• Title/Summary/Keyword: back and shoulder pain

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Relationships of Musculoskeletal Disorder Symptoms and Perceived Workload among Hospital Workers

  • Ryu, Tae-Beum;Song, Joo-Bong;Yun, Myung-Hwan;Lim, Ji-Hyoun
    • Journal of the Ergonomics Society of Korea
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    • v.31 no.5
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    • pp.687-694
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    • 2012
  • Objective: This study aims to survey the prevalence of musculoskeletal disorders(MSD) among Korean hospital workers and to analyze the relationship of MSD symptoms and workload perceived by workers. Background: Despite of high exposure to the MSD risk factors and high MSD symptom prevalence among health care workers, there were not enough studies of MSD prevalence among the hospital workers. Method: This study designed a survey based on Nordic questionnaire to obtain MSD symptoms and the degree of four perceived workloads: work repetition, urgency, physical exertion and satisfaction. In this survey, 1,846 workers in a hospital participated. The prevalence of MSD was analyzed for each body part, and MSD cases, which were predetermined in this study, were identified. The relationship between the MSD cases and each perceived workload was analyzed using chi-square test. Results: The pain in the shoulder was the most prevalent among the workers as 52%, and the low back(37%) and leg discomfort(36%) followed. The MSD cases, in which degree of pain was more than severe, were also the most prevalent in the shoulder(13%). Female workers had higher rate of MSD cases than the males. Among the four workload variables, the physical exertion was the statistically related to MSD cases for all the body parts. In addition, the others also had significant relation to MSD cases except one or two body parts. Conclusion: This study found that Korean hospital workers had MSD symptoms mainly in the shoulder, low back and legs in order, and the perceived workload surveyed in this study was highly correlated with MSD symptoms. Application: This study provides another evidence that subjective physical exertion perceived by workers is an important factor to explain MSD cases as same as the objective one.

A Study on the Chief Complaints among Farmers in the Rural Community (농촌주민의 주소증에 대한 조사연구)

  • Kim Lak-Hyung;Kim Gil-Jung;An Chol-Ho
    • Journal of Society of Preventive Korean Medicine
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    • v.4 no.2
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    • pp.142-151
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    • 2000
  • Objectives and Methods : This study was conducted to investigate chief complaints among famers. The subjects of this study were 640 famers who live in the rural area in Wanju-gun Jeonbuk province. They were received medical treatment by oriental doctors who visited each village from July 1996 to June 1999. The data of this study were collected from their medical charts . Results and Conclusions : The number of female patients was 449(70.16%) and the number of male patients was 191(29.84%). The group of patients above 70 years was 32.81%, 60-69 years 32.03%, 50-59 years 20.15%, 40-49 years 8.90%, and bellow 39 years 6.09%. The most frequent complaint in farmers was low back pain(27.16%) the second was knee joint pain(16.14%), the third was shoulder Pain(12.06%), and the fourth was headache-dizziness(9.59%). The frequency of musculoskeletal disease(64.48%) was most high, and cardiovascular disease(11.33%) was the second, gstrointestinal disease(10.73%) was the third, respiratory disease(3.42%) was the fourth. It is necessary to pay attention to musculoskeletal disease-especially low back pain and knee joint pain- in study and treatment of farmer's disease.

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The Degree of Musculoskeletal Discomfort of Officers (사무직근로자의 신체부위별 근골격계 증상과 관련요인)

  • Sim, Mi-Jung;Son, In-A;Hong, Sung-Gi
    • The Journal of the Korea Contents Association
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    • v.9 no.9
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    • pp.249-258
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    • 2009
  • The purpose of this study is to identify the factors influencing the musculoskeletal discomfort and the physical region related symptoms. The outcome of the study uses KOSHA Code H-30-2003 which defines possible symptoms into different categories. Symptom I, ll showing the highest occurrence rate in shoulder and neck regions and most of Symptom III, IV come from back region. Analysis of the factors influencing the musculoskeletal discomfort vary in different parts of the body. In the neck region, the discomfort related to rest and the computer keyboard. Gender affects the magnitude of pain in the shoulder region. Wrist pain is related to the chairs being used and back discomfort is influenced by shoulder exercise and the degree of rest taken. Physical fatigue due to work affects all the regions mentioned above. Conclusively, office workers are prone to the musculoskeletal discomfort due to their work environment. To alleviate this problem, the workers need to be educated with proper long-term musculoskeletal related health programs and exercise program containing various stretching methods. In addition, the effort to improve the variables in this study would help to reduce the rate of musculoskeletal discomfort.

