Musculoskeletal Disorders among Traditional Bangladeshi Fishermen

Mohammed Emran, Md Israt Hasan, Taufiq Morshed, Syed Mozaffar Ahmed
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Abstract

Background: Fishing is one of the most important economic activities in riverine Bangladesh. We studied musculoskeletal disorders (MSDs) among Bangladeshi fishermen which is generally high.Objective: To study patterns and extend of MSDs among Bangladeshi fishermen.Materials and Methods: A total 150 fishermen enrolled with at least six months employment history attended at out-patient department of Physical Medicine and Rehabilitation of Khwaja Yunus Ali Medical College and Hospital of Sirajganj district, Bangladesh, in this cross-sectional study using a random sampling procedure. The Nordic Questionnaire was used to assess work-related musculoskeletal disorders. To determine the significance of age, BMI and working experience with pain and discomfort in different regions of the body, Pearson Correlation test was done.Results: Musculoskeletal disorder among fishermen due to extreme physical demand during the hauling of fishing nets on the raft in Jamuna River and its tributaries with the prevalence significantly higher. All body region were affected by musculoskeletal problems, among them the highest prevalence found in lower back and lowest in upper back (37.3%) region. There were significant associations of age with wrist pain (P=0.039), lower back pain (0.025) and knee pain (0.021). There was no significant association of BMI with any pain or discomfort. Total working experience of fishermen had significant association with pain or discomfort within last 12 months in shoulder (p=0.008), wrist (0.023), lower back (0.022) and knee (0.001).Conclusion: Long hours of fishing in a traditional fishing boat with age-old equipments adopting inconvenient ergonomic posture can lead high prevalence of musculoskeletal problems among fishermen. KYAMC Journal Vol. 14, No. 01, April 2023: 11-15  
孟加拉传统渔民的肌肉骨骼疾病
背景:渔业是孟加拉国沿河地区最重要的经济活动之一。我们研究了孟加拉国渔民中普遍较高的肌肉骨骼疾病(MSDs)。目的:研究孟加拉国渔民MSDs的分布模式和扩展。材料和方法:本横断面研究采用随机抽样方法,在孟加拉国Sirajganj区Khwaja Yunus Ali医学院和医院物理医学和康复门诊部登记了150名至少有6个月工作经历的渔民。北欧问卷用于评估与工作相关的肌肉骨骼疾病。为了确定年龄、BMI和工作经验对身体不同部位疼痛和不适的影响,我们进行Pearson相关检验。结果:贾穆纳河及其支流渔民在筏子拖网过程中因体力需求过大而出现肌肉骨骼疾病,患病率显著增高。所有身体区域均有肌肉骨骼问题,其中下背部患病率最高,上背部最低(37.3%)。腕部疼痛(P=0.039)、下背部疼痛(P= 0.025)、膝关节疼痛(P= 0.021)与年龄有显著相关性。BMI与任何疼痛或不适没有明显的联系。渔民总工作经验与近12个月内肩部(p=0.008)、腕部(p= 0.023)、下背部(p= 0.022)和膝关节(p= 0.001)疼痛或不适有显著相关。结论:在传统渔船上长时间捕鱼,设备陈旧,姿势不符合人体工程学,导致渔民肌肉骨骼问题高发。KYAMC学报,第14卷,第01期,2023年4月:11-15
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