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Relationship between musculoskeletal pain complaints and family agriculture work 肌肉骨骼疼痛主诉与家庭农业工作的关系
Pub Date : 2017-09-01 DOI: 10.5935/1806-0013.20170107
Marcelo Biazús, C. Moretto, A. Pasqualotti
BACKGROUND AND OBJECTIVES: Musculoskeletal pain is increasingly common in the field of workers’ health. When the work is characterized by rudimentary activities, as in the case of family farming, which requires the use of manual labor, intense and prolonged working journey, exposure to physical, chemical, biological, mechanical and ergonomic risks, the worker is prone to develop musculoskeletal diseases, and consequently pain. The objective of this study was to investigate the prevalence of musculoskeletal pain in family farmers, as well as to identify the body segments mostly affected and evaluate the tools used in the working process that may influence the development of musculoskeletal diseases and pain. METHODS: A research form that includes social-demographic data, the Nordic Musculoskeletal Questionnaire, and the visual analog pain scale were used. 150 farmers participated in the study. Statistical tests were applied to the data obtained, including the Fisher Exact. The H0 hypothesis was rejected for a significance level of p≤0.05, stipulating a confidence interval of 95%. RESULTS: The results show a high prevalence of musculoskeletal pain in surveyed farmers, whose most affected regions were the lower back and shoulders. The pain reported by farmers is associated with the activities performed and the tools used, such as the hoe and the hand spray, used at work. CONCLUSION: Farmers are susceptible to the development of work-related musculoskeletal disorders, and the prevalence of the referred pain is high.
背景和目的:肌肉骨骼疼痛在工人健康领域越来越普遍。当工作以初级活动为特征时,如家庭农业,需要使用体力劳动、紧张而漫长的工作旅程、暴露在物理、化学、生物、机械和人体工程学风险中,工人容易患上肌肉骨骼疾病,从而疼痛。本研究的目的是调查家庭农民肌肉骨骼疼痛的患病率,并确定最受影响的身体部位,并评估工作过程中使用的可能影响肌肉骨骼疾病和疼痛发展的工具。方法:采用包括社会人口学数据、北欧肌肉骨骼问卷和视觉模拟疼痛量表的研究形式。150名农民参与了这项研究。对获得的数据进行了统计检验,包括Fisher Exact。H0假设因p≤0.05的显著性水平而被拒绝,规定置信区间为95%。结果:调查结果显示,受访农民肌肉骨骼疼痛的患病率很高,受影响最严重的地区是下背部和肩部。农民报告的疼痛与工作中进行的活动和使用的工具有关,如锄头和手喷雾。结论:农民易患与工作相关的肌肉骨骼疾病,且转诊疼痛的患病率较高。
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引用次数: 4
Complex regional pain syndrome type I: impact on work activities of working age individuals. Case reports 复杂区域疼痛综合征I型:对工作年龄个体工作活动的影响。案例报告
Pub Date : 2017-09-01 DOI: 10.5935/1806-0013.20170116
Aline Sarturi Ponte, Mithielle de Araujo Machado, Miriam Cabrera Corvelo Delboni, Thais Rosa Costa, B. Duarte
BACKGROUND AND OBJECTIVES: Complex regional pain syndrome type I causes personal and social losses to the affected subject. The objective of this study was to analyze life, health and working condition of subjects with this syndrome, of working age, in a city in the countryside of Rio Grande do Sul, RS. CASE REPORTS: Study of seven cases, with the diagnosis of complex regional pain syndrome type I, with a predominance of female, married, relatively low educational level. In assessing physical health condition, the majority of participants considered their physical health moderate, and bad mental/emotional health. Most participants used assistive technology resources. CONCLUSION: It was observed that the syndrome interfered in the participants’ work activities. The data of the International Classification of Functioning, Disability, and Health showed that these subjects face several limitations in their daily activities. Therefore, this disease has negative impacts on life/health condition of these workers, who are temporarily or permanently forced to leave their work activities.
