Introduction: Rotator cuff syndrome is a musculoskeletal disorder of the shoulder that is common but underestimated among midwives, obstetricians, and auxiliary birth attendants in Burkina Faso. Materials and method: In order to determine its prevalence and risk factors, we conducted an analytical study among midwives, obstetricians, and auxiliary birth attendants in the city of Bobo Dioulasso. Data were collected using the 2001 Nordic questionnaire adapted to shoulder MSDs. The SALTSA protocol was used for diagnostic confirmation during the physical examination. These data were analysed using EPI INFO software version 7.2.6.0. A univariate logistic regression was performed to identify risk factors. Results: We surveyed 116 midwives, obstetricians, and auxiliary midwives from six health centres. The average age was 42.80 years. Midwives accounted for 80.17% of the workforce. Professional seniority was 6 to 10 years in 37.07% of cases. The prevalence of rotator cuff syndrome over the past 12 months was 62.06%, and 37.94% over the past seven days. The clinical symptomatic form of RTS accounted for 57.75% of cases, supraspinatus involvement for 5.55% of cases, and 71.55% of healthcare workers had little knowledge of preventive measures for shoulder MSDs and RTS. Analysis of risk factors revealed a significant link between length of service, night work, and the occurrence of rotator cuff syndrome among healthcare workers. Discussion: Rotator cuff syndrome is a common condition among these healthcare workers. Improving working conditions will help to reduce its prevalence.
References
[1]
Varacallo, M., El Bitar, Y., Sina, R.E. and Mair, S.D. (2024) Rotator Cuff Syndrome. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK531506/
[2]
Michel, D. (1998) Tendinite de la coiffe des rotateurs [Internet]. Ergonomie et prévention des risques professionnels. Guide pour le diagnostic des lésions muscu-lo-squelettiques attribuables au travail répétitif. https://www.irsst.qc.ca/publications-et-outils/publication-irsst/i/670/n/guide-pour-le-diagnostic-des-lesions-musculosquelettiques-attribuables-au-travail-repetitif-les-tendinites-de-l-epaule
[3]
Giri, A., O’Hanlon, D. and Jain, N.B. (2023) Risk Factors for Rotator Cuff Disease: A Systematic Review and Meta-Analysis of Diabetes, Hypertension, and Hyperlipidemia. AnnalsofPhysicalandRehabilitationMedicine, 66, Article ID: 101631. https://doi.org/10.1016/j.rehab.2022.101631
[4]
Park, H.B., Gwark, J., Im, J., Jung, J., Na, J. and Yoon, C.H. (2018) Factors Associated with Atraumatic Posterosuperior Rotator Cuff Tears. JournalofBoneandJointSurgery, 100, 1397-1405. https://doi.org/10.2106/jbjs.16.01592
[5]
Roquelaure, Y. (2017) Actualités concernant les troubles musculo-squelettiques du membre supérieur en relation avec le travail répétitif. Bulletindel’AcadémieNationaledeMédecine, 201, 1149-1160. https://doi.org/10.1016/s0001-4079(19)30388-7
[6]
Meyers, A.R., Wurzelbacher, S.J., Krieg, E.F., Ramsey, J.G., Crombie, K., Christianson, A.L., et al. (2021) Work-Related Risk Factors for Rotator Cuff Syndrome in a Prospective Study of Manufacturing and Healthcare Workers. HumanFactors: TheJournaloftheHumanFactorsandErgonomicsSociety, 65, 419-434. https://doi.org/10.1177/00187208211022122
[7]
Leong, H., Fu, S., He, X., Oh, J., Yamamoto, N. and Yung, S. (2019) Risk Factors for Rotator Cuff Tendinopathy: A Systematic Review and Meta-Analysis. JournalofRehabilitationMedicine, 51, 627-637. https://doi.org/10.2340/16501977-2598
[8]
European Agency for Safety and Health at Work (2019) Work-Related Musculoskeletal Disorders: Prevalence, Costs and Demographics in the EU. Safety and Health at Work EU-OSHA. https://osha.europa.eu/en/publications/msds-facts-and-figures-overview-prevalence-costs-and-demographics-msds-europe
[9]
International Labour Organization (2023) Prendre soin des soignants. Guide d’élaboration et de mise en œuvre de programmes de santé et de sécurité au travail pour les agents de santé. https://www.ilo.org/fr/publications/prendre-soin-des-soignants-guide-delaboration-et-de-mise-en-oeuvre-de-0
[10]
Les lésions professionnelles de la coiffe des rotateurs de l’épaule: Optimiser la prise en charge des travailleurs et favoriser le retour au travail. https://www.irsst.qc.ca/publications-et-outils/publication-irsst/i/101113/n/lesions-professionnelles-coiffe-rotateurs-epaule-retour-travail
[11]
Guiegui, C.P., Aka, I.N.A., Kra, A.A.C., Fofana, O.F., N’Guessan, L.M.A., Kouame, B.A.A., et al. (2010) Etude des troubles musculo-squelettiques des membres supérieurs chez les teinturi-ers du secteur informel en Côte d’Ivoire. Médecined’Afrique Noire, 67, 546-552.
