Work-related neck pain and its association with postural and ergonomic factors among Pakistani professional drivers.

BACKGROUND: Professional drivers are most likely to experience work-related neck pain due to awkward sitting positions for extended periods of time. Globally, millions of people depend on drivers who dedicate their lives to the craft. However, there is a paucity of data available on professional drivers suffering from neck pain or other musculoskeletal pain in Pakistan. OBJECTIVE: To investigate the prevalence of neck pain and its association with postural and ergonomic factors among Pakistani professional drivers. METHODS: This was a cross-sectional study conducted from January to June 2022 among 369 professional drivers located in Faisalabad, Pakistan. The data were collected by using a questionnaire comprising different sections, including personal, postural and ergonomic factors among drivers. The Statistical Package for the Social Sciences (SPSS) 25 was used for data entry and analysis. RESULTS: The mean age of the participants was 40.83±9.27 years. Among the 369 participants, 129 reported neck pain. The period and point prevalence of neck pain were 35% (n = 129) and 31% (n = 115), respectively. Professional drivers reported a significant association between habitual forward posture and head-neck posture (p = 0.000) and between habitual forward posture and trunk posture (p = 0.000) with neck pain. In addition, ergonomics training (p = 0.002), ergonomics awareness (p = 0.002), and mobile use while driving (p = 0.000) were significantly associated with neck pain. CONCLUSION: This study revealed that drivers have greater period prevalence of neck pain than point prevalence. Moreover, this study revealed that age, BMI, lifestyle, health status, medication use, and smoking habits were associated with neck pain in drivers. Drivers who had ergonomic training and awareness were significantly less likely to suffer from lower neck pain. Drivers with a habitual forward posture are more likely to suffer from neck pain than are drivers with a prone posture.

Role of telerehabilitation in the rehabilitation of children with cerebral palsy during COVID-19: A review.

Individuals with cerebral palsy (CP) have limited mobility and are unable to actively participate in tasks that are part of their daily living. Thus, continuous therapeutic sessions are required to keep such individuals active and engaged in the environment. Due to the coronavirus disease of 2019 (COVID-19) lockdowns, rehabilitation for children with CP was inhibited which consequently put them at risk of losing their functional gains which were obtained through previous in-person therapies. In order to avoid this, an alternate to conventional therapy was required and this rendered it necessary to review the role of telerehabilitation (TR) and its various modes for the rehabilitation of children with CP. This study aimed to explore the effectiveness of TR for children with CP during COVID-19 through the present literature and to determine if TR is an alternate to conventional physical therapy in children with CP during the coronavirus outbreak. This scoping review was conducted by searching different databases such as PubMed, Cochrane Collaboration, Medline, and Google Scholar on the basis of inclusion criteria. Screening was performed from January 2019 to June 2022 and the initial screening attempt returned 469 studies. After applying the aforementioned criteria, all impertinent studies were excluded which resulted in 28 studies being included for this review as they contained information about the effectiveness of TR on children with CP during COVID-19. These 28 articles included randomised controlled trials, surveys, reviews, clinical trials, case reports, prospective studies, editorials, and longitudinal studies. Three out of the 7 randomised controlled trial studies revealed that action observation treatment can be a useful approach for TR in child with CP during similar pandemics. The other 3 studies supported the use of computer-based games, robots, nonimmersive virtual reality, and wearable haptic devices as a significant means of TR in child with CP as an alternate to routine therapy during COVID-19. TR is an affable mode of rehabilitation specifically for the pediatric population. In the future, it can be an alternate to routine therapy for those who are unlikely to get daily access to in-person therapeutic sessions due to various reasons or circumstances.