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Work-related Musculoskeletal Pain and Health-related Quality of Life among Physical Therapists in Korea

  • Kim, Giwon;Lee, Kyunghee
    • The Journal of Korean Physical Therapy
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    • v.28 no.1
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    • pp.39-45
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    • 2016
  • Purpose: Physical therapists are likely to be exposed to work-related musculoskeletal pain due to excessive repetitive tasks. This study was conducted to identify the relationship between work-related musculoskeletal pain and quality of life of physical therapists. Methods: A self-reported questionnaires was sent to 200 physical therapists at in Seoul and Kyoungido. The questionnaires was returned by 170 physical therapists. The questionnaire had included 4 items that coveringed demographic information, areas of musculoskeletal problems, pain rating scale, and WHOQOL-BREF. The analysis was completed using descriptive statistics, and differences between pain and demographic variables were identified using the chi-square test. The relationship between work-related musculoskeletal pain and quality of life was analyzed by t-test and Pearson's correlation. Results: The overall prevalence of work-related musculoskeletal pain was 76.8%. The most affected pain sites included the low back (48.8%), shoulder (45.,2%), hand and wrist (43.5%), and neck (33.3%). Pain ratings of subjects with pain was were moderate. There was a A significant difference for the subdomains of quality of life was observed between the subjects with musculoskeletal pain and those without pain. Weak negative correlations (r=-0.28) were observed between pain rating scale and QOL. Conclusion: These findings show that physical therapists appear to be at a higher risk for work-related musculoskeletal pain and physical domain of QOL. Therefore, Ffurther research is needed to investigate examine the effect of risk factors and ergonomics as physical load, general health status on prevalence of musculoskeletal pain.

The related factors of severity of musculo-skeletal pain in the dental hygienists based on PRECEDE model (PRECEDE 모형을 적용한 치과위생사의 근골격계 통증 심각도 관련 요인)

  • Moon, Ae-Eun;Park, Jong
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.4
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    • pp.649-659
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    • 2015
  • Objectives: The purpose of the study is to investigate the musculo-skeletal pain prevalence and severity in the dental hygienists based on PRECEDE model. Methods: A self-reported questionnaire was completed by 483 dental hygienists in Gwangju from September 13 to October 12, 2013. Data were analyzed by frequency analysis, chi-square test, t-test, and multiple logistic regression analysis using SPSS 18.0 program. Musculo-skeletal pain severity was classified from 1 to 5 by PRECEDE model. The questionnaire consisted of six questions of the general characteristics of the subjects, one question of musculo-skeletal pain prevalence, one question of body part musculo-skeletal pain prevalence, one question of subjective health status, three questions of activities of daily living, six questions of working environment, one question of musculoskeletal system diseases knowledge, two questions of social support, two questions of education experience and data use method, and five questions of necessity of health education. Results: The prevalence rate of musculo-skeletal pain within a year was 83.9% and 22.8% of the dental hygienists complained of severe pain. The odds ratio of moderate pain severity was 1.99(95% CI, 1.10-3.60) and the odds ratio of unhealthiness was 3.27 (95% CI, 1.35-7.94). The odds ratio of pain severity in those working for 4-6 years was 0.21(95% CI, 0.08-0.57). The odds ratio of pain severity in those practicing 6-10 scaling cases per day was 0.33(95% CI, 0.17-0.65). The odds ratio of pain severity in wrist turning and bending was 3.56(95% CI, 1.19-10.62). Conclusions: The muscolu-skeletal pain severity in the dental hygienists was closely associated with subjective health condition, work duration, the number of scaling practice activity, and a treatment posture. Regular physical checkup for the dental hygienists will improve the musculo-skeletal pain due to scaling practice.

