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Our aim was to assess sleep quality in different subgroups of preclinical medical students, and then to identify specific lifestyle factors, academic and social factors as well as Corona virus related factors that were associated with poor sleeping quality and poor psychological health. Study participants were all medical students at King Saud University of Medical Sciences in the first and second years (648 students), and the study was conducted from December 2021 to January 2022. We administered the survey on paper as well as online. We used three types of questionnaires in this study. The first was a self-administered questionnaire, the second was a validated Insomnia Severity Index (ISI) for finding sleeping problems, and the third was a validated DASS 10 for determining Depression, Anxiety, and Stress. A total of 361 pre-clinical medical students consisted of 146 (40.4%) males and 215 (59.5%) females. The majority of the students, 246 (68.1%), were in their second year. Furthermore, in the current study, students who had poor academic performance (15.8%), satisfactory academic performance (21.3%), or good academic performance (30.7%) had significant sleeping problems found (χ2 = 19.4; p = 0.001), among them poor academic performance students 21.6%, satisfactory academic performance students (29.3%), and good academic performance students (29.3%) had moderate to severe levelled sleeping problems. Similarly, poor, satisfactory, and good academic performers experienced the highest levels of anxiety (poor = 21.5%; satisfactory = 22.1%; and good = 22.8%); stress (poor = 22.4%; satisfactory = 25.2%; and good = 22.4%); and depression (poor = 40.5%; satisfactory = 40.5%; and good = 11.9%). The majority of students (64.8%) reported that during the pandemic crisis their anxiety levels were high. Additionally, students reported significantly high sleeping issues (χ2 = 10.6; p = 0.001) and also serious psychological issues (Anxiety = 34.9 (0.000); Stress = 32.5 (0.000); and Depression = 5.42 (0.01)). There was a high prevalence of sleep issues, anxiety, stress, and depression among the pre-clinical medical students, with significantly higher sleeping disorders, anxiety, stress, and depression levels among those medical students who struggle with their academic performances, poor lifestyle factor, and poor Social and COVID management.

Background. Musculoskeletal disorders (MSDs) are considered one of the most common health issues in working population and have a high social and economic impact. This study is aimed at determining the MSD patterns and associated risk factors among higher education academicians in Saudi Arabia. Methods. A cross-sectional study was conducted among higher education academicians, randomly selected from different universities within Saudi Arabia. A sample of 207 academicians participated in the present study from different faculties such as nursing, applied medical sciences, pharmacy, dentistry, computer science, science, and engineering for a period of 1 year. The Nordic Musculoskeletal Questionnaire (NMQ-E) was used to assess the MSD patterns and prevalence for the different parts of the body regions, and the Dutch Musculoskeletal Questionnaire (DMQ) was used to determine the physical risk factors associated with the working conditions in the higher academic occupations. Descriptive statistics and the Pearson chi-squared test were used for data analysis. Results. The overall prevalence rate was 42.5%, and the pattern of body parts involved was almost similar on both study variables, i.e., descending from the lower back (31.9%), followed by the neck (26.1%), knees (21.3%), shoulder (16.9%), upper back (13%), ankle and foot (10.1%), wrist and hand (7.2%), and elbow (6.3%), and the least common observed region was the hip and thigh (2.4%). The physical risk factors and its association with the body regions based on DMQ related to workload, period of use, and repetitive movements were observed in the wrist and hand (43%), followed by the neck (42%) and trunk (21%). Conclusion. The study demonstrated that the MSDs are lower among the higher academic occupations. However, the most common MSDs observed in this group of subjects are the back, neck, and knee pain, and it is found that some of the lifetime physical activities also have a significant association with these involved body regions.

Supermarket cashiers face a significant amount of stress, including time constraints, mental pressure, and physical demands that require repetitive movements. The job description of a supermarket cashier involves work-related risk factors that may lead to musculoskeletal disorder (MSD) symptoms. This study aimed to investigate supermarket cashiers to determine the prevalence of MSD symptoms and their quality of life. Data were collected from a convenience sample of supermarket cashiers working in Saudi Arabia. Information included direct questions on pain in the previous 12 months, demographic data, and health- or occupation-related factors. Moreover, data was collected based on the 36-item short form survey (SF-36), and descriptive statistics were computed. A total of 193 supermarket cashiers participated in this study. The sample included 140 men (72.5%) and 53 women (27.5%), with a mean age of 27.2 ± 6.4 years. The majority of the participants (90%) had MSD symptoms in at least one body region, with the neck (66.84%) and lower back (65.80%) constituting the most prominent regions. The mean SF-36 scores were higher in participants without pain compared to participants with pain in all domains, except for the physical functioning domain. The high prevalence of MSD symptoms among young cashiers suggest the need for additional investigations to determine the risk factors of these disorders. Additionally, this study recommends preventive procedures to reduce the prevalence of MSD symptoms among cashiers.

