• Dr. S. S. Subramanian The Principal, Sree Balaji College of Physiotherapy, Chennai, India
Keywords: YLD – Years Lived with Disability, MSD – Musculoskeletal Disorder, QOL – Quality of Life, LBA – Low backache, OA – Osteoarthritis


Introduction: Musculoskeletal disorders (MSD) are a group of disorders that affect the structures including the nerves, tendons, muscles, joints and inter vertebral disc. MSD could result in pain, injury, illness poor quality of life and reduced productivity. These disorders were equally prevalence among rural population. Aims & objectives of this original research was to analyses the prevalence of MSD among rural population of Kanchipuram district southern India. Also, to lay the importance of strengthening tertiary heath care in rural India.

Methods: Community health screening and treatment by physician, physiotherapist and pharmacist were conducted once a month during the period from October 2016 to January 2017. 600 subjects identified with MSD were evaluated and treated. Home programme was taught to them. Various MSD such as low backache, osteoarthritis, cervical spondylosis, shoulder and other ailments were recorded and treated with physiotherapy specific therapy for MSD. Their level of literacy, occupation tobacco and alcohol habits were recorded and analyzed.

Results: 62% female subjects have MSD, 31% have osteoarthritis, 26% low backache and 66% of the subjects were between 30-60 years. 18% of the participants were above 60 years. While 53% of male subjects had low backache, female participants had 58% with osteoarthritis knee, 51% with shoulder and 68% with neck ailments related to MSD.

Conclusions: The findings of the study points at strengthening of our rural health care system, for musculoskeletal disorder prevention and management. Primary health care in India needs to be re- evaluated and immediately reformed. Concrete steps to be taken for effective rural health care planning and delivery so as we can collectively develop with our fellow rural brother.


