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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
21

Avaliação da zona de conforto musculoesquelético em ombro de professores durante a atividade de escrever na lousa / Evaluation of the comfort zone musculoskeletal shoulder teachers during the activity of writing on the blackboard

Carolina Mouco Viana Sanchez 24 June 2013 (has links)
As patologias do ombro representam o primeiro lugar de afastamento por doenças do trabalho e os professores estão incluídos entre os profissionais que apresentam sobrecarga nesta articulação pelas posturas que realizam. Os objetivos deste estudo foram identificar prevalências de queixas músculoesqueléticas nestes profissionais e delimitar uma zona de conforto de escrita na lousa. A avaliação das queixas foi realizada por meio de do Questionário Nórdico de Sintomas Osteomusculares e Mapa de Desconforto Postural em 82 professores do ensino básico, fundamental e médio. A zona de conforto foi avaliada por meio de estudo psicofísico utilizando as Escalas Visual Analógica e de Borg. Os resultados mostraram que coluna, pernas e ombro direito apresentaram maiores índices de queixas e que a faixa entre 20 cm acima e 30 cm abaixo do nível do ombro não apresentam desconforto nesta atividade. Concluiu-se que professores podem apresentar sobrecarga postural dependendo das alturas em que utilizam a lousa para escrever / The pathologies of the shoulder represent the first removal by occupational diseases and teachers are included among professionals who have this joint overhead by performing postures. The objectives of this study were to identify the prevalence of musculoskeletal complaints in these professionals and delimit a comfort zone of writing on the blackboard. A review of the complaints was performed using the Nordic Musculoskeletal Questionnaire and Map Postural Discomfort in 82 elementary school teachers, and high school. The comfort zone was evaluated by psychophysical study using the Visual Analogue Scales and Borg. The results showed that column, legs and right shoulder had higher rates of complaints and that the range between 20 cm above and 30 cm below the level of the shoulder discomfort not have this activity. It was concluded that teachers may exhibit overload posture depending on the use the times when writing blackboard
22

Pain and Physical Function in a Socioeconomically Diverse Sample of Black and White Adults

Sardina, Angela 29 June 2017 (has links)
Musculoskeletal pain alters physiological function and these changes may be evidenced as early as middle age. Previous research has concluded that middle-aged adults are a high-risk group for chronic pain and report functional limitations similar to older adults. However, few studies have explored the unique individual factors (e.g., sociodemographic, health, and psychosocial characteristics) that may drive the pain experience; and more research is needed that examines the relationships between musculoskeletal pain and physical function, using objective performance measures, in a sample of racially and socioeconomically diverse adults. Data from the Healthy Aging in Neighborhoods of Diversity across the Life Span Study (HANDLS) were analyzed across two cross-sectional studies. The first study examined the association between subjective (self-reported) and objective measures of pain (passive range of motion) of the hands, neck and low back. Additionally, this study explored the unique predictors that may be associated with inconsistency between subjective and objective measurements of pain. Results indicated weak but significant correlations between subjective and objective hand- pain measurements. However, there were no significant correlations identified between subjective and objective neck-pain measurements, or subjective and objective low back pain measurements. Three binary logistic regression models were conducted to explore the relationship between sociodemographic (Model 1), health (Model 2), and psychosocial characteristics (Model 3) of consistent and inconsistent pain measurements for each pain site. There were no significant relationships between sociodemographic, health, or psychosocial characteristics and consistent and inconsistent hand pain measurements. However, individuals who reported a history of depressive symptoms were nearly 1.8 times more likely to report inconsistent neck pain. Follow-up analyses to explore two-way interactions across unique predictors identified that individuals with a history of depressive symptoms, who were below poverty status, were nearly 3 times more likely to report inconsistent neck pain. Additionally, females, individuals with a greater number of comorbidities, and those with a history of depressive symptoms tended to demonstrate inconsistent low back pain. Follow-up analyses identified that those who identified a history of depressive symptoms, and reported the quality of their neighborhood as “poor” to “fair”, were 3.3 times more likely to demonstrate inconsistent low back pain measurements. The second study examined the relationship between pain, pain interference and a global measure of physical function. Additionally, the study investigated whether relationships between pain, pain interference, and global physical function were moderated by sociodemographic characteristics (e.g., age, sex, race, and measures of socioeconomic status). In multivariable regression analyses, musculoskeletal pain was significantly associated with physical function, particularly among middle-aged and older individuals. Additionally, pain interference was significantly associated with physical function, particularly among older adults. This dissertation strives to further our understanding of the unique factors that contribute to individualized pain experiences among under-represented populations, and to identify functional deficits that may be evidenced earlier in the life course. Furthermore, this dissertation is intended to motivate further research that explores appropriately timed non-pharmacological interventions that are tailored to the needs of diverse groups, in efforts to reduce musculoskeletal pain, pain interference, and sustain functional independence in later life.
23

