جستجوی مقالات مرتبط با کلیدواژه « musculoskeletal pains » در نشریات گروه « پزشکی »
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Introduction
Research evidence indicates that maladaptive reorganization of the brain plays a critical role in amplifying pain experiences and pain chronification; however, no clear evidence of change exists in brain wave activity among patients with chronic low back pain (CLBP). The objective of this study was to assess brain wave activity in patients with CLBP, compared to healthy controls.
MethodsTwenty-five patients with CLBP and twenty-four healthy controls participated in the study. A quantitative electroencephalography device was used to assess brain wave activity in eyes-open and eyes-closed (EO and EC) conditions. The regional absolute and relative power of brain waves were compared between the groups.
ResultsOur results showed a significant increase in the absolute power of theta (F=5.905, P=0.019), alpha (F=5.404, P=0.024) waves in patients with CLBP compared to healthy subjects in both EC and EO conditions. Patients with CLBP showed a reduced delta absolute power in the frontal region (F=5.852, P=0.019) and augmented delta absolute power in the central region (F=5.597, P=0.022) in the EO condition. An increased delta absolute power was observed in the frontal (F=7.563 P=0.008), central (F=10.430, P=0.002), and parietal (F=4.596, P=0.037) regions in patients with CLBP compared to the healthy subjects in the EC condition. In the EC condition, significant increases in theta relative power (F=4.680, P=0.036) in the parietal region were also found in patients with CLBP.
ConclusionThe increased absolute power of brain waves in people with CLBP may indicate cortical overactivity and changes in the pain processing mechanisms in these patients.
Keywords: Brain wave, Chronic pains, Low back pain (LBP), Musculoskeletal pains, Neuroplasticity} -
International Journal of Musculoskeletal Pain prevention, Volume:2 Issue: 4, Autumn 2017, PP 333 -337BackgroundIdentifying the health problems of governmental organizations staff, their health needs, and prioritizing these needs are the first step in intervention planning in order to improve their health. This study was conducted to identify health problems and health-related needs of Mellat Bank employees in Yazd, Iran.
Methods and Materials: For this cross sectional study, 179 eligible employees were selected from 34 branches of Mellat Bank in Yazd province. The data collection tool was a questionnaire containing an open question as "What problems affect your health in your workplace". The questionnaire was sent to all employees of the Mellat Bank through official automation system, to which 167 people ultimately responded. Then the problems were combined, listed, and sorted based on their frequency.ResultsIn this study, from a total of 167 employees (92%) responded to the questionnaire, of which 152 (91%) cases were man and 15 (9%) cases were woman. Most of the studied subjects had a bachelor's degree of education. A total of 86 (51.4%) subjects suffered from musculoskeletal problems, among which low back pain (n = 61, 71%), neck pain (n = 39, 45%), and knee pain (n = 26, 30%) were the most frequent. In addition, about 47 (28.1%) and 32 (19.1%) cases suffered from stress and psychological disorders, respectively.ConclusionAccording to the results of this study, the most important identified health problem was musculoskeletal pains. Therefore, in addition to further research to be carried out in order to confirm these results, it is suggested that the causes of these problems be investigated in analytical research in order to be able to design and implement appropriate interventions to address these problems.Keywords: Health Problems, Need Assessment, Musculoskeletal Pains} -
