Mišično-skeletne okvare zgornjega uda pri fizioterapevtih - pregled literature : diplomsko delo

Cencelj, Laura (author), Palma, Polona (mentor), Vauhnik, Renata (reviewer)

Uvod: Mišično-skeletne okvare, povezane z delom, so opredeljene kot vsaka težava mišično-skeletnega sistema, ki se pojavi pri delu in povzroča nelagodje, težave ali bolečino med opravljanjem dela. Čeprav imajo fizioterapevti veliko znanja o mišično-skeletnih poškodbah in strategijah za preprečevanje le-teh, je razširjenost mišično-skeletnih okvar med to skupino delavcev visoka. Namen: Namen diplomskega dela je bil na podlagi pregleda literature ugotoviti pojavnost mišično-skeletnih okvar zgornjega uda pri fizioterapevtih ter na podlagi pregledanih člankov analizirati in predstaviti dejavnike tveganja za nastanek le-teh. Metode dela: V diplomskem delu smo uporabili deskriptivno metodo, ki je zajemala pregled literature. Strokovno in znanstveno literaturo smo iskali v podatkovnih zbirkah PubMed, ScienceDirect in CINAHL. Pri iskanju literature smo uporabili naslednjo kombinacijo besed ali besednih zvez v angleškem jeziku (physiotherapist OR physical therapist) AND (musculoskeletal disorder OR occupational injuries OR work deformations OR musculoskeletal defects) AND (upper limb OR upper extremity OR arm OR hand OR thumb). Rezultati: Na podlagi ključnih besed je bilo najdenih 69 raziskav. Vključitvenim in izključitvenim kriterijem je ustrezalo osem raziskav, ki so bile vključene v nadaljnjo analizo. Za pridobitev podatkov so avtorji raziskav uporabili različne vrste vprašalnikov, ki so jih fizioterapevti izpolnili sami. Na podlagi vprašalnikov smo primerjali pojavnost mišično-skeletnih okvar zgornjega uda in demografske spremenljivke. Rezultati vseh analiziranih raziskav so pokazali, da se mišično-skeletne okvare zgornjega uda pogosteje pojavljajo pri ženskah, starejših fizioterapevtih in na začetku ali na koncu njihove delovne dobe. Najpogostejše prizadeto območje je palec, kar je največkrat posledica pogostega izvajanja manualne terapije. Mišično-skeletne okvare zgornjega uda najpogosteje prizadenejo fizioterapevte, ki delajo na področju ortopedije. Razprava in zaključek: Avtorji raziskav ugotavljajo, da je prevalenca z delom povezanih mišično-skeletnih okvar zgornjega uda pri fizioterapevtih visoka. V prihodnosti bo treba dati večji poudarek na preventivne ukrepe in zdravljenje tovrstnih poškodb. Na ta način bi lahko zmanjšali ali v določeni meri preprečili nastanek le-teh in s tem izboljšali kakovost življenja mnogih fizioterapevtov.

• Language: Slovenian
• Keywords: diplomska dela, fizioterapija, mišično-skeletne okvare, poškodbe pri delu, fizioterapevti, bolečine, zgornji ud
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [L. Cencelj]
• Year: 2023
• Number of pages: 32 str.
• PID: 20.500.12556/RUL-147332
• UDC: 615.8
• COBISS.SI-ID: 157672963
• Publication date in RUL: 01.07.2023

Secondary language

• Language: English
• Title: Musculoskeletal disorders of the upper limb among physiotherapists - literature review : diploma work

Abstract

Introduction: Work-related musculoskeletal disorders are defined as any problem of the musculoskeletal system that occurs at work and causes discomfort, difficulty or pain during work. Although physiotherapists have a great deal of knowledge about musculoskeletal injuries and prevention strategies, the prevalence of musculoskeletal disorders among this group of workers is high. Purpose: The aim of this diploma was to determinate the prevalence of upper limb musculoskeletal disorders in physiotherapists based on a review of the literature, and to analyse and present risk factors for the occurrence of upper limb musculoskeletal disorders in physiotherapists. Methods: The descriptive method used in the diploma was a literature review. The literature search was conducted using PubMed, ScienceDirect and CINAHL databases. The following combination of words or phrases in English was used in the literature search: (physiotherapist OR physical therapist) AND (musculoskeletal disorder OR occupational injuries OR work deformations OR musculoskeletal defects) AND (upper limb OR upper extremity OR arm OR hand OR thumb). Results: 69 studies were found based on keywords. Eight studies met the inclusion and exclusion criteria and were included in further analysis. The authors of the studies used different types of self-administered questionnaires to obtain the data. The questionnaires were used to compare the prevalence of upper limb musculoskeletal disorders and demographic variables. The results of all analysed surveys showed that upper limb musculoskeletal disorders are more common in women, in older physiotherapists, at the beginning or at the end of their working career. The most commonly affected area is the thumb, which is most often result of frequent manual therapy. Musculoskeletal disorders of the upper limb most commonly affect physiotherapists working in the field of orthopaedics. Discussion and conclusion: The authors of the studies conclude that the prevalence of work-related musculoskeletal disorders of the upper limb is high. In the future, more focus will need to be placed on preventive measures and treatment of such injuries. In this way, their occurrence could be reduced or to some extent prevented, thus improving the quality of life of many physiotherapists.

• Keywords: diploma theses, physiotherapy, musculoskeletal disorders, work injuries, physiotherapists, pain, upper limb