Asociación entre la presencia de dolor musculoesquelético en distintas zonas corporales y semestres cursados en estudiantes de odontología que realizan prácticas en un Centro Universitario de Salud de Lima / Association between the presence of musculoskeletal pain in different body areas and semesters courted in students of dentistry that perform practices in a University Health Center In Lima, Peru

Morales Silipo, Andrea Paula, Saavedra Custodio, Norma Myrella, Sánchez Barrientos, Karla Andrea, Sánchez Sánchez, Kathya Elizabeth 11 1900 (has links)
INTRODUCCIÓN: Las alteraciones musculoesqueleticas en estudiantes de odontología suelen desarrollarse durante su tiempo de formación profesional y laboral, es provocada por la carga física y malas posturas que adoptan al desempeñar sus prácticas. A nivel nacional, son escasos los estudios realizados frente a este tema; por lo que, la población estudiantil de odontología, no tiene conocimiento sobre las futuras consecuencias a las que se exponen durante el camino a su formación. OBJETIVOS: Se busca determinar el sexo, zona musculoesquelética y sintomatología más vulnerable según los semestres cursados en estudiantes que realizan prácticas en un centro universitario de Lima. Diseño: El presente estudio es de tipo descriptivo de cohorte transversal, en un periodo de enero a febrero del 2018. LUGAR: Centro Universitario de Salud de Lima. Participantes/Materiales: Se tomó una base de datos secundaria que consta de una encuesta realizada a 150 estudiantes y/o practicantes de odontología. RESULTADOS: De los 150 participantes, la razón entre mujer/hombre fue de 2.75 mujeres por cada hombre, la población estuvo conformada por estudiantes de quinto a décimo ciclo, de los cuales los estudiantes de sexto ciclo fueron la población más predominante representando el 20,7% de la población total, además, se encontró que el 50,7% presenta dos o más zonas de dolor, de los cuales lumbar es considerada una de las de mayor intensidad (severa) seguida de la región cervical, la presencia de dolor de intensidad (moderada) es primero en la zona lumbar seguida de cervical en proporciones de 52 y 42, respecto al orden anteriormente mencionado, finalmente, el dolor (leve) con mayor proporción es en cervical y el de menor proporción es el del hombro, a nivel del sexo y dolor musculo esquelético en alguna zona corporal se encontró que las mujeres tienen 1,1% mayor prevalencia de dolor que el sexo masculino, además respecto al semestre cursado, las diferencias de proporciones no fueron estadísticamente significativas (p=05), para poder realizar el cálculo del poder, se encontraron valores de poder menores a 80%. CONCLUSIONES: Se evidenció un resultado no significativo entre las zonas de dolor musculoesquelético y los semestres cursados en estudiantes de odontología que realizan prácticas. / INTRODUCTION: Musculoskeletal alterations in odontology students usually develop during their professional and work training time, it is caused by the physical load and bad postures they adopt when performing their practices. Nationwide, there are few studies realized on this issue; therefore, the odontology students population, has no knowledge about the future consequences to which they are exposed during the way to their training. OBJECTIVES: The aim is to determine the sex, the most vulnerable symptomatic musculoskeletal area according to the semesters studied in students who practice at a university center in Lima. The present study is a descriptive type of cross-section, in a period from January 2018 to February 2018. PLACE: University Health Center in Lima. Participants / Materials. A secondary database was taken that consists in a survey to 150 students and/or dental practitioners. RESULTS: Of the 150 participants, the rate was 2.75 women per each man. The population was made up of students from fifth to tenth cycle, of which sixth-grade students were the most predominant population representing 20, 7% of the total, in addition, it was found that 50.7% have two or more areas of pain, of which lumbar region is considered one of the most intensity (severe) followed by the cervical region, where the pain intensity is moderate. In the areas the pain proportion is 52 and 42, respectively. Finally, the pain (slight) with greater proportion is in cervical region and the one of smaller proportion is in the shoulder. About sex, it was found that women feel 1.1% more pain than men. In addition, respect to the semester taken, differences in proportions wasn't statistically significant (p = 05). In order to calculate the power, it was found values less than 80%. CONCLUSIONS: There was a non-significant result in relation of the areas of musculoskeletal pain and the semesters studied in odontology students. / Trabajo de investigación
24