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引用次数: 0
Prevalence of musculoskeletal pain in climacteric women of a Basic Health Unit in São Paulo/SP 圣保罗/SP基础卫生单位更年期妇女肌肉骨骼疼痛的患病率
Pub Date : 2017-09-01 DOI: 10.5935/1806-0013.20170104
Anny Caroline Dedicação, T. Sato, M. A. Ávila, A. S. Moccellin, M. E. S. Saldanha, P. Driusso
BACKGROUND AND OBJECTIVES: The objective of this study was to evaluate the prevalence of musculoskeletal pain in climacteric women of a Basic Health Unit in Sao Paulo. METHODS: This is a descriptive cross-sectional study, with the participation of 93 climacteric women with average age of 49.1±6.1 years, with medical history containing obstetric background and pain characterization, including the presence, location, and intensity of these complaints. For data collection, we used a map of pain and a visual analog scale associated with the faces pain rating scale. RESULTS: Of the total, 87 women (93%) reported pain, with an average onset of symptoms of 5.8±7.7 years, and average pain in the visual analog and the faces scales of 6.9±3mm. The pain was classified by most of the women (53%) as intense, and the places of greater involvement were the spine (71%), followed by the knees (58%) and shoulders (47%). Thus, the musculoskeletal pain showed to be a frequent complaint among climacteric women, involving 93% of the volunteers in this study, ranked by the majority as an intense pain. CONCLUSION: It is important to recognize the magnitude of this complaint in primary care to elaborate preventive and therapeutic actions aiming at improving the quality of life of these women.
背景和目的:本研究的目的是评估圣保罗基础卫生单位更年期妇女肌肉骨骼疼痛的患病率。方法:这是一项描述性的横断面研究,共有93名更年期妇女参与,她们的平均年龄为49.1±6.1岁,病史包括产科背景和疼痛特征,包括这些主诉的存在、位置和强度。为了收集数据,我们使用了疼痛地图和与面部疼痛评级量表相关的视觉模拟量表。结果:在总数中,87名女性(93%)报告疼痛,症状平均发作5.8±7.7年,视觉模拟和面部尺度的平均疼痛为6.9±3mm。大多数女性(53%)将疼痛归类为剧烈疼痛,更严重的疼痛部位是脊椎(71%),其次是膝盖(58%)和肩膀(47%)。因此,肌肉骨骼疼痛是更年期女性的常见症状,本研究中93%的志愿者参与其中,大多数人将其列为剧烈疼痛。结论:重要的是要认识到这种投诉在初级保健中的严重性,制定旨在提高这些妇女生活质量的预防和治疗行动。
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引用次数: 8
Indexes of anxiety, depression and disability in patients with myofascial pain, with and without the additional diagnosis of migraine 伴有或不伴有偏头痛的肌筋膜疼痛患者的焦虑、抑郁和残疾指数
Pub Date : 2017-09-01 DOI: 10.5935/1806-0013.20170101
R. Poluha, Rafael dos Santos Silva, P. Conti, S. Mitrirattanakul, Robert L. Merril
BACKGROUND AND OBJECTIVES: The aim of this study was to compare anxiety, depression and disability indexes in patients with myofascial pain with and without additional diagnosis of migraine. METHODS: We included 203 patients of the Orofacial Pain Clinic of the University of California, Los Angeles, USA. Patients were over 18 years of age, both genders, with a primary diagnosis of myofascial pain. The patients were also evaluated for the presence of migraine according to the criteria of the International Headache Society. The sample was divided into two groups: 120 patients with only myofascial pain (Group 1) and 83 patients with myofascial pain and with