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      Assessment of pressure pain threshold at the cervical and lumbar spine region in the group of professionally active nurses: A cross‐sectional study

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          Abstract

          Objectives

          The problem of spinal pain among nurses and lack of compliance with workplace ergonomy is increasing. The study aimed to assess the pressure pain threshold (PPT) at the cervical and lumbar spine in nursing staff.

          Methods

          The sample of this prospective and observational study consisted of 30 female nurses with a mean age of 38.6 ± 11.1 years. The standardized Oswestry (ODI) and the Neck Disability Index (NDI) were used, as well as the Authors’ Designed Questionnaire (ADQ) was used to assess compliance with ergonomic principles. The PPT analysis using a computerized pressure algometer (CPA) was performed to examine the level of PPT.

          Results

          A mild disability was found in 56% of nurses (NDI and ODI). A value of <4 kg/cm 2 (CPA), indicating musculoskeletal overload was observed in 57% of subjects. Also, 60% of nurses work with a lying patient; 73.4% grabs the patient's armpits while transferring in bed; 16.7% never adjusts the height of the bed, and only 13.4% choose specialist footwear for work. There is a correlation between PPT values for trapezius and erector spinae muscles on the same side of the body in nurses with mild and moderate disability ( P < .05).

          Conclusions

          Pain complaints are associated with lower PPT of trapezius and erector spinae muscles and asymmetry of muscle tension. Also, it was noted that the lack of implementation of ergonomic principles by nursing staff affects their degree of disability.

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          Most cited references48

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          The impact of shift work on the psychological and physical health of nurses in a general hospital: a comparison between rotating night shifts and day shifts

          Background Shift work is considered necessary to ensure continuity of care in hospitals and residential facilities. In particular, the night shift is one of the most frequent reasons for the disruption of circadian rhythms, causing significant alterations of sleep and biological functions that can affect physical and psychological well-being and negatively impact work performance. Objectives The aim of this study was to highlight if shift work with nights, as compared with day work only, is associated with risk factors predisposing nurses to poorer health conditions and lower job satisfaction. Methods This cross-sectional study was conducted from June 1, 2015 to July 31, 2015 in 17 wards of a general hospital and a residential facility of a northern Italian city. This study involved 213 nurses working in rotating night shifts and 65 in day shifts. The instrument used for data collection was the “Standard Shift Work Index,” validated in Italian. Data were statistically analyzed. Results The response rate was 86%. The nurses engaged in rotating night shifts were statistically significantly younger, more frequently single, and had Bachelors and Masters degrees in nursing. They reported the lowest mean score in the items of job satisfaction, quality and quantity of sleep, with more frequent chronic fatigue, psychological, and cardiovascular symptoms in comparison with the day shift workers, in a statistically significant way. Conclusion Our results suggest that nurses with rotating night schedule need special attention due to the higher risk for both job dissatisfaction and undesirable health effects.
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            Prevalence of Musculoskeletal Disorders for Nurses in Hospitals, Long-Term Care Facilities, and Home Health Care: A Comprehensive Review.

            The aim of this study was to determine the prevalence of musculoskeletal pain and reported injuries for nurses and nursing aides.
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              Reliability and Usefulness of the Pressure Pain Threshold Measurement in Patients with Myofascial Pain

              Objective To assess the usefulness of a pressure algometer to measure pressure pain threshold (PPT) for diagnosis of myofascial pain syndrome (MPS) in the upper extremity and trunk muscles. Method A group of 221 desk workers complaining of upper body pain participated in this study. Five physiatrists made the diagnosis of MPS using physical examination and PPT measurements. PPT measurements were determined for several muscles in the back and upper extremities. Mean PPT data for gender, side, and dominant hand groups were analyzed. Sensitivity and specificity of Fischer's standard method were evaluated. PPT cut-off values for each muscle group were determined using an ROC curve. Results Cronbach's alpha for each muscle was very high. The PPT in men was higher than in females, and the PPT in the left side was higher than in the right side for all muscles tested (p<0.05). There was no significant difference in PPT for all muscles between dominant and non-dominant hand groups. Diagnosis of MPS based on Fischer's standard showed relatively high specificity and poor sensitivity. Conclusion The digital pressure algometer showed high reliability. PPT might be a useful parameter for assessing a treatment's effect, but not for use in diagnosis or even as a screening method.
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                Author and article information

                Contributors
                anna.kolcz@umed.wroc.pl
                Journal
                J Occup Health
                J Occup Health
                10.1002/(ISSN)1348-9585
                JOH2
                Journal of Occupational Health
                John Wiley and Sons Inc. (Hoboken )
                1341-9145
                1348-9585
                05 February 2020
                Jan-Dec 2020
                : 62
                : 1 ( doiID: 10.1002/joh2.v62.1 )
                : e12108
                Affiliations
                [ 1 ] Laboratory of Ergonomics and Biomedical Monitoring Wroclaw Medical University Wroclaw Poland
                [ 2 ] Department of Physiotherapy Faculty of Health Sciences Wroclaw Medical University Wroclaw Poland
                [ 3 ] Department of Neurological Rehabilitation Provincial Specialist Hospital Wroclaw Poland
                Author notes
                [*] [* ] Correspondence

                Anna Kołcz, Laboratory of Ergonomics and Biomedical Monitoring, Wroclaw Medical University, Grunwaldzka 2, 50‐355 Wroclaw, Poland.

                Email: anna.kolcz@ 123456umed.wroc.pl

                Author information
                https://orcid.org/0000-0002-6646-3652
                https://orcid.org/0000-0002-9508-6235
                Article
                JOH212108
                10.1002/1348-9585.12108
                7001494
                fcd2abb0-3f5e-4c63-83b3-cfbc08961c12
                © 2020 The Authors. Journal of Occupational Health published by John Wiley & Sons Australia, Ltd on behalf of The Japan Society for Occupational Health

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 30 July 2019
                : 21 November 2019
                : 16 December 2019
                Page count
                Figures: 1, Tables: 3, Pages: 9, Words: 14975
                Funding
                Funded by: Statutory Grant of the Wroclaw Medical University for maintaining research potential
                Award ID: SUB.E060.19
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                January/December 2020
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.7.5 mode:remove_FC converted:05.02.2020

                computerized pressure algometry,nursing practice,oswestry and neck disability index,pressure pain threshold,spinal pain syndromes,workplace ergonomy

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