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JPMA. the Journal of the Pakistan... Jun 2022Medical profession is demanding and requires long working hours, lengthy procedures, and constant posturing. Musculoskeletal disorders are common among health care...
Medical profession is demanding and requires long working hours, lengthy procedures, and constant posturing. Musculoskeletal disorders are common among health care professionals (HCP). The commonest musculoskeletal disorders reported include pain in the neck, back, shoulders, elbows, wrists, repetitive strain disorders, nerve injuries and chronic pain disorders. It can result in reduced performance, poor quality of life and significant disability. Ergonomics is the science of adapting the job, equipment, and the humans to each other for optimal safety and productivity. If workplace of a HCP is ergonomically inadequate it will lead to musculoskeletal disorders. The main ergonomic issues include sustained postures, repetitive tasks, forceful hand exertions, use of equipment and precision requirement. In order to prevent ergonomic related injuries, there is a need to increase awareness among HCPs regarding physical fitness, correct posturing, ergonomic adjustments in equipment and environment, and early recognition of problems specific to field.
Topics: Ergonomics; Health Personnel; Humans; Musculoskeletal Diseases; Occupational Diseases; Quality of Life
PubMed: 35751350
DOI: 10.47391/JPMA.22-76 -
Acta Orthopaedica Dec 2016The extent of ageing in the musculoskeletal system during the life course affects the quality and length of life. Loss of bone, degraded articular cartilage, and... (Review)
Review
The extent of ageing in the musculoskeletal system during the life course affects the quality and length of life. Loss of bone, degraded articular cartilage, and degenerate, narrowed intervertebral discs are primary features of an ageing skeleton, and together they contribute to pain and loss of mobility. This review covers the cellular constituents that make up some key components of the musculoskeletal system and summarizes discussion from the 2015 Aarhus Regenerative Orthopaedic Symposium (AROS) (Regeneration in the Ageing Population) about how each particular cell type alters within the ageing skeletal microenvironment.
Topics: Aging; Bone and Bones; Cartilage, Articular; Cellular Senescence; Chondrocytes; Humans; Intervertebral Disc; Musculoskeletal System
PubMed: 27748151
DOI: 10.1080/17453674.2016.1244750 -
Frontiers in Endocrinology 2021Aromatase inhibitors (AIs) are a key component in the chemoprevention and treatment of hormone receptor-positive (HR+) breast cancer. While the addition of AI therapy... (Review)
Review
Aromatase inhibitors (AIs) are a key component in the chemoprevention and treatment of hormone receptor-positive (HR+) breast cancer. While the addition of AI therapy has improved cancer-related outcomes in the management of HR+ breast cancer, AIs are associated with musculoskeletal adverse effects known as the aromatase inhibitor-associated musculoskeletal syndrome (AIMSS) that limit its tolerability and use. AIMSS is mainly comprised of AI-associated bone loss and arthralgias that affect up to half of women on AI therapy and detrimentally impact patient quality of life and treatment adherence. The pathophysiology of AIMSS is not fully understood though has been proposed to be related to estrogen deprivation within the musculoskeletal and nervous systems. This review aims to characterize the prevalence, risk factors, and clinical features of AIMSS, and explore the syndrome's underlying mechanisms and management strategies.
Topics: Aromatase Inhibitors; Arthralgia; Body Mass Index; Bone Density; Breast Neoplasms; Chemoprevention; Female; Humans; Musculoskeletal Diseases; Receptors, Estrogen; Risk Factors
PubMed: 34385978
DOI: 10.3389/fendo.2021.713700 -
Transactions of the American Clinical... 2015Chronic musculoskeletal pain is one of the most intractable clinical problems faced by clinicians and can be devastating for patients. Central pain amplification is... (Review)
Review
Chronic musculoskeletal pain is one of the most intractable clinical problems faced by clinicians and can be devastating for patients. Central pain amplification is perceived pain that cannot be fully explained on the basis of somatic or neuropathic processes and is due to physiologic alterations in pain transmission or descending pain modulatory pathways. In any individual, central pain amplification may complicate nociceptive or neuropathic pain. Furthermore, patients with somatic symptom disorders may have alterations in their psychological or behavioral responses to pain that contribute significantly to the clinical presentation. Genetic, physiologic, and psychological factors associated with central pain amplification are beginning to be understood. One important contributor to chronic pain is perceived stress and stress response systems. We and others have shown a complex relationship between the physiologic stress response and chronic pain symptoms. Unfortunately, treatments for chronic pain are woefully inadequate and often worsen clinical outcomes. Developing new treatment strategies for patients with chronic pain is of utmost urgency. This essay provides a framework for thinking about chronic pain and developing new treatment approaches.
