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The profiles of muscle and joint pain throughout the menopausal transition and the factors associated with these symptoms have not been determined. A total of 609 participants from a longitudinal cohort study conducted in an urban Chinese community were enrolled in this study. We assessed the prevalence of musculoskeletal symptoms at different menopausal stages and explored the factors associated with these symptoms. The prevalence and severity of muscle and joint pain increase as menopausal stages progress, and late menopausal transition may be a crucial timepoint that triggers the onset of musculoskeletal pain. The results of the multivariate analysis revealed that poor health status (OR = 2.245, 95% CI = 1.714-2.94, P < 0.001), body mass index (BMI) (OR = 1.046, 95% CI = 1.01-1.084, P = 0.011), the presence of anxiety (OR = 1.601, 95% CI = 1.211-2.117, P < 0.001), and depression (OR = 1.368, 95% CI = 1.143-1.639, P < 0.001) were independently associated with muscle and joint pain. In addition, the severity of musculoskeletal pain was related to poor health status (OR = 2.738, 95% CI = 1.91-3.924, P < 0.001) and depression (OR = 1.371, 95% CI = 1.095-1.718, P = 0.006). Musculoskeletal symptoms are frequent somatic symptoms experienced by Chinese middle-aged women. Women with poor health status, high BMI, anxiety, and depression were at heightened risk of experiencing musculoskeletal pain. The severity of pain increased over time. [ABSTRACT FROM AUTHOR]

For many women, house cleaning is an important way to participate in the labor market. In Brazil, there are 2 types of domestic workers: housekeepers have relatively secure employment and house cleaners are day laborers. The aim of this hypothesis-generating study was to describe the sociodemographic, occupational and health profile of a sample of domestic workers in Brazil. House cleaners received lower wages, had longer daily working hours and worked in a larger number of homes each week in comparison to housekeepers. About 51% of the domestic workers in this sample reported the use of pain medication and 34% reported spinal problems. Musculoskeletal symptoms were frequent in the lower back and upper limbs. Forty-seven percent reported high blood pressure. This study highlights the vulnerability of domestic workers, especially house cleaners, regarding workload, salary, and health conditions. Level of education is a contributing factor to this vulnerability. [ABSTRACT FROM AUTHOR]

Objectives. Associations between shift-work, musculoskeletal symptoms and absenteeism are poorly investigated in the manufacturing industry. This study aimed to investigate associations between working schedule, musculoskeletal symptoms and days of absenteeism among pulp and paper industry workers. Methods. Musculoskeletal symptoms of 904 workers were assessed through the Nordic Musculoskeletal Questionnaire. χ2 tests assessed associations between being a day-worker or shift-worker, the prevalence of musculoskeletal symptoms and days of absenteeism. Results. A significant association was found between working schedule and symptoms in the lower back in the last 12 months, with shift-workers presenting higher prevalence than day-workers (p = 0.022). Significant associations were also found between days of absenteeism and symptoms in the shoulders (p = 0.002), which mostly led to absenteeism of 100–365 days; elbows (p < 0.001), wrists/hands (p = 0.045) and ankles/feet (p = 0.042), which produced absenteeism mostly of 25–99 days; and dorsal region (p = 0.001), which mainly led to absenteeism of 10–24 days. No associations were found between working schedule and days of absenteeism (p = 0.265). Conclusion. Shift-work is associated with increased prevalence of lower back symptoms, but seems not to influence days of absenteeism. Shoulders seem to be the region leading to higher days of absenteeism, followed by elbows, wrists/hands, ankles/feet and the dorsal region. [ABSTRACT FROM AUTHOR]

Copyright of Ciencia y Educación (2707-3378) is the property of Duanys Miguel Pena Lopez and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Abstract Background In a previous study from 2018, 38 wheel loader assembly workers were examined, showing high exposures to transient and high-frequency vibrations. After the investigation, preventive measures were immediately implemented to reduce the vibration exposure. In 2022, a follow-up study was carried out to examine the effect of these measures. Methods The follow-up study included 35 (27 men and 8 women) of the original 38 workers. They were divided into two groups, 24 workers with ongoing vibration exposure and 11 workers, not vibration exposed since 2018. All participants completed a questionnaire and underwent a thorough examination, including several neurophysiological tests and a comprehensive assessment of musculoskeletal symptoms. The questionnaire responses and on-site vibration level measurements formed the basis for the individual vibration exposure assessment. Results In 2018, clear differences were noted between the two groups regarding vibration perception thresholds (VPT), needle test, 2-PD (2-point discrimination), and monofilament test with deviating results in the unexposed group. The difference between the two groups was significantly smaller at the follow-up examination in 2022, where differences remained for VPT and monofilament tests, with deviating test results in the unexposed group. When comparing variable values between 2018 and 2022 within the exposed and unexposed groups, respectively, the unexposed group showed mostly unchanged values, while a deterioration was observed for VPT, needle test and temperature sensitivity test among the exposed workers during follow-up. The prevalence of VWF (Vibration white fingers) was around 30–40% and neuropathy around 75% among exposed workers during follow-up compared to about 60% and 85% respectively, in the unexposed group. Conclusion The overall categorization of white fingers and neuropathy, according to the Stockholm Workshop Scale, remained largely unchanged in both study groups from 2018 to 2022. The introduction of cost-effective and relatively simple preventive measures may have contributed to this result. Throughout the follow-up period, the number of exposed workers who developed musculoskeletal disorders and newly reported cases of vibration injuries at the factory decreased. Without this preventive program, increased vascular and nerve symptoms would most likely have occurred during follow-up due to continued vibration exposure.

Objectives. This study aimed to investigate 12-month and 7-day prevalence of musculoskeletal symptoms among workers of the pulp and paper industry, and assess the contribution of age, gender, body mass index (BMI) and physical activity (PA). Methods. The sample comprised 904 workers. Musculoskeletal symptoms were assessed using the Nordic musculoskeletal questionnaire. χ2 tests assessed the association between musculoskeletal symptoms and age/gender/BMI/PA, and multivariate logistic regression models predicted the 12-month occurrence of symptoms in the five most prevalent regions. Results. The five most affected body regions were the lower back, shoulders, neck, knees and wrists/hands. Older workers presented more symptoms in all body regions, except dorsal; female gender was associated with neck symptoms (p = 0.001); overweight was associated with a higher prevalence of lower back (p = 0.01), knee (p = 0.017) and ankle/foot (p = 0.037) symptoms; and a moderate PA level was associated with thigh/hip symptoms (p = 0.006). Age was a significant predictor in all five most affected regions; gender was a significant predictor for shoulders, neck and wrists/hands; and BMI was a significant predictor for lower back symptoms. Conclusion. The 12-month and 7-day prevalence of musculoskeletal symptoms among workers of the pulp and paper industry is higher in the lower back, shoulders, neck, knees and wrists/hands. [ABSTRACT FROM AUTHOR]

• Assessment of musculoskeletal symptoms is inadequate among postmenopausal women. • Determinants of age, obesity, and lifestyle are noted in musculoskeletal symptom. • Limited evidence regarding the determinants of musculoskeletal symptoms. • Pharmacology, supplementation, and exercise are recommended. • Musculoskeletal symptoms impact women's quality of life. The literature lacks a consistent review of musculoskeletal symptoms in postmenopausal women. To identify features, measurements, determinants, treatments, and outcomes of musculoskeletal symptoms in postmenopausal women. A scoping review was completed using six databases: Embase, Medline, Cochrane, CINAHL, Web of Science, and Scopus up to December 2022. Sixty-three articles were identified. Musculoskeletal symptoms in postmenopausal women include somatic symptoms of non-specific origin, upper and lower limb symptoms, spinal pain, and decline in physical performance. Measurements were categorized into four groups: musculoskeletal symptoms for menopause, general musculoskeletal symptoms, menopause-specific quality of life, and general quality of life questionnaires. The determinants were grouped into four themes: demographics, physical determinants, psychosocial determinants, and lifestyle. Pharmacological interventions, supplementation options, and exercise regimens exist for postmenopausal women with musculoskeletal symptoms. A comprehensive policy is needed to address musculoskeletal symptoms in postmenopausal women, promoting diverse treatments for improved quality of life. [ABSTRACT FROM AUTHOR]

