas (Fijadores) , Muñeca , Humanos , Resultado del Tratamiento , Terapia por Ejercicio , Dolor , ComputadoresRESUMEN
Background: Back pain is a common event in the general German population, but little is known about pain prevalence among occupational therapists (OT). Objective: The aim of this study was to estimate the prevalence of pain and associated factors in German OTs. Methods: We conducted a cross-sectional survey study. The prevalence of acute, chronic, and recurrent pain was calculated, and factors associated with chronic and recurrent pain were identified using multivariate logistic regression analysis. Results: A total of 444 OTs (89.41% female) with a mean age of 37.78 (SDâ¯= 11.63) years were included into the final analysis. Prevalence of acute pain was 3.83% (95% confidence interval [95% CI]: 2.25%; 6.06%), of chronic pain 15.54% (95% CI: 12.30%; 19.25%), and of recurrent pain 43.02% (95% CI: 38.36%; 47.77%). The most frequently affected pain site was the lumbar spine. Significantly associated with chronic pain was the level of depression (adjusted odds ratio [AOR]: 1.05 [95% CI 1.00; 1.10]; pâ¯≤ 0.042) of study participants. Recurrent pain was significantly associated with a standing working position, working in geriatrics, stress level, and the level of graduation in multivariate analysis. Conclusion: This study estimated the prevalence of pain and identified factors associated with chronic and recurrent pain in participating OTs. To provide prevention measures and to identify more factors, further studies should be conducted.
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An investigation into the work-related pain (WRP) experienced by Massage Therapists (MTs) in Ontario, Canada was undertaken using voluntary completion of an online questionnaire following broad distribution of requests to take part in this study. Data from respondents were included for analysis if they provided informed consent and were a currently or previously registered MT in the region. With voluntary participation, self-selection respondent bias must be considered in evaluating reported results. Valid questionnaires (n=1103) were analyzed both quantitatively and qualitatively. Massage therapists ranged in age from 20 to 73 years, and 85% of respondents were female. The overwhelming majority (85%) of MTs had experienced, or were experiencing, WRP at one or more of five pre-identified, primary locations with the hand/wrist, the most common site (65.5%); followed by the fingers/thumb (60.3%), shoulder (55.0%), lower back (50.1%), and neck (49.2%). Females were significantly more likely to report neck and shoulder pain than males, and were significantly more likely to report WRP at a higher number of body locations, with approximately one in five female MTs reporting WRP at all (5) primary sites. On a 10-point pain-severity scale, females reported significantly higher perceived pain than males. Work-related pain was attributed to the gradual onset of musculoskeletal conditions by 60.3% of respondents, with no other choice of cause being reported by more than 11.1%. There was clear indication of WRP impacting the lives of MTs, with 48% reporting an impact on activities of daily living, 31% reporting a loss of income, 54.6% working in pain, and 30.5% considering changing (or having changed) their profession. Various work adjustments to WRP were reported, including altered biomechanics and greater rest between patient treatments. The reported data suggested that WRP was a limiting factor for MTs' work capacity.
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OBJECTIVE: Work-related pain and disability have been reported in the literature among surgeons. This national survey was designed to identify the prevalence and severity of these symptoms in vascular surgeons. METHODS: A survey was emailed to the 2910 members of the Society for Vascular Surgery. Physical pain was evaluated based on body part, and type of vascular procedure performed using the Borg 0 to 10 pain scale. Wellness questions were also queried. RESULTS: A total of 775 of Society for Vascular Surgery members responded, with a 26.6% response rate. Retirees were excluded from the study (n = 39). Among those actively working (n = 736), surgeons have been practicing surgery, on average, for 17.2 ± 11.6 years, with a mean age of 51.4 ± 10.9 years, and 83.6% are male. After a full day of open surgery, the majority of the responding vascular surgeons are in a moderately strong amount of pain (mean score, 4.4 ± 2.3). After a full day of endovascular procedures, most vascular surgeons are in a moderately strong amount of pain (mean score, 3.9 ± 2.4). Pain after open surgery is greatest in the neck, and after endovascular surgery pain is highest in the lower back. Surgeons performing endovenous procedures demonstrated the lowest pain scores (2.0 ± 2.0). In total, 36.9% (242/655, 81 missing responses) have sought medical care for work-related pain, with 8.3% (61/736) taking time away from the operating room. Of those, 26.2% (193/736) report pain severe enough that it interferes with sleep. Seventy-two (10%) required surgery or other significant medical procedures. Of the 39 retirees, 26% ended their careers owing to physical disabilities from work-related pain. Out of the entire cohort, 52.7% (334/633,103 missing responses) feel that physical discomfort will affect the longevity of their careers. Additionally, we found that high work-related physical discomfort is significantly associated with burnout (burnout vs no burnout; P < .0001). CONCLUSIONS: Our study shows that the majority of practicing vascular surgeons responding to the survey are in pain after a day of operating. Addressing work-related pain serves to improve the lives and careers of vascular surgeons and enhance surgical longevity.
