Musculoskeletal Disorders Or Pain Essay

Comprehensive SOAP Note Shoulder pain and difficulty taking a deep breath A patient who presented with musculoskeletal disorders or pain (Shoulder pain and difficulty taking a deep breath) Describe the patient’s personal and medical history, drug therapy and treatments, and follow-up care. see attachment see templateYou must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Musculoskeletal Disorders Or Pain Essay. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

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Musculoskeletal disorders, also called repetitive motion disorder, are injuries of the muscles, tendons, ligaments, joints, cartilage, nerves, and spinal discs. It could lead to occupation injury because of repetitive movement, forceful exertion, poor posture, and other factors. Back pain is one of musculoskeletal disorders most commonly experienced radiographers or x-ray technicians. This is attributed to poor posture and wrong movements that radiographers used to do during their long working hours (1)

One common wrong movement practiced by radiographers is carrying cassettes on the hip, which puts load on one side of body and imparts torsional strain on the spinal muscles. Other wrong movements include; lifting patient by one radiographer with arms and legs in straight position, and bending from their waist with straight legs to retrieve an object from the floor (1-3). To avoid back pain among the radiographers, there must be safety rules and principles to follow during working hours. Musculoskeletal Disorders Or Pain Essay.

Literature Review:

Several studies aimed to investigate the relationship between musculoskeletal disorders and occupational therapy among radiographers. All showed similar result indicating that the most common pain among radiographers was low back pain (4-9).

Back pain among radiographers:

An initial study of back pain was done by D. Wright and P. Witt (1993) to indicate any incidence of back pain, obtain demographic data, and discover preferences for performing radiography tasks. Randomly, 226 radiographers were chosen but only 18 male and 92 female radiographers accept to actively participate. Most of them worked in general diagnostic areas and were divided into two group. The first group consisted of participants with back pain from both genders. The male mean age was 40.08, mean height 68.3 inches, average of weight 181 pounds, and average of back pain intensity 2.4 on 10 point scales. The female mean age36.79, mean height 64.5 inches, average of weight 146 pounds and average of back pain intensity 3.5 on 10 point scales. Both males and females with back pain reported 6.85 of work related stress. The second group was without back pain. The male mean age was 43, mean height 69.8 inches, and average of weight 171 pounds. The female mean age37.56, mean height 64.8 inches, and average of weight 142 pounds. Their mean age was 43 for males and 37.56 for females.

Instrument of the study was through the use of a survey with eight written pages and demographic information related to age, height, weight, area of specialization, work related stress, intensity and anatomical distribution of back pain. It was distributed to the volunteer to collect descriptive frequency data on back pain and their methods to perform 10 tasks. Some of these tasks were: moving over head tube, carrying multiple cassettes and transferring horizontal patient.Musculoskeletal Disorders Or Pain Essay.  It was found that there was no significant age, height, weight related links for back pain. It was also found that the methods to perform the tasks was not related to back pain. The study suggested that repeated poor posture, back strain, and faulty body mechanics may lead to back pain. However due to small sample size and self selected survey the study had limitations (4).

Risk factors and musculoskeletal complaints in X-ray technologists:

Another study was done by E. Bos, et al (2007) to determine prevalence rates of musculoskeletal complaints of neck, shoulder and low back and perceived exposure to risk factors. Non-specialized nurses, Intensive Care Unit (ICU) nurses, operation room nurses, and x-ray technologists (n= 3169), worked in 8 different hospitals, were included in the study.

A Dutch Musculoskeletal Questionnaire, which is a standardized questionnaire, partly derived from the Nordic Musculoskeletal Questionnaire, was given to the subjects to collect personal information and demographic information such as height, weight, function, having managerial task, working hours, and work in past and lifestyle. Moreover, musculoskeletal complaints, musculoskeletal workload, health, task, and psychosocial working conditions items were included. The final results clearly showed that x-ray technologists and nurses reported low back complaints (5). Musculoskeletal Disorders Or Pain Essay.

Musculoskeletal complaints among x-ray technologists:

A cross-sectional study was done by A. Lorusso, S. Bruno, and N. L’abbate (2007) included two hundred and fourteen x-ray technologists working in 13 different hospital in Italy. The volunteers were given a self administered questionnaire to collect information on individual characteristics and compliance of musculoskeletal pain. They were asked if they had lifted patients, transferred lead apron wearing, and handled cassettes. A Standardized Nordic Questionnaire was used in order to evaluate musculoskeletal complaints in neck, shoulder, low back, hand/wrist, and legs during the past 12 months.