Background: In a previous study from 2018, 38 wheel loader assembly workers were examined, showing high exposures to transient and high-frequency vibrations. After the investigation, preventive measures were immediately implemented to reduce the vibration exposure. In 2022, a follow-up study was carried out to examine the effect of these measures. Methods: The follow-up study included 35 (27 men and 8 women) of the original 38 workers. They were divided into two groups, 24 workers with ongoing vibration exposure and 11 workers, not vibration exposed since 2018. All participants completed a questionnaire and underwent a thorough examination, including several neurophysiological tests and a comprehensive assessment of musculoskeletal symptoms. The questionnaire responses and on-site vibration level measurements formed the basis for the individual vibration exposure assessment. Results: In 2018, clear differences were noted between the two groups regarding vibration perception thresholds (VPT), needle test, 2-PD (2-point discrimination), and monofilament test with deviating results in the unexposed group. The difference between the two groups was significantly smaller at the follow-up examination in 2022, where differences remained for VPT and monofilament tests, with deviating test results in the unexposed group. When comparing variable values between 2018 and 2022 within the exposed and unexposed groups, respectively, the unexposed group showed mostly unchanged values, while a deterioration was observed for VPT, needle test and temperature sensitivity test among the exposed workers during follow-up. The prevalence of VWF (Vibration white fingers) was around 30–40% and neuropathy around 75% among exposed workers during follow-up compared to about 60% and 85% respectively, in the unexposed group. Conclusion: The overall categorization of white fingers and neuropathy, according to the Stockholm Workshop Scale, remained largely unchanged in both study groups from 2018 to 2022. The introduction of cost-effective and relatively simple preventive measures may have contributed to this result. Throughout the follow-up period, the number of exposed workers who developed musculoskeletal disorders and newly reported cases of vibration injuries at the factory decreased. Without this preventive program, increased vascular and nerve symptoms would most likely have occurred during follow-up due to continued vibration exposure. [ABSTRACT FROM AUTHOR]

Copyright of GeSec: Revista de Gestao e Secretariado is the property of Sindicato das Secretarias e Secretarios do Estado de Sao Paulo (SINSESP) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Analyses of the economic activity of the Polish population indicate that in 2023, about 7% of all employees performed, usually or sometimes, their work in the form of remote work. The purpose of this publication is to analyze the impact of working with screen-monitor devices on computer vision syndromes, musculoskeletal disorders, circadian rhythm, and to identify recommendations for the proper organization of the home office. A narrative review of the existing literature on the impact of work with the use of devices equipped with screen monitors on the health of employees was performed, as well as recommendations in the above-mentioned area were presented. The most important factors determining the load on the visual organs and musculoskeletal system and affecting the overall health and well-being of employees during remote work are the proper arrangement of the workstation (in accordance with ergonomic principles) and the organization of work (limiting the time spent working at the computer/laptop, systematic active breaks) and healthy sleep habits. It is crucial that both employers, occupational health professionals and employees themselves are aware of the importance to their health of correct preparation of the home office, and have adequate knowledge in this regard. Med Pr Work Health Saf. 2024;75(1):69–80

Abstract Introduction Psoriasis (PsO) is associated with the development of psoriatic arthritis (PsA). Patients with PsO often experience pre-PsA musculoskeletal (MSK) symptoms, leading to potential structural damage and substantial disease burden with impact on function. The objective of this study is to describe prevalence rates and evidence of MSK symptoms, including incidence of comorbid PsA diagnosis, in patients newly diagnosed with PsO and identify factors associated with PsA diagnosis. Methods This retrospective analysis included administrative claims from the Optum Research Database for adult patients with a new PsO diagnosis between January 2008 and February 2019. Eligible patients had ≥ 2 claims for PsO on unique dates, were aged ≥ 18 years at the date of the first claim with a diagnosis of PsO (index date), and had continuous enrollment with medical and pharmacy coverage for 12 months before (baseline period) and ≥ 12 months following the index date. Primary outcomes were incidence of comorbid PsA diagnosis, prevalence of MSK symptoms other than PsA, and evidence of MSK symptoms collected at baseline and assessed in 12-month intervals through 60 months. Results Of the 116,203 patients with newly diagnosed PsO, 110,118 were without baseline comorbid PsA. High prevalence rates of MSK symptoms among patients with only PsO were seen at baseline (47.1%), 12 months (48.2%), and 60 months (82.1%). Patient age, baseline MSK symptoms, and baseline MSK symptom–related healthcare utilization were associated with increased hazard of a PsA diagnosis. Conclusion Increased prevalence rates of MSK symptoms and burden are experienced by patients newly diagnosed with PsO through 60 months of follow-up. Several baseline factors were associated with increased risk of PsA diagnosis.

Abstract Background Musculoskeletal disorders are common health problems worldwide. Several factors cause these symptoms, including ergonomics and other individual considerations. Computer users are prone to repetitive strain injuries that increase the risk of developing musculoskeletal symptoms (MSS). Radiologists are susceptible to developing MSS because they work long hours analysing medical images on computers in an increasingly digitalised field. This study aimed to identify the prevalence of MSS among Saudi radiologists and the associated risk factors. Methods This study was a cross-sectional, non-interventional, self-administered online survey. The study was conducted on 814 Saudi radiologists from various regions in Saudi Arabia. The study's outcome was the presence of MSS in any body region that limited participation in routine activities over the previous 12 months. The results were descriptively examined using binary logistic regression analysis to estimate the odds ratio (OR) of participants who had disabling MSS in the previous 12 months. All university, public, and private radiologists received an online survey containing questions about work surroundings, workload (e.g., spent at a computer workstation), and demographic characteristics. Results The prevalence of MSS among the radiologists was 87.7%. Most of the participants (82%) were younger than 40 years of age. Radiography and computed tomography were the most common imaging modalities that caused MSS (53.4% and 26.8%, respectively). The most common symptoms were neck pain (59.3%) and lower back pain (57.1%). After adjustment, age, years of experience, and part-time employment were significantly associated with increased MSS (OR = .219, 95% CI = .057–.836; OR = .235, 95% CI = 087–.634; and OR = 2.673, 95% CI = 1.434–4.981, respectively). Women were more likely to report MSS than males (OR = 2.12, 95% CI = 1.327–3.377). Conclusions MSS are common among Saudi radiologists, with neck pain and lower back pain being the most frequently reported symptoms. Gender, age, years of experience, type of imaging modality, and employment status were the most common associated risk factors for developing MSS. These findings are vital for the development of interventional plans to reduce the prevalence of musculoskeletal complaints in clinical radiologists.

