Musculoskeletal Disorders in the Workplace of Physiotherapists: Occupational Risk Factors and Their Role in Prevention and Management: A Systematic Review

Authors

DOI:

https://doi.org/10.3889/oamjms.2024.11900

Keywords:

Musculoskeletal disorders at work, occupational risk factors, physiotherapists

Abstract

BACKGROUND: Since musculoskeletal disorders at work (MSDW) are very common among physiotherapists, we must introduce strategies that could help reduce their prevalence. The main objective of this study was to determine the prevalence of MSDW among physiotherapists, which parts of the body are most often affected, what are the ergonomic risk factors for MSDW among physiotherapists and what are strategies to reduce them.

METHODS: In the systematic literature review, involving a total of 2127 physiotherapists, search terms such as occupational musculoskeletal disorders, physiotherapists, and occupational risk factors were used in the SCOPUS (n = 24), MEDLINE (n = 2), ScienceDirect (n = 103), PEDro (n = 0), Cumulative index of the nursing and allied health literature (n = 3), and PubMed (n = 30) databases in February 2024. The search included only original studies published in English, cross-sectional studies published in thepast 10 years, studies that included the prevalence of MSDW, and studies that included risk factors for MSDW. In the end, we included eight studies in the systematic review.

RESULTS: A systematic review of eight studies highlighted the prevalence and risk factors associated with MSDW among physiotherapists. The studies were conducted on samples ranging in size from 75 to 501 individuals and focused on determining the prevalence of MSDW and identifying the associated risk factors. The prevalence rates differ, with the lower back region being the most affected region in all studies (38–68.8%), followed by the neck (10–59.2%) and the shoulder girdle (7–51.7%). Risk factors included back strain, awkward posture, prolonged posture, frequent bending/turning of the trunk, performing manual therapy techniques, patient lifting, repetitive tasks, work environment, and psychosocial issues. Reported coping strategies included changing one’s working posture, improving one’s body mechanics, and taking more breaks during the workday.

CONCLUSION: Our systematic review of the literature revealed a high prevalence of MSDW among physical therapists (up to 92%) and highlighted the urgent need for strategies to mitigate this widespread problem. These findings highlight the multifaceted nature of the etiology of MSDW and point to the interplay of physical demands, ergonomic challenges, and psychological stressors that characterize the profession of a physical therapist.

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References

World Health Organization. Protecting Workers’ Health Series No. 5. Preventing Musculoskeletal Disorders in the Workplace. Geneva: World Health Organization; 2023. Available from: https://iris.who.int/bitstream/handle/10665/42651/924159053X.pdf?sequence=1 [Last accessed on 2024 Jan 14].

Mokhasi VR. Fore-warned is fore-armed: Effect of musculoskeletal disorders on sickness absenteeism. Cureus. 2022;14(10):e30481. https://doi.org/10.7759/cureus.30481 PMid:36415371 DOI: https://doi.org/10.7759/cureus.30481

Razširjen Strokovni Kolegij za Fizioterapijo. Opis Poklica Fizioterapevt. Fizioterapija. Vol. 21; 2013. Available from: https://physio.si/ wp-content/uploads/2021/07/9.-opis-poklica-fizioterapevt_2013_ No1_p64-74.pdf [Last accessed on 2024 Jan 14].

Adje M, Odebiyi DO, Okafor UA, Kalu ME. Ergonomic principles in patient handling: Knowledge and practice of physiotherapists in Nigeria. Work. 2019;64(4):825-32. https://doi.org/10.3233/WOR-193044 PMid:31815722 DOI: https://doi.org/10.3233/WOR-193044

Chen CY, Lu SR, Yang SY, Liang FW, Wang JJ, Ho CH, et al. Work-related musculoskeletal disorders among physical therapists in Taiwan. Medicine (Baltimore). 2022;101(7):e28885. https://doi.org/10.1097/MD.0000000000028885 PMid:35363204 DOI: https://doi.org/10.1097/MD.0000000000028885