زمینه و هدفبا توجه به اینکه آسیب های اسکلتی-عضلانی مرتبط با کار از جمله بزرگترین علل ازکار افتادگی کارکنان است و افراد زیادی از آن رنج می برند و منجر به هزینه های هنگفت می شود، بررسی علل مرتبط با آن از اهمیت زیادی برخوردار است. عوامل روانشناختی، از علل مهم بروز اختلالات اسکلتی- عضلانی محسوب می شوند. از اینرو، تحقیقی با هدف بررسی ارتباط بین برخی عوامل روانشناختی و دردهای اسکلتی-عضلانی با متغیرهای دموگرافیکی در کارکنان یک بیمارستان دولتی ، انجام شد.روش بررسیاین تحقیق توصیفی- تحلیلی بود جهت جمع آوری داده ها، 4پرسشنامه تحت عناوین پرسشنامه های: (1) اطلاعات دموگرافیکی،(2)استرس شغلی، (3) توانایی شناختی و (4) میوزیک که اعتبار و روایی مناسبی داشتند، بکار گرفته شد. جامعه آماری شامل800 نفرکل کارکنان بیمارستان را در بر می گرفت که نمونه 264 نفری بطور تصادفی از کل انتخاب شدند و از آمار توصیفی و استنباطی(آزمون های t ،F) برای تحلیل داده ها استفاده شد.یافته هاتفاوت معنی داری بین توانایی شناختی و میزان استرس شغلی با اختلالات اسکلتی-عضلانی وجود داشت، فقط بین توانایی شناختی و درد شانه تفاوت معنی داری دیده نشد. بین میزان استرس شغلی با متغیر های دموگرافیک(جنسیت(0/01=P)، تاهل(0/05=P)،تحصیلات(0/02=P)) تفاوت معنی داری وجود داشت و همچنین بین توانایی شناختی با متغیر های دموگرافیک( جنسیت، تاهل و تحصیلات) تفاوت معنی داری دیده نشد.نتیجه گیریشاغلین بیمارستانها که زیر مقیاسهای توانایی شناختی آنها در سطح متوسط و پایین تر از آن قرار دارند، از دردهای اسکلتی-عضلانی و استرس شغلی بیشتری رنج می برند. چنانچه از نتایج این تحقیق و سایر تحقیقات بر می آید، افرادی که توانایی تفکر انعطاف پذیردارند، از توجی هات جایگزین استفاده کرده، به صورت مثبت چارچوب افکاری خود را بازسازی می کنند و موقعیتهای چالش برانگیز یا رویدادهای استرس زا را می پذیرند و در مقایسه با کارکنانی که انعطاف پذیرنیستند از نظر روانشناختی، تاب آوری بیشتری در برابر مشکلات دارند. علاوه بر این بین متغیر های جنسیت، تاهل و تحصیلات با میزان استرس شغلی ارتباط وجود دارد.کلید واژگان: عوامل روانشناختی, دردهای اسکلتی, عضلانی, توانایی های شناختی, متغیرهای دموگرافیکی, کارکنان بیمارستان}Background And AimsThe work-related musculoskeletal injuries are important factors to hurt staff health. Many people suffer from work-related impairment and disability that create high costs for both employees and employers. There are various reasons to obvious musculoskeletal pains and psychological factors can be one of them. The main purpose of present study was to investigate the relationship between psychological factors and musculoskeletal pains with respect to demographical variables in hospital staff.MethodsThis descriptive analytical study consisted 264 out of 800 total population of staff who were randomly selected. 1.Demographical, 2.stress, 3.cognitive abilities and 4.Music questionnaires were used for data collection. The reliability and validity of questionnaires were fit with research purpose. Descriptive and inferential statistics (t and F tests) were employed for data analysis.ResultsThere were significant differences between staff cognitive abilities and job stress with respect to their musculoskeletal pains in back and neck but there were not found significant differences between staff cognitive abilities with their shoulders pain. There were significant differences between staff job stress and demographical variables (gender(P=0.01), marital status(P=0.05) and education(P=0.02)) and there were not found significant differences with their cognitive abilities.