Analysis on Ga-Rak market workers' disease and treatment of Traditional Korean Medicine(TKM) (pilot study) (가락시장 근로자의 병증과 한의학적 치료에 대한 예비 분석)

  • Yoo, Jae-Ryong;Song, Ho-Sueb
    • Journal of Pharmacopuncture
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    • v.7 no.2
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    • pp.109-119
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    • 2004
  • Objective : To broaden our understanding on occupational disease of market workers and to evaluate the effect of TKM treatment focusing on acupuncture and herb medicine and to promote base studies and clinical trials on occupational disease. Materials and Methods : Analysis was done on 33 Ga-Rak market workers' chart which had been selected through investigation of 1508 outpatient's chart of Kyung Won University Hospital from Jun. 1st, 2002 to May. 31th, 2003. Results : 1. Out of 33 patients, Men had more occupational diseases than women had and Most people were in their forties. 2. Major cause of the disease include repetitve bending, heavy weight lifting and overwork. 3. Past History of patients mostly include frequent lumbar sprain, periarthritis of shoulder, lumbar HNP 4. The patients with occupational disease were diagnosed as lumbar sprain, periarthritis of shoulder, lumbar HNP, degenerative spondylosis, spinal stenosis and their chief complaints were low back pain, omalgia, back pain with radicular pain. 5. The duration of treatment was mostly within a week. 6. Acupuncture, Bee Venom Acupuncture, moxibustion, Herb-medicine, extract, taping therapy, physical therapy were used as treatment methods. 7. Applied herb medicine were composed of 8 kinds of prescriptions and extract were made up of 6 prescriptions 8. Applied acupoints belonged mainly to 14 meridians 9. The treatment of herb medicine combined with acupuncture proved effective in treating the ocupational disease. Conclusion : The occupational disease of patients working in Ga-Rak market were closely related with overwork, especially with repetitive bending and heavy weight lifting and TKM treatment focusing on acupuncture combined with herb medicine was effective in treating occupational disease.

The Effect of Intradermal Acupuncture on Three Patients with Pain : 3 Cases Report (피내침 요법을 적용한 통증 환자 치험 3례)

  • Kim, Ji-Young;Kim, Soon-Joong;Jeong, Su-Hyeon
    • Korean Journal of Acupuncture
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    • v.29 no.1
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    • pp.109-116
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    • 2012
  • This study was performed to evaluate the effects of intradermal acupuncture on patients with pain. Three patients suffered from shoulder pain, low back pain, and wrist pain. Each were treated with intradermal acupuncture and outcomes were measured by McGill pain questionnaire-short form, visual analongue scale and pain rating score. After intradermal acupuncture treatments, we found recovery from three patients who suffered from pain. Through this study, we suggest that intradermal acupuncture treatment is effective to cure patients with pain. Futher on, well-designed, controlled studies and more cases are needed to define the effect of intradermal acupuncture for patients with pain.

The Effect of Breast Hypertrophy on Patient Posture

  • Lapid, Oren;de Groof, E. Joline;Corion, Leonard U.M.C.;Smeulders, Mark J.C.;van der Horst, Chantal M.A.M.
    • Archives of Plastic Surgery
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    • v.40 no.5
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    • pp.559-563
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    • 2013
  • Background One of the reasons women with macromastia chose to undergo a breast reduction is to relieve their complaints of back, neck, and shoulder pain. We hypothesized that changes in posture after surgery may be the reason for the pain relief and that patient posture may correlate with symptomatic macromastia and may serve as an objective measure for complaints. The purpose of our study was to evaluate the effect of reduction mammaplasty on the posture of women with macromastia. Methods A prospective controlled study at a university medical center. Forty-two patients that underwent breast reduction were studied before surgery and an average of 4.3 years following surgery. Thirty-seven healthy women served as controls. Standardized lateral photos were taken. The inclination angle of the back was measured. Regression analysis was performed for the inclination angle. Results Preoperatively, the mean inclination angle was 1.61 degrees ventrally; this diminished postoperatively to 0.72 degrees ventrally. This change was not significant (P-value=0.104). In the control group that angle was 0.28 degrees dorsally. Univariate regression analysis revealed that the inclination was dependent on body mass index (BMI) and having symptomatic macromastia; on multiple regression it was only dependent on BMI. Conclusions The inclination angle of the back in breast reduction candidates is significantly different from that of controls; however, this difference is small and probably does not account for the symptoms associated with macromastia. Back inclination should not be used as a surrogate "objective" measure for symptomatic macromastia.

A Clinical Survey of Patients of Neuro-Pain Clinic 1 Year Period (신경통증클리닉 환자의 1년간 통계 고찰)

  • Yang, Seung-Kon;Lee, Seong-Yeon;Chae, Dong-Huhn;Chae, Hyun;Lee, Kyung-Jin;Kim, Chan
    • The Korean Journal of Pain
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    • v.8 no.2
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    • pp.304-307
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    • 1995
  • 1,666 patients treated by nerve block from September 1994 to August 1995 we statistically analyzed according to sex, age, diseases, and kinds of nerve blocks. Most patients were in the range from 30 to 60 year old, with a distribution of 43.9% male and 56.1% female. Diseases and ailments were as follows: low back pain 30.6%, frozen shoulder 14.0%, facial spasm 10.0%, cervical syndrome 9.7%, headache 7.3%, and hyperhidrosis 7.2%. Most common nerve blocks were stellate ganglion block 30.9%, epidural block 25.6%, trigger point injection 16.1%, and suprascapular nerve block 6.7%. Nerve blocks under fluoroscopic guide were as follows: facet joint block 28.6%, spinal root block 22.9%, thoracic sympathetic ganglion block 21.7%, and lumbar sympathetic ganglion block 15.4%.

