The Experts below are selected from a list of 44949 Experts worldwide ranked by ideXlab platform
Gabriele Bammer - One of the best experts on this subject based on the ideXlab platform.
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women work and Musculoskeletal Health
Social Science & Medicine, 2004Co-Authors: Lyndall Strazdins, Gabriele BammerAbstract:Why are employed women at increased risk for upper limb Musculoskeletal disorders and what can this tell us about the way work and family life shape Health? Despite increases in women's labour force participation, gender differences in work-related Health conditions have received little research attention. This appears be the first study to examine why employed women are much more likely than men to experience upper body Musculoskeletal disorders. A mailed self-report survey gathered data from 737 Australian Public Service employees (73% women). The majority of respondents were clerical workers (73%). Eighty one per cent reported some upper body symptoms; of these, 20% reported severe and continuous upper body pain. Upper body Musculoskeletal symptoms were more prevalent and more severe among women. The gender difference in symptom severity was explained by risk factors at work (repetitive work, poor ergonomic equipment), and at home (having less opportunity to relax and exercise outside of work). Parenthood exacerbated this gender difference, with mothers reporting the least time to relax or exercise. There was no suggestion that women were more vulnerable than men to pain, nor was there evidence of systematic confounding between perceptions of work conditions and reported Health status. Changes in the nature of work mean that more and more employees, especially women, use computers for significant parts of their workday. The sex-segregation of women into sedentary, repetitive and routine work, and the persisting gender imbalance in domestic work are interlinking factors that explain gender differences in Musculoskeletal disorders.
Andrew M Briggs - One of the best experts on this subject based on the ideXlab platform.
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global Health policy in the 21st century challenges and opportunities to arrest the global disability burden from Musculoskeletal Health conditions
Best Practice & Research: Clinical Rheumatology, 2020Co-Authors: Andrew M Briggs, Kristina Åkesson, Jeremy Shiffman, Yusra Ribhi Shawar, Nuzhat Ali, Anthony D WoolfAbstract:The profound burden of disease associated with Musculoskeletal Health conditions is well established. Despite the unequivocal disability burden and personal and societal consequences, relative to other non-communicable diseases (NCDs), system-level responses for Musculoskeletal conditions that are commensurate with their burden have been lacking nationally and globally. Health policy priorities and responses in the 21st century have evolved significantly from the 20th century, with Health systems now challenged by an increasing prevalence and impact of NCDs and an unprecedented rate of global population ageing. Further, Health policy priorities are now strongly aligned to the 2030 Sustainable Development Goals. With this background, what are the challenges and opportunities available to influence global Health policy to support high-value care for Musculoskeletal Health conditions and persistent pain? This paper explores these issues by considering the current global Health policy landscape, the role of global Health networks, and progress and opportunities since the 2000-2010 Bone and Joint Decade for Health policy to support improved Musculoskeletal Health and high-value Musculoskeletal Health care.
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models of care for Musculoskeletal Health moving towards meaningful implementation and evaluation across conditions and care settings
Best Practice & Research: Clinical Rheumatology, 2016Co-Authors: Andrew M Briggs, Madelynn Chan, Helen SlaterAbstract:Models of Care (MoCs) are increasingly recognised as a system-level enabler to translate evidence for 'what works' into policy and, ultimately, clinical practice. MoCs provide a platform for a reform agenda in Health systems by describing not only what care to deliver but also how to deliver it. Given the enormous burden of disease associated with Musculoskeletal (MSK) conditions, system-level (macro) reform is needed to drive downstream improvements in MSK Healthcare - at the Health service (meso) level and at the clinical interface (micro) level. A key challenge in achieving improvements in MSK Healthcare is sustainable implementation of reform initiatives, whether they be macro, meso or micro level in scope. In this chapter, we introduce the special issue of the Journal dedicated to implementation of MSK MoCs. We provide a contextual background on MoCs, a synthesis of implementation approaches across care settings covered across the chapters in this themed issued, and perspectives on the evaluation of MoCs.
