Musculoskeletal disease in Nepal: A countrywide cross-sectional survey on burden and surgical access

Chawla, Sumit; Khanal, Subrat; Ghimire, Pranita; Nagarajan, Neeraja; Gupta, Shailvi; Varadaraj, Varshini; Nwomeh, Benedict C.; Kushner, Adam L.

doi:10.1016/j.ijsu.2016.08.522

Cited by 16 publications

(18 citation statements)

References 23 publications

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“…Subsequently, the 2010 Global Burden of Disease studies found that non-traumatic musculoskeletal disease is estimated to account for 6.8% of all disability adjusted life years (DALYs) lost with another 11% of DALYs coming from traumatic injuries [2]. A prior study has documented that a large burden of disease in low and middle-income countries (LMICs) is due to musculoskeletal disorders (14.8%) with up to 60% of the need for care being unmet [3]. The specific musculoskeletal conditions that comprise this large burden of musculoskeletal disease are not known and may differ markedly across countries and regions.…”

Section: Introductionmentioning

confidence: 99%

Paediatric musculoskeletal disease in Kumi District, Uganda: a cross-sectional survey

Alves

Penny

Kobusingye

et al. 2018

International Orthopaedics (SICOT)

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While population-based estimates of disease burden and resource utilization are needed, this data offers insight into burden of musculoskeletal disease for this region of Sub-Saharan Africa. We estimate that 50% of the surgical conditions could be prevented with policy changes and education regarding injection practices and early care for traumatic injuries, clubfeet, and infection. This study highlights a need to increase capacity to care for specific musculoskeletal conditions, including gluteal fibrosis, post-injection paralysis, infection, and trauma in the paediatric population of Uganda.

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Section: Introductionmentioning

confidence: 99%

Paediatric musculoskeletal disease in Kumi District, Uganda: a cross-sectional survey

Alves

Penny

Kobusingye

et al. 2018

International Orthopaedics (SICOT)

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“…Musculoskeletal pain is one of the common complaints in Nepalese people [17], maybe because of its hilly landscapes, culture, and lifestyle. Rheumatology is still a developing subject in Nepal with very few people being aware of rheumatic diseases and their treatment modalities.…”

Section: Discussionmentioning

confidence: 99%

A Qualitative Study of Patients’ Beliefs and Perception on Medicinal Properties of Natural Hot Spring Bath for Musculoskeletal Problems

Vaidya¹,

Nakarmi²

2020

Journal of Environmental and Public Health

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Natural therapy modalities such as thermal therapy and balneotherapy are commonly being practiced for the management of chronic aches and pain all over the world. Nepal has many such natural hot water springs among which few are famous for therapeutic purposes. Thousands of people with some musculoskeletal problem visit those places in the hope of getting rid of their problems. This study aimed to understand their belief in such therapies, expectations, and satisfaction after treatment along with their knowledge of the safety of hot spring water bath. Among 126 participants interviewed, 31% had inflammatory arthritis, followed by degenerative disorders in 29.4% and soft-tissue rheumatism in 12.7%. Around three-quarters believed that hot spring water has natural healing power and thus can improve their pain. Many even believed that water in natural springs is devoid of any chemicals. So, it is a safe treatment option. Regarding the expectation of cure, they had mixed opinions. Naïve participants hoped they might find a permanent cure in thermal baths. However, repeated visitors said that the effect usually lasted for a few months and they have to visit there regularly. Almost two-thirds of people thought that such natural treatment does not have any side effects. Few stated that they had faced certain problems after the treatment. The water tested from the study site showed that it contained a higher amount of chlorine and sulfate in comparison to other hot water springs in Nepal. The minerals present in water might be a cause of temporary relief of pain. Also, outbreaks of infection from common spring baths have to be considered as such cases have been reported in the past. In conclusion, the medicinal benefits of such natural hot water springs have to be studied further and awareness regarding safety should be given to the people seeking treatment.

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“…In the context of Nepal, not much has been done to estimate the prevalence of this disease or its burden. According to a survey, the prevalence of self‐reported musculoskeletal disorders in the country was 14.8% . The prevalence was slightly high (24.3%) in a study conducted in a village development committee of Ilam, a district of Nepal .…”

Section: Introductionmentioning

confidence: 99%

“…According to a survey, the prevalence of self-reported musculoskeletal disorders in the country was 14.8%. 7 The prevalence was slightly high (24.3%) in a study conducted in a village development committee of Ilam, a district of Nepal. 8 Although the disease prevalence seems to be high in this country, there are no indices translated in the local language.…”

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confidence: 95%

Translation, validation and cross‐cultural adaptation of the Nepali version of WOMAC^® LK 3.1

Nakarmi¹,

Haq

Vaidya³

2019

Int J of Rheum Dis

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Background Among many self‐reported outcome measures, Western Ontario and McMaster Universities Arthritis Index (WOMAC) is one of the commonly used indexes for osteoarthritis patients. Despite high prevalence of musculoskeletal problems in Nepal, there is no validated tool available in the local language. Thus, this study aimed to translate the English WOMAC® into Nepali, and validate it for use in the future. Methods Guidelines by Beaton et al were followed for translation and cross‐cultural adaptation of the original WOMAC into Nepali language. Diagnosed cases of knee osteoarthritis (OA) attending the rheumatology outpatient department of National Center for Rheumatic Diseases, Kathmandu were enrolled in the study. These patients were interviewed with the Nepali version. Internal consistency was measured by Cronbach's alpha and test‐retest reliability by intra‐class correlation coefficient (ICC). Correlation between domains of WOMAC was tested with visual analog scale (VAS) and numerical rating scale (NRS) of pain and stiffness. Results The test‐retest reliability was good with ICC of >0.75 for all domains and items. Internal consistency was acceptable with Cronbach's alpha scores of 0.852, 0.704 and 0.955 for pain, stiffness and physical function domains, respectively. Strong correlation was observed between WOMAC stiffness domain and VAS for stiffness and NRS for stiffness with rho (ρ) values of 0.750 and 0.759, respectively. Moderate correlation was seen between WOMAC pain and VAS for pain and NRS for pain with ρ of 0.658 and 0.584, respectively. Conclusions Nepali WOMAC is a reliable and valid instrument for assessment of disease severity and its impact in Nepali‐speaking patients with OA.

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Musculoskeletal disease in Nepal: A countrywide cross-sectional survey on burden and surgical access

Cited by 16 publications

References 23 publications

Paediatric musculoskeletal disease in Kumi District, Uganda: a cross-sectional survey

Paediatric musculoskeletal disease in Kumi District, Uganda: a cross-sectional survey

A Qualitative Study of Patients’ Beliefs and Perception on Medicinal Properties of Natural Hot Spring Bath for Musculoskeletal Problems

Translation, validation and cross‐cultural adaptation of the Nepali version of WOMAC^® LK 3.1

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Musculoskeletal disease in Nepal: A countrywide cross-sectional survey on burden and surgical access

Cited by 16 publications

References 23 publications

Paediatric musculoskeletal disease in Kumi District, Uganda: a cross-sectional survey

Paediatric musculoskeletal disease in Kumi District, Uganda: a cross-sectional survey

A Qualitative Study of Patients’ Beliefs and Perception on Medicinal Properties of Natural Hot Spring Bath for Musculoskeletal Problems

Translation, validation and cross‐cultural adaptation of the Nepali version of WOMAC® LK 3.1

Contact Info

Product

Resources

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Translation, validation and cross‐cultural adaptation of the Nepali version of WOMAC^® LK 3.1