Musculoskeletal Problems and Endurance in Healthcare Professionals With and Without COVID-19

Evaluation of Musculoskeletal Problems, Endurance, Quality of Life and Physical Activity Level in Healthcare Professionals With COVID-19 Infection and Without COVID-19 Infection

The effects of frequency and severity of physical complaints and symptoms on general well-being, sleep and quality of life are known. However, in the COVID-19 process, the disease has very different effects, both physical and psychological, and some symptoms persist even if the disease is overcome; In addition to these, the fact that the measures taken throughout the country prompt individuals to take measures to protect themselves from the disease and make it compulsory under some conditions intertwine many different dimensions of the disease on human health and significantly affect daily life. In this context, our first aim in this study is to compare factors such as musculoskeletal problems, physical activity level, endurance and quality of life in healthcare workers with and without COVID-19. Seconder aim is to examine the relationships between factors such as musculoskeletal problems, physical activity level, endurance and quality of life, and to examine the effect levels of the parameters by performing regression analyzes depending on the result.

Study Overview

• Status: Recruiting
• Conditions: COVID-19 Respiratory Infection
• Intervention / Treatment: Other: Observational

Detailed Description

COVID-19 (The coronavirus disease 2019), COVID-19 infection with a wide variety of symptoms such as pain, shortness of breath, high fever, loss of taste and smell, diarrhea and can even progress to a very serious condition such as acute respiratory distress syndrome. It is a common disease that has manifested itself worldwide in the last 1 year as a disease and was declared a pandemic by the World Health Organization on March 11, 2020.

80% of the cases have mild or asymptomatic disease, and 20% need treatment in hospital conditions. Although the disease affects different age groups, it generally affects people aged 60 and over more. It can take weeks to get over the disease; however, some symptoms persist even after the infection has cleared. The continuation of physical, cognitive and psychological problems in COVID-19 patients recovering from the acute phase of the disease is called 'Post-COVID-19 Syndrome'. Symptoms of the disease include fever, dry cough and shortness of breath, as well as common musculoskeletal problems such as muscle pain, joint pain and fatigue, anxiety, depression, poor sleep quality and decreased quality of life, and difficulties in daily living activities. Moreover, the course and prevalence of the disease and its severity in our country as well as in the world have developed a new psychological pressure about the disease and revealed the situation of coronavirus phobia, and even this affects the mood and sleep quality of individuals. It has been shown that depression and anxiety are observed, especially in patients with severe respiratory-related symptoms, both during the active period of the disease and during the period when the symptoms continue despite the recovery of the disease, and the quality of life is adversely affected.

The effects of frequency and severity of physical complaints and symptoms on general well-being, sleep and quality of life are known. However, in the COVID-19 process, the disease has very different effects, both physical and psychological, and some symptoms persist even if the disease is overcome; In addition to these, the fact that the measures taken throughout the country prompt individuals to take measures to protect themselves from the disease and make it compulsory under some conditions intertwine many different dimensions of the disease on human health and significantly affect daily life. In this context, our first aim in this study is to compare factors such as musculoskeletal problems, physical activity level, endurance and quality of life in healthcare workers with and without COVID-19. Seconder aim is to examine the relationships between factors such as musculoskeletal problems, physical activity level, endurance and quality of life, and to examine the effect levels of the parameters by performing regression analyzes depending on the result.

• Study Type: Observational
• Enrollment (Anticipated): 36

Contacts and Locations

• Study Contact: Name: Reşat HAMURCU; Phone Number: +90 552 664 46 68; Email: fztresathmrc@gmail.com

Study Locations

• Turkey
  • Düzce, Turkey, 81060
    • Recruiting
    • Düzce Atatürk Devlet Hastanesi
    • Contact: Reşat HAMURCU; Phone Number: +90 552 664 46 68; Email: fztresathmrc@gmail.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 65 years (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Participants are health workers working in a health institution; It will consist of two groups, those who have been diagnosed with COVID-19 in the past and those who have not been diagnosed with COVID-19 in the past.