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Agotamiento Profesional/epidemiología , Ergonomía , Fatiga Muscular , Dolor Musculoesquelético/epidemiología , Enfermedades Profesionales/epidemiología , Cirujanos , Procedimientos Quirúrgicos Vasculares , Adulto , Anciano , Agotamiento Profesional/fisiopatología , Agotamiento Profesional/psicología , Femenino , Encuestas Epidemiológicas , Humanos , Masculino , Persona de Mediana Edad , Actividad Motora , Dolor Musculoesquelético/fisiopatología , Dolor Musculoesquelético/psicología , Enfermedades Profesionales/fisiopatología , Enfermedades Profesionales/psicología , Salud Laboral , Dimensión del Dolor , Postura , Prevalencia , Medición de Riesgo , Factores de Riesgo , Estados Unidos/epidemiología , Evaluación de Capacidad de TrabajoRESUMEN
[Objective] Photographers perform a variety of tasks, including taking photographs for extended periods of time, using personal computers to organize photographic data, and preparing and transporting their equipment. Although photographers may exhibit a variety of symptoms, there have been no reports on investigations of pain or disease in photographers. In this study, we conducted a questionnaire survey on the actual status of work-related pain in photographers. We, then, performed acupuncture and evaluated the effects in subjects for pain or stiffness in the neck and shoulders, which was the most common chief complaint in the questionnaire.[Subjects and Methods] The survey was sent to 138 professional photographers. The survey included seven items, such as symptoms experienced during work activities and the content of the work. Among the respondents who reported chief complaints of pain in the neck and shoulder regions, six (one male and five females) opted to receive acupuncture treatment. We used the visual analog scale (VAS) scores to determine the amount of shoulder stiffness and tenderness in the shoulders and neck, as well as induration, before and immediately after treatment.[Results] Responses were obtained from 60.1% subjects. The most common chief complaint involved the neck and shoulder region in 86% of subjects. In the analysis of sex differences, the most common chief complaint in females was in the neck and shoulder region, whereas the most common chief complaint in males was in the lower back region. In the assessment of effects of acupuncture, the VAS scores for shoulder stiffness decreased after acupuncture (p < 0.05) and tenderness and induration scores decreased after acupuncture (p < 0.05).[Discussion and Conclusion] Low muscle strength may be a contributing factor for a higher complaint of neck and shoulder pain and stiffness in females. A higher complaint of pain and stiffness in the lower back region in males may be attributable to a higher load on the lower back region because they tend to have poor posture owing to height differences with the object being photographed. These results suggest that acupuncture is useful for work-related pain in the neck and shoulder region, which is the most common chief complaint in photographers.
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BACKGROUND: The aim of the present study was to describe the development of strategies to prevent and rehabilitate musculoskeletal pain among surgeons. Musculoskeletal pain affects surgeons' life, and evidence on interventions for effective prevention and rehabilitation is lacking for this occupational group. METHODS: An Intervention Mapping approach was used to develop intervention strategies specifically tailored to surgeons. This approach entailed conducting a systematic scoping literature search and semi-structured interviews with six surgeons. RESULTS: The first step was to develop a logic model of the problem of musculoskeletal pain among surgeons. Step two was to formulate health-enhancing outcomes and performance objectives for the intervention, while in step three theory-based methods and practical strategies for the intervention were identified. CONCLUSION: The present Intervention Mapping study demonstrated that musculoskeletal pain among surgeons is a complex area that needs attention. Our findings highlight a need for individual behavioural changes as well as organisational, attitudinal, and management changes.
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Dolor Musculoesquelético/prevención & control , Dolor Musculoesquelético/rehabilitación , Enfermedades Profesionales/prevención & control , Enfermedades Profesionales/rehabilitación , Salud Laboral , Cirujanos , HumanosRESUMEN
BACKGROUND: The objective of this study was to report on the prevalence of musculoskeletal pain in lobstermen in the northeast USA. METHODS: Crews were randomly selected from those licensed to fish in Maine and Massachusetts and followed prospectively. The survey used a Nordic Musculoskeletal Questionnaire format to characterize musculoskeletal disorders. RESULTS: A total of 395 individuals participated. One half of the respondents reported low back pain. Back pain was attributed to or exacerbated by lobstering. Low back pain was prevalent among both captains and sternmen, while sternmen reported more hand/wrist pain than captains. Multiple locations for pain were common in individual participants. CONCLUSION: Equipment or technology to assist material handling should be a priority, as the body segments with high prevalence of pain (back, hand/wrists, shoulders, knees) are all affected by the repetitive and forceful handling of the lobster traps.
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BACKGROUND: The objective of this study was to report on the prevalence of musculoskeletal pain in lobstermen in the northeast USA. METHODS: Crews were randomly selected from those licensed to fish in Maine and Massachusetts and followed prospectively. The survey used a Nordic Musculoskeletal Questionnaire format to characterize musculoskeletal disorders. RESULTS: A total of 395 individuals participated. One half of the respondents reported low back pain. Back pain was attributed to or exacerbated by lobstering. Low back pain was prevalent among both captains and sternmen, while sternmen reported more hand/wrist pain than captains. Multiple locations for pain were common in individual participants. CONCLUSION: Equipment or technology to assist material handling should be a priority, as the body segments with high prevalence of pain (back, hand/wrists, shoulders, knees) are all affected by the repetitive and forceful handling of the lobster traps.