Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Prevalence of Musculoskeletal Morbidities and its Impact on Quality of Life in Class IV Category Workers of Government Tertiary Care Hospital, Mumbai


Affiliations
1 Seth G.S.M.C. and KEM Hospital, Mumbai, India
2 L.T.M.M.C. and L.T.M.G.H.M Sion, Mumbai, India
     

   Subscribe/Renew Journal


Background: Every occupation is associated with one or more ill effects on health. Cumulative trauma disorder is a disorder (injury) that occurs through the buildup of trauma over time. The trauma can be acute (happening in an isolated event) or repetitive. It is the weakening of the body part through repeated trauma that finally causes it to break down.

Aim: To find the prevalence of musculoskeletal morbidities and its impact on quality of life in Class IV category (ward boys and sweepers) working in tertiary care hospital.

Objectives: To find the association between musculoskeletal morbidities and age, occupation, length of service, nature of work, psychological well-being and job satisfaction.

Results: The study reveals 150 subjects with age from 23 - 57 years with the average 41.94 years. Out of total subjects 63% were ward boys and 37% were sweepers. The average length of service was 21.05 years. Low back was most common site of pain in ward boys. Pain in peripheral extremities like right hand, fingers, shoulder was common in sweepers. 82% of subject complains of musculoskeletal morbidity in age group of 36-46 years, while 71% in the age group of 25-35 years and 78% in the age group more than 46 years, thus aging has mild influence on the prevalence of the musculoskeletal morbidity. The musculoskeletal morbidities were reported 92%in heavy duty, 77% moderate duty and 20% light duty. The variation was found statistically significant. 81%-82% subjects were indecisive or dissatisfied about their jobs reported to have musculoskeletal morbidity. Among those who were satisfied with job 50% had the morbidity.

Conclusion: The presence of musculoskeletal morbidity in class IV category workers of tertiary care hospital was directly related to occupation, length of service, nature of work, psychological wellbeing and job satisfaction. Occupation wise the most common site was low back and knee in ward boys and shoulder and hand, fingers in sweepers.


Keywords

Cumulative Trauma Disorder, Class IV Workers, Tertiary Care Hospital, Musculoskeletal Morbidity
Subscription Login to verify subscription
User
Notifications
Font Size


  • Park K. Park’s text book of preventive and social medicine, 20th ed. Jabalpur; Bhanarsidas Bhanaot publisher; 2009,p.708-11

  • W Q Chen, I T-S Yu et al. Impact of occupational stress and other psychosocial factors on musculoskeletal pain in Chinese offshore oil installation workers. Occup Enviorn Med 2005;62:251-258

  • David m. Rampel, Robet Harrison et al. Work related cumulative disorder of upper extremities. JAMA 1992; 267; 838- 842

  • Keith palmer and Cyrus cooper hunter “disease of occupation” London: Hodder Arnold Publishers, 2010;687-712.

  • Municipal Corporation of Greater Bombay (MCGM); Public health department manual; 1977.

  • Bonger PM, Winter CRV, Kompler MAJ, et al. Psychosocial factors at work and musculoskeltal disease. Scand J Work Enviorn Health 1993;19:297-312.

  • Carayon P, Smiith MJ, Halms MC. Work organization, job stress and work related musculoskeletal disorders. Hum Fact 1999;41:644-666

  • Evelin Danna Goldenberg Meirelle Mariano da Costa, Adriana Aria, et al. Prevalence of musculoskeletal pain syndromes in primary healthcare unit workers. Estein 2007;5(1):37-43.

  • Corona G, Amedai F, Miselli F, Padalino MP, et al. Association between relational and organizational factors and occurrence of musculoskeletal disease in health personnel. G Ital Med Lav Ergon 2005;27(2):208-212.

  • Guo HR, Chang YC, Yeh WY, et al. Prevalence of musculoskeletal disorder among workers in Taiwan: nationwide study. J Occup Health 2004;46(1):26-36.

  • Folleti I, Belardinelli V, Giovannini G, et al. Prevalence and determination of low back pain in hospital workers. G Ital Med Lav Ergon 2005;27(3):359-361.

  • Edlich RF, Winters KL, Hudson MA, et al. Prevention of disabling back injuries in nurses by use of mechanical patient lift system. J long Term Eff Med Implants 2004;14(6):521-533.

  • Eniksen W. The prevalence of musculoskeletal pain in Norwegian nurses aides’. Int Arch Occup Enviorn Health 2003;76(8):625-630.