Agreement and Screening Accuracy Between Physical Therapists Ratings and the Ӧrebro Musculoskeletal Pain Questionnaire in Screening for Risk of Chronic Pain During Musculoskeletal Evaluation

Wassinger, Craig A., Sole, Gisela 01 January 2021 (has links)
Introduction: Identifying patients at risk for chronic musculoskeletal pain can inform evaluation and treatment decisions. The ability of physical therapists to assess patients’ risk for chronic pain without use of validated tools has been questioned. The Ӧrebro Musculoskeletal Pain Questionnaire (OMPQ) is used to determine risk for chronic pain. Methods: The aim of this pragmatic study was to prospectively quantify the agreement between physical therapists’ assessment of patients’ risk for chronic symptoms compared to the OMPQ. Patients were asked to complete the OMPQ during the initial visit. Physical therapists, blinded to OMPQ risk classification, carried out their usual patient assessment procedures. The physical therapists rated patients as either high or low risk for chronic pain based on their clinical assessment. Agreement between therapist and OMPQ was determined using Cohen’s Kappa (κ) and screening accuracy compared clinician risk to the OMPQ risk classification (reference standard) by way of contingency table analysis. Results: Ninety-six (96) patients’ risk classifications and 15 corresponding physical therapists’ risk estimates were available for analysis. The OMPQ identified a 47% prevalence for high risk of chronic pain. Agreement (κ and 95% confidence interval) between physical therapist rating and OMPQ was slight, κ = 0.272 (0.033–0.421), p = .026. Therapists’ sensitivity and specificity (95% CI) for determining risk classifications were 60.0% (44.3–74.3) and 62.8% (48.1–75.6), respectively. The positive and negative likelihood ratios (95% CI) were 1.61 (1.05–2.47) and 0.64 (0.42–0.97). Discussion: The use of validated self-report questionnaires are recommended to supplement clinician prognosis for patients at risk of chronic musculoskeletal pain.
25

Validation of a Pressure Pain Threshold Scale in Patients Diagnosed with Myofascial Pain Syndrome and Fibromyalgia