an additional diagnosis of migraine (Group 2). The Beck Anxiety Inventory, Beck Depression Inventory and Migraine Disability Assessment questionnaires were applied. The Mann-Whitney test was used to compare the groups at a significance level of 5%. RESULTS: Patients in group 1 presented significantly higher indexes in the Beck Anxiety Inventory (p=0.005), Beck Depression Inventory (p=0.025) and number of days lost and/or impaired (56.4 days) than those in group 2. The Migraine Disability Assessment Questionnaire scores for groups 1 and 2 were, respectively, 48% and 24.1% for grade I; 9.2% and 3.6% for grade II; 8.2% and 22.9% for grade III; and, 34.7% and 49.4% for grade IV. CONCLUSION: Patients with myofascial pain and migraine had significantly higher anxiety, depression and disability inIndexes of anxiety, depression and disability in patients with myofascial pain, with and without the additional diagnosis of migraine
背景和目的:本研究的目的是比较伴有和不伴有偏头痛的肌筋膜疼痛患者的焦虑、抑郁和残疾指数。方法:我们纳入了美国加州大学洛杉矶分校口腔面部疼痛诊所的203例患者。患者年龄均大于18岁,男女皆可,主要诊断为肌筋膜疼痛。根据国际头痛协会的标准,对患者是否存在偏头痛进行评估。样本被分为两组:120例仅有肌筋膜疼痛的患者(第一组)和83例有肌筋膜疼痛并附加诊断为偏头痛的患者(第二组)。使用贝克焦虑量表、贝克抑郁量表和偏头痛残疾评估问卷。采用Mann-Whitney检验,在5%的显著性水平上进行组间比较。结果:1组患者在Beck焦虑量表(p=0.005)、Beck抑郁量表(p=0.025)、丧失和/或受损天数(56.4天)等指标均显著高于2组。第1组和第2组偏头痛残疾评估问卷得分分别为48%和24.1%;二级为9.2%和3.6%;三级8.2%、22.9%;结论:伴有或未伴有偏头痛的肌筋膜疼痛患者的焦虑、抑郁和失能指数均显著高于伴有或未伴有偏头痛的肌筋膜疼痛患者
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引用次数: 1
Pain evaluation in patients under chemotherapy: application of McGill pain Questionnaire 麦吉尔疼痛问卷在化疗患者疼痛评估中的应用
Pub Date : 2017-04-01 DOI: 10.5935/1806-0013.20170031
Ludmila de Oliveira Ruela, Y. M. Siqueira, Clícia Valim Côrtes Gradim
BACKGROUND AND OBJECTIVES: Cancer pain is common in patients under chemotherapy and there is the need for a multiprofessional therapeutic plan, especially for nursing assistance, in the attempt to control it. This study aimed at evaluating qualitative pain characteristics of cancer patients under chemotherapy, by means of the McGill Pain Questionnaire. METHODS: This is a quantitative, descriptive and cross-sectional study made up of 23 participants under chemotherapy with cancer pain. Data were collected by means of McGill Pain Questionnaire in a High Complexity Assistance Unit of a city of Minas Gerais. RESULTS: Most participants were females, Caucasian, with basic education, affected by more advanced breast cancer. Burning and sore were the most prevalent descriptors in sensory pain category. Among affective descriptors, tiresome and sickening were the most prevalent. Troublesome pain has prevailed as evaluative characteristic and for miscellaneous descriptors, most prevalent were radiating and nauseating. CONCLUSION: Scales to evaluate qualitative pain aspects favor nursing assistance, providing tailored assistance aimed at the complaint of each patient. Their competences allow the use of this tool aiming at increasingly qualifying its practice, thus improving quality of life of patients or, at least, decreasing their distress.