Jacquier-Bret J, Gorce P. Prevalence of body area work-related musculoskeletal disorders among healthcare professionals: A systematic review. Int J Environ Res Public Health. 2023;20(1):841. https://doi.org/10.3390/ijerph20010841 PMid:36613163 DOI: https://doi.org/10.3390/ijerph20010841

Milhem M, Kalichman L, Ezra D, Alperovitch-Najenson D. Work-related musculoskeletal disorders among physical therapists: A comprehensive narrative review. Int J Occup Med Environ Health. 2016;29(5):735-47. https://doi.org/10.13075/ijomeh.1896.00620 PMid:27518884 DOI: https://doi.org/10.13075/ijomeh.1896.00620

Vieira ER, Svoboda S, Belniak A, Brunt D, Rose-St Prix C, Roberts L, et al. Work-related musculoskeletal disorders among physical therapists: An online survey. Disabil Rehabil. 2016;38(6):552-7. https://doi.org/10.3109/09638288.2015.1049375 PMid:26007284 DOI: https://doi.org/10.3109/09638288.2015.1049375

Gorce P, Jacquier-Bret J. A systematic review of work related musculoskeletal disorders among physical therapists and physiotherapists. J Bodywork Mov Ther. 2024;38:350-67. https://doi.org/10.1016/j.jbmt.2024.01.025 DOI: https://doi.org/10.1016/j.jbmt.2024.01.025

Jenkins H, Myezwa H. Work-related thumb disorders in South African physiotherapists treating musculoskeletal conditions using manual therapy techniques. S Afr J Physiother. 2015;71(1):249. https://doi.org/10.4102/sajp.v71i1.249 PMid:30135877 DOI: https://doi.org/10.4102/sajp.v71i1.249

Rossettini G, Rondoni A, Schiavetti I, Tezza S, Testa M. Prevalence and risk factors of thumb pain in Italian manual therapists: An observational cross-sectional study. Work. 2016;54(1):159-69. https://doi.org/10.3233/WOR-162289 PMid:27061697 DOI: https://doi.org/10.3233/WOR-162289

Mahajan R, Sinhg M, Fahim T, Singh AK. Thumb pain in physiotherapists practicing manual therapy: Prevalence and consequences. Int J Health Sci Res. 2020;10(6):194-200. DOI: https://doi.org/10.2139/ssrn.3587721

Škrečková G, Nechvátal P, Kozel M, Macej M. Prevalence of work-related musculoskeletal hand and wrist disorders in physiotherapists. Cent Eur J Public Health. 2023;31(3):178-83. https//doi.org/10.21101/cejph.a7767 DOI: https://doi.org/10.21101/cejph.a7767

Greiner BA, Nolan S, Hogan DA. Work-related upper limb symptoms in hand-intensive health care occupations: A cross- sectional study with a health and safety perspective. Phys Ther. 2019;99(1):62-73. https://doi.org/10.1093/ptj/pzy124 PMid:30329118 DOI: https://doi.org/10.1093/ptj/pzy124

Waller E, Bowens A, Washmuth N. Prevalence of and prevention for work-related upper limb disorders among physical therapists: A systematic review. BMC Musculoskelet Disord. 2022;23(1):453. https://doi.org/10.1186/s12891-022-05412-8 PMid:35568833 DOI: https://doi.org/10.1186/s12891-022-05412-8

Glowinski S, Bryndal A, Grochulska A. Prevalence and risk of spinal pain among physiotherapists in Poland. PeerJ. 2021;9:e11715. https://doi.org/10.7717/peerj.11715 PMid:34277152 DOI: https://doi.org/10.7717/peerj.11715

Hogan DA, O‘Sullivan LW, Nolan S, Greiner BA. Are Irish therapists at heightened risk for low back pain? Occup Med (Lond). 2016;66(5):351-7. https://doi.org/10.1093/occmed/kqw020 PMid:26968686 DOI: https://doi.org/10.1093/occmed/kqw020

