Prevalence of lower limb pain and its associated factors among healthcare workers

Authors

  • H. Mohd Yusoff Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur
  • R.A. Zawawi Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur
  • B.M. Deros Faculty of Engineering & Built Environment, Universiti Kebangsaan Malaysia 43600 UKM Bangi, Selangor, Malaysia

DOI:

https://doi.org/10.15282/jmes.11.3.2017.13.0264

Keywords:

lower limb pain; healthcare workers; prevalence; musculoskeletal disorders.

Abstract

Healthcare workers (HCW) are known to have high prevalence of musculoskeletal problems. Nevertheless, the knowledge on lower limb pain (LLP) and its risk factors is still lacking due to the lack of studies done on this body region. A cross-sectional study was therefore carried out among HCW in a district hospital in order to identify the prevalence of LLP among HCW and its associated risk factors. LLP was assessed through Malay-translated Standardised Nordic Questionnaire and other personal and work risk factors were elicited. It was found that the majority of the HCW were exposed to prolonged walking (73.6%) while 33.8% experienced their jobs as passive and another 19% found theirs as highly strained. The prevalence of LLP that lasted more than a day in the previous 12 months was 64.3%, while the prevalence for chronic duration (more than three months) was 18.0%. Chronic LLP among this population was associated with obesity, history of previous injury and work category. Other physical and psychosocial work factors were not found to be associated with chronic LLP. It could be concluded that LLP is prevalent among HCW. However, prospective cohort study is recommended to ascertain the associations of the work factors and chronic LLP.

References

Jones J, Huxtable C, Hodgson J. Self-reported work-related illness in 2004/05: results from the Labour Force Survey. Retrieved from http://www.hse.gov.uk/ statistics/swi/swi0405.pdf. 1 November, 2016.

Van den Heuvel SG, IJmker S, Blatter BM, De Korte EM. Loss of productivity due to neck/shoulder symptoms and hand/arm symptoms: Results from the PROMO-Study. Journal of Occupational Rehabilitation. 2007;17:370-82.

Bültmann U, Franche R-L, Hogg-Johnson S, Côté P, Lee H, Severin C, et al. Health status, work limitations, and return-to-work trajectories in injured workers with musculoskeletal disorders. Quality of Life Research. 2007;16:1167-78.

Boström M, Dellve L, Thomée S, Hagberg M. Risk factors for generally reduced productivity—a prospective cohort study of young adults with neck or upper-extremity musculoskeletal symptoms. Scandinavian Journal of Work, Environment & Health. 2008:120-32.

Ngan K, Drebit S, Siow S, Yu S, Keen D, Alamgir H. Risks and causes of musculoskeletal injuries among health care workers. Occupational Medicine. 2010;60:389-94.

Harcombe H, Herbison G, McBride D, Derrett S. Musculoskeletal disorders among nurses compared with two other occupational groups. Occupational Medicine. 2014;64:601-7.

Ellapen T, Narsigan S. Work related musculoskeletal disorders among nurses: Systematic Review. Journal of Ergonomics 2014.4:S4-003.

Wang SY, Liu LC, Lu MC, Koo M. Comparisons of musculoskeletal disorders among ten different medical professions in Taiwan: a nationwide, population-based study. PloS ONE. 2015;10:e0123750.

Jellad A, Lajili H, Boudokhane S, Migaou H, Maatallah S, Frih ZBS. Musculoskeletal disorders among Tunisian hospital staff: Prevalence and risk factors. The Egyptian Rheumatologist. 2013;35:59-63.

Tinubu BM, Mbada CE, Oyeyemi AL, Fabunmi AA. Work-related musculoskeletal disorders among nurses in Ibadan, South-west Nigeria: a cross-sectional survey. BMC Musculoskeletal disorders. 2010;11:12.

