Musculoskeletal symptoms in self-employed versus employed therapists: the role of training and social support

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dc.contributor.advisorGreiner, Birgiten
dc.contributor.advisorO'Sullivan, Leonarden
dc.contributor.authorHogan, Dervla A.
dc.contributor.funderInstitution of Occupational Safety and Healthen
dc.date.accessioned2017-05-24T12:18:51Z
dc.date.available2017-05-24T12:18:51Z
dc.date.issued2017
dc.date.submitted2017
dc.description.abstractIntroduction The overarching aim for this thesis was to develop a scientific evidence base to assist in the prevention of work-related musculoskeletal disorders (WRMSDs) by investigating the potential risk factors of WRMSDs in both employed and self-employed Chartered Physiotherapists (CPTs) and Physical Therapists/Athletic Therapists (PTs/ATs) in the Irish context and the effectiveness of current risk reduction strategies. Methods The Health In hand-intensive Tasks and Safety (HITS) study was a cross-sectional study investigating WRMSDs in practicing chartered physiotherapists, physical therapists and athletic therapists (n=347). The Survey on Lifestyle, Attitudes and Nutrition (SLÁN) 2007 was a nationally representative survey, with the working population included in this thesis (n=5,862). Results When compared with the national working population, therapists were nearly five times more likely to suffer from low back pain, after careful adjustment for differences in sociodemographics [adjusted OR 4.8, 95% CI (3.8–6.1)] (P<0.001). Self-employed therapists have a higher prevalence of upper limb pain/discomfort (86.6%) compared to employed therapists (76.8%) (P=0.04). Conversely, when it comes to incapacitating upper limb symptoms employed therapists have a higher prevalence (32.7%) compared to self-employed therapists (21.5%) (P=0.04). In relation to upper limb pain/discomfort, supervisor support was seen as protective in employed therapists (P=0.05), however, peer support didn’t indicate any significant findings. On the other hand, low levels of peer support were identified as a risk factor for the prevalence of incapacitating upper limb pain/discomfort in both employed and self-employed therapists (P=0.03 and P≤0.01, respectively). Discussion This thesis indicates that future research needs to focus on both employed and self-employed workers’ health and wellbeing to explicitly examine the effects of work on today’s changing workforce. Further investigation is required in relation to WRMSD prevalence and related factors in employed and self-employed therapists through both qualitative and quantitative methods with the use of more objective measures.en
dc.description.statusNot peer revieweden
dc.description.versionAccepted Version
dc.format.mimetypeapplication/pdfen
dc.identifier.citationHogan, D. Á. 2017. Musculoskeletal symptoms in self-employed versus employed therapists: the role of training and social support. PhD Thesis, University College Cork.en
dc.identifier.endpage185en
dc.identifier.urihttps://hdl.handle.net/10468/4020
dc.language.isoenen
dc.publisherUniversity College Corken
dc.rights© 2017, Dervla Áine Hogan.en
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/en
dc.subjectWork-related musculoskeletal disorderen
dc.subjectPrevalenceen
dc.subjectPhysiotherapisten
dc.subjectPhysical therapisten
dc.subjectUpper limb disordersen
dc.subjectHealth and social care sectoren
dc.subjectTrainingen
dc.subjectSocial supporten
dc.subjectEmployment statusen
dc.subjectSelf-employmenten
dc.thesis.opt-outfalse
dc.titleMusculoskeletal symptoms in self-employed versus employed therapists: the role of training and social supporten
dc.typeDoctoral thesisen
dc.type.qualificationlevelDoctoralen
dc.type.qualificationnamePhD (Medicine and Health)en
ucc.workflow.supervisorb.greiner@ucc.ie
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