Topics: Adaptation, Psychological; Brain; Chronic Pain; Cost of Illness; Humans; Musculoskeletal Pain; Neural Pathways; Pain Management; Pain Perception; Pain Threshold; Prognosis; Risk Factors
PubMed: 26330672
DOI: No ID Found -
Medycyna Pracy Jul 2019Work performed in a sitting position, despite the fact that it does not require a lot of physical effort, can be the cause of many musculoskeletal disorders (MSD),... (Review)
Review
Work performed in a sitting position, despite the fact that it does not require a lot of physical effort, can be the cause of many musculoskeletal disorders (MSD), especially when performed for a long time and in the wrong position. Musculoskeletal disorders are currently a common problem in the working population. The article presents an analysis of selected literature on the occurrence of musculoskeletal disorders among computer operators. Particular attention was paid to the classification and reasons for the emergence of MSD. The latest reports on the occurrence of the disorders and the costs they generate, due to the inability to work and sick leaves, were also discussed. Med Pr. 2019;70(4):511-21.
Topics: Adult; Aged; Computers; Ergonomics; Female; Humans; Male; Middle Aged; Musculoskeletal Diseases; Occupational Diseases; Posture; Sitting Position; Young Adult
PubMed: 31293280
DOI: 10.13075/mp.5893.00810 -
Nutrients Jan 2021Worldwide, the burden of musculoskeletal disorders is increasing with great variations between-countries, which makes it difficult for policymakers to provide resources...
Worldwide, the burden of musculoskeletal disorders is increasing with great variations between-countries, which makes it difficult for policymakers to provide resources and adequate interventions in order to provide for their appropriate management [...].
Topics: Animals; Biomarkers; Diet; Dietary Supplements; Humans; Musculoskeletal Diseases; Nutrients; Nutritional Status
PubMed: 33498342
DOI: 10.3390/nu13020283 -
The Korean Journal of Internal Medicine Nov 2022Musculoskeletal conditions are common in patients with diabetes. Several musculoskeletal disorders are viewed as chronic complications of diabetes because... (Review)
Review
Musculoskeletal conditions are common in patients with diabetes. Several musculoskeletal disorders are viewed as chronic complications of diabetes because epidemiological studies have revealed high correlations between such complications and diabetes, but the pathophysiological links with diabetes remains unclear. Genetic predispositions, shared risk factors, microvascular impairments, progressive accumulation of advanced glycation end-products, and diabetic neuropathy may underlie the development of musculoskeletal disorders. Musculoskeletal complications of diabetics have received less attention than life-threatening microvascular or macrovascular complications. Here, we review several diabetic musculoskeletal complications with a focus on the clinical importance of early recognition and management, which would improve quality of life and physical function.
Topics: Humans; Quality of Life; Diabetes Mellitus; Diabetes Complications; Musculoskeletal Diseases; Risk Factors
PubMed: 36300322
DOI: 10.3904/kjim.2022.168 -
European Journal of Physical and... Oct 2013In this systematic review article, we assessed the effects of therapeutic Kinesio Taping (KT) on pain and disability in participants suffering from musculoskeletal,... (Review)
Review
In this systematic review article, we assessed the effects of therapeutic Kinesio Taping (KT) on pain and disability in participants suffering from musculoskeletal, neurological and lymphatic pathologies. Four online databases (CINAHL, Cochrane Library, MEDLINE, PEDro) were comprehensively searched from their inception through March 2012. The initial literature search found 91 controlled trials. Following elimination procedures, 26 studies were fully screened. Subsequently, 12 met our inclusion criteria. The final 12 articles were subdivided according to the basic pathological disorders of the participants' musculoskeletal (N.=9), neurological (N.=1) and lymphatic (N.=2) systems. As to the effect on musculoskeletal disorders, moderate evidence was found supporting an immediate reduction in pain while wearing the KT. In 3 out of 6 studies, reduction of pain was superior to that of the comparison group. However, there is no support indicating any long-term effect. Additionally, no evidence was found connecting the KT application to elevated muscle strength or long-term improved range of movement. No evidence to support the effectiveness of KT for neurological conditions. As to lymphatic disorders, inconclusive evidence was reported. Although KT has been shown to be effective in aiding short-term pain, there is no firm evidence-based conclusion of the effectiveness of this application on the majority of movement disorders within a wide range of pathologic disabilities. More research is clearly needed.