Background: Unexplained musculoskeletal (MSK) symptoms sometimes pose diagnostic and management challenges and can lead to prolonged suffering and disability. Hypovitaminosis D could be a reason for such symptoms. This study aimed to determine the vitamin D level among patients with unexplained MSK symptoms. Methods: A cross-sectional study was conducted in a private clinic of Chattogram city, Bangladesh. A total of 110 unexplained MSK patients were enrolled conveniently. MSK symptoms were assessed by rheumatologist and serum vitamin D levels were measured according to the standard laboratory procedure. Descriptive and logistic regression analyses were done. Principal component analysis was performed for the reduction of MSK symptoms. Results: The median (interquartile range) vitamin D level was 24.6 (20.0–29.0) ng/mL. Hypovitaminosis D (

Introduction: Psoriasis (PsO) is associated with the development of psoriatic arthritis (PsA). Patients with PsO often experience pre-PsA musculoskeletal (MSK) symptoms, leading to potential structural damage and substantial disease burden with impact on function. The objective of this study is to describe prevalence rates and evidence of MSK symptoms, including incidence of comorbid PsA diagnosis, in patients newly diagnosed with PsO and identify factors associated with PsA diagnosis. Methods: This retrospective analysis included administrative claims from the Optum Research Database for adult patients with a new PsO diagnosis between January 2008 and February 2019. Eligible patients had ≥ 2 claims for PsO on unique dates, were aged ≥ 18 years at the date of the first claim with a diagnosis of PsO (index date), and had continuous enrollment with medical and pharmacy coverage for 12 months before (baseline period) and ≥ 12 months following the index date. Primary outcomes were incidence of comorbid PsA diagnosis, prevalence of MSK symptoms other than PsA, and evidence of MSK symptoms collected at baseline and assessed in 12-month intervals through 60 months. Results: Of the 116,203 patients with newly diagnosed PsO, 110,118 were without baseline comorbid PsA. High prevalence rates of MSK symptoms among patients with only PsO were seen at baseline (47.1%), 12 months (48.2%), and 60 months (82.1%). Patient age, baseline MSK symptoms, and baseline MSK symptom–related healthcare utilization were associated with increased hazard of a PsA diagnosis. Conclusion: Increased prevalence rates of MSK symptoms and burden are experienced by patients newly diagnosed with PsO through 60 months of follow-up. Several baseline factors were associated with increased risk of PsA diagnosis. Plain Language Summary: A Study to Look at Symptoms of Muscles, Joints, and Bones in Patients with Psoriasis and Whether They Can Predict a Diagnosis of Psoriatic Arthritis Psoriasis is an inflammatory skin disease that results in areas of significant itchiness, pain, and scaling, and ultimately decreases patient quality of life. Psoriasis affects approximately 2–4% of the general US population and 1.3–2.2% of the UK population. Some patients with psoriasis may experience musculoskeletal symptoms and may go on to develop psoriatic arthritis. The goal of this study was to determine the frequency of patients with psoriasis who experienced complaints of musculoskeletal pain prior to and/or following their psoriasis diagnosis, and whether these were associated with further probability of developing psoriatic arthritis. Using a large US-based database with data from approximately 115,000 patients with newly diagnosed psoriasis, we determined the percentage of newly diagnosed psoriasis patients with existing musculoskeletal pain complaints within 12 months of their initial diagnosis. We found that 47% of newly diagnosed patients had previous musculoskeletal pain complaints, with joint pain, back pain, and overall fatigue representing the most common forms. Notably, psoriasis patients with previous joint pain were approximately 50% more likely to develop psoriatic arthritis compared with patients with no previous joint pain. Furthermore, patients with previous other forms of arthritis were nearly twice as likely to develop psoriatic arthritis. This study provides additional support that existing musculoskeletal pain in patients with newly diagnosed psoriasis may predict the potential future onset of psoriatic arthritis. These findings will help guide primary care physicians, dermatologists, and rheumatologists in understanding the importance of earlier detection of psoriatic arthritis to provide more appropriate care. [ABSTRACT FROM AUTHOR]

Introduction: Work-related musculoskeletal disorders are injuries resulting from the excessive use of the musculoskeletal system. This study analyzed musculoskeletal symptoms and associated factors in primary school teachers in the municipal public network in Cuiabá, Mato Grosso. Methods: A cross-sectional study was conducted with 326 teachers. Data collection instruments included the Vocal Production Condition, Self-Reporting Questionnaire, and Nordic Musculoskeletal Questionnaire. The dependent variable was the presence or absence of musculoskeletal symptoms. Bivariate analysis using chi-square test and prevalence ratios with 95% confidence intervals, as well as multiple analysis using Poisson regression model, were performed. Results: In the multiple analysis, it was found that the presence of musculoskeletal symptoms was significantly associated (p<0.05) with the following risk factors: common mental disorders (PRa=1.45), regularly lifting weights (PRa=1.26), and performing intense physical effort (PRa=1.22). Additionally, a significant association was identified between these symptoms and contracted teachers (PRa=0.82), as well as an interaction between performing intense physical effort and regularly lifting weights (PRa=0.75), which acted as protective factors for symptom presence. Conclusion: It is concluded that work characteristics were important risk factors for the development of musculoskeletal symptoms in the last twelve months. The results of this study are believed to provide a basis for decision-making by managers and stakeholders in implementing preventive measures in the work environment of these teachers. [ABSTRACT FROM AUTHOR]

BACKGROUND: Office workers are at high risk of developing musculoskeletal symptoms (MSS) due to improper workstations. Open-plan bank office employees must communicate with bank clerks properly and perform financial activity precisely, but noise is a factor that disrupts their communication. Therefore, MSS and annoying noise are two of the main problems in open-plan offices. OBJECTIVE: This study evaluated the effects of a multi-component intervention involving individual (employee ergonomics training) and physical (improvements in workstation design and work environment) ergonomic factors on musculoskeletal outcomes and speech communication in open-plan environments. METHODS: A preliminary survey was carried out to investigate the overall ergonomics problems, the tasks and time analysis, workstations setup, the prevalence of MSS (Nordic Musculoskeletal Questionnaire), physical discomfort (Visual Analogue Scale [VAS]), and posture (assessed by Rapid Upper Limb Assessment [RULA] method), environmental status (measurement of noise), and speech intelligibility (assessed by Speech Interference Level [SIL] method based on ISO 9921). The multi-component interventions were performed afterward based on the data collected. A baseline assessment and a 9-month follow-up assessment were conducted. RESULTS: The results showed a significant decrease in the prevalence of musculoskeletal complaints (shoulders, elbows, and low back), physical discomfort, and awkward working postures after the intervention. A considerable improvement was also found in speech intelligibility post-intervention. The post-intervention questionnaire survey also indicated that employees generally favored the redesigned workstations. CONCLUSION: The results support the effectiveness of implementing multi-component interventions in open-plan bank offices to improve musculoskeletal complaints and speech communication. [ABSTRACT FROM AUTHOR]

Background: Sit–stand desks have been suggested as an initiative to increase posture variation among office workers. However, there is limited evidence of what would be preferable combinations of time sitting and standing. The aim of this study was to determine and compare perceived pleasantness, acceptability, pain, and fatigue for 5 time patterns of sitting and standing at a sit–stand desk. Methods: Thirty postgraduate students were equally divided into a normal-weight (mean body mass index 22.8 kg/m2) and an overweight/obese (mean body mass index 28.1 kg/m2) group. They performed 3 hours of computer work at a sit–stand desk on 5 different days, each day with a different time pattern (A: 60-min sit/0-min stand; B: 50/10; C: 40/20; D: 30/30; E: 20/40). Pleasantness, acceptability, pain, and fatigue ratings were obtained at the beginning and at the end of the 3-hour period. Results: High ratings of pleasantness were observed for time patterns B, C, and D in both groups. All participants rated acceptability to be good for time patterns A to D. A minor increase in perceived fatigue and pain was observed in time pattern E. Conclusion: For new sit–stand desk users, regardless of body mass index, 10 to 30 minutes of standing per hour appears to be an amenable time pattern. [ABSTRACT FROM AUTHOR]

Objective: The outbreak of Coronavirus disease-2019 (COVID-19) spread rapidly all over the worldwide and caused a pandemic. There are few studies in the literature that have investigated musculoskeletal symptoms of the disease, other than pulmonary symptoms. This study aimed to evaluate chronic musculoskeletal symptoms, quality of life, physical activity, and fatigue severity scores of patients with COVID-19 infection. Methods: A total of 235 patients who presented at our clinic between April and June 2021, were separated into two groups according to COVID-19 positivity (Group 1, n=75) and negativity (Group 2, n=160). The groups were compared with respect to demographic data, musculoskeletal pain and location, Visual Analogue Scale scores, Short Form-36 (SF-36) quality of life scores, physical activity scores, and fatigue severity scores. Results: Back pain, shoulder pain and the pain parameter of the SF-36 quality-of-life scale were significantly higher in the chronic period of COVID-19 patients (Group 1). A significant decrease was determined in the physical activity of COVID-19 patients (Group 1) evaluated with international physical activity scores, and the fatigue severity scores were significantly higher in these patients. Conclusion: Fatigue decreased activity, diminished quality of life, and especially back pain can be observed in the chronic period of patients with COVID-19. These effects of COVID-19 should be considered during musculoskeletal system examinations.