背景与目的:癌症疼痛在化疗患者中很常见,需要制定多专业的治疗计划,尤其是护理协助来控制疼痛。本研究旨在通过McGill疼痛问卷评估癌症化疗患者的疼痛定性特征。方法:这是一项定量、描述性和横断面研究,由23名癌症疼痛化疗参与者组成。数据是通过麦吉尔疼痛问卷在米纳斯吉拉斯市的一个高复杂性援助单位收集的。结果:大多数参与者是女性,高加索,受过基础教育,患有更晚期的癌症。烧伤和疼痛是感觉疼痛类别中最常见的描述词。在情感描述中,令人厌倦和恶心是最普遍的。麻烦性疼痛作为评估特征占主导地位,而对于各种各样的描述,最普遍的是辐射和恶心。结论:评估定性疼痛方面的量表有利于护理协助,针对每位患者的投诉提供量身定制的协助。他们的能力允许使用这一工具,旨在提高其实践的资格,从而提高患者的生活质量,或者至少减少他们的痛苦。
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引用次数: 2
5-Fluorouracil induced late peripheral neuropathy. Case report 5-氟尿嘧啶诱导晚期周围神经病变。病例报告
Pub Date : 2017-04-01 DOI: 10.5935/1806-0013.20170035
M. Rondinelli, I. Cavalcanti, O. Gonçalves, N. Verçosa
BACKGROUND AND OBJECTIVES: Peripheral neuropathy caused by chemotherapeutic drugs is today one of the major limiting factors in cancer pharmacological therapy due to its negative influence in the cancer patient’s quality of life. Its incidence varies depending on the pharmacological nature of the therapy used. Peripheral neurotoxicity caused by 5-Fluorouracil was scarcely described, being characterized as rare adverse effect of this drug. The objective of this study is to report a 5-Fluorouracil induced late peripheral neuropathy case treated at the Pain Clinic, with standard care for neuropathic main. CASE REPORT: Female patient, 62 years old, undergoing 5-Fluorouracil chemotherapy 2520mg/week in 5 cycles of 360mg/day continuous infusion to treat colorectal cancer. Three months after the end of the cycle she reported burning pain and hand and foot dysesthesia with proximal irradiation and allodynia. She was referred to the Pain Clinic 2 years after the symptoms onset. The treatment started with gabapentin and she was advised to have psychiatric follow-up and physical exercises. The Visual Numeric Scale was used to assed pain. In less than 6 months the patient reported pain improvement with values reduced from 10 to 2. CONCLUSION: Although uncommon, peripheral neuropathy can occur as permanent toxicity due to 5-Fluorouracil chemotherapy and should be early identified and treated to improve patient’s quality of life.
背景与目的:化疗药物引起的周围神经病变对癌症患者的生活质量产生负面影响,是当今癌症药物治疗的主要限制因素之一。其发生率取决于所使用治疗的药理学性质。5-氟尿嘧啶引起的周围神经毒性几乎没有报道,被认为是该药罕见的不良反应。本研究的目的是报道一例5-氟尿嘧啶诱导的晚期周围神经病变病例,在疼痛诊所接受标准的神经病变治疗。病例报告:女性,62岁,接受5-氟尿嘧啶化疗2520mg/周,连续输注360mg/天5个周期治疗结直肠癌。周期结束3个月后,她报告烧灼痛和手脚感觉不良,近端照射和异常性疼痛。她在症状出现2年后被转介到疼痛诊所。治疗开始使用加巴喷丁,并建议她进行精神病学随访和体育锻炼。采用视觉数字量表评定疼痛。在不到6个月的时间里,患者报告疼痛有所改善,疼痛值从10降至2。结论:5-氟尿嘧啶化疗引起的周围神经病变虽然不常见,但可作为永久性毒性发生,应及早发现和治疗,以提高患者的生活质量。
{"title":"5-Fluorouracil induced late peripheral neuropathy. Case report","authors":"M. Rondinelli, I. Cavalcanti, O. Gonçalves, N. Verçosa","doi":"10.5935/1806-0013.20170035","DOIUrl":"https://doi.org/10.5935/1806-0013.20170035","url":null,"abstract":"BACKGROUND AND OBJECTIVES: Peripheral neuropathy caused by chemotherapeutic drugs is today one of the major limiting factors in cancer pharmacological therapy due to its negative influence in the cancer patient’s quality of life. Its incidence varies depending on the pharmacological nature of the therapy used. Peripheral neurotoxicity caused by 5-Fluorouracil was scarcely described, being characterized as rare adverse effect of this drug. The objective of this study is to report a 5-Fluorouracil induced late peripheral neuropathy case treated at the Pain Clinic, with standard care for neuropathic main. CASE REPORT: Female patient, 62 years old, undergoing 5-Fluorouracil chemotherapy 2520mg/week in 5 cycles of 360mg/day continuous infusion to treat colorectal cancer. Three months after the end of the cycle she reported burning pain and hand and foot dysesthesia with proximal irradiation and allodynia. She was referred to the Pain Clinic 2 years after the symptoms onset. The treatment started with gabapentin and she was advised to have psychiatric follow-up and physical exercises. The Visual Numeric Scale was used to assed pain. In less than 6 months the patient reported pain improvement with values reduced from 10 to 2. CONCLUSION: Although uncommon, peripheral neuropathy can occur as permanent toxicity due to 5-Fluorouracil chemotherapy and should be early identified and treated to improve patient’s quality of life.","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":"18 1","pages":"178-180"},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46588295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Musculoskeletal disorders and disability in Brazilian Dentists in São Paulo 圣保罗巴西牙医的肌肉骨骼障碍和残疾
