Musculoskeletal disorders in manual therapistis
Silva, Kátia Karina Monte; Tenório, Angélica da Silva; Guerino, Marcelo Renato; Oliveira, Mafra Raiele Torres; Mendonça, Mannaly Braga de; Barros, Maria de Fátima Alcântara; Carvalho, Antonio Geraldo Cidrão de; Ferreira, Ana Paula de Lima; Araújo, Maria das Graças Rodrigues de
Abstract
Introduction: Musculoskeletal Disorders (MDEs) are inflammatories and degenerative diseases that are a public health problem. In recent years among registered occupational diseases worldwide are the most prevalent, affecting the quality of life of individuals. Objective: To investigate the occurrence and characteristics of MDEs on physiotherapists who use manual therapy techniques in Recife‑Pernambuco. Method: 34 therapists of both genders responded standardized questionnaire (demographic characteristics and complaints of musculoskeletal diseases) in regular time and in the workplace (public and private health services). Data were analyzed by chi-square test ((χ2 ), a significance level of 95% (p <0.05), BioEstat program version 3.0. Results: It was found that 88.2% of the sample refers to any type of MDEs, but the spine (76.6%) and upper (70.6%) were most often affected, especially wrists and hands (56,7% ).There were no significant correlations between MDEs and gender of the therapist and not with the playing time (years) profession, however the occurrence of these disturbances was correlated to the age of the professional. There was a direct relationship between workload and the presence of DMEs. Conclusion: The results indicate that the manual therapists in the performance of intense activity partners have high percentages of involvement by musculoskeletal disorders, requiring preventive ergonomic measures.
Keywords
References
1. Punnett L, Wegman DH. Work-related musculoskeletal disorders: the epidemiologic evidence and the debate. Jornal of Electromyography and Kinesiology. 2004;14(1):13-23.
2. Martarello NA, Benatti MCC. Qualidade de vida e sintomas osteomusculares emtrabalhadores de higiene e limpeza hospitalar. Rev. Esc. Enferm. USP. 2009; 43(2).
3. Buckle P. Ergonomics and musculoskeletal disorders: overview. Occupational Medicine. 2005;55:164 -67.
4. Bureau of labor statistics/ U.S. department of labor: Nonfatal occupational injuries and illnesses requiring days away fromwork. 2011. Disponível em:
5. Quantidade de AT registrados por motivo, segundo os 50 códigos da Classificação Internacional de Doenças, mais incidentes em 2011. Disponível em: >http://www.protecao.com.br/materias/anuario_brasileiro_de_p_r_o_t_e_c_a_o_2013/brasil/J9y4Jj>. Acesso em: 20 de abril de 2014.
6. Galinsky T, Waters T, Malit B. Overexertion injuries home health care workers and the need for ergonomics [abstract]. Home health care services quarter. 2001;20(3):57-73.
7. Ribeiro NA, Fernandes RCP, Solla DJF, Santos Júnior AC, Sena Júnior AS. Prevalência de distúrbios osteomusculares relacionados ao trabalho em profissionais de enfermagem. Rev Bras Epidemio. 2012;15(2): 429-38.
8. Gisbert MFS, Los Fayos EJG, Montesin MDH. Burnout en fisioterapeutas españoles. Psicothema. 2008;20(3):361-368.
9. Cromie JE, Robertson VJ, Best MO. Work-related musculoskeletal disorders on physical therapists: prevalence, severity, risks, and responses [abstract]. Physical Therapy. 2000;80(4):336-351.
10. Campo M, Weiser S, Koenig KL, Nordin M. Work-Related Musculoskeletal Disorders in Physical Therapists: A Prospective Cohort Study With 1-Year Follow-up. Phys. Ther. 2008;88:608-619.
11. Holder, N. L., Clark, H. A., DiBlasio, J. M., Hughes, C. L., Scherpf, J. W., Harding, L., & Shepard, K. F. (1999). Cause, prevalence, and response to occupational musculoskeletal injuries reported by physical therapists and physical therapist assistants. Physical therapy, 79(7), 642-652.
12. Leanne P, Steven M. Work related musculoskeletal disorders amongst Therapists in hysically demanding roles: Qualitative analysis of risk factors and strategies. BMC Musculoskeletal Disorders. 2011;12:24.
13. Pastre EC, Filho GC, Pastre CM, Padovani CR, Almeida JS, Junior JM. Queixas osteomusculares relacionadas ao trabalho relatadas por mulheres de centro de ressocialização. Cad. Saúde Pública. 2007;23: 11.
14. King P, Weddleston D, Darragh AR. Work-Related Musculoskeletal Disorders and Injuries: Differences Among Older and Younger Occupational and Physical Therapists. J Occup Rehabil. 2009;19:274-283.
15. Adegoke B, Akodu A, Oyeyemi A. Work-related musculoskeletal disorders among Nigerian Physiotherapists. BMC Musculoskeletal Disorders. 2008,9(1):11.
16. Sin HC, Jin GH, Taesung K, Jooyeon K, Heesoo K, Ju SL, et al. Work-related musculoskeletal Disorders among Korean Physical Therapists. J. Phys. Ther. Sci. 2013, 25:55–59.