BACKGROUND: Musculoskeletal disorders (MSDs) and associated musculoskeletal symptoms (MSS) are problematic in stone, sand, and gravel mining. Research is needed to explore relationships between job demands, work-related hazards and MSS. OBJECTIVE: An exploratory study was conducted in Indiana during 2019–2020 to examine associations between job demands, work-related hazards and MSS. METHODS: Through convenience sampling, cross-sectional survey data from 459 workers were collected and analyzed using logistic multiple and binary logistic regression methods. Outcome variables were MSS to the low back, neck/shoulder, and wrist/hand. Predictor variables and MSS measures are based on the Dutch Musculoskeletal Questionnaire. RESULTS: Increased odds of low back MSS were related to dynamic loads (OR = 2.14), pushing/pulling heavy loads (OR = 1.56), torso bending or twisting (OR = 2.36), bent, stooped, or twisted posture (OR = 2.04), uncomfortable postures (OR = 2.07), repetition (OR = 1.67) and vibrating tools (OR = 1.81). Increased odds of neck/shoulder MSS were related to dynamic loads (OR = 1.83), static loads (OR = 1.24), heavy lifting (OR = 1.50), pushing/pulling heavy loads (OR = 1.68), bending or twisting of the neck (OR = 1.82), twisted neck posture (OR = 1.77) and uncomfortable postures (OR = 1.81). Increased odds of wrist/hand MSS were related to dynamic loads (OR = 2.06), static loads (OR = 1.45), bending or twisting of the wrists/hands (OR = 10.52), extended reaching (OR = 3.05), repetition (OR = 5.25), awkward postures (OR = 4.47), working above shoulder level (OR = 2.47), and vibrating tools (OR = 1.78). CONCLUSION: Hazards that increased the likelihood of MSS were identified. These hazards should be abated or controlled to prevent MSDs in stone, sand, and gravel mining. More applied research, including ergonomic assessments to further identify hazards that can be controlled or abated, is warranted. [ABSTRACT FROM AUTHOR]

Background: Musculoskeletal disorders are common health problems worldwide. Several factors cause these symptoms, including ergonomics and other individual considerations. Computer users are prone to repetitive strain injuries that increase the risk of developing musculoskeletal symptoms (MSS). Radiologists are susceptible to developing MSS because they work long hours analysing medical images on computers in an increasingly digitalised field. This study aimed to identify the prevalence of MSS among Saudi radiologists and the associated risk factors. Methods: This study was a cross-sectional, non-interventional, self-administered online survey. The study was conducted on 814 Saudi radiologists from various regions in Saudi Arabia. The study's outcome was the presence of MSS in any body region that limited participation in routine activities over the previous 12 months. The results were descriptively examined using binary logistic regression analysis to estimate the odds ratio (OR) of participants who had disabling MSS in the previous 12 months. All university, public, and private radiologists received an online survey containing questions about work surroundings, workload (e.g., spent at a computer workstation), and demographic characteristics. Results: The prevalence of MSS among the radiologists was 87.7%. Most of the participants (82%) were younger than 40 years of age. Radiography and computed tomography were the most common imaging modalities that caused MSS (53.4% and 26.8%, respectively). The most common symptoms were neck pain (59.3%) and lower back pain (57.1%). After adjustment, age, years of experience, and part-time employment were significantly associated with increased MSS (OR =.219, 95% CI =.057–.836; OR =.235, 95% CI = 087–.634; and OR = 2.673, 95% CI = 1.434–4.981, respectively). Women were more likely to report MSS than males (OR = 2.12, 95% CI = 1.327–3.377). Conclusions: MSS are common among Saudi radiologists, with neck pain and lower back pain being the most frequently reported symptoms. Gender, age, years of experience, type of imaging modality, and employment status were the most common associated risk factors for developing MSS. These findings are vital for the development of interventional plans to reduce the prevalence of musculoskeletal complaints in clinical radiologists. [ABSTRACT FROM AUTHOR]

Abstract Background Despite an increase in mental health problems, with psychosomatic symptoms having been observed in new generations of Swedish youth, the extent to which these problems correspond to an increase in adult mental problems is unknown. The present study investigates whether Swedish adolescents with high levels of psychosomatic symptoms are at risk of developing depression and anxiety problems in adulthood and whether sex moderates any association. Moreover, we aim to understand whether different clusters of youth psychosomatic symptoms – somatic, psychological and musculoskeletal – have different impacts on adult mental health. Methods One thousand five hundred forty-five Swedish adolescents – aged 13 (49%) and 15 (51%) – completed surveys at baseline (T1) and 3 years later (T2); of them, 1174 (61% females) also participated after 6 years (T3). Multivariate logistic models were run. Results Youth with high levels of psychosomatic symptoms had higher odds of high levels of depressive symptoms at T2 and T3. Moreover, psychosomatic symptoms at T1 predicted a high level of anxiety symptoms and diagnoses of anxiety disorders at T3. When analyzed separately, musculoskeletal symptoms predicted higher odds of having high levels of depressive symptoms at T2 and T3 while somatic symptoms predicted high levels of anxiety symptoms at T2. Moreover, somatic symptoms at T1 predicted diagnoses of depression and anxiety disorders at T3. Sex did not moderate any of the relationships. Conclusions The study supports the idea that an increase in mental health problems, such as psychosomatic symptoms, can seriously impact the psychological health of new generations of young adults.

Background: Ankylosing spondylitis (AS) affects predominantly the axial skeleton and causes inflammatory low back pain. Aims and Objectives: We aimed to explore clinical characteristics of AS patients in Iraqi Kurdistan. Materials and Methods: In this cross-sectional study, the patients who attended a rheumatic disease center in Kurdistan Region of Iraq in 2022 were screened for the diagnosis of AS. Results: The mean age of the patients was 38.31 (17–65 years old) and most were Middle age and males (93.07%; male: female ratio: 13.43:1). The patients were normal sleepers (61.39%), short sleepers (28.71%), and long sleepers (9.90%). The patients were most physically active through walking. The age at symptoms onset of patients was 22.61 years (7–56 years). The patient’s disease was diagnosed at the mean value of 29.56 years. The median gap of diagnosis was 5 years. The patients had different characteristics; peripheral arthritis (56.44%), sacroiliitis (bilateral: 91.09%), tenosynovitis (14.85%), plantar fasciitis (45.54%), achilles tendinitis (17.82%), anterior uveitis (23.76%), positive human leukocyte antigen-B27 (88.40%), and spinal involvement (94.06%). Most patients received treatment (89.11%) including received biological treatment (53.47%) followed by multiple treatments (29.70%) and non-steroidal (4.95%) and only 0.99% (one patient) used physical therapy. The patients with normal sleepers and physically active and without extra-articular manifestations of AS had better disease severity and function compared to short sleepers and nonphysically active. Conclusion: A AS patients have escalating disease severity and function patients in this region. The disease severity and function were associated with healthy lifestyles such as sleeping and physical activity.

According to previous studies, the prevalence of musculoskeletal symptoms among call center operators is high. However, although this is a developing occupation in Portugal, there is a lack of studies assessing this issue as well as its associations with different risk factors. Therefore, the aim of this study is to investigate the 7-day and 12-month prevalence of musculoskeletal symptoms among Portuguese call center operators and their associations with gender, body mass index, hours of work and sitting time. The study was conducted in a call center company in Portugal. One-hundred and forty-eight workers agreed to participate, and filled out questionnaires to evaluate sociodemographic, anthropometric, and occupational variables, as well as the Nordic Musculoskeletal Questionnaire (NMQ) to assess musculoskeletal symptoms in the last 7 days and 12 months of 9 body regions. NMQ revealed the 12-month prevalence of musculoskeletal symptoms, the 3 most affected body regions were the neck (56.1%), the low back (54.7%) and the shoulders (43.9%). And the 7-day prevalence, the three most affected body region were the same, but in different percentages: low back (31.8%), neck (23.6%) and shoulders (21.6%). Significant associations were found between gender and reporting symptoms in the wrist/hands (p=0.033) and the knees (p=0.031), with females reporting significantly more symptoms than males; and between body mass index and reporting symptoms in the thighs/hips, with overweight operators reporting more symptoms (p=0.010). No significant associations were found for the hours of work, neither in sitting time. Conclusion: Workplace interventions are needed to decrease the prevalence of musculoskeletal complaints among call center workers.