Discussion andConclusionIn general, it can be concluded that some employees such as nurses suffer from job stress and musculoskeletal pains who have cognitive abilities in the level of average and lower. Conversely, those people who have flexible thinking ability can utilize alternative explanation, reconstruct frame of their thoughts positively and accept challenging situations or stressful events. They are more resilience in comparison with people who are not flexible.their shoulders pain. There were significant differences between staff job stress and demographical variables (gender, marital status and education) and there were not found significant differences with their cognitive abilities.ConclusionIn general, it can be concluded that some employees such as nurses suffer from job stress and musculoskeletal pains who have cognitive abilities in the level of average and lower. Conversely, those people who have flexible thinking ability can utilize alternative explanation, reconstruct frame of their thoughts positively and accept challenging situations or stressful events. They are more resilience in comparison with people who are not flexible.Keywords: Psychological Factors, Musculoskeletal Pains, Cognitive Abilities, Demographical Variables, Hospital Staff} -
زمینه و هدفافزایش در وزن کیف موجب تغییراتی در امتداد وضعیت قرارگیری بدن می شود که برای جبران این تنش سیستم عضلانی به صورت مناسبی واکنش نشان می دهد. هدف از این مطالعه مقایسه شیوع دردهای اسکلتی عضلانی در بین دانش آموزان و شناسایی فاکتورهای خطر مربوط به اختلالات اسکلتی عضلانی بود.روش بررسیاین مطالعه توصیفی تحلیلی در نواحی مختلف آموزش و پرورش شهر شیراز به صورت نمونه گیری خوشه ایدر طبقات، متناسب با حجم نمونه بر روی 800 دانش آموزان 1512 ساله صورت گرفت. ابزار پژوهش شامل یک پرسشنامه محقق ساز و نقشه بدنی برای ارزیابی اختلالات اسکلتی عضلانی بود. داده ها با استفاده از آزمون های آماری کروسکال والیس و من ویتنی تجزیه و تحلیل شدند.یافته هادر 80/6 درصد (632 نفر) از دانش آموزان احساس درد با حمل کیف مدرسه در ارتباط بود که از بین آنها 40/8 درصد آنها در زمان حمل کیف، 32 درصد زمانی که کیف را از شانه های آنان بر می داشتند احساس درد می کردند و 27/2 درصد همیشه احساس درد داشتند.نتیجه گیریبا توجه به نتایج شیوع دردهای اسکلتی عضلانی شیوع درد در قسمت شانه ها از بیشترین میزان برخوردار بود که مشابه نتایج بسیاری از مطالعات است.
کلید واژگان: کیف, مدرسه, اسکلتی, عضلانی, دانش آموز}Background and AimAn increase in weight of school bags may lead to changes in body position. To compensate this stress, the musculoskeletal system must react appropriately. The purpose of the present study was to compare the prevalence of musculoskeletal pain among children and identify the risk factors for musculoskeletal disorders.MethodsThe present cross-sectional study was conducted on 800 secondary school children, aged 12 to 15 years, selected by cluster random sampling in four areas of Shiraz, Iran. The researcher instrument consisted of a questionnaire and body map for evaluating musculoskeletal pains. Data were analyzed using Kruskal- Wallis and Mann-Whitney test.ResultsThe results revealed that 80.6% of the students had pain correlation with carrying the school bags. 40.8% experienced pain while carrying their school bags, 27.2% expressed continuous pain and 32% of them felt pain whenever they put off their bags.ConclusionAccording to the prevalence of musculoskeletal pain, the prevalence of pain in the shoulders had the highest rate which was similar to the results of several studies.Keywords: Bag, School, Musculoskeletal pains, Students} -
Journal of Occupational Health and Epidemiology, Volume:2 Issue: 1, Winter 2012-Spring 2013, PP 12 -19BackgroundToday application of computer in the life of people is very common and those who work with computer in especially long – term are faced with musculoskeletal pains. The aim of this study was to investigate risk factors of musculoskeletal and Joint pains among computer users in Rafsanjan city in the years 2012-13.Materials And MethodsIn this descriptive study, 420 computer users were recruited in Rafsanjan city between 18 April 2012 and 19 January 2013. The data were collected by a checklist, in face to face interview sessions. Data were analyzed in SPSS and parametric and nonparametric tests were used where appropriate.ResultsCervical pain was associated with position of desk, chair and keyboard. There were significant association between shoulder pain and position of the keyboard, low back pain and chair position, carpal tunnel syndrome and mouse usage. The prevalence of cervical pain, shoulder pain, arm pain, wrist pain, hand pain, low back pain, elbow pain, back pain, and carpal tunnel syndrome, among respondents were 38.3%, 38.3%, 27.1%, 21.2%, 18.8%, 24.5%, 15.7%, 26.4% and 21.2%, respectively. In this study, there was significant association between exercise and all variables of carpal tunnel syndrome, elbow pain, back pain, low back pain and shoulder pain.ConclusionsIt can be concluded that prevalence of musculoskeletal pain in computer users in our study were very common. Improving the position of desk, chair, mouse and keyboard could help with reducing cervical pain, shoulder pain, back pain, low back pain and carpal tunnel syndrome.Keywords: Musculoskeletal pains, employees, Risk factors, Iran}
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مقدمه
ستون فقرات در فعالیت های مختلف حمایت اصلی از بدن را به عهده دارد. ثبات و پوسچر مناسب این ساختار به عملکرد هم زمان عضلات و عناصر غیر فعال و همچنین عناصر عصبی بستگی دارد. هدف این مطالعه، بررسی ارتباط بین ناهنجاری های ستون فقرات با دردهای اسکلتی- عضلانی در نواحی مرتبط با ناهنجاری در دانشجویان دانشگاه علوم پزشکی همدان بود.
