Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Work Related Musculoskeletal Disorders Among the Physiotherapists: Sample of a Region in Turkey
Fizyoterapistlerin Meslekle İlgili Kas İskelet Sistemi Yaralanmaları: Türkiye'de Bir Bölge Örneği
Esra KINACIa, Safinaz ATAOĞLUb
aHacettepe University Faculty of Physical Therapy and Rehabilitation, Ankara, TURKEY
bDüzce University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Düzce, TURKEY
Turkiye Klinikleri J Health Sci. 2020;5(3):495-502
doi: 10.5336/healthsci.2019-71762
Article Language: EN
Full Text
ABSTRACT
 Objective: The aim of this study was to evaluate the work related musculoskeletal disorders (WRMD) of physiotherapists; to determine the prevalence, characteristics and causes. Material and Methods: The research was conducted as a descriptive study. The study was conducted among 100 physiotherapists via online survey with 17 questions that includes personal and occupational history. Results: 84% of the physiotherapists have had musculoskeletal injury at least once in their lives. 61.9% of the subjects with musculoskeletal problems were female and 38.1% were male. Occupational injuries have been mostly low back 46.4%, cervical 42.9% and wrist-hand 35.7%. These injuries occurred mostly during bending or twisting, lifting and working in the same position for a long time. 33.3% of the physiotherapists with occupational injury visited a physician; they mostly preferred the techniques applied by their professional knowledge and skills as the treatment options. 73.8% of the physiotherapists who experienced occupational injuries changed their work habits and 46.4% of them limited contact time with patients. Conclusion: Physiotherapists tend to occupational injuries as one of the health-related occupational groups. According to the study, the lifelong prevalence of occupational injuries has been found to be high among physiotherapists. Many risk factors that cause WRMDs should be considered to prevent injuries.

Keywords: Musculoskeletal disease; occupational ınjuries; physical therapists
ÖZET
 Amaç: Bu çalışmanın amacı çalışan fizyoterapistlerin mesleğe bağlı kas iskelet problemlerini değerlendirerek; prevelans, özellik ve nedenlerini ortaya koymaktır. Gereç ve Yöntemler: Tanımlayıcı türde bir çalışmadır. Çalışma 100 fizyoterapistin katılımıyla, kişisel ve meslek ile ilgili 17 soru içeren anket yoluyla yapılmıştır. Bulgular: Fizyoterapistlerin %84'ü hayatlarında en az bir kez kas-iskelet sistemi hasarı geçirmiştir.Mesleki kas iskelet sistemi yaralanmaları olan fizyoterapistlerin %61,9'u kadın, %38,1'i erkekti. Mesleki yaralanmalar çoğunlukla %46,4 oranında bel, %42,9 boyun ve %35,7 el-el bileğinde görüldü. Yaralanmalar daha çok eğilme aktivitesi, hasta transfer ve kaldırma hareketleri sırasında meydana gelmiştir. Meslek yaralanması olan fizyoterapistlerin %33,3'ü doktora gitmeyi tercih etmiştir. Tedavi seçeneği olarak ise fizyoterapistler en sık kendi mesleki bilgi ve becerilerini kullanmıştır. İş kazası geçiren fizyoterapistlerin %73,8'i çalışma alışkanlıklarını değiştirmiş ve %46,4'ü hastalarla sınırlı temas süresine sahip olduğu bulunmuştur. Sonuç: Fizyoterapistler sağlıkla ilgili meslek gruplarından biri olarak mesleki yaralanmalara eğilimlidir. Bu çalışmanın sonuçlarına göre fizyoterapistlerde mesleğe bağlı kas iskelet sistemi problemlerinin yaşam boyu prevelansı yüksek bulunmuştur. İşle ilgili kas iskelet sistemi problemlerine neden olan birçok risk faktörü yaralanmaları önlemek için göz önünde bulundurulmalıdır.