Pub Date : 2017-04-01 DOI: 10.5935/1806-0013.20170020
Ana Carolina da Graça Fagundes Freire, G. Soares, T. A. Rovida, C. Garbin, A. Garbin
BACKGROUND AND OBJECTIVES: Musculoskeletal disorders represents one of the major public health problems among workers and the general population, and it is multifactorial in origin. It has attracted the attention of researchers concerned with issues relating to health and work, due to cost and its impact on the quality of life. It causes functional impairment, limitations in activities, decreased quality of life, disability, reduced work productivity and direct medical costs. To measure the prevalence of musculoskeletal disorders and the association between the musculoskeletal disorders and pain disability in dentists in São Paulo, Brazil. METHODS: A cross sectional study was conducted with 91dentists in the northwest of São Paulo, Brazil. Data were collected through interviews, using the Nordic Questionnaire, The Pain Disability Questionnaire and the Numeric Pain Scale were also administered to workers who reported pain. Statistical analyses were performed using SPSS 21.0. RESULTS: Most dentists (90.4%) had musculoskeletal disorders, especially in the neck, upper and lower back. The analysis of the intensity of pain and disability with Pain Disability Questionnaire in symptomatic dentists showed an average pain intensity of 1.96, its intensity was classified as moderate. Mean scores of the Pain Disability Questionnaire total (7.91) and its dimensions functional condition (5.29) and psychosocial condition (2.61) suggest moderate disability in Brazilian dentists. There was moderate t correlation (r = 0.409) between pain intensity and the total score of disability caused by pain. CONCLUSION: Pain and work-related musculoskeletal disorders interfere significantly in dentists’ lives. There is significant correlation between pain intensity and disability caused by pain in dental surgeons.
背景和目的:肌肉骨骼障碍是工人和普通人群的主要公共卫生问题之一,其起源是多因素的。由于成本及其对生活质量的影响,它引起了关注健康和工作问题的研究人员的注意。它会导致功能损伤、活动受限、生活质量下降、残疾、工作效率降低和直接医疗费用。测量巴西圣保罗牙医中肌肉骨骼疾病的患病率以及肌肉骨骼疾病与疼痛残疾之间的关系。方法:对巴西圣保罗西北部的91名牙医进行横断面研究。数据是通过访谈收集的,使用北欧问卷、疼痛残疾问卷和数字疼痛量表也对报告疼痛的工人进行了管理。采用SPSS 21.0进行统计分析。结果:大多数牙医(90.4%)患有肌肉骨骼疾病,尤其是颈部、上背部和下背部。使用疼痛残疾问卷对有症状的牙医的疼痛强度和残疾进行分析,结果显示平均疼痛强度为1.96,其强度被归类为中度。疼痛残疾问卷总分(7.91)及其维度——功能状况(5.29)和心理社会状况(2.61)的平均分表明巴西牙医存在中度残疾。疼痛强度与疼痛引起的残疾总分之间存在中度t相关性(r=0.409)。结论:疼痛和与工作相关的肌肉骨骼疾病会严重影响牙医的生活。牙科医生的疼痛强度与疼痛引起的残疾之间存在显著相关性。
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引用次数: 10
Evaluation in adolescents practitioners and non-practitioners of futsal to detect positivity for patellar chondromalacia 青少年五人五人制足球练习者和非五人制足球训练者检测髌骨软骨软化症阳性的评估
Pub Date : 2017-04-01 DOI: 10.5935/1806-0013.20170028
Carlos de Souza, T. A. Silva, G. Duarte, Jéssica Priscila da Silva Souza
BACKGROUND AND OBJECTIVES: An increasingly popular modality is futsal; with increased popularity, the number of adolescents practicing such sport is also increasing and, as consequence, related injuries are also increasing, becoming object of interest of healthcare professionals. This study aimed at comparing signs and symptoms in adolescents practicing and not practicing futsal, to suggest positivity for patellar chondromalacia. METHODS: To detect patellar chondromalacia, history and physical evaluation (Perkin, lateral patellar shift, Waldron, patellar apprehension and Clarke’s signal) were performed. RESULTS: Participated in the study 88 individuals, being 44 futsal practitioners and 44 non-practitioners. In the practitioners group, 54.5% have reported knee pain versus 34.1% of non-practitioners. The crossing of clinical signs with pain has shown statistically significant values: Perkin test (p=0.030), Waldron test (p=0.030) for practitioners and Perkin (p=0.002), lateral patellar shift (p=0.020) and Clarke’s signal (p=0.014) for non-practitioners. CONCLUSION: This study has shown more positivity of clinical tests for patellar chondromalacia in non-practitioners of futsal, however practitioners had lower frequency of positivity, except for Clarke’s signal. In addition, pain was more frequent in the practitioners group.