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Verbal Aggression Against Teacher and Upper Extremity Musculoskeletal Pain

  • Ceballos, Albanita G.C.;Carvalho, Fernando M.
    • Safety and Health at Work
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    • v.11 no.2
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    • pp.187-192
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    • 2020
  • Background: This study investigated the relationship between verbal aggression against school teachers and upper extremity (neck, shoulder, upper limb, and/or upper back) musculoskeletal pain. Methods: This was a cross-sectional study of 525 elementary school teachers from Jaboatão dos Guararapes, Northeast Brazil. Results: The prevalence of upper extremity musculoskeletal pain among teachers who reported verbal aggression in the past six months (67.7%) was higher than that among those who did not report verbal aggression (51.7%): (prevalence ratio = 1.21; 95% confidence interval = 1.04-1.40). The prevalence of upper extremity musculoskeletal pain was associated with verbal aggression, sex, and common mental disorders, controlled by skin color, age, monthly income, teachers' education, years working as a teacher, workload, and obesity. Furthermore, the measure of the association between verbal aggression and upper extremity musculoskeletal pain was modified by sex and common mental disorders, considered altogether. Teachers who suffered verbal aggression, of the feminine sex, and also having common mental disorders reported high prevalence (85.4%) of upper extremity musculoskeletal pain. Conclusion: The association between verbal violence in the school and complaints of upper extremity musculoskeletal pain was strong and modified by teachers' sex and common mental disorders.

Cross-sectional Study on Health Status and Symptom Recognition of Adolescents by Grade (학년에 따른 청소년의 건강상태와 증상인식에 대한 단면조사 연구)

  • Shin, Seon Mi;Park, Jeong Su;Go, Ho Yeon;Kim, Dong Su;Sung, Hyun Kyung
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.32 no.6
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    • pp.403-410
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    • 2018
  • Lifestyle of adolescents cause a lot of health effects in the future. Therefore, in Korea, school health law was enacted and relevant business such as school education program is being carried out. This study was conducted to recognize symptom according to grade. A survey of youth health status was conducted at 19 middle and high schools in Seongnam city from May 2015 to December 2015. The survey made up of 14 questions which was about the health status satisfaction on the adolescent was conducted to investigate frequency by year and the respective health status of 6 grades. A total of 9,584 students responded to the survey, 58.22% answered that they were not free of constipation. 25.69% of respondents had no symptoms of headache, consequently over 70% of respondents had headache. 57.06% of respondents had no symptoms of low back pain and 34.7% had no symptoms of neck & shoulder pain, therefore over 50% of respondents had muscular skeletal symptoms. In menstrual history, only 17.95% of respondents said their period was regular and painless. In respiratory history, except cold, no nasal drop & obstruction has appeared in the group of 54.02%. And 62.97% of respondents had persistent cough usually with cold and 23.41% had cough with cold breeze even if not catch cold. In the third grade of high school students, there were many complaints of pain in various parts such as headache, back pain and shoulder pain, neck pain and menstrual pain, and there was a high rate of complaints of digestive system symptom and defecation symptom. More than half of respondent had constipation discomfort, headache and musculo-skeletal symptoms, menstrual problems and cough. In the third grade of high school students, the rate of complaints of pain complaints, digestive system symptoms, and bowel symptoms was high. Therefore, there is a need for measures and management for continuous health care and health promotion in accordance with students' symptoms and age at each grade level.

Health Problems in Clinical Nurses as Identified by Auricular Acupuncture Points (이혈로 본 임상간호사들의 건강문제)

  • Chun, Youngmi
    • Korean Journal of Occupational Health Nursing
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    • v.28 no.3
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    • pp.148-155
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    • 2019
  • Purpose: The purpose of this study was to identify health problems in clinical nurses through an examination of their auricular acupuncture points. Methods: Data were collected from 90 nurses working in D city. Participants' ears were photographed and their auricular points were analyzed. Data analysis was performed by descriptive statistics and the $x^2$ test. Results: Musculoskeletal problems were the most severe, followed by problems of the digestive, nervous, and reproductive systems, in that order. Furthermore, the average number of health problems was 5.22, with a range of 4 to 6. Leg/foot pain was the highest reported musculoskeletal problem, followed by shoulder and lumbar/back pain. Gastric ptosis was the highest reported digestive problem, followed by indigestion and hypersensitive colitis. Additionally, among participants with gastric ptosis, lumbar pain was significantly high. Conclusion: The results suggest that further research using an auricular points as a diagnosis and treatment point is necessary to improve the health of nurses.