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MUSCULOSKELETAL DISORDERS OF HAND IN HEALTHCARE WORKERS: A CROSS-SECTIONAL STUDY

Year 2022, Volume: 5 Issue: 3, 144 - 152, 15.12.2022
https://doi.org/10.33439/ergonomi.1150940

Abstract

Musculoskeletal disorders (MSDs) of the hand negatively affect the hand's functionality and lead to long periods of sick leave. MSDs of hand are associated with work absences and productivity loss more than other Musculoskeletal disorders (MSDs). The study aimed to assess the discomfort of hands in healthcare workers (HWs) and the relationship between demographics and discomfort. 217 HWs selected randomly in the Trakya University Hospital from Dec. 2019 to Feb. 2020 participated in this cross-sectional study. The study was carried out through a questionnaire for sociodemographic characteristics and Cornell Hand Discomfort Questionnaires for MSDs. SPSS v.24.0 software was used to analyze the data. The most common discomfort scores were in the right-hand wrist (1.79), right-hand thumb joint, right-hand thumb (1.65), left-hand wrist (0.86), and left-hand (index, middle, half ring) (0.87), and left-hand thumb (0.80) areas respectively. Right-hand discomfort scores were relatively higher than left-hand. While an association was detected between the level of education, years of work, and MSDs of hand, there was no relation with gender, marital status, or profession. The findings from the study indicate MSDs of hand among HWs. Further research is recommended to detect the prevalence and prevention of MSDs of hand on HWs.