Cheatham, Scott William 01 April 2016 (has links)
Background: Palpation is an examination technique used to diagnose and treat myofascial pain syndrome (MPS) and fibromyalgia (FM). Currently, there is no validated technique for classifying the results. A valid and reliable pressure pain threshold scale (PPTS) may provide a means for clinicians to grade, document, and report findings. The purpose of this dissertation was to validate a PPTS in patients diagnosed with MPS and FM. Design and Methods: An observational study. Participants who met the inclusion criteria were placed into three equal groups: MPS, FM, and control. All participants underwent one, two-part testing sessions using the American College of Rheumatology criteria. Part-I consisted of palpation with a digital pressure sensor and part-II utilized an algometer. For each tender point (18-total), the participants graded their level of discomfort using the visual analog scale (VAS) and manual tender point rating survey (MTPS) and the examiner graded their response using the PPTS (e.g. ordinal scale with increasing severity from 0-4). Analysis: Intrarater reliability was calculated using the intraclass correlation coefficient model 3, k. Concurrent validity between the PPTS, VAS, and MTPS was calculated using the spearman rank correlation coefficient. A receiver operating characteristic curve was used to determine the minimal cut-off value between groups. Results: Eighty-four participants were included in the analysis. The PPTS had good intrarater reliability (ICC ≥.88). A moderate to excellent relationship was found between the PPTS and VAS for all groups with the algometer and digital pressure sensor (rho ≥.61). A moderate to excellent relationship was found between the PPTS and MTPS for all groups with the algometer (rho≥.68) and for the MPS and control group with the digital pressure sensor (rho ≥.71). There was a little to moderate relationship (rho=.01-.50) between the PPTS and MTPS for the FM group with the digital pressure sensor. A cut-off value of 2 on the PPTS differentiated participants with MPS and FM from controls. Discussion: The results provide preliminary evidence validating the PPTS for patients with MPS and FM. Future research should determine interrater reliability, diagnostic accuracy, and efficacy of the PPTS with other chronic pain and orthopedic conditions.
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Effekt av interventioner med syfte att öka följsamhet till behandling med fysisk aktivitet hos patienter med muskuloskeletal smärta : En litteraturstudie / Effect of interventions aimed at increasing adherence to treatment with physical activity in patients with musculoskeletal pain : A literature study

Englund, Maria January 2022 (has links)
SAMMANFATTNING  Bakgrund: Muskuloskeletal smärta är en av de främsta orsakerna till både sjukskrivning och hälso- och sjukvårdskonsumtion i de flesta västerländska samhällen. Muskuloskeletal smärta definieras som smärta i rörelseorgan såsom muskler, leder, skelettdelar eller tillhörande mjukdelar. I behandling av muskuloskeletal smärta ingår ofta fysisk aktivitet. Fysisk aktivitet definieras, som all kroppsrörelse som ökar energiförbrukningen utöver den energiförbrukning som vi har i vila. För att fysisk aktivitet skall ha önskad effekt krävs följsamhet till den fysiska aktiviteten.  Syfte: Syftet är att med hjälp av andra studiers resultat sammanställa effekt av interventioner vars syfte är att öka följsamhet till behandling med fysisk aktivitet hos patienter med muskuloskeletal smärta.  Metod: Systematisk litteraturstudie. Sökning genomfördes i databaserna PUB Med, CINAHL, AMED och PEDRO. Artiklarna granskades med mall för kvalitetsgranskning av randomiserade studier samt att en GRADE bedömning utfördes med bedömningsunderlag från Statens beredning för medicinsk och social utvärdering (SBU).  Resultat: Vid litteratursökning återfanns 514 artiklar som motsvarade syfte och frågeställningar. Efter genomgång av titel samt abstract fanns 38 artiklar kvar, efter genomläsning av hela studien fanns 10 artiklar kvar som inkluderades i litteraturstudien.De 10 artiklarna hade varierande grad av kvalitet. Ingen av studierna hade fullgod kvalitet på samtliga delar som ingår vid kvalitetsgranskningen. Evidensgradering enligt GRADE visar måttligt underlag för beteendemedicinska interventioner för att öka följsamheten till fysisk aktivitet för vuxna patienter med muskuloskeletal smärta.  Konklusion: Denna litteraturstudie visar ett svagt sambandavseende om beteendemedicinska interventioner kan öka följsamhet till fysisk aktivitet hos vuxna med muskuloskeletal smärta. Vid stödjande aktiviteter fann man inte någon positiv effekt på följsamhet till fysisk aktivitet hos vuxna patienter med muskuloskeletal smärta. / ABSTRACT  Background: Musculoskeletal pain is one of the leading causes of both sick leave and health care consumption in most western societies. Musculoskeletal pain is defined as pain in organs such as muscles, joints, skeletal parts or associated soft tissues. Treatment of musculoskeletal pain often includes physical activity. Physical activity is defined as all body movement that increases energy consumption in addition to the energy consumption we have at rest. In order for physical activity to have the desired effect, compliance with the physical activity is required.  Objective: The aim is to use the results of other studies to compile the effect of interventions whose purpose is to increase adherence to treatment with physical activity in patients with musculoskeletal pain. Methods: Systematic review. The search was conducted in the databases PubMed, CINAHL, AMED and PEDRO. The studies were assessed according to template for quality review of randomized studies and GRADE from Statens beredning för medicinsk och social utvärdering.  Results: A literature search found 514 articles that corresponded to purpose and issues. After reviewing the title and abstract, there were 38 articles left, after reading the entire study, there were 10 articles left that were included in the literature study. The 10 articles had varying degrees of quality. None of the studies had full quality on all parts included in the quality review. Evidence grading according to GRADE shows a moderate basis for behavioral medicine interventions to increase adherence to physical activity for adult patients with musculoskeletal pain.  Conclusion: This literature study shows a weak correlation regarding whether behavioral drug interventions can increase adherence can increase adherence to physical activity in adults with musculoskeletal pain. In supportive activities, no positive effect was found on compliance with physical activity in adult patients with musculoskeletal pain.
27

