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Work-Related Musculoskeletal Disorders in Food Packing Workers: A Review of Prevalence and Workplace Factors

Suchitha Rao, Vandana R

RV College of Physiotherapy India
: Work-Related Musculoskeletal Disorders (WRMSDs) are significant occupational health issues caused by repetitive physical tasks and unfavourable body postures during production, loading, and transportation. These disorders, responsible for 40% of global work-related costs, can result in long-term physical effects, including spinal injuries. Packing workshop activities such as lifting, shifting, and repetitive movements further increase the risk of WRMSDs. This literature review aims to assess the prevalence of WRMSDs among food packing workers. A systematic search was conducted on Google Scholar and PubMed, focusing on studies published in English from January 1, 2008, to August 1, 2023. The search criteria included the prevalence of WRMSDs, methods of assessment, and risk factors for work-related upper limb musculoskeletal disorders. Key findings include: (1) pharmaceutical packing workers reported the highest prevalence of upper back pain (54.8%) and the lowest prevalence of thigh pain (26.2%), (2) workers in the Larsen and Turbo Industry experienced neck pain most frequently (20.2%), followed by shoulder (14.9%), elbow (14.4%), and knee (14.4%) pain, (3) packing workers in Kermanshah industries reported back pain (24.6%) and neck pain (7.6%) as the most common symptoms, and (4) hygienic product workers reported higher musculoskeletal symptoms in packing stations (57.4%) compared to filling (53.7%) and manufacturing (46.3%). Despite these findings, research on WRMSDs in food packing workers is limited. Future studies should focus on prevalence, ergonomic evaluations, and workplace risk factors to develop effective preventive strategies.

Effect of Subtalar Joint Mobilization and Myofascial Trigger Point Release on Pain and Disability in Plantar Fasciitis

Prerana S Prakash, Paul Daniel VK*, Pruthviraj R, Anusha V Shenai

RV College of Physiotherapy India
: Background: Plantar fasciitis, a degenerative condition marked by collagen degeneration in the plantar fascia, affects over 50% of individuals equally across genders. It often results from overuse, trauma, or repetitive strain, leading to micro-tears. Risk factors include limited dorsiflexion, excessive plantar flexion, foot pronation, prolonged weight-bearing, high BMI, sub calcaneal spurs, and subtalar joint dysfunction. The fascia's role in stabilizing body structures is vital for addressing this condition. Myofascial Trigger Point Release (MTrP) has recently shown promise in reducing pain and improving function. Aim and Objectives: This study evaluates the impact of subtalar joint mobilization and MTrP, alongside conventional therapy, on pain and disability in plantar fasciitis patients and compares their effectiveness. Methods: After IEC approval from RV College of Physiotherapy, subjects were screened using the windlass test and divided into two groups. Group A received subtalar joint mobilization with conventional therapy, while Group B received MTrP with conventional therapy. Interventions were administered thrice weekly for four weeks, with VAS and FADI scores recorded pre- and post-intervention. Results: Participants (18-45 years) were analyzed using R software. Both groups showed significant reductions in VAS (Group A: 7.00 to 4.53, Group B: 7.06 to 3.59) and improvements in FADI (Group A: 73.16 to 61.78, Group B: 76.28 to 57.84). Group B demonstrated greater pain and disability reduction (P < 0.0001). Conclusion: MTrP combined with conventional therapy is more effective than subtalar joint mobilization, warranting further research to explore long-term benefits in plantar fasciitis management. Keywords: Plantar fasciitis, Degenerative condition, Myofascial Trigger Point Release (MTrP), Subtalar joint mobilization, Conservative therapy, Pain and disability, Effectiveness comparison.

