The Prevalence and Causes of Musculoskeletal Pain among Farmers in the Volta Region of Ghana: A Cross Sectional Study

Download Article

DOI: 10.21522/TIJPH.2013.11.03.Art023

Authors : Armstrong Cudjoe, Richard Delali Ahedor, Michael D Wilson, Kokou Amegan-Aho, Nathan Mensah, Joseph Korpisah

Abstract:

Musculoskeletal pain (MSK) disorder is considered one of the prime causes of severe long-term pain and physical disabilities acquired globally. Ghanaians especially, farmers have to go through vigorous physical farm activities to achieve desired output of farm activities. In the Volta Region, MSK pain has ranked among the top three reported cases at the Ho Teaching Hospital. Whilst, the quantum of reported cases is known, and treated at the hospital, the actual causes are not. Coupled with the fact that prevalence and probably the causes would differ from profession to profession the proposed research is aimed at addressing this among farmers. The overall goal of the study was to determine the prevalence and causes of MSK pain among farmers in the Volta Region of Ghana. 212 farmers were randomly selected for the study. Cross-sectional surveys were carried out to obtain the demographic and socio-economic status of the patients consenting to participate in the studies. Both, qualitative and quantitative statistical methods were employed to determine any association between the farming methods, tools used and the type of MSK pains. The most prevalent locations of MSK pain among farmers were the lower back, upper back, right and left knees. The possible causes of MSK pain reported by farmers in the Volta Region were by walking or by other transportation (riding bicycles and motorbikes) or using implements such as cutlass, hoe and spraying machine.

Keywords: Ghana, Farmers, Farming practices, Lower Back Pain, Disability-Adjusted Life Years, Work-related Musculoskeletal Disorder, Musculoskeletal pains.

References:

[1] Woolf, A. D., Erwin, J., & March, L. (2012). The need to address the burden of musculoskeletal conditions. In Best Practice and Research: Clinical Rheumatology, 26(2), 183–224). https://doi.org/10.1016/j.berh.2012.03.005.

[2] Kansanga, M., Andersen, P., Kpienbaareh, D., Mason-Renton, S., Atuoye, K., Sano, Y., Antabe, R., & Luginaah, I. (2019). Traditional agriculture in transition: examining the impacts of agricultural modernization on smallholder farming in Ghana under the new Green Revolution. International Journal of Sustainable Development and World Ecology, 26(1), 11–24. https://doi.org/10.1080/13504509.2018.1491429.

[3] Torgbenu, E.L., Nakua, E.K., Kyei, H. et al. Causes, trends and severity of musculoskeletal injuries in Ghana. (2017). BMC Musculoskeletal Disorder 18(349). https://doi.org/10.1186/s12891-017-1709-8.

[4] Nakua, E.K., Otupiri, E., Dzomeku, V.M., Owusu-Dabo, E., Agyei-Baffour, P., Yawson, A.E., Folson, G., & Hewlett, S.A. (2015). Gender disparities of chronic musculoskeletal disorder burden in the elderly Ghanaian population: study on global ageing and adult health (SAGE WAVE 1). BMC Musculoskeletal Disorders, 16. https://doi.org/10.1186/s12891-015-0666-3.

[5] Acquah, A.A.; A.A., D’Souza, C., Martin, B.J., Arko-Mensah, J., Dwomoh, D., Nti, A.A., Kwarteng, L., Takyi, S.A., Basu, N., Quakyi, I.A., Robins, T.G., & Fobil, J.N. (2021). Musculoskeletal Disorder Symptoms among Workers at an Informal Electronic-Waste Recycling Site in Agbogbloshie, Ghana. International Journal of Environmental Research and Public Health, 18. https://doi.org/10.3390/ijerph18042055.

[6] Osumanu, M. S. (2015). Prevalence of Musculoskeletal Disorders Among Commercial Long Distance Bus Drivers In The Greater Accra Region, Ghana. University of Ghana Digital Collections http://197.255.68.203/handle/123456789/21664.

[7] Abledu J.K., & Abledu, G.K., (2012). Multiple Logistic Regression Analysis of Predictors of Musculoskeletal Disorders and Disability among Bank Workers in Kumasi, Ghana. J Ergonomics 2(4). https://doi.org/10.4172/2165-7556.1000111.

