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A global perspective on the challenges and opportunities in learning about rheumatic and musculoskeletal diseases in undergraduate medical education : White paper by the World Forum on Rheumatic and Musculoskeletal Diseases (WFRMD)

Al Maini M, Al Weshahi Y, Foster HE, Chehade MJ, Gabriel SE, Saleh JA, et al.

Clin Rheumatol, 2020 Mar;39(3):627-642.
PMID: 31127461 DOI: 10.1007/s10067-019-04544-y

Rheumatic and musculoskeletal diseases (RMDs) encompass a spectrum of degenerative, inflammatory conditions predominantly affecting the joints. They are a leading cause of disability worldwide and an enormous socioeconomic burden. However, worldwide deficiencies in adult and paediatric RMD knowledge among medical school graduates and primary care physicians (PCPs) persist. In October 2017, the World Forum on Rheumatic and Musculoskeletal Diseases (WFRMD), an international think tank of RMD and related experts, met to discuss key challenges and opportunities in undergraduate RMD education. Topics included needs analysis, curriculum content, interprofessional education, teaching and learning methods, implementation, assessment and course evaluation and professional formation/career development, which formed a framework for this white paper. We highlight a need for all medical graduates to attain a basic level of RMD knowledge and competency to enable them to confidently diagnose, treat/manage or refer patients. The importance of attracting more medical students to a career in rheumatology, and the indisputable value of integrated, multidisciplinary and multiprofessional care are also discussed. We conclude that RMD teaching for the future will need to address what is being taught, but also where, why and to whom, to ensure that healthcare providers deliver the best patient care possible in their local setting.

Matched MeSH terms: Musculoskeletal Diseases/epidemiology
Fulltext Survey of body part symptoms among workers in a car tyre service centre

Abd Rahman MN, Aziz FA, Yusuff RM

J Hum Ergol (Tokyo), 2010 Jun;39(1):53-6.
PMID: 21922791 DOI: 10.11183/jhe.39.53

The purpose of this study was to investigate the prevalence of body part symptoms and sources of injury/discomfort among workers in a car tyre service centre. Questionnaire survey and interview session were used to identify the level of body discomfort areas and sources of injury or discomfort. From questionnaire survey findings, 12 of respondents have body discomfort in the neck (66.7%%), shoulder (83.3%), elbow/forearm (75%), hand/wrist (91.7%), knee (58.3%), lower leg (75%), ankle/foot (33%) and lower back (30%). The main sources of injury/discomfort in the workplace were poor body posture (75%), bending the back (75%), highly repetitive motions (75%), lifting heavy objects (83.3%), the long-term standing (66.7%), long-term squatting (58.3%), bending the neck (66.7%) and high hand force (58.3%). About 50% reported that poor workplace design also contributed to injury while 41.7% mentioned the use of hand tools. To address modifying the ergonomic hazards, engineering controls and administrative controls can be used. The study will be useful to ergonomists, researchers, consultants, workshop managers, maintenance workers and others concerned with identifying body part symptoms and sources of injury/discomfort at the workplace.

Matched MeSH terms: Musculoskeletal Diseases/epidemiology*
Fulltext Musculoskeletal injuries among Malaysian badminton players

Shariff AH, George J, Ramlan AA

Singapore Med J, 2009 Nov;50(11):1095-7.
PMID: 19960167

The purpose of this study was to investigate the pattern of musculoskeletal injuries sustained by Malaysian badminton players.

Matched MeSH terms: Musculoskeletal Diseases/epidemiology
Work-related injuries among physiotherapists in public hospitals: a Southeast Asian picture

Nordin NA, Leonard JH, Thye NC

Clinics (Sao Paulo), 2011;66(3):373-8.
PMID: 21552658

OBJECTIVES: A cross-sectional study was conducted to measure the prevalence of work-related injuries among physiotherapists in Malaysia and to explore the influence of factors such as gender, body mass index, years of work experience and clinical placement areas on the occurrence of work-related musculoskeletal disorders.
METHODS: Self-administered questionnaires adapted from the Nordic Musculoskeletal Questionnaire were sent to 105 physiotherapists at three main public hospitals in Kuala Lumpur, Malaysia. The questionnaire had 12 items that covered demographic information, areas of musculoskeletal problems and physiotherapy techniques that could contribute to work-related musculoskeletal disorders. The data obtained were analyzed using the Statistical Package for Social Science version 14 software.
RESULTS: The overall prevalence of work-related injuries during the past 12 months was 71.6%. Female therapists reported a significantly higher prevalence of work-related musculoskeletal disorders than the male therapists (73.0%, p,0.001). Significant differences were observed between the proportion of therapists who had work-related musculoskeletal disorders and those who did not for the group with a body mass index (BMI) .25 (x² = 9.0, p = 0.003) and the group with a BMI of 18-25 (x² = 7.8, p = 0.006). Manual therapy (58.6%) and lifting/transfer tasks (41.3%) were the two physiotherapy techniques that most often contributed to work-related musculoskeletal disorders.
CONCLUSION: Work-related injuries are significantly higher among the physiotherapists in Malaysia compared with many other countries. Female therapists reported a higher incidence of work-related musculoskeletal disorders in this study, and work-related musculoskeletal disorders were more common among therapists working in the pediatric specialty. This study contributes to the understanding of work-related disorders among physiotherapists from a southeast Asian perspective where the profession is in its development stage.

