Background: Professional bus drivers report a high prevalence of upper quadrant musculoskeletal pain which could be associated with scapular dyskinesis (SD). However, the evidence for valid and reliable screening methods for this condition is limited as SD among bus drivers is an emerging area of research. Therefore, the main aim of the study was to investigate the reliability of dynamic scapular motion test (DSMT) using video analysis as an accurate method to evaluate SD and to identify patterns of SD among bus drivers.
Methods: In total, 32 bus drivers from a private bus company with unilateral upper quadrant musculoskeletal pain participated in the study. The DSMT was conducted and the SD was captured in the video during shoulder flexion-abduction movements. Two investigators analyzed the video recordings and identified the patterns of SD. The intra- and interrater reliability were determined using the percentage of agreement and weighted Kappa coefficients (Kw). Descriptive analysis was used to examine the patterns of SD.
Findings: The intra- and interrater reliability of DSMT using video analysis were excellent (Kw coefficient: 0.762-0.878 and 0.87-1.00, respectively). About 56.2% and 53.1% of bus drivers presented SD with the shoulder flexion and abduction movements during DSMT. Medial border prominence (Type II pattern of SD) was identified as the common pattern of SD.
Conclusion/application To Practice: The DSMT using video analysis showed excellent intra- and interrater reliability to evaluate SD. Occupational health practitioners can consider DSMT using video analysis to identify SD among people with upper quadrant musculoskeletal pain at the workplace.
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http://dx.doi.org/10.1177/21650799211003562 | DOI Listing |
In view of the suddenness, complexity and high-risk potential of bus crashes, the injury severity and its influencing factors have increasingly became the research focus in urban transportation safety management. The purpose of this study is to analyze the core elements of bus crash injury severity and its interaction mechanism, in order to provide a scientific basis for improving the bus operation safety. In this study, 283 crashes occurred in a Chongqing bus company from January to June 2022 were taken as samples around the dimensions of drivers' educational background, driving characteristics, weather, and corporate management strategies.
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