Prevalence and Impact of Musculoskeletal Pain among Female Beauty Service Workers in Ujjain City: A Cross-Sectional Survey

Dr. Ruchi Mishra, Dr Aanchal Bijlwan, Dr. Sanket Bajpai, Dr Sanjiv K jha, Dr Devanshi Gupta, Dr. Kaushiki Muley

RDGMC
: Introduction: Musculoskeletal disorders (MSDs) are prevalent among female beauty service workers due to repetitive movements, awkward postures, and prolonged standing. These risk factors contribute to pain in various body regions, particularly the lower back, neck, and shoulders. Despite the global acknowledgment of this issue, limited data are available on musculoskeletal pain among female beauty service workers in India, particularly in smaller cities like Ujjain. Methods: This cross-sectional study was conducted among 50 female beauty service workers in Ujjain City. A structured questionnaire was used to assess demographic details, the prevalence of musculoskeletal pain, and associated risk factors. The primary outcome was the prevalence of musculoskeletal pain in specific body regions. Data analysis was done using descriptive statistics, while chi-square tests examined relationships between independent variables and musculoskeletal pain. Results: The study found that 70% of participants experienced lower back pain, 60% reported neck pain, and 50% had shoulder pain. Prolonged standing (80%), repetitive movements (70%), and poor ergonomics (60%) were significant contributors to musculoskeletal pain. A correlation between years of experience and pain was identified, with workers having over three years of experience being more likely to report pain (64%). Conclusion: The high prevalence of musculoskeletal pain among female beauty service workers in Ujjain underscores the need for ergonomic interventions and awareness programs to reduce the burden of MSDs in this population. Prolonged standing, repetitive movements, and poor ergonomic practices are significant risk factors that require attention

Association Between Gadget Use and Neck Pain among Bus Conductors in Karnataka

Shruti karvir, Dr. Mallikarjunaiah H. S., Meghna Pradhan

Acharya's NR institute of Physiotherapy India.
: Background and purpose: Bus conductors stand for a longer duration, with mostly the neck into flexed position while lending the tickets to the passengers. As the neck is prone to flexion for most of the time, there are chances of pain and discomfort in the neck due to strenuous work load. According to recent usage of ticketing machine nowadays, this weight added may have an influence on neck pain in bus conductors. Method: Neck Disability Index was implicated to the subjects. Demographic data was taken such as age, gender, working hours, experience, years of using the electronic gadget. The questionnaire was distributed to selected population of 300, was filled by the selected subjects themselves. From the completed questionnaire, the data was collected to retrieve information about neck pain prevalence in bus conductors using electronic gadget. Result: The result showed significantly males 227 (75.7%) between age 35-40 years 171(57%), working for 8hours/day 152(50.7%) having more than 10 years of experience 142(42.3%) and using the electronic gadget for 2-3 years 159(53%) showed prevalence of neck pain. Conductors with minimal disability were 63% (57.40-68.27% CI) and moderate disability were 37 %( 31.73-42.6% CI). Conclusion: The study concluded that conductors working for 8hours/day using electronic gadget for 2-3 years showed neck pain prevalence and its related disability. Key words: Prevalence, neck pain, bus conductors, ticketing machine.

Enhancing Balance and Coordination in Alcohol-Induced Cerebellar Ataxia: A Case Study E

Samuel SE, Haripriya S, Dhanawade SA

Laxmi memorial College of physiotherapy, India.
: Alcohol-induced cerebellar ataxia (ACA) is a condition characterized by cerebellar degeneration resulting from long term exposure to alcohol. It is one of the most common types of acquired ataxia. However, the role of physiotherapy in the treatment of ACA is unclear. The aim of this study was to evaluate the effect of physiotherapy on ataxia, balance and coordination in an individual with alcohol-induced cerebellar ataxia. A 35-year-old male diagnosed with alcohol-induced cerebellar ataxia underwent physiotherapy program involving balance, coordination and gait training exercises in an in-hospital environment for 2 weeks, twice daily for 35-40 minutes. The outcomes measures used were Berg Balance Scale (BBS), Comprehensive Coordination Scale (CCS) and Scale for Assessment and Rating of Ataxia (SARA). Measurements were taken pre-intervention and post-intervention. The scores improved significantly for all three outcomes measures which indicates improvement in balance, coordination and ataxia. ACA is a debilitating condition that can majorly influence one’s life. This case report suggests that exercise-based physiotherapy intervention is beneficial in improving balance, coordination and gait impairment associated with ACA.
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