The mean age was 48.5 years for men and 42.8 years for women. Fifty six of them were smokers, and 119 had a regular exercise program. The result reported low back pain as

the most commonly symptom followed by shoulder and neck pain (6).

Musculoskeletal complaints among x-ray technology students:

Lorusso, L, et al (2010) aimed in their study to estimate the prevalence of musculoskeletal complaints among a group of x-ray technology students. The subjects consisted of 60 male students and 49 female students (n=109). Their mean age was 21.1

years and of their body mass index (BMI) was twenty three.

The students were given a questionnaire that had been used in a musculoskeletal survey among X-ray technologists. It collected information on individual characteristics such as

gender, age, height/weight, smoking status, and leisure time physical activities. Information about physical exposure during training and complaint about the presence of musculoskeletal pain were also collected.Musculoskeletal Disorders Or Pain Essay.  The participants were also asked if they had lifted patients, transferred or positioned portable equipment handling, lead apron wearing and cassettes. A Standardized Nordic Questionnaire was used to evaluate musculoskeletal complaints in specific body regions such as neck, shoulder, low back, hand and wrist and legs. The result showed that low back pain (LBP) was the most reported symptoms followed by neck and shoulder pain (7).

Musculoskeletal disorders among radiographers in Kuwait:

Sheikha Al-Kindari, el al (2008) investigated musculoskeletal disorder among radiographers in Kuwait. Data were collected by questionnaire from 147 radiographers who were working in different governmental hospitals. The questionnaire included 6 different parts, including demographic data, education and the current job, physical risk factor related with the regular work, psychological risk factor related with the regular work, general health status, and exist of any musculoskeletal problem in body. Musculoskeletal disorder on neck and lower back regions was the highest percentage because of standing for a long time, moving different equipments, lifting, caring, pushing and pulling loads (8).

Work-related musculoskeletal disorders among radiographers:

Finally, Kao, et al (2009) checked the relationship between musculoskeletal disorder and work related risk factor in radiography department. The subjects were 107 from radiography department. The majority worked at the department less than 5 years and were divided in different sections such as Magnetic Resonance Imaging (MRI), Computed Tomography (CT), X-ray, Ultrasound (US), and other. A questionnaire, which contained questions on work characteristics, work description, posture during long period, and body pain, was completed by the subjects. A modified body map also was used to indicate areas of experienced pain. It was categorized to upper back pain, upper limb pain, lower back pain, and lower limb pain. The participants were asked if their pain was related to their work, and were included to the study if there had answered with partially or fully related. Ninety seven subjects continued in the study while 7 refused and 3 pregnant women were excluded. The result of this study was a high percentage on low back pain and upper limb pain. The association between low back pain and working in CT was also significant because of heavy workload such as heavy lifting, twisting, and bending. The study limitations included small subject size, self reporting for measurement of outcomes limited, and estimations were some of limitations of this study (9). Musculoskeletal Disorders Or Pain Essay.

Biomechanical principles

According to previous studies (3-4), musculoskeletal complaints among radiographers is caused by wrong movements such as repeated back strain, poor posture, and faulty body mechanics. To avoid the musculoskeletal pain, biomechanical principles must be

followed. These principles include:

Keeping a load “cassettes and tube” close to center of gravity (COG)

Carrying the cassette vertically against chest rather than carrying it on

the hip to avoid the load on one side of the body and imparts torsional strain on the spinal muscles.

Lowering the tube to waist height before moving it horizontally to

avoid back strain.

Using legs muscles rather than paraspinal muscles

Pushing mobile unit rather than pulling it.

Transferring horizontal patient with assistance from 2 people

with apart feet and straight legs.

Bending knee, slightly bending back forward to pick up objects

form floor.

Avoiding twisting the back while loading paraspinal muscles when

moving Bucky tray, moving supplies, moving equipment through

doorways, working with wheelchair patients, and placing a cassette

behind a bed redden patient.

Using both hand to move the Bucky tray. Musculoskeletal Disorders Or Pain Essay.

Conclusion

Musculoskeletal disorders are injuries of the muscles, tendons, ligaments, joints,

cartilage, nerves, and spinal discs. Back pain is the most common musculoskeletal

disorder among radiographers due to poor posture and wrong movements such as

carrying cassettes on hip, lifting patient by one radiographer, and bending from their

waist to retrieve an object from the floor. Several studies were done aimed to determine

the prevalence of musculoskeletal complaints among the x-ray technologists. The results

confirmed that 72% and 77% prevalence of low back pain respectively among male and

female radiographers, respectively (10-11). Biomechanical principles such as keeping a load

close to center of gravity, using legs muscles, avoiding twisting back, and using both

hand to move the Bucky tray, are recommended in order to avoid musculoskeletal pain in.