Dental Hygienists Work on the Impact of Factors Associated with Musculoskeletal Pain (치과위생사 작업과 관련된 근골격계 통증의 영향요인)

  • Kim, Min A;Seo, Hwa Jeong
    • Journal of dental hygiene science
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    • v.12 no.6
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    • pp.558-565
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    • 2012
  • The purpose of this study was to work related musculoskeletal disorders are a major. Occupational disease of the dental care profession is no exception. The survey was self-reported questionars of 300 dental hygienists that 268 dental hygienists reply to self-reported survey. This study results are as follows: Subjects of research analyzing the degree of physical musculoskeletal disorders pain, shoulder 90.3%, neck 89.2%, leg 83.6%, 81.7% back, hand/wrist/fingers 75.7%, arm/elbow, according to 52.8%. Therefore the work province of the research object people the musculoskeletal disorders appeared different. Generally characteristic was taller dental hygienists lower back pain and were out of less weight, study subjects had neck and arm pain. 29~33 year-old age the shoulder, over the age of 34 the arm/elbow to be high (p<0.05). Working environment to become a career, the more hand/wrist/fingers and the pain increased (p<0.05). The neck, shoulders (p<0.05), arm (p<0.01), waist high in the 3~4 years experience. And leg/foot was in the 1~2 years experience. This increase in working hours had increased pain in the neck but the hand/wrist/finger pain in the small hours of experience in the high pain(p<0.01). Conclusion of the musculoskeletal disorders of the dental hygienists often than the average for this risk is recognized. When it occurs early in treatment can be simple, but time is left to revert to normal when you do not already. Therefore, maintaining proper posture and dental hygienists, pain or fatigue appeared to accumulate immediately treated continued efforts are needed.

Associations between Work-Related Musculoskeletal Pain, Quality of Life and Presenteeism in Physical Therapists (물리치료사의 업무관련성 근골격계 통증, 삶의 질과 프리젠티즘의 관계)

  • Bae, Young-Hyeon;Lee, Jong-Hoon;Yoo, Hyeon-Ju;Kim, Dong-Eon;Lee, Bo-Ra;Kim, Yun-Hee;Ha, Hyun-Geun
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.22 no.1
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    • pp.61-72
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    • 2012
  • Background: The purpose of this study was to analyze the associations between physical therapists' work-related musculoskeletal pain, quality of life (QoL), and presenteeism. Methods: Self-reported questionnaires were given to 402 physical therapists in Korea. Variables examined included the prevalence of pain sites related to work, pain intensity, pain pattern, pain frequency, pain duration, pain rating score (PRS), general characteristics, QoL, and presenteeism. Results: Of the 314 physical therapists who responded, 251 (79.9%) reported work -related musculoskeletal pain in at least one body part. The most affected regions included the wrist and hand (21.0%), shoulder (19.6%), and lower back (19.1%). On average patients, QoL and presenteeism differed significantly between physical therapists who reported pain and those who did not (P < 0.05). QoL showed a negative correlation with the work-related musculoskeletal pain (P < 0.01) and presenteeism (P < 0.01), while the presenteeism and work-related musculoskeletal pain showed positive one(P < 0.01). Factors influencing a physical therapist's QoL included presenteeism, Working venues (Convalescent hospital), Work status (Contra ct worker) and professional experience, while the presenteeism included QoL, work status (Intern), PRS, working venues (Convalescent hospital), Area of specialty (Pediatrics), age, sex and working hour. Conclusions: Results show that physical therapists appear to be at a higher risk for work-related musculoskeletal pain. Therefore, administrators need to use the intervention strategies to manage the presenteeism and QoL of physical therapists.

A Study on the Rehabilitation Exercise by Bike Pain and Injury and Fitting

  • Gyoung-Hoan Shon
    • Journal of the Korea Society of Computer and Information
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    • v.28 no.5
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    • pp.83-93
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    • 2023
  • The purpose of this study is to improve pain and injury through bicycle fitting and to propose rehabilitation methods. Pain and injuries caused by bicycles can be largely divided into knee and ankle pain, wrist, shoulder, neck, and back pain, and hip pain. The cause of these pains and injuries stems from incorrect bicycle fitting and posture. In order to improve these pain and injuries and prevent recurrence, appropriate bicycle fitting and rehabilitation exercise are needed. Pain and injury are divided into kinetic pain and pain by a fixed posture. In the case of kinetic pain, rehabilitation exercise is required along with inflammatory treatment, and pain by a fixed posture should understand the exact characteristics of the body and learn and practice bicycle posture according to the body's characteristics. Through this method, it can contribute to preventing the recurrence of bicycle pain and injuries and further creating an environment where a safe bicycle culture can be established.