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Musculoskeletal Health conditions represent a global threat to Healthy aging a report for the 2015 world Health organization world report on ageing and Health
Gerontologist, 2016Co-Authors: Andrew M Briggs, Marita Cross, Lidia Sanchezriera, Anthony D Woolf, Fiona M Blyth, Lyn MarchAbstract:Persistent pain, impaired mobility and function, and reduced quality of life and mental well-being are the most common experiences associated with Musculoskeletal conditions, of which there are more than 150 types. The prevalence and impact of Musculoskeletal conditions increase with aging. A profound burden of Musculoskeletal disease exists in developed and developing nations. Notably, this burden far exceeds service capacity. Population growth, aging, and sedentary lifestyles, particularly in developing countries, will create a crisis for population Health that requires a multisystem response with Musculoskeletal Health services as a critical component. Globally, there is an emphasis on maintaining an active lifestyle to reduce the impacts of obesity, cardiovascular conditions, cancer, osteoporosis, and diabetes in older people. Painful Musculoskeletal conditions, however, profoundly limit the ability of people to make these lifestyle changes. A strong relationship exists between painful Musculoskeletal conditions and a reduced capacity to engage in physical activity resulting in functional decline, frailty, reduced well-being, and loss of independence. Multilevel strategies and approaches to care that adopt a whole person approach are needed to address the impact of impaired Musculoskeletal Health and its sequelae. Effective strategies are available to address the impact of Musculoskeletal conditions; some are of low cost (e.g., primary care-based interventions) but others are expensive and, as such, are usually only feasible for developed nations. In developing nations, it is crucial that any reform or development initiatives, including research, must adhere to the principles of development effectiveness to avoid doing harm to the Health systems in these settings.
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models of care for Musculoskeletal Health in australia now more than ever to drive evidence into Health policy and practice
Australian Health Review, 2014Co-Authors: Andrew M Briggs, Simon Towler, Robyn Speerin, Lyn MarchAbstract:Musculoskeletal Health conditions such as arthritis, osteoporosis and pain syndromes impart a profound socioeconomic burden worldwide, particularly in developed nations such as Australia. Despite the identified burden, substantial evidence-practice and care disparity gaps remain in service delivery and access that limit the potential for improvedconsumeroutcomesandsystemefficiencies.Addressingthesegapsrequiresawhole-of-sectorresponse,supported by evidence-informed Health policy. Models of care (MoCs) serve as a policy vehicle to embed evidence into Health policy and guide practice through changes in service delivery systems and clinician behaviour. In Australia, MoCs for Musculoskeletal Health have been developed by networks of multidisciplinary stakeholders and are incrementally being implemented across Health services, facilitated by dedicated policy units and clinical champions. A web of evidence is now emergingtosupportthisapproachtodrivingevidenceintoHealthpolicyandpractice.UnderstandingthevernacularofMoCs and the development and implementation of MoCs is important to embracing this approach to Health policy.
Lyn March - One of the best experts on this subject based on the ideXlab platform.
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Musculoskeletal Health conditions represent a global threat to Healthy aging a report for the 2015 world Health organization world report on ageing and Health
Gerontologist, 2016Co-Authors: Andrew M Briggs, Marita Cross, Lidia Sanchezriera, Anthony D Woolf, Fiona M Blyth, Lyn MarchAbstract:Persistent pain, impaired mobility and function, and reduced quality of life and mental well-being are the most common experiences associated with Musculoskeletal conditions, of which there are more than 150 types. The prevalence and impact of Musculoskeletal conditions increase with aging. A profound burden of Musculoskeletal disease exists in developed and developing nations. Notably, this burden far exceeds service capacity. Population growth, aging, and sedentary lifestyles, particularly in developing countries, will create a crisis for population Health that requires a multisystem response with Musculoskeletal Health services as a critical component. Globally, there is an emphasis on maintaining an active lifestyle to reduce the impacts of obesity, cardiovascular conditions, cancer, osteoporosis, and diabetes in older people. Painful Musculoskeletal conditions, however, profoundly limit the ability of people to make these lifestyle changes. A strong relationship exists between painful Musculoskeletal conditions and a reduced capacity to engage in physical activity resulting in functional decline, frailty, reduced well-being, and loss of independence. Multilevel strategies and approaches to care that adopt a whole person approach are needed to address the impact of impaired Musculoskeletal Health and its sequelae. Effective strategies are available to address the impact of Musculoskeletal conditions; some are of low cost (e.g., primary care-based interventions) but others are expensive and, as such, are usually only feasible for developed nations. In developing nations, it is crucial that any reform or development initiatives, including research, must adhere to the principles of development effectiveness to avoid doing harm to the Health systems in these settings.
