OBJECTIVES: This study examines the prevalence of hand and wrist symptoms and diagnosed disorders in physiotherapists in Slovakia. The aim was to identify risk factors such as occupational settings type, number of patients treated per day and years of clinical practice, and to determine preferred methods of treatment. METHOD: The group of 107 physiotherapists (28 men and 79 women) participated in the study. All participants completed a questionnaire created for the purpose. It contained demographic data, years of clinical practice and the questions to determine the presence of various symptoms and injuries to the hand and wrist due to a long-lasting overuse of the hand musculoskeletal system. RESULTS: Twelve (11.2%) physiotherapists of the observed group did not show any symptoms of functional impairment, and 32 (29.9%) were without any specific hand or wrist disorders. The results confirmed a significant prevalence of symptoms of functional impairment (mean 2.4) and disorders (mean 1.3) with an increased risk in the physiotherapists working in a combined type of occupational settings (outpatient physical therapy and hospital facilities). The most frequently reported symptoms were hand pain (70%) and reduced muscle strength (45.7%). The most frequently reported diagnosed disorder was hand tendonitis (26.2%). The results confirmed the statistically significant correlation (α = 0.05) between the years of clinical practice and the number of identified symptoms and disorders (p < 0.001) as well as between the number of patients treated per day and the number of symptoms (p = 0.007). Hand immobilization (28.6%) and manual therapy (24.4%) were preferred methods of treatment. Surgical intervention was required in 2.2% of hand injuries. CONCLUSIONS: In physiotherapists, long-term performance of manual techniques indicates the development of musculoskeletal disorders of the hand and wrist.

Department of Physiotherapy Faculty of Health Care University of Presov Presov Slovak Republic

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European Physical and Rehabilitation Medicine Bodies Alliance. White book on physical and rehabilitation medicine in Europe. Introductions, executive summary, and methodology. Eur J Phys Rehabil Med. 2018 Apr;54(2):125-55. PubMed DOI

Muaidi QI, Shanb AA. Effects of work demands on physical therapists in the KSA. J Taibah Univ Med Sci. 2016;11(1):56-62. DOI

Maia MS, Dos Santos GL, Porto CC. Work-related stress among physiotherapists from the musculoskeletal area: an observational study. Work. 2022;71(4):1163-73. PubMed DOI

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. PubMed DOI

Passier L, McPhail S. Work related musculoskeletal disorders amongst therapists in physically demanding roles: qualitative analysis of risk factors and strategies for prevention. BMC Musculoskelet Disord. 2011 Jan 25;12:24. doi: 10.1186/1471-2474-12-24. PubMed DOI

Cromie JE, Robertson VJ, Best MO. Work-related musculoskeletal disorders in physical therapists: prevalence, severity, risks, and responses. Phys Ther. 2000;80(4):336-51. PubMed DOI

West DJ, Gardner D. Occupational injuries of physiotherapists in North and Central Queensland. Aust J Physiother. 2001;47(3):179-86. PubMed DOI

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

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. PubMed DOI

Nordin NA, Leonard JH, Thye NC. Work-related injuries among physiotherapists in public hospitals: a Southeast Asian picture. Clinics (Sao Paulo). 2011;66(3):373-8.

Gyer G, Michael J, Inklebarger J. Occupational hand injuries: a current review of the prevalence and proposed prevention strategies for physical therapists and similar healthcare professionals. J Integr Med. 2018;16(2):84-9. PubMed DOI

Campo M, Hyland M, Sueki D, Pappas E. Wrist and hand pain in orthopaedic physical therapists: a mixed-methods study. Musculoskelet Sci Pract. 2019 Oct;43:26-36. PubMed DOI

McLeod GA, Annels K, Cohen J, Edwards S, Hodgins D, Vaughan B. Work related musculoskeletal injuries sustained by Australian osteopaths: qualitative analysis of effects on practitioner health, clinical practice, and patient care. Chiropr Man Therap. 2017 Oct 3;25:26. doi: 10.1186/s12998-017-0158-7. PubMed DOI

Snodgrass SJ, Rivett DA, Chiarelli P, Bates AM, Rowe LJ. Factors related to thumb pain in physiotherapists. Aust J Physiother. 2003;49(4):243-50. PubMed DOI

Wajon A, Ada L. Prevalence of thumb pain in physical therapists practicing spinal manipulative therapy. J Hand Ther. 2003;16(3):237-44. PubMed DOI

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. PubMed DOI

Zain UI Abidin S, Bukhari S, Zeb A, Farooqi S. Prevalence of thumb pain in physiotherapists of Peshawar. Ann Allied Health Sci. 2020;6(1):14-8.

Kolář P. [Rehabilitation in clinical practice]. Praha: Galén; 2009. Czech.

Ulbrichtová R, Jakušová V, Osina O, Tatarková M, Jakuš J, Hudečková H. Occupational risk factors for carpal tunnel syndrome among working population. Zdrav Listy. 2022;10(1):24-9.

Hu MT, Su FC, Hsu AT. Effect of prior experience and task stability on the intrinsic muscle activity of the thum. Man Ther. 2014;19(5):484-9. PubMed DOI

Walsh T, Delahunt E, McCarthy Persson U. Effects of taping on thumb alignment and force application during PA mobilisations. Man Ther. 2011 Jun;16(3):264-9. PubMed DOI

Lewit K. [Manipulation Therapy in Myoskeletal Medicine]. Prague: Sdělovací technika; 2015. Czech.