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1. Kumar R. Academic institutionalization of community health services: Way ahead in medical education reforms. J Family Med Prim Care. 2012; 1:10–9.
2. National Rural Health Mission: Rural Health Care: Towards a Healthy Rural India. July 2013: / gramvani / Page 1-6. http:
3. Purty AJ, Bazroy J, Kar M, Vasudevan K, Veliath A, Panda P. Morbidity pattern among the elderly population in the rural area of Tamil Nadu, India. Turk J Med Sci 2005;36(2006):45–50.
4. Harshal Gajanan Mendhe , Narni Hanumanth1 , Gangi Harika. A study on musculoskeletal disorders distribution and health-seeking behavior among geriatric people in the field practice area of rural health and training centre of a tertiary care hospital. International Journal of Medical Science and Public Health 2016 - Vol 5: Issue 11. PP: 2226- 2229
5. Smith E, Hoy DG, Cross M, Vos T, Naghavi M, Buchbinder R, Woolf AD, March L. The global burden of other musculoskeletal disorders: estimates from the Global Burden of Disease 2010 study. Ann Rheum Dis. 2014 Aug; 73(8):1462-9.
6. Osborne A, Blake C, McNamara J, Meredith D, Phelan J, et al. (2010) Musculoskeletal disorders among Irish farmers. Occup Med (Lond) 60: 598-603.
7. Bihari V, Kesavachandran C, Pangtey BS, Srivastava AK, Mathur N (2011) Musculoskeletal pain and its associated risk factors in residents of National Capital Region. Indian J Occup Environ Med 15: 59-63.
8. van Baar ME, Dekker J, Lemmens JA, Oostendorp RA, Bijlsma JW. Pain and disability in patients with osteoarthritis of hip or knee: the relationship with articular, kinesiological, and psychological characteristics. Journal of Rheumatology 1998;25:125-33
9. Woolf AD, Pfleger B (2003) Burden of major musculoskeletal conditions. Bull World Health Organ 81: 646-656.
10. Badley EM, Rasooly I, Webster GK. Relative importance of musculoskeletal disorders as a cause of chronic health problems, disability, and health care utilization: findings from the 1990 Ontario Health Survey. Journal of Rheumatology 1994; 21:505-14.
11. Md. Salah Uddin, Muhammad illat Hossain, Md. Shofiqul Islam, Md. Obaidul Haque, Umma Kulsum, Ehsanur Rahman , Mohammad Habibur Rahman , Md. Fazlul Karim Patwary. Prevalence of Obesity among Musculoskeletal Patients. International Journal of Physiotherapy and Research,
12. Reynolds DL, Chambers LW, Badley EM, Bennett KJ, Goldsmith CH, Jamieson E, et al. Physical disability among Canadians reporting musculoskeletal diseases. Journal of Rheumatology 1992; 19:1020-30.
13. Nazeer M, Rao SM, Soni S, Ravinder M, Ramakranthi T, Bhupati S. Low back pain in South Indians: causative factors and preventive measures. Sch J App Med Sci
2015;3(1D): 234–43
14. Sharmi MK, Swami HM, Bhatia V, Verma V, Bhatia SPS, Kaur G. An epidemiological study of correlates of osteoarthritis in geriatric population of UT Chandigarh. Indian J Community Med 2007;32(1):77–8. 13.
15. Kaur P, Walia I, Saini SK. Study on intensity of knee joint pain by “Application of Moist Heat” among geriatric population. Nurs Midwifery Res J 2007;3(4):162–71.
16. Madhu T, Sreedevi A. A study of socio-demographic profile of geriatric population in the field practice area of Kurnool Medical College. Int J Res Dev Health 2013; 1(2):69–75.
17. Sandeep Singh and Sorabh Badaya. Health care in rural India: A lack between need and feed. South Asian J Cancer. 2014 Apr-Jun; 3(2): 143–144.
18. Iyengar S, Dholakia RH. Access of the rural poor to primary healthcare in India. Rev Market Integr. 2012; 4:71– 109.
19. Deshmukh SA, Kalkonde YV, Deshmukh MD, Bang AA, Bang AT. Healthcare seeking behavior for back and joint pain in rural Gadchiroli, India: a population-based cross-sectional study. Indian J Community Med 2014; 39(4):229–34.
20. Santra G. Assessment of quality of rheumatology care in a rural area of West Bengal, India. Indian J Pain 2015; 29(3):166–71.
21. Census 2011. Available at: (last accessed on 02-02- 2015)
22. Saha UC, Saha KB. A trend in women's health in India - What has been achieved and what can be done. Rural Remote Health. 2010; 10:1260
23. Raekha Prasad. Alcohol on the rise in India. Lancet medical journal vol 373 Jan 2009.
24. The per captia consumption of alcohol in India increased 38 percent, from 1.6 liters in 2003 -05 2.2 liters in 2010-12, according to a world health organization (WHO) report, which also revealed that more than 11 percent of Indians were bring drinkers, against the global average of 16 percent.
25. Venkatachalam J, Nuthu Rajesh E, Zile Singh, Sathya GR. Alcohol Consumption and Diabetes: A case control study in a rural area of Kanchipuram district of Tamil Nadu. IOSR journal of Dental and Medical Sciences (IOSR – JDMS). Volume 4, Issue 6, PP: 83-86
26. As the debate over alcohol bans grows across India, 15 people die every day or one every 96 minutes – from the effects of drinking alcohol, reveals as India spend analysis of 2013 National crime records bureau (NCRB) data, the latest available.
27. Anil Goswami, V.P. Reddaiah, Guresh Kumar. Tobacco and alcohol use in rural elderly Indian population. Indian J Psychiatry. 2005 Oct-Dec; 47(4): 192–197
28. Swaddiwudhipong W, Lerdlukanayounge P, Chaovakiratipong C, etal Screening assessment of the elderly in rural Thailand by a mobile unit. Trans R Soc Trop Med Hyg. 1996; 90-223
29. Kaur P, Rao SR, Radhakrishnan E, Ramachandran R, Venkatachalam R, Gupte MD. High prevalence of tobacco use, alcohol use and overweight in a rural population in Tamil Nadu, India. J Postgrad Med. 2011 Jan-Mar; 57(1):9-15.
30. Adejuwon GA (2009) Tobacco use and second-hand smoke as risk factors for diseases in Nigeria: Implications for collaborative research and multilevel tobacco control strategies. Afr.J. Med Med Sci 38 Suppl 2:21-29.
31. WHO (1997) Tobacco or Health: A global status report. World health rganization ISBN 94 4 156184 X (NLM Classification: WM 290)
32. Kolappan Chockalingam, Chandrasekaran Vedhachalm, Subramani Rangasamy. Prevalence of tobacco use in urban, semi urban and rural areas in and around Chennai city, India. Volume- 8, issue – 10, PP: 1-9.
33. Lal S, Mohan B, Punia MS. Health and social status of senior citizens in rural areas. Indian J Community Med. 1997: 9: 10-17.
34. International Institute for population sciences. National family health survey 2005-06 (NFHS). Mumbai: IIPS; 2007
How to Cite
Dr. S. S. Subramanian. MUSCULOSKELETAL DISORDERS AMONG RURAL POPULATION IN SOUTH INDIA – CROSS SECTIONAL ANALYSIS. Med. res. chronicles [Internet]. 2017Jun.30 [cited 2022Aug.18];4(03):338-45. Available from:
Original Research Article