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models of care for Musculoskeletal Health in australia now more than ever to drive evidence into Health policy and practice
Australian Health Review, 2014Co-Authors: Andrew M Briggs, Simon Towler, Robyn Speerin, Lyn MarchAbstract:Musculoskeletal Health conditions such as arthritis, osteoporosis and pain syndromes impart a profound socioeconomic burden worldwide, particularly in developed nations such as Australia. Despite the identified burden, substantial evidence-practice and care disparity gaps remain in service delivery and access that limit the potential for improvedconsumeroutcomesandsystemefficiencies.Addressingthesegapsrequiresawhole-of-sectorresponse,supported by evidence-informed Health policy. Models of care (MoCs) serve as a policy vehicle to embed evidence into Health policy and guide practice through changes in service delivery systems and clinician behaviour. In Australia, MoCs for Musculoskeletal Health have been developed by networks of multidisciplinary stakeholders and are incrementally being implemented across Health services, facilitated by dedicated policy units and clinical champions. A web of evidence is now emergingtosupportthisapproachtodrivingevidenceintoHealthpolicyandpractice.UnderstandingthevernacularofMoCs and the development and implementation of MoCs is important to embracing this approach to Health policy.
Lyndall Strazdins - One of the best experts on this subject based on the ideXlab platform.
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women work and Musculoskeletal Health
Social Science & Medicine, 2004Co-Authors: Lyndall Strazdins, Gabriele BammerAbstract:Why are employed women at increased risk for upper limb Musculoskeletal disorders and what can this tell us about the way work and family life shape Health? Despite increases in women's labour force participation, gender differences in work-related Health conditions have received little research attention. This appears be the first study to examine why employed women are much more likely than men to experience upper body Musculoskeletal disorders. A mailed self-report survey gathered data from 737 Australian Public Service employees (73% women). The majority of respondents were clerical workers (73%). Eighty one per cent reported some upper body symptoms; of these, 20% reported severe and continuous upper body pain. Upper body Musculoskeletal symptoms were more prevalent and more severe among women. The gender difference in symptom severity was explained by risk factors at work (repetitive work, poor ergonomic equipment), and at home (having less opportunity to relax and exercise outside of work). Parenthood exacerbated this gender difference, with mothers reporting the least time to relax or exercise. There was no suggestion that women were more vulnerable than men to pain, nor was there evidence of systematic confounding between perceptions of work conditions and reported Health status. Changes in the nature of work mean that more and more employees, especially women, use computers for significant parts of their workday. The sex-segregation of women into sedentary, repetitive and routine work, and the persisting gender imbalance in domestic work are interlinking factors that explain gender differences in Musculoskeletal disorders.
Carolyn A Greig - One of the best experts on this subject based on the ideXlab platform.
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the effect of combined resistance exercise training and vitamin d3 supplementation on Musculoskeletal Health and function in older adults a systematic review and meta analysis
BMJ Open, 2017Co-Authors: Anneka Elizabeth Antoniak, Carolyn A GreigAbstract:Objectives In older adults, there is a blunted responsiveness to resistance training and reduced muscle hypertrophy compared with younger adults. There is evidence that both exercise training and vitamin D supplementation may benefit Musculoskeletal Health in older adults, and it is plausible that in combination their effects may be additive. The aim of this systematic review was to evaluate the effectiveness of combined resistance exercise training and vitamin D 3 supplementation on Musculoskeletal Health in older adults. Data sources A comprehensive search of electronic databases, including Science Direct, Medline, PubMed, Google Scholar and Cochrane Central Register of Controlled Trials (Cochrane CENTRAL accessed by Wiley Science) was conducted. Eligible studies were randomised controlled trials including men and women (aged ≥65 years or mean age ≥65 years); enlisting resistance exercise training and vitamin D 3 supplementation; including outcomes of muscle strength, function, muscle power, body composition, serum vitamin D/calcium status or quality of life comparing results with a control group. The review was informed by a preregistered protocol (http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42015020157). Results Seven studies including a total of 792 participants were identified. Studies were categorised into two groups; group 1 compared vitamin D 3 supplementation and exercise training versus exercise alone (describing the additive effect of vitamin D 3 supplementation when combined with resistance exercise training) and group 2 compared vitamin D 3 supplementation and exercise training versus vitamin D 3 supplementation alone (describing the additive effect of resistance exercise training when combined with vitamin D 3 supplementation). Meta-analyses for group 1 found muscle strength of the lower limb to be significantly improved within the intervention group (0.98, 95% CI 0.73 to 1.24, p Conclusions This review provides tentative support for the additive effect of resistance exercise and vitamin D 3 supplementation for the improvement of muscle strength in older adults. For other functional variables, such as SPPB and TUG, no additional benefit beyond exercise was shown. Further evidence is required to draw firm conclusions or make explicit recommendations regarding combined exercise and vitamin D 3 supplementation.