背景和目标:五人制足球是一种越来越流行的形式;随着这项运动越来越受欢迎,从事这项运动的青少年人数也在增加,因此,相关伤害也在增加。这成为医疗保健专业人员感兴趣的对象。这项研究旨在比较青少年练习和不练习五人制足球的体征和症状,以表明髌骨软骨软化症呈阳性。方法:为了检测髌骨软化症,进行病史和体格评估(Perkin、髌骨外侧移位、Waldron、髌骨退缩和Clarke信号)。结果:88人参与了这项研究,其中44人为五人制足球练习者,44人为非练习者。在执业医师组中,54.5%的人报告膝盖疼痛,而非执业医师组为34.1%。临床症状与疼痛的交叉显示出具有统计学意义的值:执业医师的Perkin检验(p=0.030)、Waldron检验(p=0.030)和非执业医师的珀金检验(p=0.002)、髌骨外侧移位(p=0.020)和Clarke信号(p=0.014)。结论:本研究显示,非五人制足球运动员的髌骨软骨软化症临床试验阳性率更高,但除Clarke信号外,五人制橄榄球运动员的阳性率较低。此外,从业者组的疼痛更为频繁。
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引用次数: 1
Prevalence of musculoskeletal pain in leather products industry workers: cross-sectional study in a city of the state of Minas Gerais 皮革制品行业工人肌肉骨骼疼痛的患病率:米纳斯吉拉斯州一个城市的横断面研究
Pub Date : 2017-04-01 DOI: 10.5935/1806-0013.20170027
L. F. Silva, S. Teixeira
BACKGROUND AND OBJECTIVES: Musculoskeletal injuries induced by labor process and organization are relevant for health/labor relationship. This study aimed at investigating the prevalence of musculoskeletal complaints and associated factors among leather products manufacturers. METHODS: Cross-sectional study where data were obtained by means of self-applied questionnaires to 320 workers distributed among 13 plants of the city of Cristina, MG, between February and March 2011. Nordic questionnaire of musculoskeletal symptoms was applied to measure the prevalence of complaints in different body regions. A descriptive analysis was carried out on the socio-demographic profile of the studied population. Multivariate logistic regression was used to describe the association between dependent variable, musculoskeletal complaint and the set of explanatory variables, with adjusted odds ratio calculation. Logistic regression was used with adjusted odds ratio calculation. RESULTS: The study involved 138 workers. Better adjusted multivariate model after confusion variables control was for knee pain, with prevalence of 40.0% among males and 24.1% among females. Sewing and finishing sectors behaved as “protection”, that is, less chance for pain as compared to the cutting sector. Age had negative association, that is, the higher the age the lower the chance of pain. In a different adjusted model for shoulder pain, workers and time working on the job showed higher chance of pain. CONCLUSION: The prevalence of complaints was higher than that found in the literature. Significant variables were identified which may subsidize the prevention of job distress, such as knee pain. Further studies are needed with the inclusion of other variables and other designs to minimize biases.
