[Manual handling, suitability for work and musculoskeletal disorders in healthcare workers at Sondrio Hospital]
Abstract
Musculo-skeletal disorders (MSD) are a large group of locomotor system pathologies with multifactorial etiology. Healthcare professionals are often exposed to biomechanical overload of the spine and upper limb, for example during patient handling, and represent a working population at risk. In order to acquire further knowledge on this subject, we conducted a cross-sectional study (year 2016) among healthcare workers (excluding physicians) of the Sondrio Hospital (Italy), investigating the correlations between manual handling, MDS and job fitness. The sample examined included 667 subjects (74 males and 593 females, mean age: 50 years): 557 (83.5%) certified fully "fit for the job", 109 (16.3%) "partially fit" (with limitations and/or prescriptions), and one "not fit" female worker. Eighty-seven of the 109 partial fitnesses (79.8%) were related to manual handling. In turn, 76 of the 87 limitations/ prescriptions for manual handling (87.4%) were due to the presence of musculo-skeletal disorders (accompanied by instrumental diagnosis, and often associated with each other), especially of the lumbo-sacral tract, to a lesser extent of the cervical spine, shoulder or other body districts. Associations between partial job fitness and worker operative units have not been observed.
The data indicate that, among healthcare workers, the biomechanical overload of the limbs and the spine, and the related MSD, are the health problems that most often come to the attention of the occupational physician, posing delicate problems for the "fitness to job" certification. The observed lack of correlation with the operative unit is an expression of the tendency to relocate staff with MSD in tasks at lower biomechanical risk.
References
- 1) Violante FS, Zanardi F, Bonfiglioli R. Malattie muscolo-scheletriche. Generalità. In Alessio L, Franco G, Tomei F. Trattato di Medicina del Lavoro. Piccin, Padova, 2015: 1615-1627.
- 2) Buckle P. Ergonomics and musculoskeletal disorders: overview. Occup Med 2005; 55(3): 164-167. DOI: https://doi.org/10.1093/occmed/kqi081
- 3) Tonini S, Costa MC, Bandirali M, Scafa F, Panigazzi M, Stancanelli M, Bazzini G, Candura SM. I disordini muscolo-scheletrici nella pratica ambulatoriale di medicina del lavoro. G Ital Med Lav Erg 2009; 31(3, suppl. 2): 418-419.
- 4) Bonfiglioli R, Zanardi, Violante FS. Rischi in sanità. Fattori biomeccanici. In: Alessio L, Franco G, Tomei F. Trattato di Medicina del Lavoro. Piccin, Padova, 2015: 1891-1897.
- 5) Lorusso A, Bruno S, L' Abbate N. A review of low back pain and musculoskeletal disorders among Italian nursing personnel. Ind Health 2007; 45(5): 637-644. DOI: https://doi.org/10.2486/indhealth.45.637
- 6) Davis KG, Kotowski SE. Prevalence of musculoskeletal disorders for nurses in hospitals, long-term care facilities, and home health care: a comprehensive review. Hum Factors 2015; 57(5): 754-792. 7) Riccò M, Pezzetti F, Signorelli C. Back and neck pain disability and upper limb symptoms of home healthcare workers: a case-control study from northern Italy. Int J Occup Med Environ Health 2017; 30(2): 291-304.
- 8) Simon M, Tackenberg P, Nienhaus A, Estryn-Behar M, Conway PM, Hasselhorn HM. Back or neck-pain-related disability of nursing staff in hospitals, nursing homes and home care in seven countries - Results from the European NEXT-Study. Int J Nurs Stud 2008; 45(1): 24-34. DOI: https://doi.org/10.1016/j.ijnurstu.2006.11.003
- 9) Battevi N, Menoni O, Ricci MG, Cairoli S. MAPO index for risk assessment of patient manual handling in hospital wards: a validation study. Ergonomics 2006; 49(7): 671-687. DOI: https://doi.org/10.1080/00140130600581041
- 10) Holtermann A, Clausen T, Jorgensen MB, Burdorf A, Andersen LL. Patient handling and risk for developing persistent low-back pain among female healthcare workers. Scand J Work Environ Health 2013; 39(2): 164-169. DOI: https://doi.org/10.5271/sjweh.3329
- 11) Moreira RF, Sato TO, Foltran FA, Silva LC, Coury HJ. Prevalence of musculoskeletal symptoms in hospital nurse technicians and licensed practical nurses: associations with demographic factors. Braz J Phys Ther 2014;18(4): 323-333. DOI: https://doi.org/10.1590/bjpt-rbf.2014.0026
- 12) Highnett S. Intervention strategies to reduce musculoskeletal injuries associated with handling patients: a systematic review. Occup Environ Med 2003; 60: e6. DOI: https://doi.org/10.1136/oem.60.9.e6
- 13) Candura SM, Frascaroli M, Scafa F. Il reinserimento lavorativo dopo malattia o infortunio. In: Argentero P, Fiabane E. (curatori) Il rientro al lavoro. Raffaello Cortina Editore, Milano, 2016: 297-312.
- 14) Petracca M, Bongiorni M, Bertoletti R, Villa L, Candura SM. Movimentazione manuale e disturbi muscoloscheletrici negli operatori sanitari dell'Ospedale di Sondrio. G Ital Med Lav Erg 2017; 39(3, suppl): 132.
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