Effects of TENS and He-Ne Laser at Auricular Point on Delayed Onset Muscle Soreness (TENS와 He-Ne Laser를 이용한 외이자극이 지연성근육통에 미치는 영향)

  • Park, Jang-Sung;Kim, Moon-Su
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.4 no.1
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    • pp.85-93
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    • 2006
  • The purpose of this study was to determine the effect of transcutaneous electrical nerve stimulation(TENS) and He-Ne laser at auricular point on delayed onset muscle soreness(DOMS). Twenty healthy adult males and females performed eccentric exercise of the elbow flexor. DOMS was induced in a standardised fashion in the nondominant elbow flexor of all subject by repeated eccentric exercise. Subject were assigned randomly to one of trees groups. Group 1 received TENS to the appropriate auricular point for biceps pain, Group 2 received laser to the appropriate auricular point for wrist pain, Group 3 received no treatment and served as controls. After exercise, treatments were applied at 24 hours and at 48 hours and at 72 hours after. Group 1 showed stastically significant increase(p<0.05) in pain threshold after treatment whereas the Group 2 and 3 did not. Group 1 showed a significant increase in pain threshold than Group 2. These results suggest that TENS has the capability to higher pain threshold but laser does not.

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Experiential treatment of ankylosing spondylitis using Ortho-Cellular Nutrition Therapy (OCNT)

  • Baek, Kyungsin
    • CELLMED
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    • v.12 no.3
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    • pp.14.1-14.2
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    • 2022
  • Currently, a 70-year-old woman started suffering from S.I joint pain from 1973 and had severe pain in the S.I joint, wrist, and elbow from 1975 to 1977, and was diagnosed with spinal tuberculosis at a general hospital. From 1978 to 1987, she suffered from chronic fatigue and insomnia, and since January 1, 1988, she was unable to get up while lying down, suffering from whole body joint, muscle pain, and fibromyalgia. In May 1989, she was also diagnosed with ankylosing spondylitis through genetic testing at the Catholic St. Mary's Hospital Rheumatology Department in Korea, and was treated with sulfasalazine, analgesic, and immunosuppressant, methotrexate, for 12 years until 1999, but none of the drugs eliminated the pain. She was hospitalized and discharged repeatedly, and continued to receive salt water poultice and exercise therapy at home, but was unable to move at all. In 2000, after biologic treatment with Remicade injection (Remsima®), she was able to walk and move, and after that, she was continuously prescribed biologics. From 2015 to 2019, Enbrel® (Etanercept) injection was prescribed once a week, but the symptoms such as severe pain (joint and muscle, fibromyalgia), scleroderma, Sjogren's syndrome (dryness of eyes, nose and mouth), difficulty swallowing, chronic fatigue, and stiff body appeared. Around January 2018, hepatic indicators were high and lymphocytes became enlarged. However, most serious injuries were highly improved after the OCNT combination therapy using active phytonutrients, anthocyanin-fucoidan nanocomplex. Therefore, for patients with such experiences, OCNT treatment is proposed as an alternative.

Upper extremity musculoskeletal pain during rehabilitation in persons with spinal cord injuries using manual wheelchairs

