A descriptive study on work related musculoskeletal disorders (WMDs) among physiotherapy practitioners in Kigali city: prevalence, risk factors and preventive strategies
DOI:
https://doi.org/10.34058/njmr.v20i1.173Keywords:
Musculoskeletal disorders, Physiotherapy, Risk factors, Preventive strategiesAbstract
Background: Work related Musculoskeletal Disorders (WMSDs) represent a significant occupational problem among physiotherapy practitioners worldwide; however, data on this problem are sparse in Rwanda.
Objective: To identify the prevalence, risk factors and preventive strategies for WMSDs among physiotherapists in Kigali-Rwanda.
Methods: A cross-sectional descriptive quantitative design was used. A self-administered questionnaire was used among 49 physiotherapists. Data were analysed using the descriptive statistics. Ethical clearance was obtained from the IRB of University of Rwanda, College of Medicine and Health Sciences.
Results: The prevalence of WMSDs among physiotherapists in Kigali was 77.8%. The lower back was the most affected body part (77.1%). Forty percent experienced WMSDs in their first one to five years of experience. Working in the same positions for long periods (40.0%) and treating excessive number of patients per day (31.1%) were the most perceived risk factors. The commonest identified preventive strategies were to avoid sitting or standing for long periods of time 77.8% and adjust plinth or bed height 77.8. Only 31.1% stopped patients’ treatment if it caused or aggravated their WMSDs.
Conclusion: The prevalence of WMSDs among physiotherapists in Kigali was high. Risk factors have been identified and vaious preventive strategies have been suggested by physiotherapists themselves and should be applied.
References
Adegoke, B. O. A., Akodu, A. K., & Oyeyemi, A. L. (2008). Work-related musculoskeletal disorders among Nigerian physiotherapists. BMC Musculoskeletal Disorders, 9(1), 112. http://doi.org/10.1186/1471-2474-9-112
Costa, B. R., Vieira, E. R., da Costa, B. R., & Vieira, E. R. (2010). Risk factors for work-related musculoskeletal disorders : A systematic review of recent longitudinal studies. American Journal of Industrial Medicine, 53(3), 285–323. http://doi.org/10.1002/ajim.20750.
Cromie, J. E., Robertson, V. J., & Best, M. O. (2000). Work-related musculoskeletal disorders in physical therapists: prevalence, severity, risks, and responses. Physical Therapy, 80(4), 336–351.
Cromie, J. E., Robertson, V. J., & Best, M. O. (2002). Work-related musculoskeletal disorders and the culture of physical therapy. Physical Therapy, 82(5), 459–72. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/11991799
Cromie, J. E., Robertson, V. J., & Best, M. O. (2003). Physical therapists who claimed workers’ compensation: a qualitative study. Phys Ther, 83(12), 1080–1089. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/14640867
Glover, W., McGregor, A., Sullivan, C., & Hague, J. (2005). Work-related musculoskeletal disorders affecting members of the Chartered Society of Physiotherapy. Physiotherapy, 91(3), 138–147. http://doi.org/10.1016/j.physio.2005.06.001
Nordin, N. A. M., Leonard, J. H., & Thye, N. C. (2011). Work-related injuries among physiotherapists in public hospitals: a Southeast Asian picture. Clinics (São Paulo, Brazil), 66(3), 373–8. http://doi.org/10.1590/S1807-59322011000300002
Passier, L., & McPhail, S. (2011). Work related musculoskeletal disorders amongst therapists in physically demanding roles: qualitative analysis of risk factors and strategies for prevention. BMC Musculoskeletal Disorders, 12(1), 24. http://doi.org/10.1186/1471-2474-12-24
Piedrahita, H. (2006). Costs of work-related musculoskeletal disorders (MSDs) in developing countries: Colombia case. International Journal of Occupational Safety and Ergonomics : JOSE, 12(4), 379–386. http://doi.org/10.1080/10803548.2006.11076696
Rozenfeld, V., Ribak, J., Danziger, J., Tsamir, J., & Carmeli, E. (2010). Prevalence, risk factors and preventive strategies in work-related musculoskeletal disorders among Israeli physical therapists. Physiotherapy Research International : The Journal for Researchers and Clinicians in Physical Therapy, 15(3), 176–184. http://doi.org/10.1002/pri.440
Rugelj, D. (2003). Low back pain and other work-related musculoskeletal problems among physiotherapists. Applied Ergonomics, 34(6), 635–639. http://doi.org/10.1016/S0003-6870(03)00059-0
Health and Safety Executive [HSE]. (2010). Work Related Musculoskeletal Disorders. Retrieved from http://www.hse.gov.uk/statistics/overall/hssh0405.pdf
Salik, Y., & Ozcan, A. (2004). Work-related musculoskeletal disorders: a survey of physical therapists in Izmir-Turkey. BMC Musculoskeletal Disorders, 5(1), 27. http://doi.org/10.1186/1471-2474-5-27
Tinubu, B. M. S., Mbada, C. E., Oyeyemi, A. L., & Fabunmi, A. A. (2010). Work-related musculoskeletal disorders among nurses in Ibadan, South-west Nigeria: a cross-sectional survey. BMC Musculoskeletal Disorders, 11(1), 12. http://doi.org/10.1186/1471-2474-11-12
West, D. J., & Gardner, D. (2001). Occupational injuries of physiotherapists in North and Central Queensland. The Australian Journal of Physiotherapy, 47(1989), 179–186. http://doi.org/10.1016/S0004-9514(14)60265-8