Technology is an essential part of our lives. Nowadays, it is almost impossible to leave the house without a cell phone. Despite the wide range of benefits of cell phones and handheld electronic devices, this evolution of technology has not come without a price. The pandemic of cell phone use among children and young adolescents has led to the emergence of a set of musculoskeletal (MSK) symptoms that have not been seen before in this age group. These symptoms can range from neck and shoulder discomfort to pain, peripheral neurological symptoms of the upper extremity, and long-term complications such as disk prolapse and degenerative disk disease of the cervical spine. This clinical presentation is known as "text neck syndrome." In addition to MSK symptoms, text neck syndrome could also include eye and ear symptoms, psychological problems, peripheral neurological symptoms, and poor academic performance. Multiple mechanisms have been discussed by which cell phone use causes MSK symptoms. Maladaptive postures, a decrease in physical activity leading to obesity, and the direct effect of electromagnetic radiation are some of the mechanisms by which long-term use of cell phones leads to the clinical presentation of text neck syndrome and its long-term consequences. The purpose of this article is to review the literature, discuss the epidemiology of cell phone use and MSK symptoms associated with its use in children and adolescents, describe its clinical presentation, explain the pathophysiology behind it, and provide preventative guidelines that can be used by this age group to allow for the continued use of these electronics without harmful effects on their posture and long-term health. [ABSTRACT FROM AUTHOR]

Time sitting at work is known to affect health overall, but its specific effects on musculoskeletal symptoms are unclear. We evaluated the relationship between observed time sitting at work and self-reported musculoskeletal symptoms among 195 manufacturing workers. Longer time sitting at work was significantly associated with lower prevalence of neck/shoulder (prevalence ratio [PR] = 0.70, 95% confidence interval [CI] [0.68, 0.72]; p < 0.001) and arm/wrist/hand (PR = 0.46, 95% CI [0.31, 0.69]; p < 0.001) musculoskeletal symptoms. Associations remained largely unchanged after adjusting for job type or occupational postures and load. Time sitting at work was associated with musculoskeletal symptoms, and should be taken into consideration as part of interventions to prevent musculoskeletal disorders (MSDs) and promote health of manufacturing workers. [ABSTRACT FROM AUTHOR]

ObjectiveElectronic devices have become an indispensable part of our daily lives. The frequency and duration of device use in children and adolescents have increased drastically over the years and the study of its negative musculoskeletal, visual and psychosocial health impacts is necessary.Materials and methodsThis cross-sectional study aimed to evaluate the associations between electronic device use and the prevalence and severity of musculoskeletal symptoms, visual symptoms, psychosocial health, and quality of life in children and adolescents studying at primary and secondary schools. Data were collected through confidential online and paper-and-pencil questionnaires. Primary 4–5 and Secondary 1–4 students were recruited from 3 schools in Hong Kong. Demographics, frequency and duration of electronic device use, frequencies of musculoskeletal symptoms, visual symptoms, psychosocial health, and quality of life outcomes were measured.Results1,058 children and adolescents aged 9–17 years participated. Sixty-one percent and 78% of all students spent more than 2 h per day using electronic devices during school days and weekend/holidays, respectively. Extended electronic device use was associated with increased prevalence and severity of musculoskeletal symptoms (ρ’s = 0.28–0.33, P’s

• CF arthropathy is an inflammatory arthritis frequently affecting people with CF in an episodic pattern. • We report a patient with CF arthropathy whose symptoms resolved after ETI initiation. • Anti-inflammatory effects of ETI might explain resolution of CF arthropathy symptoms. Cystic fibrosis arthropathy (CFA) is a transient, intermittent form of arthritis that cannot be associated with any other disease other than CF thus making CFA a diagnosis of exclusion. NSAIDs, short-term intermittent splinting, glucocorticoids, and disease-modifying anti-rheumatic drugs are treatment options for CFA. Currently, there is no consensus on how to best treat CFA. Diagnosis and treatment of CFA remain a challenge for physicians and people with CF. The newest CFTR modulator therapy, elexacaftor/tezacaftor/ivacaftor (ETI), was approved by the FDA recently for children over the age of 6 with at least one Phe508del allele in the CFTR gene. Multiple clinical benefits of ETI in pulmonary functions and overall disease burden have been reported since its approval, however, the data on the musculoskeletal therapeutic benefits of ETI has been limited. In this report, we present a 7-year-old female with CF whose CFA symptoms resolved after starting ETI therapy. [ABSTRACT FROM AUTHOR]

This study aims to investigate the prevalence of locomotive syndrome (LS) and to examine the relationship of LS with musculoskeletal symptoms (pain, generalized joint laxity (GJL)) in young Chinese adults. Our study population (n = 157; mean age of 19.8 ± 1.2 years) comprises college student residents at Tsinghua University in Beijing, China. Three screening methods were used to evaluate LS: 25-question Geriatric Locomotive Function Scale (GLFS-25), a two-step test, and a stand-up test. Musculoskeletal pain was assessed by self-report and visual analog scale (VAS), and joint body laxity was evaluated using the GJL test. The prevalence of LS was 21.7% of all participants. Musculoskeletal pain affected 77.8% of the college students with LS and was strongly associated with LS. A total of 55.0% of college students with LS had four or more site joints that were positive for GJL, and higher scores of GJL were associated with a higher prevalence rate of LS. Young Chinese college students have a relatively high prevalence of LS, and musculoskeletal pain and GJL were significantly related to LS. The present results suggest that we need early screening of musculoskeletal symptoms and LS health education in young adults to prevent the mobility limitations of LS in the future. [ABSTRACT FROM AUTHOR]