Calidad de sueño y otros factores asociados al dolor músculo esquelético en docentes de la facultad de ciencias de la salud en una universidad privada peruana / Quality of sleep and other factors associated with musculoskeletal pain in faculty of the school of health sciences in a peruvian private university

Mendoza Farfán, Giancarlo, Mori Belleza, Samuel Santiago 02 July 2019 (has links)
Objetivo Determinar la asociación entre calidad de sueño y otros factores con el dolor músculo esquelético en docentes de la facultad de ciencias de la salud en una universidad privada peruana Material y métodos Se realizó un estudio transversal con un total de 115 docentes universitarios que pertenecían a la facultad de Ciencias de la Salud los cuales respondieron a un cuestionario con 81 preguntas de identificación de dolor músculo esquelético, auto reporte brindado por el PhD Edgar Vieira (7), el cuestionario de calidad de sueño de Pittsburg, y el Inventario de Ansiedad de Beck. En relación con el análisis de múltiples variables, se utilizó regresión de Poisson con varianza robusta, de donde se calcularon PR crudos y ajustados con IC 95%. Resultados Se encuestaron a 115 profesores, con edad media de 41,44 + 10,46 años. El 94% del total de la muestra mostró dolor en una o más partes del cuerpo, mientras que el 90,4% del porcentaje mencionado presentó dolor en cuello o espalda alta o espalda baja. En relación con la calidad de sueño, los que presentaron perturbaciones de sueño de nivel mínimo fueron 72,6%. Se observó que la presencia de dolor músculo esquelético no estuvo asociado con la edad, el sexo ni con algún nivel de calidad de sueño (p >0.05) Conclusiones Aunque nuestro estudio no encontró asociación de dolor músculo esquelético con calidad de sueño, se halló una alta prevalencia de dolor músculo esquelético específicamente en la zona cervical y espalda baja para los docentes de todas las carreras. Además, no se ha encontrado asociación significativa entre ansiedad y dolor músculo esquelético. Se recomienda realizar más investigaciones, de naturaleza longitudinal. / Objective To determine the association between sleep quality and other factors with musculoskeletal pain in faculty of the School of Health Sciences in a Peruvian private University Material and methods A cross-sectional study was carried out with a total of 115 faculty belonging to the School of Health Sciences who answered a questionnaire with 81 musculoskeletal pain identification questions, a self-report provided by the PhD Edgar Vieira (7), the Pittsburg sleep quality questionnaire, and the Beck Anxiety Inventory. In relation to the analysis of multiple variables, Poisson regression with robust variance was used, where crude PR were calculated and adjusted with 95% CI. Results A total of 115 faculty were surveyed, with an average age of 41.44 + 10.46 years. 94% of the total sample showed pain in one or more parts of the body, while 90.4% of the mentioned percentage presented pain in the neck or upper back or lower back. In relation to the quality of sleep, those who presented disturbances of sleep of minimum level were 72.6%. It was observed that the presence of skeletal muscle pain was not associated with age, sex or with any level of quality of sleep (p> 0.05) Conclusions Although our study found no association of skeletal muscle pain with sleep quality, a high prevalence of musculoskeletal pain was found specifically in the cervical area and lower back for Faculty of all careers. In addition, there is no significant association between anxiety and skeletal muscle pain. / Tesis
28

