Association between the risk of chronification of musculoskeletal symptoms and sleep quality in Military Firefighters of the Federal District

Authors

DOI:

https://doi.org/10.1590/1980-0037.2023v25e85913

Keywords:

firefighters, musculoskeletal symptoms, sleep

Abstract

Musculoskeletal symptoms (MS) can derive from injuries or dysfunctions that affect biological tissues such as muscles, bones, and nerves, among others. Military Firefighters (MF) exercise their activities exposed to varied and complex biological conditions, in which the physical demands are intense. Shift work is another remarkable characteristic of the career, which is associated with sleep disorders. Our objective was to estimate the association between the risk of chronification of MS and sleep quality in MF with MS. Our study is a Cross-Sectional Observational Study, whose sample was composed of 753 BM from the Federal District. The analysis was performed with a Sample Characterization Questionnaire, Örebro Musculoskeletal Symptoms Screening Questionnaire (OMPSQ) and the Pittsburgh Sleep Quality Index (PSQI), answered remotely. Statistical analysis used the Spearman Correlation test, p<0.05. The correlation between OMPSQ and PSQI was rated moderate, demonstrating that sleep quality has an influence on the chronification process. The average of the evaluation of Sleep Quality through the PSQI is 8.79, indicating that military personnel present a deficient quality of sleep. There was a correlation between the PSQI score and the OMPSQ of 0.542 (p<0.001), a moderate correlation between the variables. We conclude that MF show correlation between SM and sleep quality, indicating a moderate relationship between the variables, where sleep quality explains 25% of SM. We found that most MF were classified as Low Risk for chronification of SM.

References

Aziz Q, Barke A, Bennett MI, Benoliel R, Cohen M, Evers S, et al. A classification of chronic pain for ICD-11. Pain. 2015;156(6):1003–7.

Butler RJ, Contreras M, Burton LC, Plisky PJ, Goode A, Kiesel K. Modifiable risk factors predict injuries in firefighters during training academies. Work. 2013;46(1):11–7.

Da Costa BR, Vieira ER. Risk factors for work-related musculoskeletal disorders: A systematic review of recent longitudinal studies. Am J Ind Med. 2010;53(3):285–323.

Le AB, Smith TD, McNulty LA, Dyal MA, Dejoy DM. Firefighter overexertion: A continuing problem found in an analysis of non-fatal injury among career firefighters. Int J Environ Res Public Health. 2020;17(21):1–11.

Bos J, Mol E, Visser B, Frings-Dresen M. Risk of health complaints and disabilities among Dutch firefighters. Int Arch Occup Environ Health. 2004;77(6):373–82.

Negm A, MacDermid J, Sinden K, D’Amico R, Lomotan M, MacIntyre NJ. Prevalence and distribution of musculoskeletal disorders in firefighters are influenced by age and length of service. J Mil Veteran Fam Heal. 2017;3(2):33–41.

Soteriades ES, Psalta L, Leka S, Spanoudis G. Occupational stress and musculoskeletal symptoms in firefighters. Int J Occup Med Environ Health. 2019;32(3):341–52.

Jang EH, Hong Y, Kim Y, Lee S, Ahn Y, Jeong KS, et al. The development of a sleep intervention for firefighters: The fit-in (firefighter’s therapy for insomnia and nightmares) study. Int J Environ Res Public Health. 2020;17(23):1–14.

Lusa S, Miranda H, Luukkonen R, Punakallio A. Sleep disturbances predict long-term changes in low back pain among Finnish firefighters: 13-year follow-up study. Int Arch Occup Environ Health. 2015;88(3):369–79.

Lim DK, Baek KO, Chung IS, Lee MY. Factors Related to Sleep Disorders among Male Firefighters. Ann Occup Environ Med. 2014;26:11.

Ball HL. Conducting Online Surveys. J Hum Lact. 2019; 35(3):413-417.

Riewe E, Neubauer E, Pfeifer AC, Schiltenwolf M. Predicting persistent back symptoms by psychosocial risk factors: Validity criteria for the ömpsq and the hkf-r 10 in Germany. PLoS One. 2016;11(7):1–14.

Fagundes FRC, Costa LOP, Fuhro FF, Manzoni ACT, de Oliveira NTB, Cabral CMN. Örebro Questionnaire: short and long forms of the Brazilian-Portuguese version. Qual Life Res. 2015;24(11):2777–88.

Bertolazi AN, Fagondes SC, Hoff LS, Dartora EG, da Silva Miozzo IC, de Barba MEF, et al. Validation of the Brazilian Portuguese version of the Pittsburgh Sleep Quality Index. Sleep Med. 2011;12(1):70–5.

Mehrdad R, Sadeghniiat Haghighi K, Naseri Esfahani AH. Sleep quality of professional firefighters. Int J Prev Med. 2013;4(9):1095–100.

Moens M, Nijs J, Mairesse O, Ickmans K, Neu D, Cagnie B, et al. Sleep Disturbances in Chronic Pain: Neurobiology, Assessment, and Treatment in Physical Therapist Practice. Phys Ther. 2018;98(5):325–35.

Orlandi AC, Ventura C, Gallinaro AL, Costa RA, Lage LV. Melhora da dor, do cansaço e da qualidade subjetiva do sono por meio de orientações de higiene do sono em pacientes com fibromialgia. Rev Bras Reumatol. 2012;52(5):672–8.

Callegari-Jacques SM. Bioestatística: Princípios e Aplicações. 2009. 233 p.

Kim MG, Seo J il, Kim KS, Ahn YS. Nationwide firefighter survey: the prevalence of lower back pain and its related psychological factors among Korean firefighters. Int J Occup Saf Ergon. 2017;23(4):447–56.

Kelly GA, Blake C, Power CK, Okeeffe D, Fullen BM. The association between chronic low back pain and sleep: A systematic review. Clin J Pain. 2011;27(2):169–81.

Karaman S, Karaman T, Dogru S, Onder Y, Citil R, Bulut YE, Tapar H, Sahin A, Arici S, Kaya Z, Suren M. Prevalence of sleep disturbance in chronic pain. Eur Rev Med Pharmacol Sci. 2014;18(17):2475-81.

Skovlund SV, Bláfoss R, Sundstrup E, Andersen LL. Association between physical work demands and work ability in workers with musculoskeletal pain: Cross-sectional study. BMC Musculoskelet Disord. 2020;21(1):1–8.

Airila A, Hakanen JJ, Luukkonen R, Lusa S, Punakallio A, Leino-Arjas P. Developmental trajectories of multisite musculoskeletal pain and depressive symptoms: The effects of job demands and resources and individual factors. Psychol Heal. 2014;29(12):1421–41.

Tesarz J, Leisner S, Gerhardt A, Janke S, Seidler GH, Eich W, Hartmann M. Effects of eye movement desensitization and reprocessing (EMDR) treatment in chronic pain patients: a systematic review. Pain Med. 2014;15(2):247-63.

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Published

2023-03-04