[8] Anna, Gertrude (2020), Risk Factors Associated with Work-Related Musculoskeletal Symptoms Among Miners At Goldfields Ghana Limited, Tarkwa Mines. University of Ghana Digital Collections. https://ugspace.ug.edu.gh/bitstream/handle/123456789/36463/.

[9] The United States Department of labor. (2014). Occupational Safety and Health Administration. Ergonomics - Overview | Occupational Safety and Health Administration (osha.gov).

[10] Bernard BP, editor, U.S. Department of Health and Human Services. “Musculoskeletal disorders and workplace factors: a critical review of epidemiologic evidence for work related of the neck, upper extremity and lower back.” 1997.

[11] Canadian Center for Occupational Health and Safety, 2023, Diseases, Disorders and Injuries, Work-related Musculoskeletal Disorders (WMSDs), https://www.ccohs.ca/oshanswers/diseases/rmirsi.html.

[12] Hossain, M. D., Aftab, A., Al Imam, M. H., Mahmud, I., Chowdhury, I. A., Kabir, R. I., & Sarker, M. (2018). Prevalence of work related musculoskeletal disorders (WMSDs) and ergonomic risk assessment among ready made garment workers of Bangladesh: A cross sectional study. Plos one, 13(7), 1–18. https://doi.org/10.1371/journal.pone.0200122.

[13] Joshipura, M., Mock, C., & Gosselin, R. A. (2018). Global burden of musculoskeletal conditions. Global Orthopedics: Caring for Musculoskeletal Conditions and Injuries in Austere Settings, April, 9–11. https://doi.org/10.1007/978-1-4614-1578-7_2.

[14] Brault, M W, et al. “Prevalence and Most Common Causes of Disability Among Adults — .” United States, 2005. MMWR (2009): 58(16): 421-426.

[15] Kelley GA, Kelley KS. Community-deliverable exercise and depression in adults with arthritis: Confirmatory evidence of a meta-analysis using the IV het model. J Evid Based Med. 2018 Feb;11(1):51-55. doi: 10.1111/jebm.12229. Epub 2017 Dec 18. PMID: 28276624; PMCID: PMC5348289.

[16] Walker N, Michaud K, Wolfe F. Work limitations among working persons with rheumatoid arthritis: results, reliability, and validity of the work limitations questionnaire in 836 patients. J Rheumatol. 2005 Jun;32(6):1006-12. PMID: 15940759.

[17] Brennan-Olsen, S. L., Cook, S., Leech, M. T., Bowe, S. J., Kowal, P., Naidoo, N., Ackerman, I. N., Page, R. S., Hosking, S. M., Pasco, J. A., & Mohebbi, M. (2017). Prevalence of arthritis according to age, sex and socioeconomic status in six low and middle income countries: Analysis of data from the World Health Organization study on global Ageing and adult health (SAGE) Wave 1. BMC Musculoskeletal Disorders, 18(1), 1–12. https://doi.org/10.1186/s12891-017-1624-z.

[18] Miranda, H., Kaila-Kangas, L., Heliövaara, M., Leino-Arjas, P., Haukka, E., Liira, J., & Viikari-Juntura, E. (2010). Musculoskeletal pain at multiple sites and its effects on work ability in a general working population. Occupational and Environmental Medicine, 67(7), 449–455. https://doi.org/10.1136/oem.2009.048249

[19] Madiba, S., Hoque, M. E., & Rakgase, R. (2013). Musculoskeletal disorders among nurses in high acuity areas in a tertiary hospital in South Africa. Occupational Health Southern Africa, 19(1), 20-23.

[20] Smith, Derek R., Ning Wei, Tatsuya Ishitake, and Rui-Sheng Wang. “Musculoskeletal disorders among Chinese medical students.” The Kurume medical journal 52, no. 4 (2005): 139-146.

[21] Abla Kofi- Bediako, W., Sama, G., Yarfi, C., Ed-Bansah, D., & Appah Acquah, A. (2021). Work-Related Musculoskeletal Disorders among Nurses at the Ho Teaching Hospital, Ghana. Proceedings of the Human Factors and Ergonomics Society Annual Meeting, 65(1), 1291–1294. https://doi.org/10.1177/1071181321651342.