Amin NA, Nordin R, Fatt QK, Noah RM, Oxley J. Relationship between psychosocial risk factors and work-related musculoskeletal disorders among public hospital nurses in Malaysia. Annals of Occupational and Environmental Medicine. 2014;26:23.

Davis KG, Kotowski SE. Prevalence of musculoskeletal disorders for nurses in hospitals, long-term care facilities, and home health care: A comprehensive review. Human Factors 2015.57:754-92.

da Costa BR, Vieira ER. Risk factors for work‐related musculoskeletal disorders: A systematic review of recent longitudinal studies. American Journal of Industrial Medicine. 2010;53:285-323.

Palmer KT. Occupational activities and osteoarthritis of the knee. British Medical Bulletin. 2012;102:147-70.

Lau E, Cooper C, Lam D, Chan V, Tsang K, Sham A. Factors associated with osteoarthritis of the hip and knee in Hong Kong Chinese: obesity, joint injury, and occupational activities. American Journal of Epidemiology. 2000;152:855-62.

Pope D, Hunt I, Birrell F, Silman A, MacFarlane GJ. Hip pain onset in relation to cumulative workplace and leisure time mechanical load: a population based case-control study. Annals of The Rheumatic Diseases. 2003;62:322-6.

Chee HL, Rampal KG. Work-related musculoskeletal problems among women workers in the semiconductor industry in Peninsular Malaysia 1998. International Journal of Occupational and Environmental Health.10:63-71.

Nahit E, MacFarlane GJ, Pritchard C, Cherry N, Silman A. Short term influence of mechanical factors on regional musculoskeletal pain: a study of new workers from 12 occupational groups. Occupational and environmental medicine. 2001;58:374-81.

Andersen JH, Haahr JP, Frost P. Risk factors for more severe regional musculoskeletal symptoms: A two‐year prospective study of a general working population. Arthritis & Rheumatology. 2007;56:1355-64.

Cogon D, Kellingray S, Inskip H, Croft P, Campbell L, Cooper C. Osteoarthritis of the hip and occupational lifting. American Journal of Epidemiology. 1998;147:523-8.

Dahaghin S, Tehrani‐Banihashemi S, Faezi S, Jamshidi A, Davatchi F. Squatting, sitting on the floor, or cycling: Are life‐long daily activities risk factors for clinical knee osteoarthritis? Stage III results of a community‐based study. Arthritis and rheumatism 2009.61:1337-42.

Baker P, Reading I, Cooper C, Coggon D. Knee disorders in the general population and their relation to occupation. Occupational and Environmental Medicine 2003.60:794-7.

Macfarlane GJ, Pallewatte N, Paudyal P, Blyth FM, Coggon D, Crombez G, et al. Evaluation of work-related psychosocial factors and regional musculoskeletal pain: results from a EULAR Task Force. Annals of the Rheumatic Diseases 2009.68:885-91.

Jones GT, Harkness EF, Nahit ES, McBeth J, Silman AJ, Macfarlane GJ. Predicting the onset of knee pain: results from a 2-year prospective study of new workers. Annals of the Rheumatic Diseases 2007.66:400-6.

O’Donnell M, Jaffe D, Zindler Wernet P. Stress assessment. In: O’Donnell MP, Ainsworth TH, editors. Health Promotion in the Work Place, John Wiley, New York. 1984:185-220.

Banon A, Ismail N. Stress intervention study among health nursing staff in Terengganu. Journal of Community Health 2009. 2001;15:93.

Mohd ZI, Noor HI. A study of occupational stress and coping strategies among correctional officers in Kedah, Malaysia. Journal of Community Health 2010.16:66.

Yusoff H, Ismail N. Prevalence of stress and its influencing factors among school teachers in Selangor. Journal of Community Health 2009. 2003;15:97.

Edimansyah B, Rusli B, Naing L, Mazalisah S. Reliability and construct validity of the Malay version of the Job Content Questionnaire (JCQ). Southeast Asian Journal of Tropical Medicine and Public Health 2006.37:412-6.

Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sørensen F, Andersson G, et al. Standardised Nordic Questionnaires for the analysis of musculoskeletal symptoms. Applied Ergonomics 1987.18:233-7.

Andersen L, Clausen T, Carneiro I, Holtermann A. Spreading of chronic pain between body regions: prospective cohort study among health care workers. European Journal of Pain 2012.16:1437-43.

Thomas AC, Villwock M, Wojtys EM, Palmieri-Smith RM. Lower extremity muscle strength after anterior cruciate ligament injury and reconstruction. Journal of Athletic Training 2013.48:610-20.

Chin LC, Basah SNB, bin Yaacob S, Ewe Y. Conceptual design and implementation for visual tracking ankle rehabilitation system. Journal of Mechanical Engineering and Sciences 2014.7:1208-18.

Kinugasa T, Ando K, Fujimoto S, Yoshida K, Iribe M. Development of a three-dimensional dynamic biped walking via the oscillation of telescopic knee joint and its gait analysis. Journal of Mechanical Engineering and Sciences 2015.9:1529-37.

Heidari B. Knee osteoarthritis prevalence, risk factors, pathogenesis and features: Part I. Caspian Journal of Internal Medicine 2011.2:205.

Uddin MS, Hossain MM, Islam MS, Haque MO, Kulsum U, Rahman E, et al. Prevalence of obesity among musculoskeletal patients. International Journal of Physiotherapy and research 2015.3:889-93.

Knight JA. Diseases and Disorders Associated with Excess Body Weight. Annals of Clinical & Laboratory Science 2011.41:107-21.

Mohamed MA, Manurung YH, Ghazali FA, Karim AA. Finite element-based fatigue life prediction of a load-carrying cruciform joint. Journal of Mechanical Engineering and Sciences 2015.8:1414-25.

Blagojevic M, Jinks C, Jeffery A, Jordan K. Risk factors for onset of osteoarthritis of the knee in older adults: a systematic review and meta-analysis. Osteoarthritis and Cartilage 2010.18:24-33.

Wong T, Teo N, Kyaw M. Prevalence and risk factors associated with low back pain among health care providers in a district hospital. Malaysian Orthopaedic Journal 2010.4:23-8.

Karahan A, Kav S, Abbasoglu A, Dogan N. Low back pain: prevalence and associated risk factors among hospital staff. Journal of Advanced Nursing 2009.65:516-24.

Davis K, Kotowski S. Prevalence of musculoskeletal disorders for nurses in hospitals, long-term care facilities, and home care health care: a comprehensive review. Human Factors 2015.57:754-92.

Occhionero V, Korpinen L, Gobba F. Upper limb musculoskeletal disorders in healthcare personnel. Ergonomics 2014.57:1166-91.

Mehrdad R, Morshedizadeh M. Musculoskeletal disorders and ergonomic hazards among Iranian physicians. Archives of Iranian Medicine 2012.15:370-4.

Asch DA, Bilimoria KY, Desai SV. Residents duty hours and medical education policy- raising the evidence bar. The New England Journal of Medicine 2017.376:1704-6.

Nievas IFF, Thaver D. Work-life balance: A different scale for doctors. Frontiers in Pediatrics 2015.3:115.

Osmotherly P, Attia J. The healthy worker survivor effect in a study of neck muscle performance measures in call-centre operators. Work 2006.26:399-406.

Siebert U, Rothenbacher D, Daniel U, Brenner H. Demonstration of the healthy worker survivor effect in a cohort of workers in the construction industry. Occupational & Environmental Medicine 2001.58:774-9.

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Published

2017-09-30

How to Cite

[1]
H. Mohd Yusoff, R.A. Zawawi, and B.M. Deros, “Prevalence of lower limb pain and its associated factors among healthcare workers”, J. Mech. Eng. Sci., vol. 11, no. 3, pp. 2930–2940, Sep. 2017.