References

  • Adams, S. R., Hacker, M. R., McKinney, J. L., Elkadry, E. A., & Rosenblatt, P. L. (2013). Musculoskeletal pain in gynecologic surgeons. Journal of minimally invasive gynecology, 20(5), 656-660.
  • Alqahtani SM, Alzahrani MM, Bicknell R, Pichora D. Prevalence and factors of work-related musculoskeletal disorders among hand surgeons. World J Orthop 2022; 13(5): 465-471 [PMID: 35633751 DOI: 10.5312/wjo.v13.i5.465]
  • Azma K, Hosseini A, Safarian MH, Abedi M. Evaluation of the relationship between musculoskeletal discomforts and occupational stressors among nurses. N Am J Med Sci. 2015;7(7):322–7. https://doi.org/10.4103/1947-2714.161250.
  • Barr, A. E., Barbe, M. F., & Clark, B. D. (2004). Work-related musculoskeletal disorders of the hand and wrist: epidemiology, pathophysiology, and sensorimotor changes. Journal of orthopaedic & sports physical therapy, 34(10), 610-627.
  • Clari, M., Godono, A., Garzaro, G., Voglino, G., Gualano, M. R., Migliaretti, G., ... & Dimonte, V. (2021). Prevalence of musculoskeletal disorders among perioperative nurses: a systematic review and META-analysis. BMC musculoskeletal disorders, 22(1), 1-12.
  • Cornell University Ergonomics Web. http://ergo.human.cornell.edu/ahmsquest.html (Date of Access: 30.05.21).
  • Eapen, C., Kumar, B., & Bhat, A. K. (2010). Prevalence of cumulative trauma disorders in cell phone users. Journal of Musculoskeletal Research, 13, 137–145. https://doi.org/10.1142/S0218957710002545
  • Erdinc, O., Hot, K., & Ozkaya, M. (2011). Turkish version of the Cornell Musculoskeletal Discomfort Questionnaire: cross-cultural adaptation and validation. Work, 39(3), 251-260. https://doi.org/10.3233/WOR-2011-1173
  • Gallagher, S., & Heberger, J. (2013). Examining the interaction of force and repetition of musculoskeletal disorder risk. Human Factors: Journal of the Human Factors and Ergonomics Society, 55, 108–124.
  • Gyer, G., Michael, J., & Inklebarger, J. (2018). Occupational hand injuries: a current review of the prevalence and proposed prevention strategies for physical therapists and similar healthcare professionals. Journal of integrative medicine, 16(2), 84-89.
  • Hansson, G., Nordander, C., Asterland, P., Ohlsson, K., Stromberg, U., Skerfving, S., & Rempel, D. (2000). Sensitivity of trapezius electromyography to differences between work tasks—Influence of gap definition and normalisation methods. Journal of Electromyography and Kinesiology, 10, 103–115.
  • Jansen, K., Luik, M., Reinvee, M., Viljasoo, V., Ereline, J., Gapeyeva, H., & Pääsuke, M. (2013). Hand discomfort in production assembly workers. Agronomy Research, 11(2), 407-412. 10.
  • Kim, H., Dropkin, J., Spaeth, K., Smith, F., & Moline, J. (2012). Patient handling and musculoskeletal disorders among hospital workers: analysis of 7 years of institutional workers' compensation claims data. American journal of industrial medicine, 55(8), 683-690. http://dx.doi.org/10.1002/ajim.22006
  • Lin, W. Y., Yang, C. L., Huang, W. P., Tseng, P. C., & Kuo, H. W. (2022). Moderating and Mediating Effects of Over-Commitment on the Association Between Effort–Reward Imbalance (ERI) with Upper Back and Hand/Wrist Disorders in Municipal Solid Waste Collectors. Journal of Pain Research, 15, 455.
  • MacDonald, V., & Keir, P. J. (2018). Assessment of musculoskeletal disorder risk with hand and syringe use in chemotherapy nurses and pharmacy assistants. IISE Transactions on Occupational Ergonomics and Human Factors, 6(3-4), 128-142.
  • Opsteegh, L., Reinders-Messelink, H. A., Schollier, D., Groothoff, J. W., Postema, K., Dijkstra, P. U., & Van der Sluis, C. K. (2009). Determinants of return to work in patients with hand disorders and hand injuries. Journal of occupational rehabilitation, 19(3), 245-255.
  • OSH Answers Fact Sheets Work-related Musculoskeletal Disorders. https://www.ccohs.ca/oshanswers/diseases/rmirsi. (Date of Access: 30.05.21).
  • Oh, E., Kim, A., & Oh, Y. (2022). Research trend of Korean Medicine for Musculoskeletal Disorders of the Hand and Wrist. Journal of Korean Medicine Rehabilitation, 32(1), 21-36.
  • Ou, Y. K., Liu, Y., Chang, Y. P., & Lee, B. O. (2021). Relationship between Musculoskeletal Disorders and Work Performance of Nursing Staff: A Comparison of Hospital Nursing Departments. International Journal of Environmental Research and Public Health, 18(13), 7085. https://doi.org/10.3390/ijerph18137085
  • Ouni M, Elghali M, Abid N, Aroui H, Dabebbi F. Prevalence and Risk Factors of Musculoskeletal Disorders Among Tunisian Nurses. La Tunisie medicale. 2020;98(3):225-31
  • Qin, J., Lin, J., Faber, G., S., Buchholz, B., & Xu, X. (2014). Upper extremity kinematic and kinetic adaptations during a fatiguing repetitive task. Journal of Electromyography and Kinesiology, 24, 404–411. doi: 10.1016/j.jelekin.2014.02.001
  • Rodgers, S. H. (1998). Predicting ergonomically-acceptable highly repetitive tasks. In: Proceedings of the Silicon Valley Ergonomics Conference and Exposition, ErgoCon ’98, San Jose, CA, May 3–6, 1998, pp. 3–11.
  • Sharan, D., Mohandoss, M., Ranganathan, R., & Jose, J. (2014). Musculoskeletal disorders of the upper extremities due to extensive usage of hand held devices. Annals of occupational and environmental medicine, 26(1), 1-4.
  • Sheikhzadeh, A., Gore, C., Zuckerman, J. D., & Nordin, M. (2009). Perioperating nurses and technicians’ perceptions of ergonomic risk factors in the surgical environment. Applied Ergonomics, 40, 833–839.
  • Simonsen, J., Arvidsson, I., & Nordander, C. (2012). Ergonomics in the operating room. Work, 41, 5644–5646.
  • Smith, D. R., Mihashi, M., Adachi, Y., Koga, H., & Ishitake, T. (2006). A detailed analysis of musculoskeletal disorder risk factors among Japanese nurses. Journal of safety research, 37(2), 195-200. https://doi.org/10.1016/j.jsr.2006.01.004
  • Zyluk, A., & Puchalski, P. (2015). Hand disorders associated with diabetes: a review. Acta Orthop Belg, 81(2), 191-196.

SAĞLIK ÇALIŞANLARINDA EL BÖLGESİ KAS İSKELET SİSTEMİ RAHATSIZLIKLARINA İLİŞKİN KESİTSEL BİR ÇALIŞMA

Year 2022, Volume: 5 Issue: 3, 144 - 152, 15.12.2022
https://doi.org/10.33439/ergonomi.1150940