Pellissier B, Sarhan FR, Telliez F. Work-related, non-specific low back pain among physiotherapists in France: Prevalence and biomechanical and psychosocial risk factors, as a function of practice pattern. Int J Environ Res Public Health. 2023;20(5):4343. https://doi.org/10.3390/ijerph20054343 PMid:36901352 DOI: https://doi.org/10.3390/ijerph20054343

Alghadir A, Zafar H, Iqbal ZA, Al-Eisa E. Work-related low back pain among physical therapists in Riyadh, Saudi Arabia. Workplace Health Saf. 2017;65(8):337-45. https://doi. org/10.1177/2165079916670167 PMid:28121518 DOI: https://doi.org/10.1177/2165079916670167

Balakrishnan R, Naib NA. Prevalence of work related musculoskeletal disorders among Physiotherapists in Sabah: A cross-sectional study. Int J Physical Educ Sports Health. 2016;3(1):336-43.

Muaidi QI, Shanb AA. Prevalence causes and impact of work related musculoskeletal disorders among physical therapists. J Back Musculoskelet Rehabil. 2016;29(4):763-769. https://doi.org/10.3233/BMR-160687 PMid:27002660 DOI: https://doi.org/10.3233/BMR-160687

Kinaci E, Safinaz A. Work related musculoskeletal disorders among the physiotherapists: Sample of a Region in Turkey. Turk Klin J Health Sci. 2020;5(3):495-502. https://doi.org/10.5336/healthsci.2019-71762 DOI: https://doi.org/10.5336/healthsci.2019-71762

Abu-Taleb W, Youssef AR. Work-related musculoskeletal disorders among Egyptian physical therapists. Bull Fac Phys Ther. 2021;26(1):7. https://doi.org/10.1186/s43161-021-00025-z DOI: https://doi.org/10.1186/s43161-021-00025-z

Yasobant S, Rajkumar P. Work-related musculoskeletal disorders among health care professionals: A cross-sectional assessment of risk factors in a tertiary hospital, India. Indian J Occup Environ Med. 2014;18(2):75-81. https://doi.org/10.4103/0019-5278.146896 PMid:25568602 DOI: https://doi.org/10.4103/0019-5278.146896

Cornwell L, Doyle H, Stohner M, Hazle C. Work-related musculoskeletal disorders in physical therapists attributable to manual therapy. J Man Manip Ther. 2021;29(2):92-8. https://doi.org/10.1080/10669817.2020.1793470 PMid:32697156 DOI: https://doi.org/10.1080/10669817.2020.1793470

Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JP, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: Explanation and elaboration. Ann Intern Med. 2009;151(4):W65-94. https://doi.org/10.1136/bmj.b2700 PMid:19622552 DOI: https://doi.org/10.7326/0003-4819-151-4-200908180-00136

Iqbal Z, Alghadir A. Prevalence of work-related musculoskeletal disorders among physical therapists. Med Pr. 2015;66(4):459- 69. https://doi.org/10.13075/mp.5893.00142 PMid:26536963 DOI: https://doi.org/10.13075/mp.5893.00142

Anyfantis ID, Biska A. Musculoskeletal disorders among Greek physiotherapists: Traditional and emerging risk factors. Saf Health Work. 2018;9(3):314-8. https://doi.org/10.1016/j.shaw.2017.09.003 PMid:30370163 DOI: https://doi.org/10.1016/j.shaw.2017.09.003

Khairy WA, Bekhet AH, Sayed B, Elmetwally SE, Elsayed AM, Jahan AM. Prevalence, profile, and response to work-related musculoskeletal disorders among Egyptian physiotherapists. Open Access Maced J Med Sci. 2019;7(10):1692-9. https://doi.org/10.3889/oamjms.2019.335 PMid:31210825 DOI: https://doi.org/10.3889/oamjms.2019.335

Alnaser MZ, Aljadi SH. Physical therapists with work-related musculoskeletal disorders in the State of Kuwait: A comparison across countries and health care professions. Work. 2019;63(2):261-8. https://doi.org/10.3233/WOR-192927 PMid:31156207 DOI: https://doi.org/10.3233/WOR-192927