Matched MeSH terms: Musculoskeletal Diseases/epidemiology*
Association between pain catastrophising and musculoskeletal disorders is modified by past injuries in Malaysian military recruits

Mohd Din FH, Rampal S, Muslan MA, Hoe VC

Occup Environ Med, 2016 07;73(7):429-34.
PMID: 27013525 DOI: 10.1136/oemed-2015-103140

OBJECTIVES: Pain catastrophising is deﬁned as exaggerated negative thoughts, which can occur during an actual or anticipated painful experience, such as musculoskeletal injuries (MSI) or disorders (MSD). The aims of this study are to examine the association between pain catastrophising and MSI and MSD in Malaysian Army male recruits, and evaluate the effects of past injury.
METHODS: A cohort of 611 male Malaysian Army recruits were recruited and followed up at 3 and 6 months. Pain catastrophising, MSD, sociodemographic and work factors were measured using a self-administered questionnaire, and MSI incidence was retrieved from the medical records. Multivariable fixed effects regression was used to model the cumulative incidence of MSD and MSI.
RESULTS: Approximately 12% of the recruits were diagnosed with incident MSI and 80% reported incident MSD. Higher pain catastrophising at baseline was associated with higher 6 month MSD risk (adjusted OR (aOR) 1.6 per 1 SD increase of Pain Catastrophising Scale (PCS) scores; 95% CI 1.2 to 2.0), and longitudinally associated with MSD incidence (aOR 1.2, 95% CI 1.1 to 1.4). Pain catastrophising was not associated with MSI incidence (aOR 1.0, 95% CI 0.8 to 1.3). The association between pain catastrophising and self-reported MSD was stronger among recruits with self-reported past injury (p for interaction <0.001).
CONCLUSIONS: Pain catastrophising was able to predict symptomatic MSD, and not physician-diagnosed MSI, and these findings are directly related to individual health beliefs. Pain catastrophising has a greater influence on how military recruits perceived their musculoskeletal conditions during training, and efforts to reduce pain catastrophising may be beneficial.

Matched MeSH terms: Musculoskeletal Diseases/epidemiology
Prevalence of musculoskeletal disorders and its relation to depression among workers in kindergarten

Pirbalouti MG, Shariat A, Sangelaji B, Taghavi M, Kamaliyeh NG

Work, 2017;58(4):519-525.
PMID: 29254133 DOI: 10.3233/WOR-172648

BACKGROUND: Working in a closed environment for more than 7-8 hours can affect both psychological and physical health among kindergarten workers.
OBJECTIVE: To determine the prevalence of musculoskeletal disorders (MSD) and depression as well as the correlation between them, if any, among kindergarten workers.
METHODS: In a cross-sectional observation, one hundred and five healthy female staff members (age: 34.27±7.01 year, working duration: 7.42±0.81 hr/d, BMI: 24.50±2.61 kg/m2 (mean±SD)), who have had at least one year of working experience, were selected randomly from 10 kindergartens. The subjects completed both the Cornell musculoskeletal and Patient Health (PHQ-9) questionnaires to enable the assessments of MSD and depression scores accordingly. The correlation between both questionnaires was then measured to find any links. To assess the reliability of Farsi-language versions of the Cornell questionnaire and PHQ-9, the Inter-class Correlation Co-efficient (ICC) was measured through test-retest with 1-week delay and the prevalence of MSD and depression were subsequently assessed as well.
RESULTS: The Inter-class Correlation Co-efficient (ICC) illustrated that the Farsi version of MSD instruments showed high levels of repeatability. The ICC coefficient was (0.932-0.987, p

Matched MeSH terms: Musculoskeletal Diseases/epidemiology
Investigation of work-related musculoskeletal disorders in wall plastering jobs within the construction industry

Rahman MN, Rani MR, Rohani JM

Work, 2012;43(4):507-14.
PMID: 22927603 DOI: 10.3233/WOR-2012-1404

The aim of this study was to investigate the work-related musculoskeletal disorders (WMSDs) among workers in wall plastering jobs within the construction industry.

Matched MeSH terms: Musculoskeletal Diseases/epidemiology*