بررسی شیوع اختلالات اسکلتی عضلانی در آتش نشانان شاغل در شهر قزوين و ارتباط آن با بیخوابی

Mahdavifar, Mohammadmahdi (2015) بررسی شیوع اختلالات اسکلتی عضلانی در آتش نشانان شاغل در شهر قزوين و ارتباط آن با بیخوابی. Other thesis, Qazvin University Of Medical Sciences,Qazvin,Iran.

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Abstract Background and Purpose: In recent century, mankind has been able to overcome many infectious diseases by inventing different types of vaccines and progressing in various fields, including industry, pharmaceuticals, and, etc. However, change of lifestyles, industrialization of societies, growth of work hours, and poor physical condition during labor, has increased prevalence of musculoskeletal disorders. Meanwhile, firefighters are exposed to more musculoskeletal pain due to their work conditions, especially pain in spine, neck and shoulders. On the other hand, improper working hours and shift work make firefighters exposed to a variety of sleep cycle disorders and insomnia. Research on prevalence of factors such as musculoskeletal pain will help to prevent them, improve the wrong ergonomic positions, and explore one of the possible causes of insomnia. This project was conducted to determine the prevalence of occupational musculoskeletal disorders in firefighters and their association with insomnia as one of the possible causes of insomnia in this high-risk job. Method: Information gathering has been done by Nordic questionnaire which has been designed for studying pain in work environments. The firefighters were asked about the pain in common points of body map during the last 12 months. Furthermore, the Saint Petersburg Sleep Quality questionnaire was divided between 118 firefighters and the firefighters' insomnia status was evaluated by this questionnaire over the last 12 months. Results: 64 of the participants (54.2%) felt pain in at least one of the areas related to musculoskeletal disorders during the last 12 months. Back pain and low back pain were the most common complaints with a prevalence of 20.5%. Then, there were knee pain, shoulder pain and neck pain with 9%, 8.5%, and 5.9%, respectively. 52% of the firefighters had difficulty falling asleep, then 45% had difficulty in maintaining sleep, and finally 31.7% had difficulty in waking up early. The percentages listed above, were variable from low to very severe. No meaningful association were observed between the age and insomnia, and also between the firefighters' age and musculoskeletal disorders p-value=0.326, 0.59. Moreover, there were no significant association between body mass index with insomnia and musculoskeletal pain p-value=0.612, 0.411. Conclusion: According to the higher insomnia scores in patients with musculoskeletal pain and this meaningful association with P-value less than 0.006, also with the meaningful association between insomnia and back pain with p-value less than 0.001 and no meaningful association between pain in other body regions with insomnia, this project proposes the association between back pain and insomnia. Keywords: firefighter, back pain, ergonomics, insomnia, musculoskeletal disorder, prevalence

Item Type: Thesis (Other)
Subjects: R Medicine > R Medicine (General)
Divisions: University Thesis > Faculty of Medicine
Depositing User: Medicine School Students
Date Deposited: 20 Dec 2015 04:16
Last Modified: 20 Dec 2015 04:16
URI: http://eprints.qums.ac.ir/id/eprint/3180

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