Download Análisis biomecánico y caracterización de la intervención

Survey
yes no Was this document useful for you?
   Thank you for your participation!

* Your assessment is very important for improving the work of artificial intelligence, which forms the content of this project

Transcript
Figure 1.3 Disability-Adjusted Life Year (DALY) metrics to quantify the burden of disease from
morbidity. DALY = YLD + YLL, where YLD = number of cases × duration till remission or
death × disability weight, and YLL = number of deaths × life expectancy at the age of death
(Devleesschauwer et al., 2014) (reprinted from wikipedia).
MSD and neck pain listed ranked in high places as well (Institute for Health Metrics and Evaluation,
2013a).
With a peak onset at an age between 45-49 (over 15 millions DALY - 11.6% of total DALY), MSD
(including LBP) shared the sixth largest number of years that people lived with disability worldwide
(6.7% of total DALY), while LBP alone shows a peak onset at an age between 40-44 (over 7 millions
DALY - 5.7% of total DALY). The study reported that the global health burden of MSD was increased
from ∼114 millions DALY (4.6% of total DALY) in 1990 to ∼166 millions DALY (6.7% of total
DALY) in 2010 (↑45.5%). Within MSD, LBP contributed ∼56 millions DALY (2.3% of total) in
1990 and ∼81 millions DALY (3.2% of total) in 2010 (↑43%) and nowadays ranked seventh of the
world causes of disability (Fig. 1.4a). In developed countries the burden of LBP is ranked third
with an increase of 16% in DALY since 1990.
LBP is so common among workers that it may almost be considered an occupational disease
(WHO, 1985). WRLBP contributed ∼18 millions DALY (0.7% of total DALY) in 1990 and ∼22
millions DALY (0.9% of total DALY) in 2010 (↑22%) and nowadays ranked 21 th of the world risks
of disability with a peak onset at an age between 40-44 (2.7 millions DALY - 2.1% of total DALY).
However, in the developed countries there is a decrease trend, ∼3.32 millions DALY (0.9% of total
DALY) in 1990 and ∼3.26 millions DALY (0.8% of total DALY) in 2010, while in the developing
an increase trend, ∼14.5 millions DALY (0.7% of total DALY) in 1990 and ∼18.9 millions DALY
(0.9% of total DALY) in 2010. In 1990 it was estimated that a ∼31% of the global LBP is deemed
attributable to occupational risk factors (Institute for Health Metrics and Evaluation, 2013a). In
2010 it was estimated at ∼26-37 % of the global LBP (measured in DALY) (Institute for Health
Metrics and Evaluation, 2013a; Mathers, Stevens, and Mascarenhas, 2009; Punnett et al., 2005).
Conceptually, the “disability” term used in DALY calculation is not the same with the definition
provided by the International Classification of Functioning, Disability, and Health (ICF) and adopted
by WHO (Grosse et al., 2009). The GBD study use “disability weights” to convert the years lived
in states of less than full health to equivalent number of lost years of full health, while ICF defines
disability as an interaction between health conditions and contextual factors and does not assume
7