Work related musculoskeletal disorders are a group of painful disorders of muscles, tendons, and nerves. Work activities, which are frequent and repetitive, or activities with awkward postures cause their disorders, which may be painful during, work or rest. People working in the IT sector may experience various musculoskeletal disorders. Musculoskeletal Disorders Or Pain Essay. Around the world it has been shown that about 20 million people were experiencing various musculoskeletal discomforts every year. Literatures state there was a strong association between the long working hours and the musculoskeletal discomfort. Various studies has postulated that work related musculoskeletal disorders are very common in sedentary people, but no study has briefed about the prevalence of WRMSD in office workers and the soft ware professionals. The purpose of the study is to find out the prevalence of various msk disorders in software professionals. Descriptive study design, which includes 300 software professionals with not less than 1 year of work experience were selected. A self reported questionnaire was given to all the participants and asked them to fill it up. The data were later analyzed and evaluated for analysis. The study result shows the Low back pain ranks first in the WRMSD and followed by Neck pain. Musculoskeletal Disorders Or Pain Essay.

1. Introduction

Work related musculoskeletal injury is an injury that results from a single instantaneous exposure or multiple or prolonged exposure to the work environment leading to death, lost work time, medical treatments, work restriction, or transfer to another job.

Work related musculoskeletal disorders are aggravated by work that can affects the upper limb, low back area and the lower limbs. WMSD can be defined as impairments of bodily structures such as muscles, joints, tendons, nerves and bones.

The risk of male workers suffering from an MSD is 1.3 times higher than the risk to female workers: 35/100,000 compared to 27/100,000. In terms of (self-reported) work-related MSD complaints, the risk is only slightly higher among male workers (1.07 times higher). The work related musculoskeletal complains increases with age. At the age of 55 yr to 64 years the number of self reported symptoms is 1.7 times higher than the age of 25-34 yrs. Permanent disability and absenteeism is due to various musculoskeletal disorders.

Computers are embodiment of modern life and being used in everyday life. IT industry reaches every facet of society. It is a Boom to the world, but long term, uninterrupted computer usage stresses the musculoskeletal system, vision and emotional equilibrium. Sitting in awkward positions or using wrong unfitted chairs in front of the computer for a longer duration may lead to chronic debilities such as stiffness, headache, and back ache. Muscle and tendons become inflamed due to prolonged period of sitting in front of the computers. Musculoskeletal Disorders Or Pain Essay.

Soft ware professionals use excessive force to operate key boards, keeping wrist and hand in wrong positions, undesirable work place environment repeated stress to the joints which may lead to various musculoskeletal disorders. Such micro trauma may end up in macro trauma which cause increased sickness, work absenteeism, and decreased job satisfaction.

Physical factors, psychological factors and organizational factors as well as individual factors are all thought to affect the workers musculoskeletal health. Musculoskeletal complains in neck and back are very common in computer professionals and shows increasing trends. Prevalence of these musculoskeletal disorders during recent years leads to sickness absenteeism. The symptoms of the work related musculoskeletal injuries include pain, discomfort, tingling and numbness without evidence of any pathology.

Human body was designed to adapt various physical stress, but repeated stress in an awkward posture potentially end up with various musculoskeletal disorders. So far there is no literature which extensively found the prevalence of self reported musculoskeletal symptoms; this study aims to find out the prevalence of various musculoskeletal disorders in software professionals. Musculoskeletal Disorders Or Pain Essay.

2. Methodology

Study is a descriptive study design, the study includes 300 participants from various IT sectors. The study was carried out for a duration of 6 months from the period May 2008 to October 2008. The study includes the soft ware professionals with the age group of 25-40 years, Both sex were included, IT professionals with at least 2 yrs of work experience. Professionals with msk injuries, work time more than 40 hrs per week, and desk job workers. The study excluded subjects with neurological involvement, any recent fracture, patient with multi joint pain, fibromyalgia like symptoms, professionals with congenital abnormalities, and unwilling subjects. The study uses work analysis for computer professional’s questionnaire. The questionnaire was a self reported one which was created by the researchers and the questionnaire was validated by 2 senior physiotherapists and 2 senior ergonomic consultants. The questionnaire includes Demographic data as Section 1 and musculoskeletal injury data in section 2.