Avaliação de distúrbios osteomusculares entre condutores de veículos de transporte de cargas / Assessment of musculoskeletal disorders among drivers of vehicles transporting loads

Swerts, Olavo Souza Dias 18 December 2013 (has links)
O transporte é um dos principais fatores de produção na economia brasileira e agente indutor de riqueza e desenvolvimento. Os motoristas de veículos de cargas são responsáveis pela coleta, pelo transporte e pela entrega de matérias primas e produtos. Em decorrência de sua atividade laboral, estes trabalhadores estão expostos a diferentes tipos de riscos e podem desenvolver doenças ocupacionais, dentre as quais distúrbios osteomusculares. Deste modo, desenvolvemos este estudo com o objetivo de avaliar a presença de distúrbios osteomusculares entre condutores de veículos de transporte de cargas. A população do estudo foi formada por 195 condutores de veículos de cargas que realizaram cursos de capacitação e atualização profissional no SEST SENAT de Ribeirão Preto - SP durante os meses de junho e julho de 2013, período no qual os dados foram coletados por meio da utilização de três instrumentos: instrumento de caracterização dos trabalhadores, Questionário Nórdico de Sintomas Osteomusculares e Diagrama de Corlett. Os resultados evidenciaram, predominantemente, que os trabalhadores eram homens com idade média de 39,3 anos, possuíam ensino médio completo, eram sedentários e apresentavam índice de massa corporal - IMC elevado; a maioria trabalhava há 11,1 anos como motorista de cargas diversas, realizava jornadas diárias de 10,4 horas, não possuía turno fixo de trabalho, não realizava pausas durante o expediente e apresentava vínculo empregatício. As respostas dos trabalhadores às questões do Questionário Nórdico de Sintomas Osteomusculares revelaram que as queixas de dor foram mais frequentes na coluna lombar, ombros e joelhos; segundo o Diagrama de Corlett, a região das costas inferior, o ombro direito e o pé direito foram os segmentos corporais mais apontados pelos sujeitos, com intensidade dolorosa moderada e leve, respectivamente. No intuito de verificar a relação entre características individuais e ocupacionais dos motoristas e a incidência de distúrbios osteomusculares relacionados ao trabalho, foram realizados testes estatísticos que mostraram correlação positiva entre diversas variáveis. Assim, o IMC, os problemas de saúde no trabalho, a distância percorrida diariamente e a carga horária diária de trabalho foram variáveis que contribuíram para o surgimento das queixas de dor osteomuscular. De modo contrário, não obtiveram significância estatística para a ocorrência de dor permanecer sentado por várias horas durante o trabalho e carregar e descarregar a carga do caminhão. Conclui-se que este estudo permitiu o avanço do conhecimento sobre as condições de trabalho e de saúde de condutores de veículos de cargas e sobre os riscos ocupacionais aos quais estão expostos diariamente durante suas atividades laborais, os quais podem contribuir para seu adoecimento no trabalho / Transportation is one of the main factors of production in the Brazilian economy and inducing agent wealth and development. Os motoristas de veículos de cargas são responsáveis pela coleta, pelo transporte e pela entrega de matérias primas e produtos. As a result of his labor activity, these workers are exposed to different types of risks and can develop occupational illnesses, including musculoskeletal disorders. In this way, we develop this study in order to evaluate the presence of musculoskeletal disorders among vehicles transporting loads drivers. The study population was comprised of 195 cargo vehicles drivers who conducted training courses and professional updating in SEST SENAT Ribeirão Preto - SP during the months June and July 2013, period in which the data were collected through the use of three instruments: characterization of workers instrument, Nordic Musculoskeletal Questionnaire and Corlett Diagram. The results showed, predominantly, that workers were men with an average age of 39,3 years, had full secondary education, were sedentary and had Body Mass Index (BMI) high; most worked there is 11.1 years as driver of various loads, performed daily journeys of 10.4 hours, had no fixed shift work, was not pauses during office hours and featured employment. The workers answers of Nordic Musculoskeletal Questionnaire revealed that complaints of pain were more frequent in the lumbar spine, shoulders and knees; according to Corlett Diagram, the region of the lower back, right shoulder and right foot were the body segments more pointed by subject, with moderate painful intensity and light, respectively. In order to verify the relationship between individual and occupational drivers\' characteristics and the work-related musculoskeletal disorders incidence, statistical tests were performed which showed positive correlation between several variables. Thus, the IMC, the health problems at work, the distance travelled daily and the daily hours of work were variables that contributed to the emergence of musculoskeletal pain complaints. Conversely, failed to obtain statistical significance for the occurrence of pain to remain seated for several hours during work and load and unload the truck load. It is concluded that this study allowed the advancement of knowledge about cargo vehicles drivers health and working conditions and about the occupational hazards to which they are exposed during their daily work activities which can contribute to their illness at work
29