Aim. The study aim was to determine the prevalence of neck, shoulder, and low-back pains and to explore the factors associated with musculoskeletal pain (MSP) among medical students at university hospitals in central Saudi Arabia. Method. This cross-sectional study was conducted at a government institution using an online self-administered, modified version of the Standardised Nordic Questionnaire in the English language. Results. A total of 469 students responded to our survey. The prevalence of MSP in at least one body site at any time, in the past week, and in the past year was 85.3%, 54.4%, and 81.9%, respectively. Factors significantly associated with MSP in at least one body site at any time were being in the clinical year (P=0.032), history of trauma (P = 0.036), history of depressive symptoms (P<0.001), and history of psychosomatic symptoms (P<0.001). On multivariable regression analysis, factors associated with MSP were history of trauma (P=0.016) and depressive (P=0.002) or psychosomatic symptoms (P=0.004). Conclusion. MSP among Saudi medical students is high, particularly among those in the clinical years and those with history of trauma and with depressive or psychosomatic symptoms. Medical institutions should be aware of this serious health issue and preventive measures are warranted.

Pemberton's osteotomy has been recognized as a standard technique for the treatment of acetabular dysplasia. The aim of this article is to describe the surgical technique of a double-level pelvic osteotomy. To the authors' knowledge, this technique has never been reported. The osteotomy was performed in a case of severe pan-acetabular dysplasia where a single, classic Pemberton's osteotomy was not sufficient to provide adequate coverage. The described osteotomy provided sufficient acetabular coverage and overcame the persistent acetabular dysplasia. [ Orthopedics. 2016; 39(4):e806–e809.]

Knee complaints and their accompanying functional impairments are frequent problems encountered by healthcare practitioners worldwide. Plenty of functional scoring systems were developed and validated to give a relative estimation about the knee function. Despite the wide geographic distribution of Arabic language in the Middle East and North Africa, it is rare to find a validated knee function scale in Arabic. The present study is aimed to translate, validate, and culturally adjust the Knee Outcome Survey: Activities of Daily Living Scale (KOS-ADLS) into Arabic language for future use among Arabic-speaking patients. Permission for translation was obtained from the copyrights holder. Two different teams of high-level clinical and linguistic expertise conducted translation process blindly. Forward–backward translation technique was implemented to ensure preservation of the main conceptual content. Main study consisted of 280 subjects. Reliability was examined by test–retest pilot study. Visual Analogue Scale (VAS), Get Up and Go (GUG) Test, Ascending/Descending Stairs (A/D Stairs), and Subjective Assessment of Function (SAF) were conducted concurrently to show the validity of Arabic KOS-ADLS statistically in relation to these scales. Final translated version showed no significant discrepancies. Minor adaptive adjustment was required to fit Arabian cultural background. Internal consistency was favourable (Cronbach’s alpha 0.90). Patients’ scoring on Arabic KOS-ADLS appeared relatively consistent with their scoring on VAS, GUG, A/D Stairs, and SAF. A significant linear relationship was demonstrated between SAF and total KOS-ADLS scores on regression analysis (adj. R 2  = 0.548). Arabic KOS-ADLS, as its English counterpart, was found to be a simple, valid, and useful instrument for knee function evaluation. Arabic version of KOS-ADLS represents a promising candidate for unconditional use among Arabic-speaking patients with knee complaints.

Objective. Performance of athletes from different sports on balance tests is not well understood. Prescription of balance exercises to athletes in different sports may be an important to recognize performance variations. Thus current study was compared static and dynamic balance among soccer and basketball collegiate athletes. Material and Method. A sample of 40 male volunteers from collegiate soccer and basketball athletes with mean age of 19.2±1.42years were participated in the current study. Subjects were divided into two respective groups of basketball and soccer (n =20). Study outcomes were assessed the static and dynamic balances by Balance Error Scoring System (BESS) and Star Excursion Balance Test (SEBT) respectively in both groups. Results. Results indicated that both basketball and soccer athletes had similar static balance measure on BESS irrespective of dominant or non-dominant extremity. SEBT comparisons revealed that statistically significant difference were found between two groups of athletes for dominant extremity in all the three reach directions. Results indicated that increased reach distance of soccer athletes on SEBT showed better dynamic balance ability than basketball athletes. Conclusions. Basketball and soccer players did not differ in terms of static balance. In contrast, basketball players displayed inferior dynamic balance compared with soccer players. With this insight, athletic trainers may prescribe balance exercises more effectively to athletes from basketball and soccer players. [PUBLICATION ABSTRACT]

Plantar fasciitis is one of the most common causes of inferior heel pain managed by many physical therapists in variety of clinical settings and wildly treated conservatively. It is usually caused by a biomechanical imbalance resulting in tension along the plantar fascia. It is estimated that 11% to 15% of all foot complaints requiring medical attention can be attributed to this condition. The patient typically presents with inferior heel pain on weight bearing. Pain associated with plantar fasciitis may be throbbing, searing, or piercing, especially with the first few steps in the morning or after periods of inactivity. This article present on overview of the current knowledge on plantar fasciitis and focuses on biomechanics, etiology, diagnosis and treatment strategies, conservative treatment including the physical therapy management are discussed. This information should assist health care practitioners who treat patients with this disorder DOI: http://dx.doi.org/10.3329/bjms.v14i1.17052 Bangladesh Journal of Medical Science Vol.14(1) 2015 p.3-8