Abstract

Yapılan iş nedeniyle el bölgesindeki kas iskelet sistemi rahatsızlıkları (KİSR-El) fonksiyonel kullanımı negatif etkilemekte ve uzun süren istirahatlerin alınmasına neden olabilmektedir. KİSR-El hastalık izinleri ile birlikte üretkenlik azalması ile de ilişkilendirilmektedir. Bu çalışmanın amacı sağlık çalışanlarında el bölgesindeki kas iskelet sistemi rahatsızlıklarını değerlendirmektir. Kesitsel tip çalışmaya Trakya Üniversitesi Hastanesindeki rastgele seçilen 217 sağlık çalışanı Aralık 2019 ve Şubat 2020 tarihleri arasında katılım sağlamışlardır. Sosyodemografik özellikler için tasarlanan anket ve KİSR-El için Cornell El Rahatsızlık Ölçeği ile çalışma verileri toplanmıştır. SPSS v.24.0 yazılımı verilerin analizi için kullanılmıştır. En fazla rahatsızlık ölçeği puanları sırasıyla sağ el bilek (1.79), sağ el başparmak eklemi (1.72), sağ el başparmak (1.65) ve sol el bilek (0.86), sol el (işaret, orta, yarım halka) (0.87) ve sol el başparmak (0.80) bölgelerinde bulunmuştur. Sağ el rahatsızlık ölçek puanları sol el puanlarına göre nispeten fazla tespit edilmiştir. Eğitim düzeyi, çalışma yılı ve KİSR-El arasında istatistiksel anlamlılık saptanırken, cinsiyet, medeni durum ve meslek ile ilişki tespit edilememiştir. Çalışmadan elde edilen bulgular sağlık çalışanlarında el bölgesindeki kas iskelet sistemi rahatsızlıklarına işaret etmektedir. Sağlık çalışanlarında KİSR-El yaygınlığının tespiti ve önlenmesi için daha fazla araştırma yapılması önerilmektedir.