SINTOMAS DE DISTÚRBIOS OSTEOMUSCULARES EM BANCÁRIOS DE PELOTAS E REGIÃO: PREVALÊNCIA E FATORES ASSOCIADOS

Brandão, Andréa Gonçalves 28 February 2005 (has links)
Made available in DSpace on 2016-03-22T17:27:40Z (GMT). No. of bitstreams: 1 andrea.pdf: 265262 bytes, checksum: c6d5e875feea49a87a30680e267b1334 (MD5) Previous issue date: 2005-02-28 / The aim of this study was to know the prevalence of signs of musculoskeletal disorders in bank workers from the city of Pelotas and region, besides to investigate main associated factors. A cross-sectional study was carried out and the data were collected through a self-reported questionnaire. The main outcome was the report of frequent musculoskeletal pain in three or more of ten anatomical areas investigated (Nordic Musculoskeletal Questionnaire NMQ). The study includes 502 bank workers. Musculoskeletal pain in the last twelve months was reported by 60% and in the last seven days, by 43%. Nineteen percent were not able to work due to musculoskeletal pain and 40% related this pain as associated to their tasks at the bank. Frequent musculoskeletal pain was reported by 39% of the bank workers. Higher prevalence of this outcome were observed for women, for who did not practices any physical activity, for on-line terminals and authenticators machines users, for who classified their rhythm of work like accelerated , for who remains sited most part of the time and for who classified the work environment like inadequate . Keywords: musculoskeletal pain, bank workers, worker health, occupational risks. / Este estudo objetivou conhecer a prevalência de sintomas de distúrbios osteomusculares em bancários de Pelotas e região e investigar fatores associados. O estudo foi transversal e os dados foram coletados através de questionário auto-aplicado no local de trabalho. O desfecho foi relato de dor osteomuscular com freqüência em três ou mais de dez regiões anatômicas (Questionário Nórdico de Sintomas Osteomusculares QNSO). De 502 bancários estudados, 60% da amostra mencionou dor músculoesquelética no último ano, 43% referiu dor nos últimos sete dias, 19% teve de evitar o trabalho por dores e 40% relacionou esta dor com a atividade que realiza no seu trabalho. Dor com freqüência foi relatada por 39% dos bancários. Maiores prevalências foram observadas para mulheres, para quem não praticava atividade física, para usuários de terminal on-line e máquinas autenticadoras, para quem referiu seu ritmo de trabalho como acelerado , para aqueles que trabalhavam sentados na maior parte do tempo e para aqueles que classificaram seu ambiente de trabalho inadequado
30

Avaliação de distúrbios osteomusculares entre condutores de veículos de transporte de cargas / Assessment of musculoskeletal disorders among drivers of vehicles transporting loads

