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Disorders of the Skeletal Muscle01:28

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The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
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A Novel Application of Musculoskeletal Ultrasound Imaging
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Musculoskeletal Disorders' Classification Proposal for Application in Occupational Medicine.

Pablo Monteiro Pereira1, João Amaro2, Bruno Tillmann Ribeiro3

  • 1Associated Laboratory for Energy, Transports and Aeronautics, (LAETA/ROA), Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal.

International Journal of Environmental Research and Public Health
|August 7, 2021
PubMed
Summary

A new classification for work-related musculoskeletal disorders (WRMSDs) was developed, grading injury severity into four levels. This tool aids in WRMSD prevention and treatment, improving clinical decision-making and communication among physicians.

Keywords:
MSDWRMSDclassificationmusculoskeletal disordersoccupational diseasesoccupational health

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Area of Science:

  • Occupational Medicine
  • Clinical Pathology
  • Orthopaedics

Background:

  • Existing occupational classifications for musculoskeletal disorders (MSDs) are insufficient for clinical practice.
  • Work-related MSDs (WRMSDs) share common pathophysiological development processes.
  • A need exists for a unified classification system for WRMSDs.

Purpose of the Study:

  • To develop and propose a novel, clinically applicable classification system for WRMSDs.
  • To integrate aetiopathogenic, clinical, occupational, and radiological concepts into a single classification.
  • To enhance the prevention and therapeutic management of WRMSDs.

Main Methods:

  • Applied clinical pathology concepts to WRMSD pathophysiology, including cellular and tissue alterations.
  • Correlated inflammatory mechanisms with injury onset, grading into four levels (MSDs 0-3).
  • Incorporated criteria from legal, occupational, internal medicine, semiology, physiology, orthopaedics, and diagnostic imaging, validated by expert review.

Main Results:

  • A four-level classification system for WRMSDs was developed, integrating diverse medical concepts.
  • The classification facilitates improved determination of WRMSDs and guides preventive and therapeutic strategies.
  • The tool enhances communication between occupational health physicians and other medical specialists.

Conclusions:

  • The developed four-level classification provides a straightforward and understandable tool for WRMSDs.
  • This classification aids in preventing injuries from becoming chronic and improves therapeutic management.
  • Enhanced communication and a unified approach are facilitated for better WRMSD care.