The purpose of the study is to assess the causes and attitudes of patients with post-COVID-19 syndrome (PCS) and musculoskeletal symptoms referred to outpatient rehabilitation. Materials and methods: The study includes 138 recovery phase patients, after COVID-19 with persistent musculoskeletal symptoms, referred to outpatient rehabilitation. Data were collected regarding demographic characteristics of the patients, educational status, occupation, practice of sports, period since COVID-19, treatment (inpatient or home-outpatient), symptoms and period during which the musculoskeletal symptoms persisted, comorbidities, reasons for visiting a physical medicine specialist, active approach towards rehabilitation. Results: The average duration of musculoskeletal symptoms Me(Range) in patients referred for rehabilitation was 13 (7-20) weeks, respectively for women it was 13 (7-20) weeks, for men - 12 (7-19) weeks. 35.5% (49) of the patients were hospitalized due to acute COVID-19 illness, respectively 30.8% (28) of all women and 44.7% (21) of all men. No relationship was found between gender and the severity of the disease, hospital versa home treatment, as well as between patients' BMI and hospitalization. 76.1% (105) of the patients were in active working age, 33.3% (46) of all were workers, 42.8% (59) – office employees, 14.5% (20) – retired workers and 9.4% (13) – retired employees. 4.3% (6) of all patients were actively involved in sports, 28.3% (39) were amateur sportsmen, and 67.4% (93) did not practice any sport activities. On the occasion of persistent post-COVID-19 rheumatic and musculoskeletal complaints, 40.6% (56) of the patients were referred for rehabilitation after examination by a family physician and at his/her discretion. Those actively seeking rehabilitation and referred by a GP for outpatient rehabilitation were 24.6% (34), including 33.0% (30) of all women and 8.5% (4) of all men. 28.3% (39) were referred for rehabilitation by a specialist physician. At the specialist's discretion, 28.6% (26) of women and 27.7% (13) of men were referred for treatment with physical modalities, of whom only 6.5% (9) of women actively sought rehabilitation. 31% (43) of all referred patients, actively sought rehabilitation with physical modalities. 46.4% (64) of all patients had no prior physiotherapy treatment, of whom 34.1% (31) were women and 70.2% (33) were men. Treatment with physical modalities on other occasion was performed by 53.6% (74), respectively 65.9% (60) women and 29.8% (14) men. The leading causes for visiting Physical and Rehabilitation Medicine (PRM) specialist by 68.8% (95) of the patients was back pain, followed by fatigue 46.4% (64), myalgia - 38. 4% (53), limited ability to work - 29.7% (41), arthralgia - 23.9% (33), physical activity difficulties - 20.3% (28). Other causes were mentioned by 10.1% (14) of the patients and shortness of breath was experienced by 6.5% (9) of all patients referred for rehabilitation. Fatigue was more pronounced as a symptom by female patients. Myalgia was prevalent, as a symptom in both genders, no difference was found between genders in arthralgia. 15% (21) of patients during their first visit to a PRM physician pointed out one reason, 39% (54) - two reasons, and 45% (63) of all patients referred for rehabilitation indicated three or more reasons. More than 80% of the patients had a comorbidity: 50% (69) had one comorbidity, 18% (25) had two comorbidities, and 16.3% (23) had three or more comorbidities. 5.8% (8) had concomitant cardiovascular disease, 30.4% (42) had hypertensive disease, 16.7% (23) had neurological disease, 9.4% (13) had diabetes mellitus, 59.4%(82) reported pre-existing spondylosis and 19.6% (27) had other diseases. Conclusion: Time-persistent musculoskeletal symptoms (fatigue, myalgia, arthralgia, back pain) are a common reason for rehabilitation in patients with Post-COVID-19 (PCS) syndrome. The results of the study showed that more than two-thirds of patients reported more than one reason for seeing PRM specialist, with comorbidities seen in three-quarters of patients. One-third of the patients actively wanted to be referred for rehabilitation. Patient education and the formation of active behaviors in the recovery phase after COVID-19 could reduce the negative health consequences in patients with musculoskeletal symptoms of postCOVID-19 syndrome. [ABSTRACT FROM AUTHOR]

Research addressing work-related musculoskeletal disorders (WMSDs) among veterinary technicians is limited. Veterinary technicians are exposed to several activities that require lifting and the adoption of non-neutral postures associated with WMSDs. It is essential to design interventions aimed at reducing WMSDs in this population. The goal of this study was to identify typical, prevalent work tasks that pose high ergonomic risk factors to veterinary technicians, as well as to determine the WMSD risk associated with the work tasks identified in order to implement interventions. A small-animal veterinary clinic in central Wisconsin was contacted for this study. Nine veterinary technicians and assistants participated in assessing musculoskeletal symptoms and identifying tasks with ergonomic risk factors. The tasks with a high count of risk factors were evaluated using the Rapid Entire Body Assessment (REBA). All participants in this study experienced musculoskeletal discomfort in five or more body regions. They also reported being unable to perform work over the last 12 months due to WMSDs on shoulders, ankles, and feet (33%, n=3), neck and lower back (22%, n=2), and wrists, hands, hips, thighs, and knees 11% (n=1). One of the respondents reported no discomfort over the last seven days, while eight of them indicated discomfort in three or more body areas. Restraining and handling animals, sedation and recovery, and dental procedures were chosen for REBA analysis. Restraining and handling animals had a high-risk REBA score (ranging from 8 to 10). Sedation and recovery had a low to medium-risk REBA score (ranging from 3 to 5). Dental procedure recovery had a low to very high-risk REBA score (ranging from 2 to 11). Our findings suggest that most veterinary technicians come to work experiencing musculoskeletal discomfort and are exposed to significant WMSD risk levels when performing common tasks. This job assessment allows us to recommend administrative and engineering controls to reduce the risk of WMSDs associated with high-risk tasks. [ABSTRACT FROM AUTHOR]

Background: Despite an increase in mental health problems, with psychosomatic symptoms having been observed in new generations of Swedish youth, the extent to which these problems correspond to an increase in adult mental problems is unknown. The present study investigates whether Swedish adolescents with high levels of psychosomatic symptoms are at risk of developing depression and anxiety problems in adulthood and whether sex moderates any association. Moreover, we aim to understand whether different clusters of youth psychosomatic symptoms – somatic, psychological and musculoskeletal – have different impacts on adult mental health. Methods: One thousand five hundred forty-five Swedish adolescents – aged 13 (49%) and 15 (51%) – completed surveys at baseline (T1) and 3 years later (T2); of them, 1174 (61% females) also participated after 6 years (T3). Multivariate logistic models were run. Results: Youth with high levels of psychosomatic symptoms had higher odds of high levels of depressive symptoms at T2 and T3. Moreover, psychosomatic symptoms at T1 predicted a high level of anxiety symptoms and diagnoses of anxiety disorders at T3. When analyzed separately, musculoskeletal symptoms predicted higher odds of having high levels of depressive symptoms at T2 and T3 while somatic symptoms predicted high levels of anxiety symptoms at T2. Moreover, somatic symptoms at T1 predicted diagnoses of depression and anxiety disorders at T3. Sex did not moderate any of the relationships. Conclusions: The study supports the idea that an increase in mental health problems, such as psychosomatic symptoms, can seriously impact the psychological health of new generations of young adults. [ABSTRACT FROM AUTHOR]

Poor operative ergonomics can lead to muscle fatigue and injury. However, formal ergonomics education is uncommon in surgical residencies. Our study examines the prevalence of musculoskeletal (MSK) symptoms, baseline ergonomics knowledge, and the impact of an ergonomics workshop in general surgery residents. An anonymous voluntary presurvey and postsurvey was distributed to all general surgery residents at a single academic residency, assessing resident characteristics, MSK symptoms, and ergonomic knowledge before and after an ergonomics workshop. The workshop consisted of a lecture and a personalized posture coaching session with a physiatrist. The presurvey received 33/35 (94%) responses. Of respondents, 100% reported some degree of MSK pain. Prevalence of muscle stiffness and fatigue decreased with increasing height. Females reported higher frequencies of MSK pain (P = 0.01) and more muscle fatigue than males (100% versus 73%, P = 0.03). All residents reported little to no ergonomics knowledge with 68% reporting that ergonomics was rarely discussed in the operating room. The postsurvey received 26/35 (74%) responses. Of respondents, 100% reported the workshop was an effective method of ergonomics education. MSK symptom severity improved in 82% of residents. Reports that ergonomics was rarely discussed in the operating room significantly decreased to 22.8% of residents (P < 0.01). Surgical resident ergonomics knowledge is poor and MSK symptoms are common. Resident characteristics are associated with different MSK symptoms. Didactic teaching and personalized posture coaching improve ergonomics knowledge and reduce MSK symptom severity. Surgical residencies should consider implementing similar interventions to improve resident wellbeing. [ABSTRACT FROM AUTHOR]

Objectives. Coronavirus (COVID-19) is affecting people throughout the world. People are forced to conduct various activities at home using mobile devices (MDs) as a result of the outbreak. In this case, prolonged use of MDs is the major cause for work-related health problems. Methods. We used systematic cluster random sampling to sample a diverse group of Indians from India's various states. Subjects filled out a questionnaire with questions about their demographics, MD usage and musculoskeletal symptoms (MSSs) faced. The relationship between MSSs and various factors was investigated using χ2 and binomial logistic regression analysis. Results. An online survey yielded 720 responses. More than half of employees registered MSSs in their upper body regions. Age, gender and MD usage were correlated with MSSs in various body regions. According to the binomial logistic regression findings, gender was significantly linked to MSSs in each body region. Conclusions. Results show that MDs can be used effectively in intermediate leisure activities if they are used in accordance with their basic needs. [ABSTRACT FROM AUTHOR]

