exudates and Back-Pain

In response to the coronavirus disease 2019 (COVID-19) pandemic, many countries have introduced work from home campaigns. Most teaching faculties have moved to an online delivery mode, which could put students and teachers at risk of back pain. The aim of this study was to determine the frequency of newly diagnosed back pain among lecturers and undergraduates from a tertiary education centre during the COVID-19 lockdown and to identify the possible factors associated with this back pain.. This study was a cross-sectional survey conducted among 1,500 lecturers and students of Universiti Malaysia Sabah (UMS). The questionnaire used was modified from previous studies on back pain.. There were 346 newly diagnosed cases of back pain among students and lecturers of UMS. More than half of the participants (61.2%) suffered lower back pain in the lumbar region. There was a significant correlation between increased time of sitting and reduced exercise time, and the incidence of back pain. Poor ergonomic sitting conditions and poor perceived health conditions during the lockdown period also had a significant impact on the frequency of back pain.. The university community has undergone a significant increase in sitting time and a decrease in exercise time during the lockdown. This has contributed to an increase in the frequency of back pain. It is recommended that further studies be done to guide the university community regarding the maintenance of exercise and management of sitting hours, in order to reduce the frequency of back pain.

Topics: Back Pain; Communicable Disease Control; COVID-19; Cross-Sectional Studies; Humans; Incidence; Malaysia; Students

Malaysian office workers often experience Musculoskeletal Discomfort (MSD) which is typically related to the low back, shoulders, and neck.. The objective of this study was to examine the occurrence of lower back, shoulder, and neck pain among Malaysian office workers.. 752 subjects (478 women and 274 men) were randomly selected from the Malaysian office workers population of 10,000 individuals. The participants were aged between 20-50 years and had at least one year of work experience. All participants completed the Cornell Musculoskeletal Discomfort Questionnaire (CMDQ). Instructions to complete the questinnaire were given to the participants under the researchers supervision in the morning before they started a day of work. The participants were then classified into four categories based on body mas index (BMI) (BMI:≤18.4, 18.5-24.99, 25-29.99, ≥30) and age (Age: 20-29, 30-39, 40-49, ≥50).. There was a significant association between pain severity in gender and right (p = 0.046) and left (p = 0.041) sides of the shoulders. There was also a significant association between BMI and severity of pain in the lower back area (p = 0.047). It was revealed that total pain score in the shoulders was significantly associated with age (p = 0.041).. The results of this study demonstrated that a significant correlation existed between pain servity for gender in both right and left shoulder. These findings require further scientific investigation as do the identification of effective preventative stratgies.

Topics: Adult; Age Factors; Back Pain; Body Mass Index; Cross-Sectional Studies; Female; Humans; Malaysia; Male; Middle Aged; Occupational Diseases; Occupational Health; Office Management; Prevalence; Sex Factors; Surveys and Questionnaires

To assess the validity and reliability of the Malay version of the Quality of Life (QOL) Questionnaire of the European Foundation for Osteoporosis (QUALEFFO-41) in Malaysia.. The QUALEFFO-41 was translated from English to Malay and administered to 215 post-menopausal osteoporotic women ≥50 years who could understand Malay, at baseline and 4 weeks. The SF-36 was administered at baseline to assess convergent validity. To assess discriminative validity, patients with and without back pain were recruited.. Confirmatory factor analysis showed that the QUALEFFO-41 had five domains. Good internal consistency was seen in all domains (0.752-0.925) except for the social activity domain (0.692). Test-retest reliability showed adequate correlation for all items (0.752-0.964, p < 0.001). Patients with back pain had significantly worse QOL compared with those without (back pain = 42.2 ± 10.9, no back pain = 33.3 ± 8.9; p < 0.001). The total QUALEFFO-41 score and the SF-36 physical and mental composite scores were significantly correlated (-0.636 and -0.529, p < 0.001, respectively).. The Malay version of the QUALEFFO-41 was found to be a reliable and valid instrument to evaluate the QOL of osteoporotic patients in Malaysia. To enable the QUALEFFO-41 to be used in a multiracial population, further studies should look into validating other versions of the QUALEFFO-41 in Malaysia.

Topics: Aged; Back Pain; Ethnicity; Female; Humans; Language; Malaysia; Middle Aged; Motor Activity; Osteoporosis; Pilot Projects; Quality of Life; Reproducibility of Results; Surveys and Questionnaires; Translating; Translations

To assess the nature and extent of rheumatic complaints in a semirural area in a multiracial (Malay, Indian, Chinese) community in Malaysia using the Community Oriented Program for the Control of Rheumatic Diseases (COPCORD) protocol initiated by ILAR and the WHO.. All members of a community of 2700 persons over the age of 15 years were offered a questionnaire based interview in Phase 1 of the study. Those with rheumatic complaints (pain in the last 1 week) were invited for a physical examination by a rheumatologist in Phase 2.. In total, 2594 (96%) persons agreed to a questionnaire based interview. Of those interviewed, 21.1% had a current rheumatic complaint. The pain rate was higher in women (23.8%) than in men (17.8%). Chinese men had the lowest age-standardized pain rate (9.9%), while Indian women had the highest rate (28.4%). In the study population, 14.4% complained of pain in the joints and/or musculoskeletal pain and 11.6% had low back pain. The knee was responsible for 64.8% of all complaints pertaining to the joints, and more than half those examined with knee pain had clinical evidence of osteoarthritis (OA). The complaint rate increased with age, up to 53.4% in the group age > 65 years. The major disability encountered was the inability to squat (3.1%). Fibromyalgia, soft tissue lesions, and localized OA of the knees were the main clinical diagnoses. Inflammatory arthritis was uncommon. Both Western and traditional sources of healthcare were used, often together. Self-medication was common (58.8%).. Knee and back pain are the main rheumatic complaints in Malaysia, with complaint rates differing according to race and gender.

Topics: Adolescent; Adult; Age Factors; Aged; Aged, 80 and over; Arthralgia; Back Pain; China; Female; Fibromyalgia; Health Surveys; Humans; India; Knee Joint; Malaysia; Male; Middle Aged; Occupations; Osteoarthritis, Knee; Racial Groups; Sex Factors

This prospective survey attempt to study the incidence of post-operative back pain after lumbar epidural anesthesia for non-obstetric patterns and the correlation of this symptom with various contributing factors. One hundred and five patients who were given lumbar epidural anaesthesia as the sole anaesthesia for non-obstetric surgery were studied. The choice of equipment, number of attempts at giving the injection, duration of surgery and position of patient during surgery were documented. One week post-operatively, the patients were asked whether they recalled any back pain. The nature, duration and severity of the back pain was documented. Statistical analysis was achieved by using Chi-squared test. Twenty-eight patients recalled "injection site tenderness" post-operatively. The pain was mild to moderate in severity and lasted up to 4 days. None of the studied patients had post-operative "backache". The pain showed no significant correlation with needle size, technique of injection, use of epidural catheter, patient's position during surgery, duration and number of attempts made during epidural injection.

Topics: Adolescent; Adult; Aged; Aged, 80 and over; Anesthesia, Epidural; Back Pain; Female; Humans; Incidence; Lumbosacral Region; Malaysia; Male; Middle Aged; Postoperative Complications; Prospective Studies

Topics: Back Pain; Ethnology; Female; Humans; Malaysia; Muscle Cramp; Pregnancy; Pregnancy Complications; Prenatal Care; Statistics as Topic; Thiamine Deficiency; Varicose Veins