Abstract:

The incidence of musculoskeletal (MSK) pain among farmers in Ghana is high. In the Volta Region, where the proposed research was conducted, MSK pain is among the top three most reported cases at the Ho Teaching Hospital. While the number of cases is known and treated at the hospital, the root causes are not. The proposed study investigated the effects of MSK pain on the quality of life (QoL) of farmers in the Region, to determine whether the age and sex of farmers in the Volta Region have any relationship with QoL, and to determine whether their knowledge about MSD and QoL was adequate to inform on its management. A total of 212 farmers were selected for the study without any particular order. Cross-sectional surveys were conducted to obtain the demographic and socioeconomic status of the participants. Both qualitative and quantitative statistical methods were used to determine the impact of MSK pain on QoL, the relationship between age/sex and QoL and if the farmers in the Volta Region think they have enough knowledge about their MSDs and are confident in managing them. The study found that the QoL among the farmers was very low. The farmers' QoL was below the average grouped quality of life and about 26.5% can be said to be clearly above the average grouped quality of life. MSK pains have had a huge toll on the quality of life of Volta Region farmers affecting about 73.5% of the respondent farmers.

References:

[1] Al-Sari, U. A., Tobias, J., & Clark, E. (2016). Health-related quality of life in older people with osteoporotic vertebral fractures: a systematic review and meta-analysis. Osteoporosis International 27(10), 2891–2900. https://doi.org/10.1007/s00198-016-3648-x.

[2] Beaudart, C., Biver, E., Bruyère, O., Cooper, C., Al-Daghri, N., Reginster, J. Y., & Rizzoli, R. (2018). Quality of life assessment in musculo-skeletal health. Aging Clinical and Experimental Research, 30(5), 413–418. https://doi.org/10.1007/s40520-017-0794-8.

[3] Walsh NE, Brooks P, Hazes JM, Walsh RM, Dreinhöfer K, Woolf AD, Akesson K, Lidgren L; Bone and Joint Decade Task Force for Standards of Care for Acute and Chronic Musculoskeletal Pain. Standards of care for acute and chronic musculoskeletal pain: the Bone and Joint Decade (2000-2010). Arch Phys Med Rehabil. 2008 Sep;89(9):1830-45. doi: 10.1016/j.apmr.2008.04.009. PMID: 18760171.

[4] Racine EF, Laditka SB, Dmochowski J, Alavanja MC, Lee DC, Hoppin JA. Farming activities and carrying and lifting: the Agricultural Health Study. J Phys Act Health. 2012 Jan;9(1):39-47. doi: 10.1123/jpah.9.1.39. PMID: 22232503; PMCID: PMC3257835.

[5] Wolf AM, Siadaty MS, Crowther JQ, Nadler JL, Wagner DL, Cavalieri SL, Elward KS, Bovbjerg VE. Impact of lifestyle intervention on lost productivity and disability: improving control with activity and nutrition. J Occup Environ Med. 2009 Feb;51(2):139-45. doi: 10.1097/JOM.0b013e3181965db5. PMID: 19209034; PMCID: PMC2688905.

[6] Williams, A, et al. “Musculoskeletal conditions may increase the risk of chronic disease: a systematic review and meta-analysis of cohort studies.” BMC Med 16.167 (2018).

[7] World Vision, Sustaining farming and livelihoods in Volta region, (2021). https://www.wvi.org/stories/ghana/sustaining-farming-and-livelihoods-volta-region.

[8] C H Roux, F Guillemin, S Boini, F Longuetaud, N Arnault, S Hercberg, S Brianc¸on, 2004, Impact of musculoskeletal disorders on quality of life: an inception cohort study:Annals of the Rheumatic Diseases 2005;64:606-611.

[9] Sergio Vargas-Prada, David Coggon, 2015, Psychological and psychosocial determinants of musculoskeletal pain and associated disability, Best Practice & Research Clinical Rheumatology, Volume 29, Issue 3, 2015, Pages 374-390, ISSN 1521-6942, https://doi.org/10.1016/j.berh.2015.03.003. (https://www.sciencedirect.com/science/article/pii/S1521694215000066).

[10] Erick, P., & Smith, D. (2011). A systematic review of musculoskeletal disorders among school teachers. BMC Musculoskeletal Disorders, 12(260), 1-11.

[11] Jaiswal, N., & Mesaria, S. (2015). Musculoskeletal disorders among teachers residing in various nations: a review. Research Journal of Recent Sciences, 4(2015), 23-27.

[12] Chacha, B., & Zani, A. (2015). The impact of Free Primary Education on pupil-teacher ratio in Kuria East Constituency, Kenya. IOSR Journal of Humanities And Social Science, 20(5), 1-12.

[13] Wang’eri, T., & Okello, L. (2014). Role overload, teacher-pupil-ratio, school type, years of teaching experience, gender and burn out as factors related to work stress among primary school teachers in Kasarani Division, Nairobi County, Kenya. Global Journal of Human-Social Science Linguistics & Education, 14(1), 54-64.

[14] Bodhare T, Valsangkar S, Bele S. (2011), An epidemiological study of work-related musculoskeletal disorders among construction workers in karimnagar, andhra pradesh. Indian J Community Med. 2011 Oct;36(4):304-7. doi: 10.4103/0970-0218.91420. PMID: 22279263; PMCID: PMC3263153.

[15] World Health Organisation, Musculoskeletal Health (2022). https://www.who.int/news-room/fact-sheets/detail/musculoskeletal-conditions.