[12]
Nguyen, T.H. (2020) Epidémiologie des troubles musculo-squelettiques chez les infirmiers des hôpitaux de district au Vietnam. PhD Thesis, Université d’Angers. https://theses.hal.science/tel-03385397
[13]
Amin, N.A., Fatt, Q.K., Oxley, J., Abu, I.F., Rm, N. and Nordin, R. (2018) Predictors of Work-Related Musculoskeletal Disorders of Neck and Shoulders among Nurses. International Journal of Pharmaceutical Sciences and Research, 9, 118-125.
[14]
Okuyucu, K., Hignett, S., Gyi, D. and Doshani, A. (2018) Musculoskeletal Symptoms in Midwives and Work-Related Contributory Risk Factors. In: Bagnara, S., Tartaglia, R., Albolino, S., et al., Eds., AdvancesinIntelligentSystemsandComputing, Springer International Publishing, 54-59. https://doi.org/10.1007/978-3-319-96083-8_8
[15]
Ouattara, Y.M., Kouamé, A.A.B., Bini, Q.C., N’Guessan, L.M.A., Kra, A.A.C., Guiegui, C.P., et al. (2020) Etude des troubles musculo squelettiques chez les sagesfemmes du district de Toumodi, Côte d’Ivoire. Presses Universitaires, 54.
[16]
Somé, B.C., Traore, I., Ouédraogo, W.N., Sougué, C., Bonkoungou, W.A., Méda, Z.C., et al. (2021) Facteurs de risque associés au Troubles musculo squelettiques chez le personnel de santé dans un contexte de ressources limitées. In: LivredesRésumés, Presses Universitaires, 54.
[17]
Ministère de la Santé (2012) Carte Sanitaire 2010. http://cns.bf/IMG/pdf/carte_sanitaire_2010
[18]
INRS, INVS (2010) Protocole d’examen clinique pour le repérage des troubles muscu-losquelettiques du membre supérieur Adaptation française du consensus européen SALTSA.
[19]
https://www.imc.fr/calcul
[20]
Scott, J. and Huskisson, E.C. (1976) Graphic Representation of Pain. Pain, 2, 175-184. https://doi.org/10.1016/0304-3959(76)90113-5
[21]
Okuyucu, K. (2019) Musculoskeletal Disorders in Midwives: Prevalence, Impact and Contributory Factors. Loughborough University.
[22]
Athamnia, R. and Kabdi, Z. (2023) Prevalence des troubles musculosquelettiques chez le personnel de sante paramédical au niveau de l’EHS mère et enfant—Ouargla durant l’année 2022. Thesis, Université Kasdi Merbah-Ouargla. http://dspace.univ-ouargla.dz/jspui/handle/123456789/34549
[23]
Ministère du Travail et de la Protection sociale BF. Loi 28-2008/AN du 13 mai 2008 portant code du travail au Burkina Faso.
[24]
Institut national de la statistique et de la démographie BF (2023) Rapport du 5e recensement général de la population et de l’habitation. Baisse de la fécondité au Burkina Faso: Phénomène généralisé ou circonscrit à certaines sous populations?
[25]
Ouédraogo, D.D., Ouédraogo, T., Zabsonré/Tiendrebeogo, J., Zoungrana, E.I., Gnoumou, A., Kaboré, F., et al. (2014) Les lésions tendineuses de l’épaule à Ouagadougou (Burkina Faso). Aspects épidémiologiques et diagnostiques. Médecined’Afrique Noire, 61, 76-80.
[26]
Tchiaya, A.F., Aka, I.N.A., Guiegui, C.P., Ngagoum, W.R.S., Kouassi, Y.M., N’Guessan, L.M.A., et al. (2017) Etude épidémiologique des tendinites de l’épaule chez les caissières de super-marchés à Abidjan, Côte d’Ivoire. Médecined’Afrique Noire, 64, 489-496.
[27]
Occhiminuti, H., Duboille, V., Bouillaguet, P., Maccagnan, S., Delotte, J., Chamorey, E., et al. (2023) P111—Les troubles musculo-squelettiques chez les sages-femmes en France—Etude épidémiologique auprès de 1472 professionnelles. Revued’ÉpidémiologieetdeSantéPublique, 71, Article ID: 101756. https://doi.org/10.1016/j.respe.2023.101756