Olavo Souza Dias Swerts 18 December 2013 (has links)
O transporte é um dos principais fatores de produção na economia brasileira e agente indutor de riqueza e desenvolvimento. Os motoristas de veículos de cargas são responsáveis pela coleta, pelo transporte e pela entrega de matérias primas e produtos. Em decorrência de sua atividade laboral, estes trabalhadores estão expostos a diferentes tipos de riscos e podem desenvolver doenças ocupacionais, dentre as quais distúrbios osteomusculares. Deste modo, desenvolvemos este estudo com o objetivo de avaliar a presença de distúrbios osteomusculares entre condutores de veículos de transporte de cargas. A população do estudo foi formada por 195 condutores de veículos de cargas que realizaram cursos de capacitação e atualização profissional no SEST SENAT de Ribeirão Preto - SP durante os meses de junho e julho de 2013, período no qual os dados foram coletados por meio da utilização de três instrumentos: instrumento de caracterização dos trabalhadores, Questionário Nórdico de Sintomas Osteomusculares e Diagrama de Corlett. Os resultados evidenciaram, predominantemente, que os trabalhadores eram homens com idade média de 39,3 anos, possuíam ensino médio completo, eram sedentários e apresentavam índice de massa corporal - IMC elevado; a maioria trabalhava há 11,1 anos como motorista de cargas diversas, realizava jornadas diárias de 10,4 horas, não possuía turno fixo de trabalho, não realizava pausas durante o expediente e apresentava vínculo empregatício. As respostas dos trabalhadores às questões do Questionário Nórdico de Sintomas Osteomusculares revelaram que as queixas de dor foram mais frequentes na coluna lombar, ombros e joelhos; segundo o Diagrama de Corlett, a região das costas inferior, o ombro direito e o pé direito foram os segmentos corporais mais apontados pelos sujeitos, com intensidade dolorosa moderada e leve, respectivamente. No intuito de verificar a relação entre características individuais e ocupacionais dos motoristas e a incidência de distúrbios osteomusculares relacionados ao trabalho, foram realizados testes estatísticos que mostraram correlação positiva entre diversas variáveis. Assim, o IMC, os problemas de saúde no trabalho, a distância percorrida diariamente e a carga horária diária de trabalho foram variáveis que contribuíram para o surgimento das queixas de dor osteomuscular. De modo contrário, não obtiveram significância estatística para a ocorrência de dor permanecer sentado por várias horas durante o trabalho e carregar e descarregar a carga do caminhão. Conclui-se que este estudo permitiu o avanço do conhecimento sobre as condições de trabalho e de saúde de condutores de veículos de cargas e sobre os riscos ocupacionais aos quais estão expostos diariamente durante suas atividades laborais, os quais podem contribuir para seu adoecimento no trabalho / Transportation is one of the main factors of production in the Brazilian economy and inducing agent wealth and development. Os motoristas de veículos de cargas são responsáveis pela coleta, pelo transporte e pela entrega de matérias primas e produtos. As a result of his labor activity, these workers are exposed to different types of risks and can develop occupational illnesses, including musculoskeletal disorders. In this way, we develop this study in order to evaluate the presence of musculoskeletal disorders among vehicles transporting loads drivers. The study population was comprised of 195 cargo vehicles drivers who conducted training courses and professional updating in SEST SENAT Ribeirão Preto - SP during the months June and July 2013, period in which the data were collected through the use of three instruments: characterization of workers instrument, Nordic Musculoskeletal Questionnaire and Corlett Diagram. The results showed, predominantly, that workers were men with an average age of 39,3 years, had full secondary education, were sedentary and had Body Mass Index (BMI) high; most worked there is 11.1 years as driver of various loads, performed daily journeys of 10.4 hours, had no fixed shift work, was not pauses during office hours and featured employment. The workers answers of Nordic Musculoskeletal Questionnaire revealed that complaints of pain were more frequent in the lumbar spine, shoulders and knees; according to Corlett Diagram, the region of the lower back, right shoulder and right foot were the body segments more pointed by subject, with moderate painful intensity and light, respectively. In order to verify the relationship between individual and occupational drivers\' characteristics and the work-related musculoskeletal disorders incidence, statistical tests were performed which showed positive correlation between several variables. Thus, the IMC, the health problems at work, the distance travelled daily and the daily hours of work were variables that contributed to the emergence of musculoskeletal pain complaints. Conversely, failed to obtain statistical significance for the occurrence of pain to remain seated for several hours during work and load and unload the truck load. It is concluded that this study allowed the advancement of knowledge about cargo vehicles drivers health and working conditions and about the occupational hazards to which they are exposed during their daily work activities which can contribute to their illness at work

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