Ameer MA, Ashour AA. Practising physical therapy affects professionals in Egypt. Physiother Q. 2020;28(4):42-7. https://doi.org/10.5114/pq.2020.96235 DOI: https://doi.org/10.5114/pq.2020.96235

Kakaraparthi VN, Vishwanathan K, Gadhavi B, Reddy RS, Samuel PS, Alshahrani MS, et al. The prevalence, characteristics, and impact of work-related musculoskeletal disorders among physical therapists in the Kingdom of Saudi Arabia-a cross-sectional study. Med Pr. 2021;72(4):363-73. https://doi.org/10.13075/mp.5893.01114 PMid:34467955 DOI: https://doi.org/10.13075/mp.5893.01114

Yi YZ, Pillai SG, Ramalingam V, Hui OJ. Prevalence of work related musculoskeletal disorders (WRMSD) and the associated risk factors among Malaysian physiotherapists: A cross sectional study. J Phys Educ Sport. 2022;22(334):2636-41. https://doi.org/10.7752/jpes.2022.11334 DOI: https://doi.org/10.7752/jpes.2022.11334

Le TT, Jalayondeja W, Mekhora K, Bhuuanantanondh P, Jalayondeja C. Prevalence and risk factors of work-related musculoskeletal disorders among physical therapists in Ho Chi Minh City, Vietnam. BMC Public Health. 2024;24(1):6. https://doi.org/10.1186/s12889-023-17527-1 PMid:38166897 DOI: https://doi.org/10.1186/s12889-023-17527-1

Fullen BM, Wittink H, De Groef A, Hoegh M, McVeigh JG, Martin D, et al. Musculoskeletal pain: Current and future directions of physical therapy practice. Arch Rehabil Res Clin Transl. 2023;5(1):100258. https://doi.org/10.1016/j.arrct.2023.100258 PMid:36968175 DOI: https://doi.org/10.1016/j.arrct.2023.100258

Meh J, Bizovičar N, Kos N, Jakovljević M. Work-related musculoskeletal disorders among Slovenian physiotherapists. J Health Sci. 2020;10(2):115-24. https://doi.org/10.17532/jhsci.2020.880 DOI: https://doi.org/10.17532/jhsci.2020.880

Fan LJ, Liu S, Jin T, Gan JG, Wang FY, Wang HT, et al. Ergonomic risk factors and work-related musculoskeletal disorders in clinical physiotherapy. Front Public Health. 2022;10:1083609. https://doi.org/10.3389/fpubh.2022.1083609 PMid:36605248 DOI: https://doi.org/10.3389/fpubh.2022.1083609

Choobineh A, Daneshmandi H, Fard SK, Tabatabaee SH. Prevalence of work-related musculoskeletal symptoms among Iranian workforce and job groups. Int J Prev Med. 2016;7:130. https://doi.org/10.4103/2008-7802.195851 PMid:28105295 DOI: https://doi.org/10.4103/2008-7802.195851

Del Campo MT, Romo PE, De la Hoz RE, Villamor JM, Mahíllo- Fernández I. Anxiety and depression predict musculoskeletal disorders in health care workers. Arch Environ Occup Health. 2016;72(1):39-44. https://doi.org/10.1080/19338244.2016.1154002 PMid:26895069 DOI: https://doi.org/10.1080/19338244.2016.1154002

Karanikas N, Jani BD. Frequency of examination and perceived contribution of factors relating to work-related musculoskeletal disorders of physiotherapists. Int J Occup Saf Ergon. 2022;28(2):1112- 29. https://doi.org/10.1080/10803548.2020.1867337 PMid:33342365 DOI: https://doi.org/10.1080/10803548.2020.1867337

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Published

2024-06-15

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1.
Kotnik P, Koprivnik N. Musculoskeletal Disorders in the Workplace of Physiotherapists: Occupational Risk Factors and Their Role in Prevention and Management: A Systematic Review. Open Access Maced J Med Sci [Internet]. 2024 Jun. 15 [cited 2024 Jul. 23];12(2):347-55. Available from: https://oamjms.eu/index.php/mjms/article/view/11900

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