Ocena ravni telesne pripravljenosti pri fizioterapevtih za preprečevanje bolezni mišičnoskeletnega sistema na delovnem mestu

Horvat Tišlar, Marina (author), Kukec, Andreja (mentor), Starc, Gregor (comentor)

Ozadje: Bolezni mišičnoskeletnega sistema na delovnem mestu (BMDM) so drugi najpogostejši vzrok kratkoročne odsotnosti z dela. Zaradi narave svojega dela sodijo F med populacijske skupine z visokim tveganjem za razvoj BMDM. Kljub dobremu poznavanju dejavnikov za mišičnoskeletna obolenja je poznavanje TP kot dejavnika pri preprečevanju BMDM pri F zelo slabo raziskano. Namen: Preučiti povezanost z delom povezanih kostno-mišičnih obolenj (BMDM) s stopnjo telesne pripravljenosti (TP) in telesno aktivnostjo (TA) ter opredeliti njihovo medsebojno povezanost v ločeni skupini delovnih fizioterapevtov (F) in študentov fizioterapije (ŠF). Metode in raziskovalne zasnove: Celotna raziskava bila je zasnovana na kombiniranih metodoloških pristopih z uporabo različnih zasnov raziskav (Faza I: kvantitativni pristop, presečna zasnova raziskave s pomočjo vprašalnika in meritev pri skupini ŠF, Faza II: kvantitativni pristop, presečna zasnova raziskave z uporabo vprašalnika in meritev pri skupini F, ki delajo v praksi; Faza III: kvalitativni pristop, intervjuji s ključnimi deležniki iz različnih delovnih okoljih F). Rezultati: Študenti fizioterapije so imeli običajno slabo mišično moč (49 %), mišično vzdržljivost (37 %) in prožnost (66 %). Najpogostejše mišično-skeletne bolezni so bile bolečine v križu (33 %), bolečine v zgornjem delu hrbta (12 %) in bolečine v vratu (12 %). Tisti s slabo kardiorespiratorno kondicijo so imeli 3,7-krat večjo verjetnost za pojav bolečine v kolenu (OR=3,722, 95 % CI=1,279–10,834, p=0,016) v univariatnem modelu in 6,0-krat (OR=6,041, 95 % CI=1,678–21,748, p=0,006) v multivariatnem modelu. Poleg tega je bila slaba mišična vzdržljivost povezana z bolečino zaradi mišično-skeletnih motenj na kateri koli lokaciji (OR=2,253, 95% CI=1,199–4,232, p=0,012). Slaba kardiorespiratorna vzdržljivost (OR=3,632, 95 % CI=1,050–15,011, p=0,042) in slaba mišična moč (OR=3,737, 95 % CI=1,099–12,702, p=0,035) sta bili povezani z bolečino v zapestju in roki. Nazadnje so delovni fizioterapevti poročali, da je TP pomemben del njihovega vsakdanjega urnika. Zaključek: Študenti fizioterapije imajo bolečine v križu še pogosteje kot njihovi starejši višji kolegi fizioterapije, drugo pa je, da ima izjemno visok odstotek študentov fizioterapije slabo gibljivost.

• Language: Slovenian
• Keywords: fizioterapija, telesna aktivnost, telesna pripravljenost, z delom povezane mišično-skeletne motnje
• Work type: Doctoral dissertation
• Organization: MF - Faculty of Medicine
• Year: 2024
• PID: 20.500.12556/RUL-155556
• Publication date in RUL: 06.04.2024

Secondary language

• Language: English
• Title: Assessing level of physical fitness among physiotherapists to decrease their work-related musculoskeletal disorders

Abstract

Background: Work-related musculoskeletal disorders (WRMSDs) are the second largest cause of short-term work disability. Because of the nature of their work, PTH have been identified at highest risk for development of WRMSDs. Despite considerable knowledge about musculoskeletal disorders, knowledge about PF as a factor in preventing WRMSDs in PTH is very poor. Aim: To examine the association between work-related musculoskeletal disorders (WRMSDs), with the level of physical fitness (PF) and physical activity (PA) and to define their mutual associations in a separate group of practicing physiotherapists and physiotherapy students. Study design and methods: The overall study design was mixed-methods approach using different study designs (Phase I: quantitative approach, cross-sectional study design using questionnaire and measurements in group of PTHSs, OTHSs and KTHSs; Phase II: quantitative approach, cross-sectional study design using questionnaire and measurements in group of PTH working in practice and PTHSs; Phase III: qualitative approach, interviews of key informants from different occupational environments of PTH). Results: Physiotherapy students tended to have poor muscular strength (49%), muscular endurance (37%) and flexibility (66%). The most prevalent musculoskeletal disorders included low back pain (33%), upper back pain (12%) and neck pain (12%). Those with poor cardiorespiratory fitness were 3.7 times more likely to have the occurrence of knee pain (OR=3.722, 95% CI=1.279–10.834, p=0.016) in univariate model and 6.0 times (OR=6.041, 95% CI=1.678–21.748, p=0.006) in multivariate model. Also, poor muscular endurance was associated with musculoskeletal disorder pain at any location (OR=2.253, 95% CI=1.199–4.232, p=0.012). Poor cardiorespiratory endurance (OR=3.632, 95% CI=1.050–15.011, p=0.042) and poor muscular strength (OR=3.737, 95% CI=1.099–12.702, p=0.035) were associated with wrist and hand pain. Finally, working physiotherapists reported that PF was a significant part of their everyday schedule. Conclusion: Physiotherapy students have pain in the lower back even more often than their older senior physiotherapy colleagues, and the second is that an extremely high percentage of physiotherapy students have poor flexibility.

• Keywords: physiotherapy, physical activity, physical fitness, work-related musculoskeletal disorders