Description

Inclusion Criteria:

• Volunteering,
• Being a healthcare worker

Exclusion Criteria:

• Using psychiatric medication
• No surgery in the last 6 months

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Healthcare Workers with COVID-19 Infection; Healthcare workers who have been diagnosed with COVID-19 in the past and currently do not have COVID-19 disease constitute this group	Other: Observational; Individuals' musculoskeletal problems will be evaluated with the Cornell Musculoskeletal Disorder Questionnaire, quality of life, physical activity, Nottingham Health Profile physical activity International Physical Activity Questionnaire, endurance stabilizer device, functional exercise capacity 1 minute sit and stand test, shortness of breath using the Modified Borg Scale. Measurements will be made only once.
Healthcare Workers without COVID-19 Infection; Healthcare workers who have not been diagnosed with COVID-19 in the past and currently do not have COVID-19 disease constitute this group	Other: Observational; Individuals' musculoskeletal problems will be evaluated with the Cornell Musculoskeletal Disorder Questionnaire, quality of life, physical activity, Nottingham Health Profile physical activity International Physical Activity Questionnaire, endurance stabilizer device, functional exercise capacity 1 minute sit and stand test, shortness of breath using the Modified Borg Scale. Measurements will be made only once.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Measurement of the Endurance	Endurance of deep cervical flexor muscles and core muscles (Transversus abdominous muscle and lumbar multifidus muscle) will be evaluated with The Stabilizer Pressure Biofeedback Unit. The device will be placed on the measured muscles; Individuals will be asked to maintain their position at the desired pressures. It will give the individual the time to maintain the desired value and the pressure score. High scores indicate that endurance is preserved; low scores reflect loss of endurance.	15 minutes

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Cornell Musculoskeletal Discomfort Questionnaire	The scale divides the body into 20 distinct regions. Each region's score ranges from 0 to 90. It is understood that the higher the score, the greater the pain, the severity of the pain and the limitation of the pain.	5 minutes
Nottingham Health Profile	The Nottingham Health Profile will be used to assess health-related quality of life. The questionnaire consists of 38 items and consists of six subsections related to health status: Energy, pain, emotional reactions, sleep, social isolation and physical activity. Each section is scored between 0-100. 0 indicates best health, 100 indicates worst health.	10 minutes
International Physical Activity Questionnaire	Physical activity level will be measured with the International Physical Activity Questionnaire. The questionnaire evaluates parameters such as vigorous activities, moderate activities, walking and sitting activities. The higher the score, the higher the physical activity; A low score indicates physical inactivity.	5 minutes
1 minute sit to stand test	Sit and stand test can be performed to evaluate functional exercise capacity, lower extremity muscle strength and endurance. Individuals are asked to cross their arms over their shoulders and sit and stand up for 30 seconds as fast and as long as they can, and the number of sit-ups is recorded. High scores indicate good functional capacity, strength and endurance; low scores indicate functional impairment.	2 minutes
Modified Borg Scale	Dyspnea assessment will be made with the Modified Borg Scale. Scoring ranges from 0 to 10 points. High scores indicate high dyspnea; low scores indicate low breathlessness.	2 minutes

Collaborators and Investigators

• Sponsor: Abant Izzet Baysal University
• Investigators: Study Director: Eylem TÜTÜN YÜMİN, Assoc. Prof., Bolu Abant İzzet Baysal University

Study record dates

Study Major Dates

• Study Start (Actual): September 30, 2021
• Primary Completion (Anticipated): June 20, 2022
• Study Completion (Anticipated): July 20, 2022

Study Registration Dates

• First Submitted: September 28, 2021
• First Submitted That Met QC Criteria: October 8, 2021
• First Posted (Actual): October 12, 2021

Study Record Updates

• Last Update Posted (Actual): April 6, 2022
• Last Update Submitted That Met QC Criteria: April 5, 2022
• Last Verified: April 1, 2022

More Information

Terms related to this study

• Keywords: COVID-19; Healthcare Workers; Muscle Endurance; Musculoskeletal Problems
• Additional Relevant MeSH Terms: Coronavirus Infections; Coronaviridae Infections; Nidovirales Infections; RNA Virus Infections; Virus Diseases; Respiratory Tract Diseases; Pneumonia, Viral; Pneumonia; Lung Diseases; COVID-19; Infections; Respiratory Tract Infections
• Other Study ID Numbers: AIBU-FTR-ETY-02

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No