Prevalence Of Musculoskeletal Disorders In Patients Undergoing Haemodialysis in a Tertiary Care Hospital: A Cross-sectional study

Background: Chronic kidney disease (CKD) is a significant public health problem. Dialysis is the mainstream method of treatment in these patients. This causes the patients to have a monotonous and restricted daily life, joint pain, limiting their activities after treatment onset. Hence this study was carried out to find the prevalence of common musculoskeletal disorders in patients undergoing haemodialysis in a tertiary care hospital. Method: 50 participants undergoing dialysis in a tertiary care hospital under the age group of 18-70 years diagnosed with stage V CKD were included using convenient sampling. They were assessed using Nordic Questionnaire to locate the different areas of pain. Result: The first group consisted of 41 participants who underwent dialysis from 2- 41 months. Body regions commonly affected in the last 7 days were low back 25(60.97%); neck 21(51.21%); shoulder 15(36.58%); elbow 14(34.14%) in the extremity with arteriovenous fistula; upper back 14(34.14%); hips/thighs, knees 9(21.95); wrist/hands 7(17.07%) in the extremity with arteriovenous fistula; ankle/feet 6(14.63%). The second group consisted of 9 participants who underwent dialysis from 42-84 months. Body regions commonly affected in the last 7 days were low back 8(88.88%); upper back 7(77.77%); hip/thigh 6(66.66%); neck, knee 5(55.55%); elbow 4(44.44%) in the extremity with arteriovenous fistula; shoulder, ankle/feet, wrist/hands 3(33.33%). Conclusion: The study concluded that the highest prevalence of musculoskeletal disorders in the participants undergoing haemodialysis was low back pain (66%) followed by neck (52%), upper back (42%), shoulder (36%), elbow (36%), hips/thighs (30%), knees (28%), wrist/hands (20%) and ankle/feet pain (18%)

PREVALENCE AND SEVERITY OF HAMSTRING TIGHTNESS AMONG COLLEGE STUDENT: A CROSS SECTIONAL STUDY

Background: Flexibility is important for normal biomechanical function. Muscle tightness is caused by a decrease in the ability of the muscle to deform. Hamstring tightness leads to high risk of recurrent injury, decreases the performance in athletes, lead to post-exercise soreness and decreases coordination among athletes. Hence, the objectives of this study was to find out the prevalence and severity of the hamstring tightness among college going student. Method: In this cross sectional study 50 participants with hamstring tightness were included using purposive sampling. The tightness was measured by AKE test. Three measurement were taken and average of their reading was noted. Result: Analysis showed higher prevalence of hamstring tightness among college students. More students were affected with AKE angle between 30o-45o. Conclusion: Prevalence of hamstring tightness is very high in college going student of age group 18-25 years. Keywords: Prevalence; Active knee extension test; Hamstring Tightness severity

PREVALENCE AND SEVERITY OF HAMSTRING TIGHTNESS AMONG COLLEGE STUDENT: A CROSS SECTIONAL STUDY

Background: Flexibility is important for normal biomechanical function. Muscle tightness is caused by a decrease in the ability of the muscle to deform. Hamstring tightness leads to high risk of recurrent injury, decreases the performance in athletes, lead to post-exercise soreness and decreases coordination among athletes. Hence, the objectives of this study was to find out the prevalence and severity of the hamstring tightness among college going student. Method: In this cross sectional study 50 participants with hamstring tightness were included using purposive sampling. The tightness was measured by AKE test. Three measurement were taken and average of their reading was noted. Result: Analysis showed higher prevalence of hamstring tightness among college students. More students were affected with AKE angle between 30o-45o. Conclusion: Prevalence of hamstring tightness is very high in college going student of age group 18-25 years. Keywords: Prevalence; Active knee extension test; Hamstring Tightness severity

Work related musculoskeletal disorders among hospital nurses in rural Maharashtra, India: a multi centre survey

Nurses have one of the highest rates of MSD of any occupation. Although en number of studies were done to find out prevalence of Work related musculoskeletal disorders (WMSDs) among nurses across the world, there is limited information on its prevalence in Rural Maharashtra. This study investigated prevalence of WMSDs, job risk factors and the coping strategies towards reducing the risk of development of WMSDs among nurses from selected hospitals in rural Maharashtra, India. Validated questionnaires were distributed to 250 nurses working rural hospitals across Maharashtra but only 228 questionnaires were returned and 212 complete questionnaires were included for study. On Analysis we found that 89.1% nurses had experienced work-related musculoskeletal pain or discomfort at sometime in their occupational lives. WMSDs was highest in the low back (48.2%), followed by the shoulder (34.6%), neck (33.1) and knee (29 %). Other regions with less prevalence were Thoracic (10.5%), Feet and ankle (7.6%), Elbow ( 1.88%) and Hip (1.6 %). Priority was given to getting help to handle heavy patients ( 57.1 %), nursing procedure modification in order to avoid stress injury ( 50.2 %) coping strategies. Our study Concluded that high prevalence of LBP, Shoulder, neck and Knee pain  over a 12-month period among nurses working in Rural hospitals in Maharashtra state , and certain risk factors  like working in same position for long time, bending, twisting, lifting and treating excessive number of patients were strongly associated with WMSDs

Inter and Intra-rater Reliability and Validity of an instrument made in rural set up to measure Maximum Inspiratory Pressure termed as Dhiraj Maximum Inspiratory Pressure Device