Computer work has assumed a very important role for many companies, but specific occupational and health symptoms associated with the use of computers can appear. According to the literature, physical activity is considered a key player in the prevention and control of work-related musculoskeletal symptoms, contributing to a better quality of life in computer workers. The principal aims of this review are to contribute to a better understanding of the relationship among sedentary behavior, physical activity and quality of life of computer workers; to outline the importance of promoting the development of an educational program for Occupational Health directed at computer workers at the level of quality of life, musculoskeletal symptoms, and physical activity; and to call for attention to the factors needed to initiate and maintain a health program that involves the active participation of workers who must be concerned about their health. This review demonstrates the important role of workplaces in health promotion and the opportunities that workplaces provide to establish and continue successful health-promotion programs for computer workers, generating important benefits for the health and quality of life of individuals and groups. [ABSTRACT FROM AUTHOR]

Abstract Background Dental students are frequently affected by work-related musculoskeletal symptoms (WMSs) due to reasons such as working conditions, difficult education process and long work periods. The aim of the study was to investigate the frequency and anatomical distribution of WMSs, and its effect on the quality of life (QoL) in dental students. Methods Sociodemographic and health-related characteristics of one-hundred and five dental students were recorded. WMSs were scored by the participants with the Nordic Musculoskeletal Questionnaire. Then, participants were asked to evaluate their QoL by scoring the World Health Organization Quality of Life-Brief Form. Differences between independent groups for continuous variables were evaluated by Student’s t-test and ANOVA as appropriate. Linear regression analysis was performed to determine the effect of demographic and health-related parameters in predicting the QoL subscales. Results The most common painful region in the last 12 months was the neck (66.7%). The body region with the most WMSs in the last 7 days was the upper back (43.8%). Physical health-related QoL of those with diagnosed musculoskeletal symptoms, and general health-related QoL of those using medicine due to any musculoskeletal symptoms were found to be statistically significantly lower (p = 0.018, p = 0.041, respectively). It was observed that the general and physical health, psychological well-being, and social relationship of the participants who reported the presence of neck pain in the last 7 days were statistically significantly lower (p = 0.003, p

Introduction: information and communication technology (ICT) has multiplied its availability and use, resulting in enormous usage, especially among school-age children, who use it for an average of 7.5 hours per day. The amount of time adolescents spend in front of electronic screens has increased significantly between the ages of 10 and 14, but there are significant gender changes. For boys, this increase is 41.6 minutes per day, while for girls it is 22.7 minutes per day. Methods: The study is designed as an epidemiological, cross-sectional, descriptive-analytic, comparative study. The study will be conducted in the form of an online questionnaire on the Microsoft Forums platform during the period 12/15/2021 to 12/30/2021. Respondents were able to access the request for consent using a link and a QR code, which was previously signed by a parent/guardian giving consent for children to participate in this study. Results: The results of this study show that school-aged children generally use cell phones with a touch screen between 2 and 3 hours daily during the work week (39.2%) and TV (39.5%). Pain caused by ICT use in the past 12 months occurred mainly in the neck/shoulder area (42.4%), while pain in the previous month occurred mainly in the lower extremities (29.1%). Conclusion: Increased use of ICT devices was associated with higher levels of musculoskeletal symptoms. The higher pain burden in various body parts is of concern, and further research on the effects of ICT device use in adolescents is needed and warranted.

Musculoskeletal disorders (MSDs) are the most common health issues around the globe and a major cause of disability among workers. In developing countries, most casting industries fall under Small and Medium Scale Enterprises (SMEs); SMEs lack modern equipment and often intensively rely on manual labor. As processes are mainly labor intensive, workers employed in the metal casting sector are often at risk of MSDs. The main objective of this study is to investigate the exposure of work-related musculoskeletal symptoms prevalent among male workers employed in small scale gray cast-iron foundries of northern India. The techniques used included the Nordic Musculoskeletal Questionnaire (NMQ), anthropometric measures, work postures analysis based on digital human modeling (DHM), Rapid Upper Limb Assessment/RULA and Biomechanics Single Action Analysis/BSAA ergonomic assessment tools. Based on the measured anthropometric variables and work postures attained during various routine tasks, virtual work manikins were created and analyzed using human activity analysis in CATIA V5R20. Subjective assessment revealed that distal upper extremity regions i.e. wrists/hands followed by lower back, neck and shoulders have higher frequency of reported MSDs symptoms. Higher musculoskeletal risk was observed with most of the analyzed work postures, with fettling and Manual Material Handling (MMH) tasks being the most affected. A regression model was developed to predict the L4-L5 spine compression load on the workers' lumbar regions; a coefficient of determination (R2) value of 0.761 indicates an acceptable model fit (R-value = 0.873). Based on the values of the standardized beta coefficients, findings suggested that trunk angle (β = 0.616), followed by upper arm angle (β = 0.408), were stronger predictors on the dependent variable (i.e. L4-L5 spine compression) than population percentile (β = 0.372), object weight (β = 0.208) and lower arm angle (β = 0.183). The findings suggest that factors like manual work demands, poor work station structure, repetitive actions and awkward postures held for a longer duration may likely be associated with MSDs risk severity. The present study may guide the foundry industrialists in analyzing the mismatch between the workers' job profiles and redesigning the work station layouts in small scale foundries based on minimizing the risk severity associated with the tasks carried out by staff. [ABSTRACT FROM AUTHOR]

Background: Aromatase inhibitor (AI)-induced joint pain is a common toxicity of AI treatment. Although many studies have been conducted to examine the occurrence and severity of AI-induced joint pain in breast cancer survivors, none of the studies focused on the Chinese population with breast cancer. Given that the differences in cultural background and the genetic structure between Asians and Caucasians may contribute to different phenotypes of joint pain, this cross-sectional study was therefore conducted to examine the prevalence of AI-induced joint pain among Chinese breast cancer survivors receiving AI treatment and the correlates of pain.Methods: This cross-sectional study was conducted in a tertiary hospital in China. Breast cancer survivors undergoing AI treatment were recruited to complete the following questionnaires: a self-designed baseline data form, the Nordic Musculoskeletal Questionnaire (NMQ), the Brief Pain Inventory (BPI), the 36-Item Short Form Health Survey (SF-36), and the Functional Assessment of Cancer Therapy-Breast (FACT-B). Based on the assessment results of NMQ (if the participant indicated pain in specific body parts), participants were then invited to complete other questionnaires to specifically assess the joint symptoms, including the Oxford Knee Score (OKS), the Oxford Hip Score (OHS), the Michigan Hand Outcomes Questionnaire (MHQ), and the Manchester Foot Pain Disability Questionnaire (MFPDQ). Descriptive analysis was used to analyse participants' baseline data and the prevalence of pain. Stepwise multiple regression was used to identify the correlates of pain.Results: Four hundred and ten participants were analysed. According to the NMQ, 71.7% of the participants experienced joint symptoms in at least one joint, and the most frequently mentioned joint was knee (39.0%). The diagram in BPI indicated that 28.0% of the participants had the worst pain around knees. In patients with knee pain, the mean OKS score was 40.46 ± 6.19. The sub-scores of BPI for pain intensity and pain interference were 1.30 ± 1.63 and 1.24 ± 1.79, respectively. Patients' poorer physical well-being/functioning, previous use of AI treatment, presence of osteoarthritis, and receiving of physiotherapy were identified as four common correlates of greater severity of pain and pain interference (p < 0.05).Conclusions: Chinese breast cancer survivors can experience joint pain at various locations, particularly knees. In addition to increasing the use of interventions for pain alleviation, a comprehensive assessment of survivors' conditions such as physical functioning, history of AI treatment, and presence of osteoarthritis should be emphasized to identify survivors who need more attention and tailored interventions. [ABSTRACT FROM AUTHOR]