[22] Abledu J.K., Offei, E.B., & Abledu, G.K., (2014), Occupational and Personal Determinants of Musculoskeletal Disorders among Urban Taxi Drivers in Ghana. International Scholarly Research Notices. 2014. https://doi.org//10.1155/2014/517259.

[23] Osumanu, M. S. (2015). Prevalence of Musculoskeletal Disorders Among Commercial Long Distance Bus Drivers In The Greater Accra Region, Ghana. University of Ghana Digital Collections http://197.255.68.203/handle/123456789/21664.

[24] Torgbenu, E. L., Ashigbi, E. Y. K., Opoku, M. P., Banini, S., & Prempeh, E. B. A. (2019). Rehabilitation and management outcomes of musculoskeletal injuries in a major referral hospital in Ghana. BMC Musculoskeletal Disorders, 20(1), 1–9. https://doi.org/10.1186/s12891-019-2423-5.

[25] Plange, E. Bart (2019), work-related musculoskeletal disorders among physiotherapists in ghana: prevalence, perceived causes and coping strategies. https://ugspace.ug.edu.gh/bitstream/handle/123456789/30151/Work-Related/Musculoskeletal/Disorders/among/Physiotherapists-in-Ghana-Prevalence%2C-Perceived-Causes-and-Coping-Strategies.pdf?sequence=1.

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

[27] 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.

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

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

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

[31] Hill, J. C., Kang, S., Benedetto, E., Myers, H., Blackburn, S., Smith, S., Dunn, K. M., Hay, E., Rees, J., Beard, D., Glyn-Jones, S., Barker, K., Ellis, B., Fitzpatrick, R., & Price, A. (2016). Development and initial cohort validation of the Arthritis Research UK Musculoskeletal Health Questionnaire (MSK-HQ) for use across musculoskeletal care pathways. BMJ Open, 6(8), 1–10. https://doi.org/10.1136/bmjopen-2016-012331.

[32] Darko, E (2021). Work-Related Musculoskeletal Disorders Among Workers of Abossey Okai Automobile Spare Parts Markets SPARE PARTS MARKET. Afribary. Retrieved from https://afribary.com/works/work-related-musculoskeletal-disorders-among-workers-of-abossey-okai-automobile-spare-parts-markets-spare-parts-market.

[33] Kabir, Elahe & Aghilinejad, Mashallah & Bahrami-Ahmadi, Amir & Abbaszadeh, Soheila & Moslemi, Sharbanou & Shahnaghi, Narges & Nassiri-Kashani, Mohammad. (2022). Role of Rice Farming in Development Risk of Musculoskeletal Disorders Among Rice Farmers: a Prospective Study in 2013. 489-494.

[34] Xiang, H., Stallones, L., & Keefe, T. J. (1999). Back pain and agricultural work among farmers: an analysis of the Colorado Farm Family Health and Hazard Surveillance Survey. American journal of industrial medicine, 35(3), 310-316.

[35] Lee H. J, Oh J-H, Yoo J.R., Ko S. Y., Kang J. H., Lee S. K., Jeong W., Seong G. M., Kang C. H, Song S. W., 2021, Prevalence of Low Back Pain and Associated Risk Factors among Farmers in Jeju, Safety and Health at Work, Volume 12, Issue 4, Pages 432-438, ISSN 2093-7911, https://doi.org/10.1016/j.shaw.2021.06.003. (https://www.sciencedirect.com/science/article/pii/S2093791121000536).

[36] Poochada, W., Chaiklieng, S., & Andajani, S. (2022). Musculoskeletal disorders among agricultural workers of various cultivation activities in upper northeastern Thailand. Safety, 8(3), 61.

[37] Malam Moussa Ahmet, H., Bika Lele, E.C., Guessogo, W.R. et al., 2023, Musculoskeletal pains among amateur and professional athletes of five disciplines in Senegal: a preliminary study. BMC Musculoskelet Disord 24, 210 (2023). https://doi.org/10.1186/s12891-023-06275-3.