Background: Maximum Inspiratory Pressure (MIP) measures inspiratory force generated by respiratory muscles. MIP is measured with non-invasive pressure transducer device which has mouthpiece, pressure gauge, and dial showing readings. Respiratory muscle weakness is a common sign depicted in conditions like neuromuscular disorders, cardiovascular disease, and other respiratory pathologies which affect the individual’s lung volume and capacity. The devices available in the market to measure the MIP are costly. Aim: This study was undertaken to find out inter-rater and intra-rater reliability and validity of therapist made instrument in rural set up to measure maximum inspiratory pressure (DMIPD). Method: This cross-sectional study was carried out in 40 normal healthy individuals without lung diseases were recruited as per inclusion criteria. MIP values were noted by two raters using the DMIPD and were then compared between two rater values to that of the gold standard values. Validity and reliability were calculated using interclass correlation coefficients (ICC) and p-value. Result: Statistical analysis for inter-rater reliability by Kappa using SPSS 1.000 showing almost perfect agreement as per Kappa interpretation also for intra-rater analysis an ICC value of 0.96 depicting excellent validity and Cronbach alpha value of 0.97 thereby proving it to have excellent reliability. Conclusion: We conclude that DMIPD has excellent reliability and validity

Prevalence of chronic facet arthropathy: a retrospective study

Background: To assess prevalence facet-joint arthropathy in chronic low back pain using computed tomography.Methods: A retrospective study profiled and analysed objective data from patients CT scans and previous records.Results: Facetal arthropathy was graded by Pathria’s criteria.102 joints (33.12%) were grade 1, 113 (36.69%) grade 2, 63 (20.45%) grade 3, and 30 (9.74. %) grade 4. Final result showed that females were affected more than the male in Grade II, III and IV. Age group more affected was between 46-85 years.Conclusions:Our study on chronic low back pain revealed prevalence of facet-joint involvement 66.88% (206 patients) in rural population with age group involved more than 46 years

Inter and Intra-rater Reliability and Validity of an instrument made in rural set up to measure Maximum Inspiratory Pressure termed as Dhiraj Maximum Inspiratory Pressure Device

Background: Maximum Inspiratory Pressure (MIP) measures inspiratory force generated by respiratory muscles. MIP is measured with non-invasive pressure transducer device which has mouthpiece, pressure gauge, and dial showing readings. Respiratory muscle weakness is a common sign depicted in conditions like neuromuscular disorders, cardiovascular disease, and other respiratory pathologies which affect the individual’s lung volume and capacity. The devices available in the market to measure the MIP are costly. Aim: This study was undertaken to find out inter-rater and intra-rater reliability and validity of therapist made instrument in rural set up to measure maximum inspiratory pressure (DMIPD). Method: This cross-sectional study was carried out in 40 normal healthy individuals without lung diseases were recruited as per inclusion criteria. MIP values were noted by two raters using the DMIPD and were then compared between two rater values to that of the gold standard values. Validity and reliability were calculated using interclass correlation coefficients (ICC) and p-value. Result: Statistical analysis for inter-rater reliability by Kappa using SPSS 1.000 showing almost perfect agreement as per Kappa interpretation also for intra-rater analysis an ICC value of 0.96 depicting excellent validity and Cronbach alpha value of 0.97 thereby proving it to have excellent reliability. Conclusion: We conclude that DMIPD has excellent reliability and validity

OVERWEIGHT, A CULPRIT AFFECTING BACK ENDURANCE: A CROSS SECTIONAL STUDY

Background: Studies reveal that reduced muscle endurance has a major impact, leading to decrease in quality of life. Hence early diagnosis and prognosis is essential for leading healthy life. Lack of muscle endurance has shown to be related to decreased proprioceptive awareness and decreased productivity in the workplace and daily activity. Hence, the purpose of this study was to evaluate isometric endurance time of healthy normal population for trunk extensors and flexors. Method: In this cross-sectional study, 100 participants were randomly recruited by convenient sampling and trunk muscle endurance was assessed using trunk flexor endurance test and Sorensen's test. Results: The results of the study revealed-mean back endurance for extensor muscles was 47.66secs and 52.82secs for males and females respectively. Similarly, for trunk endurance for trunk flexors was 52.82 secs and 112.86 secs for males and females respectively. Conclusion: The study concluded that trunk muscle endurance for females was more as compared to males and also, with increase in BMI there is decrease in trunk muscle endurance. KEYWORDS: Trunk endurance; BMI; Sorensen's test; Trunk

VALIDITY AND RELIABILITY OF 'ON PROTRACTOR' SMARTPHONE APPLICATION FOR MEASUREMENT OF CRANIOVERTEBRAL AND CRANIO-HORIZONTAL ANGLE

Background: Measuring angles and movement is an important aspect of clinical assessment. Over the years, various methods have been used to measure the angles. Image based smartphone goniometer offers an easy and non-invasive method for measuring craniovertebral and cranial horizontal angle. However, the validity of this approach has not been established yet. The purpose of this study was to investigate the validity and reliability of a smartphone based application, by comparing the results of the application and ‘AutoCAD®’ software. Methods: Convenient sampling of asymptomatic participants (Males=4 and females =16) who met the inclusion criteria were examined by two researchers for craniovertebral (CVA) and cranial horizontal angle (CHA) using ON Protractor smartphone application and ‘AutoCAD®’ software. The third examiner analyzed the anthropometric and descriptive data. Validity and reliability were measured using intraclass correlation coefficients (ICC) and p-value. Result: Good to excellent Intra-rater and inter-rater reliability was demonstrated for CVA and CHA when ON Protractor mobile application and AutoCAD® were compared, with ICC values 0.879 and 0.991 respectively. Conclusion: Smartphone mobile application-ON Protractor is a reliable tool to measure craniovertebral and cranial horizontal angle