A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Paul, Anila
- A Pilot Study on Awareness of Ergonomics and Prevalence of Musculoskeletal Injuries among Nursing Professionals
Authors
1 M.G.M. School of Physiotherapy, Plot No. 46, Sector30, Vashi, Navi Mumbai, Maharashtra-400705, IN
Source
International Journal of Nursing Education, Vol 4, No 1 (2012), Pagination: 1-4Abstract
Background Nurses play a major role in patient care and handling in various health care work environments. The physical work load and psychological stress factors affects the performance of nursing professionals. Objective To find out the awareness on ergonomics and safety measures at work place among Indian Nursing professionals and to study the prevalence of musculoskeletal injuries among them. Methods Cross sectional observational pilot study with the help of pre validated questionnaire to collect the information from 34 Nursing professionals working in a hospital at Navi Mumbai. The questionnaire included items to collect demographic data, awareness on ergonomics and safety measures practiced by them. Standardized Nordic Questionnaire was used for the detection of musculoskeletal symptoms among them. Based on the data collected from the questionnaire, the analysis was done. Results: 53 % of the nurses were not aware about ergonomics and safety measures. 75 % of them were not following ergonomics. Based on the Standardized Nordic questionnaire, 53% of the nurses had musculoskeletal complaints. 30 % of them had pain on lower back. 43 % of them were prevented from their work due to the musculoskeletal aches. The musculoskeletal troubles increased with increase in years of experience in Chi-square test value 12.147 (p-value<0.05). The analysis showed no correlation between awareness on ergonomics and musculoskeletal complaints among nurses with Chi-square value 3.032 (p-value<0.05). Conclusions The awareness on ergonomics and safety measures among these nurses found to be less. The improper lifting and patient handling techniques could have lead to musculoskeletal aches among them. As years of experience advances the incidence of aches and pains also found to be increased. Implications: The physical performance of nurses can be improved by giving proper awareness and training on ergonomics, safety measures and patient lifting and transferring techniques. This need to be stressed in the nursing curriculum.Keywords
Ergonomics, Musculoskeletal Injuries, Nordic Questionnaire.
References
- L Sikiru and S Hanifa, Prevalence and risk factors of low back pain among nurses in a typical Nigerian hospital, Afr Health Sci.2010 March; 10(1):26-30.
- Maurice T Driessen, Karin I Proper et al, Process evaluation of a participatory ergonomics programme to prevent low back pain and neck pain among workers, Implement Sci. 2010: 5: 65.
- Leila Juibari, Akram Sanagu and Nafiseh Farrokhi, The relationship between knowledge of ergonomic science and theoccupational health among nursing staff affiliated to Golestan University of Medical Sciences, Iran J Nurs Midwifery Res. 2010 Autumn; 15(4): 185-189.
- Yadolla Jannati et al, Iranian clinical nurses’ coping strategies for job stress, J Occup Health 2011; 53: 123- 129.
- K Palmer, G Smith et al, Repeatability and validity of an upper limb and neck discomfort questionnaire: The utility of Standard Nordic Questionaire, Occup Med. 1999 Vol 49, No.3, pp 171-175.
- Bolanle MS Timbu et al, Work-Related Musculoskeletal Disorders among Nurses in Ibadan, South-west Nigeria: a cross sectional survey, BMC Musculoskelet Disord. 2010; 11:12.
- Jane Lipscomb et al, Health care System changes and reported musculoskeletal disorders among registered nurses, Am J Public Health. 2004 August; 94(8): 1431- 1435.
- The Effectiveness of Iontophoresis over Conventional Therapy in Relieving Pain, Improving Rom and Functional Skills in Adhesive Capsulitis
Authors
1 M.G.M. School of Physiotherapy, Sector30, Vashi, NaviMumbai, Maharashtra, IN
2 School of Medical Education, Mahatma Gandhi University, Kottayam, Kerala, IN
3 Department of Physiotherapy, Karithas Hospital, Thellakam (P.O.), Kottayam, Kerala, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 3 (2012), Pagination: 22-26Abstract
Background: Adhesive capsulitis is a common problem affecting the middle aged people. In the second stage of Adhesive capsulitis, the pain and limitation of the ROM will restrict the patients in their functional activities. Iontophoresis with Lidocaine is rarely used as an effective treatment for adhesive capsulitis in our country.
Objective: To study the effectiveness of iontophoresis with lidocaine as an adjunct to the conventional treatment for relieving pain and improving ROM and functional skills in phase II adhesive capsulitis.
Design: An experimental approach was used and study design is pre test -post test group design.
Method: Population included 30 patients with phase II adhesive capsulitis.15 patients each were taken in the experimental and control group. The control group has given the conventional treatment and the experimental group has iontophoresis in addition. Outcome measures taken for the study were shoulder pain using Visual Analogue Scale (VAS), abduction and external rotation Range of Motion (ROM) using Goniometry and shoulder function score using Shoulder Pain and Disability Index (SPADI). Analyzed statistically with students't' test.
Results: It was found that iontophoresis with lidocaine along with the conventional treatment causes significant reduction of pain, improvement of abduction and external rotation Range of Motion (ROM) and improvement of shoulder function.
Implications: A follow up study could ensure the long term effectiveness of treatment given. Study can be done using other ionic medications.
Conclusions: Results of this study provide evidence that iontophoresis with lidocaine provide better results when used as an adjunct to ultrasound therapy, passive joint mobilization, exercises and home programme. There was significant reduction of pain which is one of the chief complaints in patients with phase II Adhesive capsulitis and hence should be a part of the treatment regimen for the same.