Ubiquity of repetitive stress injury disorders in the OPD of Karachi, Pakistan

Muhammad Atayyab Talha Irfan, Khadija shakeel, Hira Zehra, Usman Khalid, Faizan Saeed Syed, Nida Rizvi, Kashif Bashir
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Abstract

Background: A musculoskeletal disorder is the pain or injury in the joints, muscle, tendon, ligament, and its associated structures that support head, neck, upper and lower limb. These disorders can be trigger from repetitive exposure to awkward posture and due to psychological, social and occupational factors. Musculoskeletal disorders are the second leading cause of disability globally. The frequency of musculoskeletal disorders in physiotherapy OPDs of Karachi, Pakistan has not been reported yet, so this study investigated the frequency of musculoskeletal disorders in physiotherapy OPD of Karachi, Pakistan. Objective: The purpose of this study was to find out the frequency of musculoskeletal disorder in patients visiting physiotherapy outpatient department of various tertiary care hospitals situated in Karachi, Pakistan. Material and Method: A cross sectional survey study was carried out by using a self-constructed questionnaire to observe the frequency of MSD in physiotherapy. Data collection was done under the supervision of senior physical therapist. Results: 403 patients were included in this study from various physiotherapy OPDs. to evaluate the frequency of MSK disorders in which 166 were males and 237 were females. The minimum and maximum ages of the candidates who participated in the study were 8 and 69 years respectively. The results showed that 72.5% of patients in OPD had MSD in relevance to 28% of the patients suffering from neurological disorders [Table 3, 4]. Conclusion: Muscular-skeletal disorders are common among patients visiting in physiotherapy OPDs of Karachi, Pakistan. The most influenced region observed were the low back and shoulder due to overuse and also the knee which was persistent in elderly patients. Female patients were seen to have higher rate of MSK disorders which affects their daily activity than man. Suitable preventive and proper management methods are suggested to lessen MSK disorders.
巴基斯坦卡拉奇OPD重复性应激损伤障碍的普遍性
背景:肌肉骨骼疾病是指支撑头部、颈部、上肢和下肢的关节、肌肉、肌腱、韧带及其相关结构的疼痛或损伤。这些疾病可由反复暴露于尴尬的姿势以及心理、社会和职业因素引发。肌肉骨骼疾病是全球第二大致残原因。巴基斯坦卡拉奇的物理治疗门诊中肌肉骨骼疾病的发病率尚未见报道,因此本研究调查了巴基斯坦卡拉奇物理治疗门诊中肌肉骨骼疾病的发病率。目的:本研究旨在了解巴基斯坦喀拉蚩市各三级医院物理治疗门诊病人罹患肌肉骨骼疾病的频率。材料与方法:采用自编问卷的横断面调查方法,观察物理治疗中MSD的发生频率。数据收集在高级物理治疗师的监督下完成。结果:403例患者来自不同的物理治疗门诊。以评估MSK疾病的频率,其中男性166例,女性237例。参加研究的候选人的最小年龄和最大年龄分别为8岁和69岁。结果显示,72.5%的OPD患者患有MSD, 28%的神经系统疾病患者患有MSD[表3,4]。结论:在巴基斯坦卡拉奇的物理治疗门诊就诊的患者中,肌肉骨骼疾病较为常见。受影响最大的部位是由于过度使用导致的腰背部和肩部,以及在老年患者中持续存在的膝关节。女性患者患影响日常活动的MSK疾病的比率高于男性。建议采取适当的预防和管理方法,以减少MSK疾病。
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