[16] Middleswort, M. (2016). The definition and causes of musculoskeletal disorders (MSDs). Retrieved June 14, 2016, from Ergonomics Plus: http://ergo-plus.com/musculoskeletal-disorders-msd/.

[17] GBD 2019 Diseases and Injuries Collaborators. “Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the global burden of disease study 2019.” Lancet 396 (2020): 1204-1222.

[18] da Costa, BR and ER Vieira . “Risk factors for work-related musculoskeletal disorders: a systematic review of recent longitudinal studies.” Am J Ind Med 53 (2010): 285-323.

[19] Ul-Haq, Z., Mackay, D. F., & Pell, J. P. (2014). Association between physical and mental health-related quality of life and adverse outcomes; A retrospective cohort study of 5,272 Scottish adults. BMC Public Health, 14(1), 1–10. https://doi.org/10.1186/1471-2458-14-1197.

[20] National Commission for Civic Education (2021). Population and Housing Census provisional results, 2021 Population and Housing Census provisional results - Volta Region | NCCE Ghana.

[21] Siedlecki, Sandra L. PhD, RN, APRN-CNS, FAAN. Understanding Descriptive Research Designs and Methods. Clinical Nurse Specialist 34(1):p 8-12, 1/2 2020. | DOI: 10.1097/NUR.0000000000000493.

[22] Sample size calculator, http://www.raosoft.com/samplesize.html.

[23] Crawford, J. (2007). The Nordic Musculoskeletal Questionnaire. Occupational Medicine (Lond), 57(4), 300-01.

[24] Norton, S., Ellis, B., Suárez, B. S., Schwank, S., Fitzpatrick, R., Price, A., & Galloway, J. (2019). Validation of the Musculoskeletal Health Questionnaire in inflammatory arthritis: A psychometric evaluation. Rheumatology (United Kingdom), 58(1), 45–51. https://doi.org/10.1093/rheumatology/key240.

[25] Chartered Society of Physiotherapy (2023), The implementation of and improvement in the musculoskeletal health questionnaire (MSK-HQ) scores at a MSK Outpatient Department, https://www.csp.org.uk/innovations/implementation-improvement-musculoskeletal-health-questionnaire-msk-hq-scores-msk#:~:text=The%20MSK%2DHQ%20is%20a,a%20better%20MSK%2DHQ%20status.

[26] Joanne O. Crawford, The Nordic Musculoskeletal Questionnaire, Occupational Medicine, Volume 57, Issue 4, June 2007, Pages 300–301, https://doi.org/10.1093/occmed/kqm036.

[27] J-Pal, 2023, Data Cleaning and Management, https://www.povertyactionlab.org/resource/data-cleaning-and-management

[28] Investopedia, 2023, Descriptive Statistics: Definition, Overview, Types, Example, https://www.investopedia.com/terms/d/descriptive_statistics.asp.

[29] Roshani K. Prematunga, 2012, Correlational analysis, Australian Critical Care, Volume 25, Issue 3, 2012, Pages 195-199, ISSN 1036-7314, https://doi.org/10.1016/j.aucc.2012.02.003. (https://www.sciencedirect.com/science/article/pii/S1036731412000410).

[30] SAGE Publications, 2010, Qualitative Data, Analysis, and Design, https://www.sagepub.com/sites/default/files/upm-binaries/43144_12.pdf.

[31] Barneo-Alcántara, M., Díaz-Pérez, M., Gómez-Galán, M., Carreño-Ortega, Á., Callejón-Ferre, Á.J. (2021). Musculoskeletal Disorders in Agriculture: A Review from Web of Science Core Collection. Agronomy 11, 201. https://doi.org/10.3390/agronomy11102017.

[32] Shuler, K.A, Zeng, P., Danforth, M.E. (2012). Upper limb ethereal change with the transition to agriculture in the southeastern United States: A view from Moundville and the central Tombigbee River valley. Homo, 63, 413–434.

[33] Eshed, V., Gopher, A., Galili, E., & Hershkovitz, I. (2004). Musculoskeletal stress markers in Natufian hunter-gatherers and Neolithic farmers in the levant: The upper limb. Am. J. Phys. Anthr. 123 (303–315)

[34] Peterson, J. (2010). Domesticating gender: Neolithic patterns from the southern Levant. J. Anthr. Archaeol.29, 249–264.

[35] Vega-Fernández G, Lera L, Leyton B, Cortés P, Lizana PA. Musculoskeletal Disorders Associated With Quality of Life and Body Composition in Urban and Rural Public School Teachers. Front Public Health. 2021 Jun 1;9:607318. doi: 10.3389/fpubh.2021.607318. PMID: 34141698; PMCID: PMC8203816.

[36] Strømnes LA, Ree H, Gjesdal K, Ariansen I. Sex Differences in Quality of Life in Patients With Atrial Fibrillation: A Systematic Review. J Am Heart Assoc. 2019 Apr 16;8(8):e010992. doi: 10.1161/JAHA.118.010992. PMID: 30957624; PMCID: PMC6507196.

[37] Zakerian, S. A., Monazzam, M. R., Dehghan, S. F., Mohraz, M. H., Safari, H., & Asghari, M. (2013). Relationship between knowledge of ergonomics and workplace conditions with musculoskeletal disorders among nurses: A questionnaire survey. World Appl Sci J, 24(2), 227-33.