Anahtar Kelimeler: Kas-iskelet hastalıkları; mesleki yaralanmalar; fizyoterapistler
REFERENCES:
  1. Glover W, McGregor A, Sullivan C, Hague J. Work-related musculoskeletal disorders affecting members of the Chartered Society of Physiotherapy. Physiotherapy. 2005;91(3):138-47.[Crossref] 
  2. Holder NL, Clark HA, DiBlasio JM, Hughes CL, Scherpf JW, Harding L, et al. Cause, prevalence, and response to occupational musculoskeletal injuries reported by physical therapists and physical therapist assistants. Phys Ther. 1999;79(7):642-52.[Crossref] [PubMed] 
  3. Luttmann A, Jäger M, Griefahn B, Caffier G, Liebers F, Organization WH. Preventing musculoskeletal disorders in the workplace. 2003, 24.05.2019.[Link] 
  4. Council NR. Musculoskeletal Disorders and the Workplace: Low Back and Upper Extremities. National Academies Press; 2001. p.510.
  5. Agrawal PR, Maiya AG, Kamath V, Kamath A. Work related musculoskeletal disorders among medical laboratory professionals: a narrative review. Int J Res Med Sci. 2014;2(4):1262-6.[Crossref] 
  6. Carneiro P, Braga AC, Barroso M. Work-related musculoskeletal disorders in home care nurses: study of the main risk factors. Int J Ind Ergonom. 2017;61:22-8.[Crossref] 
  7. Bork BE, Cook TM, Rosecrance JC, Engelhardt KA, Thomason ME, Wauford IJ, et al. Work-related musculoskeletal disorders among physical therapists. Phys Ther. 1996;76(8):827-35.[Crossref] [PubMed] 
  8. Cromie JE, Robertson VJ, Best MO. Work-related musculoskeletal disorders in physical therapists: prevalence, severity, risks, and responses. Phys Ther. 2000;80(4):336-51.[Crossref] [PubMed] 
  9. Adegoke BO, Akodu AK, Oyeyemi AL. Work-related musculoskeletal disorders among Nigerian physiotherapists. BMC Musculoskelet Disord. 2008;9:112.[Crossref] [PubMed] [PMC] 
  10. Salik Y, Ozcan A. Work-related musculoskeletal disorders: a survey of physical therapists in Izmir-Turkey. BMC Musculoskelet Disord. 2004;5:27.[Crossref] [PubMed] [PMC] 
  11. Iqbal Z, Alghadir A. Prevalence of work-related musculoskeletal disorders among physical therapists. Med Pr. 2015;66(4):459-69.[Crossref] [PubMed] 
  12. Potter M, Jones S. Entry-level physiotherapists' strategies to lower occupational injury risk in physiotherapy: a qualitative study. Physiother Theory Pract. 2006;22(6):329-36.[Crossref] [PubMed] 
  13. Darragh AR, Campo M, King P. Work-related activities associated with injury in occupational and physical therapists. Work. 2012;42(3):373-84.[Crossref] [PubMed] [PMC] 
  14. Bae YH. Relationships between presenteeism and work-related musculoskeletal disorders among physical therapists in the Republic of Korea. Int J Occup Saf Ergon. 2018;24(3):487-92.[Crossref] [PubMed] 
  15. Caragianis S. The prevalence of occupational injuries among hand therapists in Australia and New Zealand. J Hand Ther. 2002;15(3):234-41.[Crossref] [PubMed] 
  16. Mierzejewski M, Kumar S. Prevalence of low back pain among physical therapists in Edmonton, Canada. Disabil Rehabil. 1997;19(8):309-17.[Crossref] [PubMed] 
  17. West DJ, Gardner D. Occupational injuries of physiotherapists in North and Central Queensland. Aust J Physiother. 2001;47(3):179-86.[Crossref] [PubMed] 
  18. Holder NL, Clark HA, DiBlasio JM, Hughes CL, Scherpf JW, Harding L, et al. Cause, prevalence, and response to occupational musculoskeletal injuries reported by physical therapists and physical therapist assistants. Phys Ther. 1999;79(7):642-52.[Crossref] [PubMed] 
  19. Cromie JE, Robertson VJ, Best MO. Occupational health and safety in physiotherapy: guidelines for practice. Aust J Physiother. 2001;47(1):43-51.[Crossref] [PubMed] 
  20. Cromie JE, Robertson VJ, Best MO. Work-related musculoskeletal disorders and the culture of physical therapy. Phys Ther. 2002;82(5):459-72.[Crossref]  [PubMed] 
  21. Rugelj D. Low back pain and other work-related musculoskeletal problems among physiotherapists. Appl Ergon. 2003;34(6):635-9.[Crossref]  [PubMed] 
  22. Nordin NA, Leonard JH, Thye NC. Work-related injuries among physiotherapists in public hospitals: a Southeast Asian picture. Clinics (Sao Paulo). 2011;66(3):373-8.[Crossref] [PubMed] [PMC] 
  23. King P, Huddleston W, Darragh AR. Work-related musculoskeletal disorders and injuries: differences among older and younger occupational and physical therapists. J Occup Rehabil. 2009;19(3):274-83.[Crossref] [PubMed] 
  24. Alexopoulos EC, Stathi IC, Charizani F. Prevalence of musculoskeletal disorders in dentists. BMC Musculoskelet Disord. 2004;5:16.[Crossref] [PubMed] [PMC] 
  25. Aptel M, Aublet-Cuvelier A, Cnockaert JC. Work-related musculoskeletal disorders of the upper limb. Joint Bone Spine. 2002;69(6):546-55.[Crossref] [PubMed] 
  26. Buckle PW, Devereux JJ. The nature of work-related neck and upper limb musculoskeletal disorders. Appl Ergon. 2002;33(3):207-17.[Crossref] [PubMed] 
  27. Vieira ER, Schneider P, Guidera C, Gadotti IC, Brunt D. Work-related musculoskeletal disorders among physical therapists: A systematic review. J Back Musculoskelet Rehabil. 2016;29(3):417-28.[Crossref] [PubMed] 
  28. Passier L, McPhail S. Work related musculoskeletal disorders amongst therapists in physically demanding roles: qualitative analysis of risk factors and strategies for prevention. BMC Musculoskelet Disord. 2011;12:24.[Crossref] [PubMed] [PMC] 

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