17. Alrowayeh HN, Alshatti TA, Aljadi SH, Fares M, Alshamire MM, Alwazan SA. Prevalence, characteristics, and impacts of work-related musculoskeletal disorders: a survey among physical therapists in the State of Kuwait. BMC Musculoskelet Disord. 2010;11:2-11.
18. Smith AR Jr. Manual Therapy: The Historical, Current, and Future Role in the Treatment of Pain. The Scientific World Journal. 2007;2(7):109-20.
19. Vernon H, Humphreys BK. Manual Therapy for neck pain: an overview of randomized clinical trials and systematic reviews. Eura Medicophys. 2007;43(1):91-118.
20. West DJ, Gardner D. Occupational injuries of physiotherapists in North and Central Queensland. Aust J Physiother. 2001;47(3):179-86.
21. Shehab D, Al-Jarallah K, Moussa MA, Adham N. Prevalence of low back pain among physical therapists in Kuwait. Medical Principles and Practice. 2003;12(4):224-30.
22. Siqueira GR, Cahú FGM, Vieira RAG. Occurrence of low back pain in physical therapists from the city of Recife, Pernambuco, Brazil. Rev Bras Fisioter. 2008;12(3):222-7.
23. Almeida FRT, Brandão BB, Rocha CAQC. Índice de lesões e afecções musculoesqueléticas relacionadas aos profissionais da área de fisioterapia da cidade de Muriaé, MG. Revista Científica Faminas. 2008; 4( 3): 53-63.
24. De Araújo, M. D. G. R., & Manuais, R. T. (2014). Estudo dos distúrbios musculoesqueléticos em fisioterapeutas: correlação com a rotina do trabalho. MTP&RehabJournal 2014, 12:567-582.
25. D’Ávila LS, Sousa GAF, Sampaio RF. Prevalência de Desordens Musculoesqueléticas Relacionadas ao Trabalho em Fisioterapeutas da Rede Hospitalar SUS-BH. Revista Brasileira de Fisioterapia. 2005;9(2):219-225.
26. Paula EB, Guimarães G. Caracterização do quadro álgico dos profissionais: professores, cirurgiões, dentistas e fisioterapeutas. Revista CEPPG. 2009;12(21):114-126.
27. Paula EB, Guimarães G. Caracterização do quadro álgico dos profissionais: professores, cirurgiões, dentistas e fisioterapeutas. Revista CEPPG. 2009;12(21):114-126.
28. Nyland LJ, Grimmer KA. Is undergraduate physiotherapy study a risk factor for low back pain? A prevalence study of LBP in physiotherapy students. BMC Musculoskeletal Disorders. 2003;4:22.
29. Cromie JE, Robertson VJ, Best MO. Occupational health in physiotherapy: General health and reproductive outcomes. Australian Journal of Physiotherapy. 2002;48:287-294.
30. Moreira ACC, Coutinho CCC, Lucena NMG. Study of the Relation of Workrelated Musculoskeletal Disorders (MSDS) and Fibromyalgia: a Review of Literature. Revista Brasileira de Ciências da Saúde. 2010;14(2):101-111.
31. Pivetta AD, Jacques MA, Agne JE, Lopes LF. Prevalência de distúrbios osteomusculares relacionados ao trabalho em fisioterapeutas. Revista Digital: Buenos Aires. 2005;10(80).
32. Renner JS. Prevenção de distúrbios osteomusculares relacionados ao trabalho, In: Boletim Saúde. Porto Alegre. 2005;19(1):73-80. 33. Trelha CS, Gutierrez PR, Matsuo T. Prevalência de sintomas musculoesqueléticos em fisioterapeutas da cidade de Londrina. Rev Fisioter Univ São Paulo. 2004;11(1):15-23.
34. Lima, J. P. D., Sousa, A. P. D., Santos, E. V. D. L., Bezerra, A. L. D., & Sousa, M. N. A. D. (2015). Prevalência de Distúrbios Osteomioarticulares e Algias em Fisioterapeutas. Revista de Saúde Pública de Santa Catarina,8(3), 98-108.
35. Bork, B. E., Cook, T. M., Rosecrance, J. C., Engelhardt, K. A., Thomason, M. E. J., Wauford, I. J., & Worley, R. K. (1996). Work-related musculoskeletal disorders among physical therapists. Physical therapy,76(8), 827-835.
36. Silva C S, Silva MAG. Lombalgia em fisioterapeutas e estudantes de fisioterapia: um estudo sobre a distribuição da freqüência. Revista fisioterapia Brasil, São Paulo. 2005;6(5).
37. Ciarlini IA, Monteiro PP, Braga ROM, Moura DS. Lesões por esforços repetitivos em fisioterapeutas. Revista brasileira em promoção da saúde, Fortaleza. 2004;18(1):1116.
38. Arantes AS, Nunes APRO. Prevalência de lombalgia nos fisioterapeutas atuantes na cidade de FormigaMG. Revista Brasileira em Promoção da Saúde. 2009;4(1).