Musculoskeletal disorders (MSDs) refers to an amalgam of inflammatory and degenerative conditions which affects muscles, tendons, ligaments, joints, peripheral nerves, and supporting blood vessels presenting with ache, pain, numbness or discomfort. 1-2 According to European Agency for Safety and Health at Work, workrelated musculoskeletal disorders are impairments of bodily structures such as muscles, joints, tendons, ligaments, nerves, bones and localized blood circulation system, that are caused or aggravated primarily by work and by the effects of the immediate environment in which work is performed. 3 Musculoskeletal disorders affect all persons irrespective of age and sex, and are mostly ABSTRACT Background: Musculoskeletal disorders (MSDs) are among the most common health problems encountered in the workplace around the globe leading to disabling conditions there by reducing human performance and subsequently quality of life. The aim of this study was to determine the prevalence of MSDs and associated disabilities and also to identify the risk factors responsible for their occurrence among bank workers in Kancheepuram district, Tamil Nadu, India. Methods: Annual prevalence of MSD was determined through a cross sectional survey from a sample of 300 bank workers. A pre-validated questionnaire adopted from modified Nordic musculoskeletal questionnaire and 12 Item General Health Questionnaire was used to obtain information about participant's demographic characteristics, job characteristics, psychosocial stress, musculoskeletal impairments and the resulting disability in different body regions. Data was obtained from the participant's at their respective working places in Kancheepuram for a period of 1 month. Results: Annual prevalence of 33.8% was observed for the MSD, with a disability rate of 8.5%.The body region mostly affected was the lower back (51.8%) followed by the neck (48.2%), shoulder (40.2%) and upper back (39.6%). In terms of disability, the same pattern was noted with rates for the lower back, neck, shoulder and upper back being 18.9%, 13.4%, 11.6% and 9.1% respectively. The risk factors identified as being responsible for MSD were job tenure, psychosocial stress, and female sex while those responsible for the disabilities were job tenure and psychosocial stress. Conclusion: Low prevalence of MSDs and associated disabilities was observed.
Introduction Measuring health-related quality of life (HRQOL) in patients with chronic low back pain (LBP) is crucial to monitor and improve the patients' health status through effective rehabilitation. While the 12-item short-form health survey (SF-12) was developed as a shorter alternative to the 36-item short-form health survey for assessing HRQOL in large-scale studies, to date, no cross-culturally adapted and validated Hausa version exists. This study aimed to translate and cross-culturally adapt the SF-12 into Hausa language, and test its psychometric properties in mixed urban and rural Nigerian populations with chronic LBP. Methods The Hausa version of the SF-12 was developed following the guidelines of the International Quality of Life Assessment project. Fifteen patients with chronic LBP recruited from urban and rural communities of Nigeria pre-tested the Hausa SF-12. A consecutive sample of 200 patients with chronic LBP recruited from urban and rural clinics of Nigeria completed the instrument, among which 100 respondents re-tested the instrument after two weeks. Factorial structure and invariance were assessed using confirmatory factor analysis (CFA) and multi-group CFA respectively. Multi-trait scaling analysis (for convergent and divergent validity) and known-groups validity were performed to assess construct validity. Composite reliability (CR), internal consistency (Cronbach's α), intraclass correlation coefficients (ICC), and Bland-Altman plots were computed to assess reliability.
Inclusion goes beyond teachers and requires strong commitment of other stakeholders such as families and governments. To guarantee the smooth inclusion of children with special education needs and particularly with intellectual and developmental disabilities, a set of practices validated through rigorous research as supportive and unique and that can be universal to Africa is wise. Implications for rehabilitation A number of strategies were identified that can improve the classroom inclusion of children with intellectual and developmental disabilities. Development of policies that support such strategies could improve implementation. Inclusion goes beyond teachers. Rehabilitation professionals (i.e. occupational therapists) and educational professionals should partner to identify practical solutions to the challenges of creating inclusive environments for children with special education needs. Committing more resources and time towards the development and implementation of special education policies can advance the successful inclusion of children with special education needs.
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