背景和目的:分娩过程和组织引起的肌肉骨骼损伤与健康/劳动关系有关。本研究旨在调查皮革制品制造商中肌肉骨骼投诉的发生率和相关因素。方法:2011年2月至3月,对分布在MG克里斯蒂娜市13家工厂的320名工人进行横断面研究,通过自我应用问卷获得数据。北欧肌肉骨骼症状问卷用于测量不同身体区域的投诉发生率。对研究人群的社会人口概况进行了描述性分析。多变量逻辑回归用于描述因变量、肌肉骨骼主诉和一组解释变量之间的关联,并进行调整后的比值比计算。Logistic回归用于调整比值比计算。结果:该研究涉及138名工人。混淆变量控制后调整较好的多变量模型用于膝关节疼痛,男性患病率为40.0%,女性患病率为24.1%。缝纫和精加工行业表现为“保护”,也就是说,与切割行业相比,疼痛的机会更少。年龄有负相关,也就是说,年龄越高,疼痛的几率越低。在一个不同的肩部疼痛调整模型中,工人和工作时间显示出更高的疼痛几率。结论:投诉发生率高于文献报道。发现了可能有助于预防工作困扰(如膝盖疼痛)的重要变量。需要进一步的研究,包括其他变量和其他设计,以最大限度地减少偏差。
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引用次数: 0
Prevalence of low back pain and interference with quality of life of pregnant women 孕妇腰痛的患病率及其对生活质量的影响
Pub Date : 2017-04-01 DOI: 10.5935/1806-0013.20170024
Ana Carolina Bezerra de Lima, Flávio Boechat de Oliveira, Gabriela Pereira Avolio, Giselly Dias da Silva, Paula Soares da Silva, R. Vale
BACKGROUND AND OBJECTIVES: Pregnancy is characterized by a period when women’s body suffers different changes. Between 50 and 80% of pregnant women refer low back pain, which may directly interfere with their quality of life. This study aimed at determining the prevalence of low back pain and its interference with quality of life of pregnant women assisted in the Family Health Strategy of the City of Cabo Frio. METHODS: Field cross-sectional study with pregnant women between the 13th and 36th week of gestation, with low back pain, assisted in a low risk pre-natal program. A demographic questionnaire, Roland Morris and WHOQOL-bref questionnaires were applied to evaluate low back pain and quality of life, respectively. Descriptive statistics and Spearman correlation tests were used and p<0.05 was considered statistically significant. RESULTS: Participated in the study 139 pregnant women assisted by the pre-natal assistance program. Mean age of 24.4±7.65 years. There has been significant correlation between quality of life domains questionnaire (physical domain p<0.000, psychological domain p<0.004, environmental domain p<0.022; social relations domain p<0.0025 and overall quality of life p<0.000 and Roland Morris questionnaire. There has been correlation between weeks of gestation and Roland Morris questionnaire (p<0.005). As to weeks of gestation and quality of life questionnaire there has only been correlation in the social relation domain (p<0.025). CONCLUSION: Low back pain interferes with quality of life of studied pregnant women.
背景和目的:怀孕是妇女身体发生不同变化的一个时期。50%到80%的孕妇认为腰痛会直接影响她们的生活质量。这项研究的目的是确定腰痛的流行程度及其对孕妇生活质量的影响,并在卡波弗里奥市家庭保健战略的协助下进行。方法:采用低风险产前方案,对妊娠13 - 36周腰痛孕妇进行实地横断面研究。采用人口统计学问卷、Roland Morris问卷和whoqol - brief问卷分别评估腰痛和生活质量。采用描述性统计和Spearman相关检验,p<0.05为差异有统计学意义。结果:139名孕妇参加了本研究。平均年龄24.4±7.65岁。生活质量问卷各领域存在显著相关(生理领域p<0.000,心理领域p<0.004,环境领域p<0.022;社会关系领域p<0.0025,整体生活质量p<0.000, Roland Morris问卷。妊娠周数与Roland Morris问卷存在相关性(p<0.005)。妊娠周数与生活质量问卷仅在社会关系领域存在相关性(p<0.025)。结论:腰痛会影响孕妇的生活质量。
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引用次数: 3
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