References

  • Adams, S. R., Hacker, M. R., McKinney, J. L., Elkadry, E. A., & Rosenblatt, P. L. (2013). Musculoskeletal pain in gynecologic surgeons. Journal of minimally invasive gynecology, 20(5), 656-660.
  • Alqahtani SM, Alzahrani MM, Bicknell R, Pichora D. Prevalence and factors of work-related musculoskeletal disorders among hand surgeons. World J Orthop 2022; 13(5): 465-471 [PMID: 35633751 DOI: 10.5312/wjo.v13.i5.465]
  • Azma K, Hosseini A, Safarian MH, Abedi M. Evaluation of the relationship between musculoskeletal discomforts and occupational stressors among nurses. N Am J Med Sci. 2015;7(7):322–7. https://doi.org/10.4103/1947-2714.161250.
  • Barr, A. E., Barbe, M. F., & Clark, B. D. (2004). Work-related musculoskeletal disorders of the hand and wrist: epidemiology, pathophysiology, and sensorimotor changes. Journal of orthopaedic & sports physical therapy, 34(10), 610-627.
  • Clari, M., Godono, A., Garzaro, G., Voglino, G., Gualano, M. R., Migliaretti, G., ... & Dimonte, V. (2021). Prevalence of musculoskeletal disorders among perioperative nurses: a systematic review and META-analysis. BMC musculoskeletal disorders, 22(1), 1-12.
  • Cornell University Ergonomics Web. http://ergo.human.cornell.edu/ahmsquest.html (Date of Access: 30.05.21).
  • Eapen, C., Kumar, B., & Bhat, A. K. (2010). Prevalence of cumulative trauma disorders in cell phone users. Journal of Musculoskeletal Research, 13, 137–145. https://doi.org/10.1142/S0218957710002545
  • Erdinc, O., Hot, K., & Ozkaya, M. (2011). Turkish version of the Cornell Musculoskeletal Discomfort Questionnaire: cross-cultural adaptation and validation. Work, 39(3), 251-260. https://doi.org/10.3233/WOR-2011-1173
  • Gallagher, S., & Heberger, J. (2013). Examining the interaction of force and repetition of musculoskeletal disorder risk. Human Factors: Journal of the Human Factors and Ergonomics Society, 55, 108–124.
  • Gyer, G., Michael, J., & Inklebarger, J. (2018). Occupational hand injuries: a current review of the prevalence and proposed prevention strategies for physical therapists and similar healthcare professionals. Journal of integrative medicine, 16(2), 84-89.
  • Hansson, G., Nordander, C., Asterland, P., Ohlsson, K., Stromberg, U., Skerfving, S., & Rempel, D. (2000). Sensitivity of trapezius electromyography to differences between work tasks—Influence of gap definition and normalisation methods. Journal of Electromyography and Kinesiology, 10, 103–115.
  • Jansen, K., Luik, M., Reinvee, M., Viljasoo, V., Ereline, J., Gapeyeva, H., & Pääsuke, M. (2013). Hand discomfort in production assembly workers. Agronomy Research, 11(2), 407-412. 10.
  • Kim, H., Dropkin, J., Spaeth, K., Smith, F., & Moline, J. (2012). Patient handling and musculoskeletal disorders among hospital workers: analysis of 7 years of institutional workers' compensation claims data. American journal of industrial medicine, 55(8), 683-690. http://dx.doi.org/10.1002/ajim.22006
  • Lin, W. Y., Yang, C. L., Huang, W. P., Tseng, P. C., & Kuo, H. W. (2022). Moderating and Mediating Effects of Over-Commitment on the Association Between Effort–Reward Imbalance (ERI) with Upper Back and Hand/Wrist Disorders in Municipal Solid Waste Collectors. Journal of Pain Research, 15, 455.
  • MacDonald, V., & Keir, P. J. (2018). Assessment of musculoskeletal disorder risk with hand and syringe use in chemotherapy nurses and pharmacy assistants. IISE Transactions on Occupational Ergonomics and Human Factors, 6(3-4), 128-142.
  • Opsteegh, L., Reinders-Messelink, H. A., Schollier, D., Groothoff, J. W., Postema, K., Dijkstra, P. U., & Van der Sluis, C. K. (2009). Determinants of return to work in patients with hand disorders and hand injuries. Journal of occupational rehabilitation, 19(3), 245-255.
  • OSH Answers Fact Sheets Work-related Musculoskeletal Disorders. https://www.ccohs.ca/oshanswers/diseases/rmirsi. (Date of Access: 30.05.21).
  • Oh, E., Kim, A., & Oh, Y. (2022). Research trend of Korean Medicine for Musculoskeletal Disorders of the Hand and Wrist. Journal of Korean Medicine Rehabilitation, 32(1), 21-36.
  • Ou, Y. K., Liu, Y., Chang, Y. P., & Lee, B. O. (2021). Relationship between Musculoskeletal Disorders and Work Performance of Nursing Staff: A Comparison of Hospital Nursing Departments. International Journal of Environmental Research and Public Health, 18(13), 7085. https://doi.org/10.3390/ijerph18137085
  • Ouni M, Elghali M, Abid N, Aroui H, Dabebbi F. Prevalence and Risk Factors of Musculoskeletal Disorders Among Tunisian Nurses. La Tunisie medicale. 2020;98(3):225-31
  • Qin, J., Lin, J., Faber, G., S., Buchholz, B., & Xu, X. (2014). Upper extremity kinematic and kinetic adaptations during a fatiguing repetitive task. Journal of Electromyography and Kinesiology, 24, 404–411. doi: 10.1016/j.jelekin.2014.02.001
  • Rodgers, S. H. (1998). Predicting ergonomically-acceptable highly repetitive tasks. In: Proceedings of the Silicon Valley Ergonomics Conference and Exposition, ErgoCon ’98, San Jose, CA, May 3–6, 1998, pp. 3–11.
  • Sharan, D., Mohandoss, M., Ranganathan, R., & Jose, J. (2014). Musculoskeletal disorders of the upper extremities due to extensive usage of hand held devices. Annals of occupational and environmental medicine, 26(1), 1-4.
  • Sheikhzadeh, A., Gore, C., Zuckerman, J. D., & Nordin, M. (2009). Perioperating nurses and technicians’ perceptions of ergonomic risk factors in the surgical environment. Applied Ergonomics, 40, 833–839.
  • Simonsen, J., Arvidsson, I., & Nordander, C. (2012). Ergonomics in the operating room. Work, 41, 5644–5646.
  • Smith, D. R., Mihashi, M., Adachi, Y., Koga, H., & Ishitake, T. (2006). A detailed analysis of musculoskeletal disorder risk factors among Japanese nurses. Journal of safety research, 37(2), 195-200. https://doi.org/10.1016/j.jsr.2006.01.004
  • Zyluk, A., & Puchalski, P. (2015). Hand disorders associated with diabetes: a review. Acta Orthop Belg, 81(2), 191-196.
There are 27 citations in total.

Details

Primary Language English
Subjects Ergonomics Design
Journal Section Articles
Authors

İbrahim Eyi 0000-0002-9604-6876

Banu Yeşim Büyükakıncı 0000-0001-7597-4406

Publication Date December 15, 2022
Submission Date August 14, 2022
Published in Issue Year 2022 Volume: 5 Issue: 3

Cite

APA Eyi, İ., & Büyükakıncı, B. Y. (2022). MUSCULOSKELETAL DISORDERS OF HAND IN HEALTHCARE WORKERS: A CROSS-SECTIONAL STUDY. Ergonomi, 5(3), 144-152. https://doi.org/10.33439/ergonomi.1150940

The journal is published three times a year (April, August and December). In addition to these issues, with the decision of the Editorial Board, the papers presented at the National Ergonomics Congress can be published as "Special Issue".