The survey questionnaire was distributed to every individual subject. 10 subjects per day was selected and given the questionnaire and asked them to fill up. Approximately 25-30 mins were given to fill up the questionnaire. There was a clear explanation about the questionnaire was given to the employers prior to the distribution. Musculoskeletal Disorders Or Pain Essay. The employer’s queries were cleared up simultaneously and the filled up questionnaire was collected and assigned for analysis. After collecting the questionnaire the employers were thanked for their active participation and advised to take up treatment in the outpatient department. The study was approved by institutional ethical committee.

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4. Result and Discussion

The demographic representations of the participants are mentioned in table 1. Age group of the participants varies from 25 yrs to 40 yrs and about 30 % from 33-34 yrs, 27% from 25-27 yrs, 20% from 25-27 yrs, and 22.5% from 25-27 yrs. The gender classification was mentioned in table2. The male participants were 177and the female participants were 123.

The musculoskeletal analysis was mentioned in table 3. The table shows that Low back pain ranks first of all the musculoskeletal disorders. 35 % of participants complains of back pain where as 27% of participants complains of neck pain. 14 % complains of shoulder disorders, 10% complains of wrist problems, 6% on elbow, 3% on knee, and 5% on others.

The musculoskeletal injury was analyzed in percentile values shows that Low back pain shows 66% of male suffered when compared to 34% of females, the most prone age group is 29yrs -38 yrs. Neck pain is common in males with 56% and the females with 44%. The shoulder pain was 60% and 40% in male to female comparison, Wrist pain is equal in both the groups 50% each. Elbow and knee pain were shown about 56% and 60% in males where as 44% and 40% in females.

This study identifies that pain related to vertebral column is the most than the peripheral region, the observation by shah et al., 1999, found next to ocular symptoms the musculoskeletal pain symptom are most common. Giri et al., 2010, stated in his study that neck pain ranges 58% in computer professionals next to ocular symptoms. Factors which includes the work procedures, use of equipments and environment that lead to various biomechanical stress on muscles, ligaments, tendons spinal nerves and disc. Multiple causes for musculoskeletal injuries may include Repetitive activity, awkward postures and maintenance of static posture for long duration.

Ferreria et al.,1997, identified in a retrospective study that musculoskeletal disorders are the most common in call centre workers. Toomingas et al., 2003, conducted a year assessment for the computer users in other professionals and found that the musculoskeletal complains was more in the professionals. There is an increase in demand of computer workers in the modern office settings and working in the poor posture may lead to various musculoskeletal disorders. Carter 1994 recommended musculoskeletal discomfort are experienced by many VDT operators in telecommunication industry and that may result in chronic disability.

NIOSH , 1997 studied the epidemiological view on the work related musculoskeletal disorders and found that various body parts includes neck, shoulder , elbow , back and wrist and hand are commonest area which gets frequently involved in WMSD. The physical or task related risk factors includes repetition of force, posture, vibrations, static posture and temperature are the major causative factor for WMSD. (Mc Cauley Bush 2011).

There are various hypothesis describes why the software professionals are more prone to have musculoskeletal injuries. This includes 1) Long duration of sitting in awkward postures. 2) Use of wrong body mechanics during work hours 3) Poor knowledge on working atmosphere (Unaware about the seating, chair design, chair height, monitor positioning ect…) 4) Life style modification 5) Excessive stress at work 6) Incorrect and inappropriate timing of food consumption 7) Shift work (affects sleep style, & sleep cycle).

The study was limited only to IT professionals and it includes both shift workers, no interventions were given to the participants. Individual problems was not identified, future studies may promote rehabilitation for the patients with musculoskeletal injuries. Other areas are not in considerations like eye, hearing, tension headache and stress. Musculoskeletal Disorders Or Pain Essay.

5. Conclusion

In this study we conclude that the musculoskeletal ailments are very common in software professionals and the most common ailment is Low back pain.

Acknowledgement

We thank my Chairman Padmashri Dr.G.Bakthavathsalam, Mrs.Vaijayanthi M. das, Director of Education, Mr.R.Prabhukumar, HRD manager, Prof.V.Mohan Gandhi, Chief physiotherapist, and Prof. S. Ramesh,MPT, Principal, K.G.College of Physiotherapy, for their continuous support and guidance for completion of this study, and lastly to all Staffs , Friends, Students of K.G.College of Health sciences for their valuable support for this study.Musculoskeletal Disorders Or Pain Essay.