Muguras jostas daļas sāpju prevalence praktizējošo fizioterapeitu vidū un, to izraisošie riska faktori
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Date
2021
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Nosaukums: Muguras jostas daļas sāpju prevalence praktizējošo fizioterapeitu vidū un to izraisošie riska faktori.
Aktualitāte: Sāpes muguras jostas daļā (MJD) ir izplatīta problēma fizioterapeitu vidū. Katru dienu fizioterapeiti ir pakļauti dažādiem riska faktoriem darbā- rumpja fleksija un rotācija, neērtas pozas, smagumu celšana un psiholoģisks stress- kas var veicināt sāpju attīstību. Pirmās sāpes MJD parādās pirmajos piecos darba gados un pirms 30 gadu vecuma. Izvēlētā fizioterapijas nozare un darba vieta ir pierādīts kā MJD sāpju būtisks riska faktors.
Pētījuma mērķis: Noskaidrot praktizējošo fizioterapeitu darba riska faktoru saistību ar muguras jostas daļas sāpēm un to prevalenci.
Pētījuma metodes: Šis ir kvantitatīvs, neeksperimentāls, šķērsgriezuma dizaina pētījums. Darba ietvaros tika izmantota tiešsaistē pārveidota Holandiešu muskuloskeletālās anketas (HMA) versija Google veidlapu vietnē.
Rezultāti: Sāpes vai diskomfortu MJD pēdējo 12 mēnešu laikā izjutuši vairāk nekā puse (76%) no pētījuma dalībniekiem. Augstākā MJD sāpju izplatība bija jaunākajā vecuma grupā no 22-27 gadiem. Visbiežāk pētījuma dalībnieki ar MJD sāpēm strādāja ortopēdijas, neiroloģijas specialitātēs un pamatprakses vietās- stacionārie rehabilitācijas pakalpojumi, rehabilitācijas centri un slimnīcas. Statistiski ticami biežāk kā viens no MJD sāpju riska faktoriem bija saspringums. Lielākā daļa fizioterapeitu savā darbā ir pakļauti arī citiem riska faktoriem, piemēram, smagumu (vairāk par 5kg) celšana un nešana (54,7%), darbs neērtās pozās (58,5%), ilgstošs darbs ieņemot vienu pozu (49,1%), darbs ar vienlaicīgu fleksiju un rotāciju rumpī (47,2%) un izteikta fleksija un rotācija rumpī. Pētījumā tika noskaidrots, ka 46,2% ir apgrūtināts ergonomisks darbs un darba vietā bieži nav ergonomiska aprīkojuma.
Secinājumi: Tika secināts, ka sāpes MJD ir aktuāla problēma fizioterapeitu vidū, īpaši starp gados jauniem speciālistiem vecuma grupā 22-27 gadi. MJD sāpju prevalence bija augstāka starp pētījuma dalībniekiem, kas strādā stacionārajās rehabilitācijas nodaļās, rehabilitācijas centros, slimnīcās un ir specializējušies neiroloģijā. Saspringums tiek noteikts kā galvenais riska faktors MJD sāpēm. Konstatēta arī citu fizisko riska faktoru augsta prevalence.
Title: Prevalence and risk factors that correlated with low back pain in physiotherapists. Background: Low back pain (LBP) is a common problem in physiotherapists. Everyday physiotherapists are exposed to different risk factors, like, bending and twisting, awkward positions, lifting, which can increase the development of pain. First symptoms of LBP occur in the first five years of practice and before age of 30. Chosen area of practice and environment in physiotherapy profession is proven to be a significant LBP risk factor. Objective: The purpose of this study is to determine work related risk factor correlation with low back pain in physiotherapists and it`s prevalence. Methods: This research is based on the principles of quantitative research strategy and non-experimental, cross-sectional design. Within the framework an electronic version of the Dutch Musculoskeletal Questionnaire (DMQ) was developed in Google Forms. Results: In the last 12 months more than half (76%) of study participants have experienced pain or discomfort in the lower back region. The highest LBP prevalence was in the youngest age group from 22-27 years. Most commonly study participants with LBP worked in orthopaedics, neurology area of practice and environments such as- inpatient rehabilitation settings, rehabilitation centres and hospitals. Statistically significantly higher risk factor for LBP was tension. Large portion of physiotherapists in their work were exposed to other risk factors, such as lifting and carrying of heavy (more than 5kg) goods (54,7%), work in uncomfortable positions (58,5%), prolonged work in one position (49,1%), work with trunk flexion and rotation at the same time (47,2%) and excessive flexion and rotation in the trunk. The study found out that 46,2% had difficulties in maintaining ergonomic work and often had no ergonomic equipment in workplace. Conclusion: It was concluded that pain in the lower back is a common health problem among physiotherapists, especially among young specialists in the 22-27 age group. Prevalence of LBP was higher among those study participants who worked in inpatient rehabilitation settings, rehabilitation centres, hospitals and were specialized in neurology. Muscle tension was identified as the most important risk factor for LBP. Other risk factor high prevalence was also identified.
Title: Prevalence and risk factors that correlated with low back pain in physiotherapists. Background: Low back pain (LBP) is a common problem in physiotherapists. Everyday physiotherapists are exposed to different risk factors, like, bending and twisting, awkward positions, lifting, which can increase the development of pain. First symptoms of LBP occur in the first five years of practice and before age of 30. Chosen area of practice and environment in physiotherapy profession is proven to be a significant LBP risk factor. Objective: The purpose of this study is to determine work related risk factor correlation with low back pain in physiotherapists and it`s prevalence. Methods: This research is based on the principles of quantitative research strategy and non-experimental, cross-sectional design. Within the framework an electronic version of the Dutch Musculoskeletal Questionnaire (DMQ) was developed in Google Forms. Results: In the last 12 months more than half (76%) of study participants have experienced pain or discomfort in the lower back region. The highest LBP prevalence was in the youngest age group from 22-27 years. Most commonly study participants with LBP worked in orthopaedics, neurology area of practice and environments such as- inpatient rehabilitation settings, rehabilitation centres and hospitals. Statistically significantly higher risk factor for LBP was tension. Large portion of physiotherapists in their work were exposed to other risk factors, such as lifting and carrying of heavy (more than 5kg) goods (54,7%), work in uncomfortable positions (58,5%), prolonged work in one position (49,1%), work with trunk flexion and rotation at the same time (47,2%) and excessive flexion and rotation in the trunk. The study found out that 46,2% had difficulties in maintaining ergonomic work and often had no ergonomic equipment in workplace. Conclusion: It was concluded that pain in the lower back is a common health problem among physiotherapists, especially among young specialists in the 22-27 age group. Prevalence of LBP was higher among those study participants who worked in inpatient rehabilitation settings, rehabilitation centres, hospitals and were specialized in neurology. Muscle tension was identified as the most important risk factor for LBP. Other risk factor high prevalence was also identified.
Description
Fizioterapija
Physiotherapy
Veselības aprūpe
Health Care
Physiotherapy
Veselības aprūpe
Health Care
Keywords
ar darbu saistītās sāpes; muskuloskeletālas problēmas; muguras jostas daļas sāpju prevalence; darba riska faktori; ergonomika darbā; muguras jostas daļas sāpju riska faktori; muguras jostas daļas sāpju profilakse, work related pain, musculoskeletal disorders, prevalence of low back pain, work risk factors, work ergonomics, low back pain risk factors, management of low back pain