  • Kang, Bo Ra;Cho, Dong Hee;Kim, Han Seung;Ahn, Si-Nae
    • Physical Therapy Rehabilitation Science
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    • v.8 no.2
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    • pp.79-85
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    • 2019
  • Objective: The purpose of this study was to investigate the relationship between physical features, strength, function, and upper extremity musculoskeletal pain during rehabilitation of manual wheelchair users with spinal cord injuries. Design: Cross-sectional study. Methods: The degree and frequency of upper extremity musculoskeletal pain were measured in persons with spinal cord injuries using manual wheelchairs with the use of questionnaires. The pain scores of the hand, wrist, and shoulder joints were calculated by multiplying the seriousness and frequency of pain. We collected data on the manual muscle test, Spinal Cord Independent Measure-III, and the Body Mass Index. Statistical analysis was performed by descriptive analysis and Pearson's correlation analysis. Results: A total of 47 patients participated in this study and the neurological level of the injuries ranged from C2 to S5. Pain in the shoulder joints was the most common in persons with tetraplegia and paraplegia. Pain was experienced as mild to moderate, and occurred one or more times a week. Of the 32 persons with paraplegia, the most common area of complaint was the shoulder. Of the 15 persons with paraplegia, the shoulder joints were the most common site of pain. The independence levels of the persons with spinal cord injuries were highly correlated to muscle strength levels (p<0.05). Conclusions: This study investigated upper extremity musculoskeletal pain during rehabilitation of manual wheelchair users with spinal cord injuries and the relationship between physical features, strength, and function. In most persons with spinal cord injuries, pain and frequency of shoulder joints were high and pain levels were also related to functional levels.

Pain and Weakness on Unilateral Upper Extremity Diagnosed as Brachial Plexopathy after Herpes Zoster Infection (대상포진후 상완신경총병증으로 진단된 편측 상지의 통증과 위약)

  • Cho, Junmo;Kang, Si Hyun;Seo, Kyung Mook;Kim, Don-Kyu;Kim, Du Hwan;Shin, Hyun Iee
    • Clinical Pain
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    • v.19 no.2
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    • pp.124-128
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    • 2020
  • Motor paralysis is a less common neurologic complication of herpes zoster. Until now, a few cases have been reported, and most of these cases showed brachial plexopathy involving one or two segments. We report a patient with pain and weakness on upper extremity diagnosed as brachial plexopathy after herpes zoster infection. An 88-year-old female patient complained not only tingling sense, pain, and swelling on right whole arm, but also weakness on this right upper extremity. On physical examination, weakness is seen in right shoulder abduction·shoulder flexion·elbow flexion·elbow extension· wrist extension (grade 4), finger flexion·finger abduction·finger extension·finger DIP flexion (grade 3). In electrodiagnostic study and magnetic resonance imaging study, she was diagnosed as the brachial plexopathy, whole branch involved. This is the only case of post-herpetic brachial plexopathy involving whole branch in domestic.

Differences In Joint Position Sense, Force Sense, and Performance Level of the Upper Extremities According to the Sex, Injury and Pain Experiences of Korean Elite Archers (한국 엘리트 양궁선수들의 성별과 부상, 통증 경험에 따른 상지의 관절위치 감각과 힘감각, 경기력 수준의 차이)

  • Kim, Mun-kyo;Kim, Suhn-yeop
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.27 no.3
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    • pp.1-15
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    • 2021
  • Objective: The purpose of this study was to examine the differences in joint position sense (JPS), force sense (FS), and performance level of the upper extremities according to the injury and pain experiences of Korean elite archers. Methods: A total of 15 subjects were briefed about the purpose of this study and agreed to participate voluntarily. JPS was evaluated using the laser-point attached to the wrist while aiming at the target. The difference when relocating while aiming was used as JPS factor. FS was evaluated using load cell through reproduces same muscle strength. Fear-Avoidance Beliefs Questionnaire (FABQ) was used to evaluate psychosocial factors, Kerlan-Jobe Orthopedic Clinic overhead athlete scores (KJOC) and numerical rating scale (NRS) was used to evaluate pain. and performance was evaluated by tournament match score. Results: There is a strong correlation between the current pain and KJOC. Moreover, moderate correlation between KJOC and FABQ also current pain and both upper trapezius and lower trapezius in elite archers. The mean (SD) between groups based on current pain display relatively large margin in force sense than without pain group. The result presents that there is a significant difference in performance and pain. There is a significant difference in the force sense of the upper and lower trapezius and pain. Conclusions: Result present there is a significant difference in functional level in the average comparison between groups according to the presence of absence of current pain. There is a significant difference in the force sense of the upper trapezius as well as lower trapezius and without pain group present a relatively low joint position sense error compared to the groups.