Topics: Athletic Tape; Databases, Bibliographic; Humans; Lymphatic Diseases; Musculoskeletal Diseases; Musculoskeletal Pain; Nervous System Diseases; Pain Management
PubMed: 23558699
DOI: No ID Found -
Journal of Family Medicine and Primary... Sep 2019Smartphone use has greatly increased in recent days, and most of the daily tasks are done through these devices. As a result, long time use may involve bad posture that...
BACKGROUND
Smartphone use has greatly increased in recent days, and most of the daily tasks are done through these devices. As a result, long time use may involve bad posture that may result in musculoskeletal pain. Therefore, it is important to evaluate the association between addiction/overuse of smartphones and musculoskeletal pain.
AIM
To determine the prevalence of addictive/overuse of smartphones among medical students and to investigate if there is an association between smartphone addiction and musculoskeletal pain.
METHOD
A cross-sectional study conducted at Qassim University, medical college. The Smartphone Addiction Scale Short Version (SAS-SV) was used to measure the level of smartphone addiction while the Nordic musculoskeletal questionnaire (NMQ) was utilized to evaluate the musculoskeletal pain.
RESULTS
The prevalence of smartphone addiction among medical students was relatively high (60.3%). The most frequent pain related to smartphone addiction was in the neck (60.8%), followed by lower back (46.8%), shoulder (40.0%). The academic year level was statistically associated with the level of smartphone addiction. Moreover, we found a significant relationship between musculoskeletal pain and smartphone addiction at certain body regions, neck, wrist/hand and knees, Other musculoskeletal parameters included in the test were found to have no statistically significant association.
CONCLUSION
More than half of the medical students identified as addicted to smartphones. The most common musculoskeletal pain was the neck, lower back, and shoulder. The academic year level found to have a significant association with the level of smartphone addiction while musculoskeletal pain such as neck, wrist, and knee were the independent significant factors of smartphone addiction; therefore, it is important to educate the community about the effect of being addicted to smartphone use in order to prevent the consequences of this behavior.
PubMed: 31681674
DOI: 10.4103/jfmpc.jfmpc_665_19 -
Microbiology Spectrum Apr 2017Musculoskeletal tuberculosis (TB) accounts for approximately 10% of all extrapulmonary TB cases in the United States and is the third most common site of extrapulmonary... (Review)
Review
Musculoskeletal tuberculosis (TB) accounts for approximately 10% of all extrapulmonary TB cases in the United States and is the third most common site of extrapulmonary TB after pleural and lymphatic disease. Vertebral involvement (tuberculous spondylitis, or Pott's disease) is the most common type of skeletal TB, accounting for about half of all cases of musculoskeletal TB. The presentation of musculoskeletal TB may be insidious over a long period and the diagnosis may be elusive and delayed, as TB may not be the initial consideration in the differential diagnosis. Concomitant pulmonary involvement may not be present, thus confusing the diagnosis even further. Early diagnosis of bone and joint disease is important to minimize the risk of deformity and enhance outcome. The introduction of newer imaging modalities, including MRI (imaging procedure of choice) and CT, has enhanced the diagnostic evaluation of patients with musculoskeletal TB and for directed biopsies of affected areas of the musculoskeletal system. Obtaining appropriate specimens for culture and other diagnostic tests is essential to establish a definitive diagnosis and recover M. tuberculosis for susceptibility testing. A total of 6 to 9 months of a rifampin-based regimen, like treatment of pulmonary TB, is recommended for the treatment of drug susceptible musculoskeletal disease. Randomized trials of tuberculous spondylitis have demonstrated that such regimens are efficacious. These data and those from the treatment of pulmonary TB have been extrapolated to form the basis of treatment regimen recommendations for other forms of musculoskeletal TB.
Topics: Antitubercular Agents; Bacteriological Techniques; Diagnostic Tests, Routine; Humans; Musculoskeletal Diseases; Mycobacterium tuberculosis; Optical Imaging; Rifampin; Tuberculosis; United States
PubMed: 28409551
DOI: 10.1128/microbiolspec.TNMI7-0046-2017