  • Shannon HS, Woodward CA, Cunningham CE, et al. Changes in general health and musculoskeletal outcomes in the workforce of a hospital undergoing rapid change: longitudinal study. J Occup Health Psychol 2001;6(1):3-14

  • Mukesh P, Apurva G. Indian Medical Colleges- LTMMC and LTMGH, Mumbai. The National Medical Journal of India 2004;17(5):268-272.

  • WHO questionnaire 1999.

  • Low back pain Oswestry Scale; physiotherapy 1980; 66; 271-273.

  • Rating scales in mental health. Martha sajatovic et al 2003.

  • K. kjellberg. Relationship between work techniques, musculoskeletal load as well as between perception of exertion, fatigue, comfort and pain. Ergonomics 1998;41:798-816.

  • Diane Aja and Krystal Laflin. Lifting analysis, Karen Jacob. Ergonomics for therapist, 2nd ed. Boston, Butterworth-Heinemann,1999.

  • Management of work related musculoskeletal disorder. Journal of musculoskeletal rehabilitation 1992;2:28-34.

  • Glenn Pransky et al. Work related outcomes in occupational low back pain. Spine 2002; 27; 8:864- 70.

  • Ira. H. Bernstein; On the utility of SCL 90-R with low back pain patients Spine 1994;19(2):143-146.

  • Jorn Rittweger, treatment of chronic low back pain with lumbar extension and whole body vibration exercises. Spine 2002; 27;17:1829-34.

  • Dr.R L Ferguson, Onderwood. Spinal injuries caused by lifting and teaching correct lifting method. Journal of Industrial Nurses 1951- 1952:88-91.

  • Bigos, Stanely J, et al. Back injuries in industry: a retrospective study: III employee related factor. Spine 1986;11(3):252-256.

  • Hunting W et al. Constrained postures in accounting machine operators. Applied ergonomics 1980; 11(3):145-149.

  • W M Keyserling. checklist for evaluating ergonomic risk factors associated with upper extremity cumulative trauma disorder. Ergonomics 1993; 36(7):807-31.

  • Ranney DA. Work related chronic injuries of forearm and hand their specific diagnosis and management. Ergonomics 1993; 36; 8:871-80.

  • Karen Jacobs. Ergonomics for therapist, 3rd edition Elsiever Health Sciences 2008.

  • Molumphy M, Under B, Jenson G M. Incidence of work related pain in physical therapist. Physical therapy 1985; 65:482-486.


Abstract Views: 546

PDF Views: 0




  • Prevalence of Musculoskeletal Morbidities and its Impact on Quality of Life in Class IV Category Workers of Government Tertiary Care Hospital, Mumbai

Abstract Views: 546  |  PDF Views: 0

Authors

V. Chhaya Verma
Seth G.S.M.C. and KEM Hospital, Mumbai, India
S. Hiral Master
Seth G.S.M.C. and KEM Hospital, Mumbai, India
A. Shital Gaikwad
L.T.M.M.C. and L.T.M.G.H.M Sion, Mumbai, India

Abstract


Background: Every occupation is associated with one or more ill effects on health. Cumulative trauma disorder is a disorder (injury) that occurs through the buildup of trauma over time. The trauma can be acute (happening in an isolated event) or repetitive. It is the weakening of the body part through repeated trauma that finally causes it to break down.

Aim: To find the prevalence of musculoskeletal morbidities and its impact on quality of life in Class IV category (ward boys and sweepers) working in tertiary care hospital.

Objectives: To find the association between musculoskeletal morbidities and age, occupation, length of service, nature of work, psychological well-being and job satisfaction.

Results: The study reveals 150 subjects with age from 23 - 57 years with the average 41.94 years. Out of total subjects 63% were ward boys and 37% were sweepers. The average length of service was 21.05 years. Low back was most common site of pain in ward boys. Pain in peripheral extremities like right hand, fingers, shoulder was common in sweepers. 82% of subject complains of musculoskeletal morbidity in age group of 36-46 years, while 71% in the age group of 25-35 years and 78% in the age group more than 46 years, thus aging has mild influence on the prevalence of the musculoskeletal morbidity. The musculoskeletal morbidities were reported 92%in heavy duty, 77% moderate duty and 20% light duty. The variation was found statistically significant. 81%-82% subjects were indecisive or dissatisfied about their jobs reported to have musculoskeletal morbidity. Among those who were satisfied with job 50% had the morbidity.

Conclusion: The presence of musculoskeletal morbidity in class IV category workers of tertiary care hospital was directly related to occupation, length of service, nature of work, psychological wellbeing and job satisfaction. Occupation wise the most common site was low back and knee in ward boys and shoulder and hand, fingers in sweepers.


Keywords


Cumulative Trauma Disorder, Class IV Workers, Tertiary Care Hospital, Musculoskeletal Morbidity

References