Background: Ankylosing spondylitis (AS) affects predominantly the axial skeleton and causes inflammatory low back pain. Aims and Objectives: We aimed to explore clinical characteristics of AS patients in Iraqi Kurdistan. Materials and Methods: In this crosssectional study, the patients who attended a rheumatic disease center in Kurdistan Region of Iraq in 2022 were screened for the diagnosis of AS. Results: The mean age of the patients was 38.31 (17-65 years old) and most were Middle age and males (93.07%; male: female ratio: 13.43:1). The patients were normal sleepers (61.39%), short sleepers (28.71%), and long sleepers (9.90%). The patients were most physically active through walking. The age at symptoms onset of patients was 22.61 years (7-56 years). The patient's disease was diagnosed at the mean value of 29.56 years. The median gap of diagnosis was 5 years. The patients had different characteristics; peripheral arthritis (56.44%), sacroiliitis (bilateral: 91.09%), tenosynovitis (14.85%), plantar fasciitis (45.54%), achilles tendinitis (17.82%), anterior uveitis (23.76%), positive human leukocyte antigen-B27 (88.40%), and spinal involvement (94.06%). Most patients received treatment (89.11%) including received biological treatment (53.47%) followed by multiple treatments (29.70%) and nonsteroidal (4.95%) and only 0.99% (one patient) used physical therapy. The patients with normal sleepers and physically active and without extra-articular manifestations of AS had better disease severity and function compared to short sleepers and nonphysically active. Conclusion: A AS patients have escalating disease severity and function patients in this region. The disease severity and function were associated with healthy lifestyles such as sleeping and physical activity. [ABSTRACT FROM AUTHOR]

Concerns have been raised for the health and wellbeing of self-employed workers. Musicians are the 'original' gig workers, and musicians have a high prevalence of musculoskeletal symptoms (MSSs). Studies of musicians' MSSs have typically focused on classical, employer-employed musicians; leaving self-employed musicians under-investigated. We investigated the prevalence of MSS outcomes in all types of professional musicians, and compared the MSS outcomes between self-employed and employer-employed musicians. We conducted a cross-sectional study of professional musicians. Given the large proportion of musicians who were both self-employed and employer-employed, three groups were compared: self-employed only (self-employed group), employer-employed only (employer-employed group), and both self-employed and employer-employed (both group) musicians. Multivariable regression analyses were conducted. A total of 225 professional musicians were included in the study, 87.9% of whom reported MSSs in the last 12 months. For MSSs that impaired musical activity, the 12-month prevalence was 43.2%. Musicians in the self-employed group reported a significantly higher 7-day prevalence of MSSs compared with those in the employer-employed group. Compared with musicians in the employer-employed group, musicians in the both group reported a higher 12-month prevalence of MSSs that impaired musical activity. A higher proportion of symptomatic musicians in the both group reported seeing a health professional for their MSSs, compared with the employer-employed group. Similarly, symptomatic musicians in the both group reported higher ratings of emotional impact from MSSs, compared with symptomatic musicians in the employer-employed group. The majority of musicians have experienced MSSs. Several significant differences were reported between the three groups of musicians, with musicians in the both group generally reporting poorer MSS outcomes, compared with musicians in the employer-employed group. There are several potential reasons for why musicians who are both self-employed and employer-employed appear to have poorer MSS outcomes, including the stress of balancing multiple demands. Further research is required into the risk factors for MSS outcomes in self-employed musicians, including those who are both self-employed and employer-employed, and interventions should be directed towards self-employed musicians to minimise the MSS burden. [ABSTRACT FROM AUTHOR]

Introduction: Information and communication technology (ICT) has multiplied its availability and use, causing enormous use, particularly in school age children that use them 7.5 h a day on average. The time that adolescents spend in front of electronic screens has significantly increased between the 10th and 14th year, but there are significant changes in gender. In boys that increase is 41.6 min a day, whereas in girls, it is 22.7 min during a day. Methods: The study is designed as an epidemiological, cross-sectional, descriptive-analytical, and comparative study. The study is conducted in a form of online questionnaire on Microsoft Forums platform in a period from December 15, 2021 to December 30, 2021. The respondents could access with a link and QR code at the request for consent that was previously signed by a parent/guardian and gave consent that can children participate in this study. Results: The results of this study show that school-age children usually use mobile phones with a touch screen every day during the working week (39.2%) and TV (39.5%) in the period between 2 and 3 h. The pain in the past 12 months caused by ICT use was mostly present in the area of neck/shoulders (42.4%), while the pain during the previous month was mostly present in lower extremities (29.1%). Conclusion: Increased use of ICT devices related to higher levels of musculoskeletal symptoms. Higher exposure to pain in various segments of the body is a reason of concern, and further research on the implication of their use among adolescents is necessary and justified. [ABSTRACT FROM AUTHOR]

• Reporting the prevalence of multisite musculoskeletal symptoms (MSS) among electronic workers. • Using latent class analysis to determine the derived patterns of MSS among electronic workers. • The association of derived patterns of MSS with personal and work-related factors were analyzed. Introduction: Multi-site musculoskeletal symptoms (MSS) are considered to be more common and have more serious consequences than single-site MSS. This study aimed to determine whether derived patterns of MSS may be identified in electronic assembly workers and if extracted MSS classes are associated with personal and work-related factors. Method: A cross-sectional questionnaire study was performed with 700 participating electronic assembly workers. The questionnaire included individual factors, psychosocial and physical exposures, and MSS. The derived patterns of MSS and their relationships with ergonomic factors were analyzed using latent class analysis (LCA) and multinomial logistic regression models (MLRM). Results: The 1-year prevalence of MSS affecting only one body site or two or more body sites was 14.9% and 32.7%, respectively. The results of LCA showed three distinct classes of MSS patterns, which were labelled 'MSS in most sites' (5.0%), 'MSS in neck and shoulder' (27.0%), and 'MSS in one or no site' (68.0%). The results of MLRM showed that the 'MSS in neck and shoulder' was associated with job tenure (OR 5.579, 95% CI 2.488–12.511), excessive dynamic and static loads (OR 3.868, 95% CI 1.702–8.793 and OR 5.270, 95% CI 2.020–13.747, respectively); while the 'MSS in most sites' was associated with high job demands (OR 4.528, 95% CI 1.647–12.445) and excessive dynamic loads (OR 111.554, 95% CI 4.996–2490.793). Conclusions: The results showed unique patterns of MSS among electronic assembly workers that were associated with personal and work-related factors. Practical applications: The findings highlight that the high prevalence of multi-site MSS in this group should be a focus. It also provides further evidence that LCA considering the number and location of anatomical sites involving MSS can be used to determine distinct classes of MSS patterns, which is of great significance for the epidemiological study and management of MSS in the future. [ABSTRACT FROM AUTHOR]

Featured Application: Prevalence of skeletal muscle symptoms in students and their relations with dependence on mobile devices. In the world, there are more mobile phone lines than people. These numbers have been increasing, especially in university students, due to the academic and social demands of a globalized and interconnected world in social networks, raising concerns about the health effects of mobile device overuse. The goal of this study was to establish the relationship between musculoskeletal symptoms in students at the health department of an institution of higher education and their dependence on mobile devices. An observational, descriptive study in which 334 interviews were presented, of which 244 were selected, corresponding to students with dependence on mobile devices. We find most symptoms in the neck (56.3%), followed by the dorsal region with (49.4%), wrist (42.6%), shoulder (33.9%), and elbow (9.6%). Study correlations were low for the back (Rho: 0.274) and wrist (Rho: 0.200) and very low for the neck (Rho: 0.171) and shoulder (Rho: 0.142). The presence of musculoskeletal symptoms, mainly in the neck, back, and wrist in university students with dependence on mobile devices belonging to the health department associated with academic programs in phonoaudiology, physiotherapy, and medicine, is common; however, the correlation was found to be low between dependency level and pain in the back and wrist and very low between dependency level and pain in the neck. Our results suggest that university wellness programs should focus on the neck, dorsal region of the back, wrist, and shoulder and that contrary to what was previously thought, there is a low correlation between dependence on cell phone use and musculoskeletal symptoms. [ABSTRACT FROM AUTHOR]