Musculoskeletal disorders – disease burden and challenges in the developing world

Gcelu, Ayanda; Kalla, Asgar Ali

doi:10.7196/samj.2015.v105i12.10260

Cited by 7 publications

(18 citation statements)

References 10 publications

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“…This is potentially due to poor manual handling techniques caused by limited access to automated production systems, lack of strong policies such as the ‘no lifting policy’, lack of CLBP disability awareness, delayed detection of mild disease due to the general poor health seeking behavior, lack of qualified personnel who are trained to diagnose and treat chronic MSKD in KwaZulu-Natal. This concurs with what was observed by Gcelu et al, who reported that, in order to improve outcomes of MSKD in South Africa, there is need to allocate more resources for the training of personnel qualified to diagnose and treat these MSKD [ 13 ]. Gcelu et al also reported that, “medical schools have to introduce students to the diagnosis and treatment of MSKD disorders early, general physicians and other specialists need to have greater exposure to these conditions and primary care workers should be trained to manage these MSKD disorders” [ 13 ].…”

Section: Discussionsupporting

confidence: 90%

“…In South Africa (SA), the 5-year survival rate due to MSKD was shown to be between 57 and 72% (1986—2003) in a case series of 226 patients [ 11 ]. Evidence has shown that MSKD are the major causes of global disability and chronic-ill-health and further indicates a wide gap between HICs and LMICs, with osteoarthritis and CLBP remaining the largest contributors [ 12 , 13 ]. The prevalence of CLBP in SA has been reported in Cape Town and KwaZulu-Natal and was estimated to be 26.3% and 18.1%, respectively [ 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

“…With the advent of the 4 th industrial revolution, recent technological advances in medical diagnostics have contributed significantly to elaborate the pathogenic mechanisms of chronic pain progression. This has led to early detection of mild disease and the inventions of new therapies which have resulted in improved outcomes in HICs [ 13 ]. However, despite these advances in medical technology and the observed improved outcomes, MSKD still rank the highest in prevalence and cause of chronic-ill-health and disability globally [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

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A cross-sectional hospital-based study of correlates of disability in patients with chronic low back pain in KwaZulu-Natal, South Africa

Kahere

Ginindza

2022

BMC Musculoskelet Disord

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Background Chronic low back pain (CLBP) is the leading cause of disability globally and is a major concern in public health. However, there is limited evidence on the prevalence and correlates of disability among adults in Sub-Saharan Africa. Thus, this study aimed at determining factors influencing disability among adult patients with CLBP in KwaZulu-Natal. Methods This analytical cross-sectional hospital-based study was conducted among adult CLBP patients in KwaZulu-Natal, South Africa. Data on disability, fear avoidance beliefs and illness behavior were gathered from 554 adult participants using self-administered questionnaires. Multiple linear regression analysis was conducted to determine factors associated with disability. Statistical significance was set at p < 0.05. Results Based on the multivariable linear regression, being a female (β = 0.343, p < 0.001) and fear avoidance beliefs about work (β = 0.221, p = 0.044) were significantly associated with greater disability, while, smoking 1 to 10 cigarettes per day (β = -0.106, p = 0.011) and higher illness behaviour scores (β = -0.165, p = 0.024) were significantly associated with less disability The model accounted for 20% of the total variance in Oswestry disability scores. Conclusion This study has concluded that disability in CLBP is predicted by multiple of factors, with psychosocial factors (fear avoidance beliefs and heavy cigarette smoking) playing a significant role. Manual work was also identified as a significant predictor of CLBP disability. Therefore, guidelines should emphasize on early identification of these yellow flags in primary care.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A cross-sectional hospital-based study of correlates of disability in patients with chronic low back pain in KwaZulu-Natal, South Africa

Kahere

Ginindza

2022

BMC Musculoskelet Disord

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“…In South Africa, as a low to middle income country, access to tertiary healthcare is limited and management of and rehabilitation of MSD-related disabilities at primary healthcare facilities need to be addressed (Parker & Jelsma 2010). A lack of resources across communities in South Africa and the low medical practitioner to patient ratio, which is 0.8 for every 1000 patients, have huge financial and health consequences (Gcelu & Kalla 2015;Jobson 2015). Therefore, the patients living with MSD should appropriately and timeously be referred to a physiotherapist.…”

Section: Discussionmentioning

confidence: 99%

“…Medical practitioners' management and referral decisions might also be influenced by the circumstances under which they practice (Freburger et al 2005). Therefore, South African MSD patients' access and referral to physiotherapy are largely affected by the scarcity of resources and the low medical practitioner-to-patient ratio in low socioeconomic communities (Gcelu & Kalla 2015).…”

Section: Introductionmentioning

confidence: 99%

Referral practices of medical practitioners in central South Africa to physiotherapy services for patients living with musculoskeletal conditions

Barnes

Rensburg²,

Raubenheimer³

2021

South African Journal of Physiotherapy

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Background: Musculoskeletal diseases (MSDs) are a major cause of disability worldwide. It is essential to address effective MSD management, including appropriate referrals to physiotherapists and other healthcare professionals. Limited information is available regarding the referral practices of medical practitioners for patients with MSD. The doctors’ referral practices to physiotherapists can impact the patient population and the South African health system.Objectives: To investigate or understand the referral practices of medical practitioners in Bloemfontein, South Africa, to physiotherapy services, for individuals living with MSD.Method: A quantitative study approach, implementing a semi-structured questionnaire, was used. Forty-nine participants completed the questionnaire.Results: The referral of patients with MSDs by medical practitioners to physiotherapy services varied and multidimensional factors influenced their referral practices. Medical practitioners were unsure of the specific role played by physiotherapists in the management of individuals living with MSD. A need for improved relationships and communication between medical practitioners and physiotherapists was identified.Conclusions: Medical practitioners regularly referred individuals living with MSD to physiotherapists, but referral practices should be optimised in terms of evidence-based practice and the use of specialised physiotherapy services. In an attempt to decrease the burden of MSD, adequate awareness should be created for improved referral practices between medical practitioners and physiotherapists.Clinical implications: Collaborative development of detailed guidelines for apt, evidence-based referrals should be developed, to ensure early detection and management of individuals living with MSD. Health care professionals should be educated and encouraged to refer individuals living with MSD to physiotherapists for appropriate management with clinical benefits including improvement of HRQOL and cost effectiveness of this management not only to the individual but also to the health system in South Africa. Physiotherapists should try to communicate their role in the treatment of individuals living with MSD to medical practitioners for the benefit of the patient.

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South African Chiropractic Students’ Intentions, Motivations, and Considerations for Emigration: A Cross-Sectional Study

Ismail,

Coetzee

2024

Journal of Chiropractic Humanities

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Musculoskeletal disorders – disease burden and challenges in the developing world

Cited by 7 publications

References 10 publications

A cross-sectional hospital-based study of correlates of disability in patients with chronic low back pain in KwaZulu-Natal, South Africa

A cross-sectional hospital-based study of correlates of disability in patients with chronic low back pain in KwaZulu-Natal, South Africa

Referral practices of medical practitioners in central South Africa to physiotherapy services for patients living with musculoskeletal conditions

South African Chiropractic Students’ Intentions, Motivations, and Considerations for Emigration: A Cross-Sectional Study

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