مواد و روش هاتعداد 241 دانشجو (157 دختر با میانگین سنی 1/1 ± 42/19 سال و 84 پسر با میانگین سنی 25/2 ± 01/21 سال) به طور داوطلبانه در مطالعه مقطعی حاضر وارد شدند. ستون فقرات با استفاده از صفحه شطرنجی، شاقول و آزمون نیویورک از لحاظ ناهنجاری سرکج، سر به جلو، شانه نامتقارن، کیفوز و لوردوز بررسی شد. محل درد و شدت درد با معیار مشاهده ای درد در نواحی سر، ناحیه راست و چپ گردن، ناحیه راست و چپ شانه و کمر با استفاده از یک پرسش نامه مورد ارزیابی قرار گرفت. در نهایت داده ها با استفاده از ضریب همبستگی مورد تجزیه تحلیل قرار گرفت.
یافته هابین ناهنجاری سرکج (در صفحه فرونتال) با سردرد و درد گردن در سمت چپ ارتباط معنی داری وجود داشت. (05/0 > P). ارتباط بین کیفوز و درد در ناحیه راست و چپ شانه و درد ناحیه بین دو کتف نیز معنی دار بود (05/0 > P). همچنین بین ناهنجاری لوردوز و درد کمر نیز ارتباط معنی داری مشاهده شد (05/0 > P).
نتیجه گیرینتایج حاصل از این مطالعه رابطه بین وجود برخی از ناهنجاری های وضعیتی و بروز دردهای اسکلتی- عضلانی را نشان داد.
کلید واژگان: ستون فقرات, شانه, سر به جلو, ناهنجاری کیفوز, ناهنجاری لوردوز, دردهای اسکلتی, عضلانی, پوسچر}IntroductionThe spine serves as the main support of the body. During activities، postural stability depends on the simultaneous function of the muscles، passive elements، and also the neural elements. The aim of this study was to investigate the relationship between spinal abnormalities and musculoskeletal pains in the areas related to these abnormalities in the students of Hamadan University of Medical Sciences.
Materials And Methods241 students (157 females with the mean age of 19. 42 years، SD=1. 1 years; 84maleswith the mean age of 21. 01 years، SD=2. 25 years) voluntarily participated in this study. Spinal alignment was evaluated by posture screen، plumb line and the New York Test of the Lateral Head Deviation to determine the rates of forward head، shoulder asymmetry، kyphosis and lordosis. To determine the location and intensity of pain in the head، the left-and right-neck، the left- and right-shoulder and the low-back regions، a tailor-made questionnaire with visual analog scale was used. Finally، using the correlation coefficient، the data were statistically analyzed.
ResultsThere was significant relationship between lateral head deviation and both headache and the left-side neck pain (P < 0. 05). Kyphosis was significantly correlated with feeling pain in the right and the left shoulders and also with inters scapular pain (P < 0. 05). Moreover، significant relationship between lordosis and low back pains was observed (P < 0. 05).
ConclusionThe results of this study indicate a signification relationship between the presence of some postural abnormalities and the incidence of musculoskeletal pain.
Keywords: Spine, Shoulder, Forward head, Kyphosis abnormality, Lordosis abnormality, Musculoskeletal pains, Posture}
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