Indian Journal of Physical Medicine and Rehabilitation

Register      Login

VOLUME 23 , ISSUE 2 ( June, 2012 ) > List of Articles


Study of Factors Affecting Progress of Locomotor Disability in a Slum in Mumbai

Manasi S Padhyegurjar, Shekhar B Padhyegurjar

Citation Information : Padhyegurjar MS, Padhyegurjar SB. Study of Factors Affecting Progress of Locomotor Disability in a Slum in Mumbai. Indian J Phy Med Rehab 2012; 23 (2):62-67.

DOI: 10.5005/ijopmr-23-2-62

Published Online: 01-06-2012

Copyright Statement:  Copyright © 2012; The Author(s).


Locomotor disability is one of the most commonly prevailing type of disability in India. This study was conducted with the aim of assessing the severity and to study the factors affecting progress of locomotor disability. A community based cross-sectional observation study was conducted in an urban slum of Mumbai. Total sample of 3665 individuals were screened; 205 were identified with locomotor disabilities who were subjected to a structured questionnaire and physical examination.

The prevalence of locomotor disabilities is found to be 5.59 %. Females are affected more than the males and unemployment was observed to be very high. Awareness about rehabilitative services was found to be very low and very few individuals had ever taken any treatment. Majority of the individuals detected with locomotor disability were ambulatory, showed good IADL score and muscle power as well as single joint involvement. Advancing age and longer duration of disability have been associated with low scores of IADL, low muscular power, multiple joint involvement and increased duration of disability. Treatment started at young age, on immediate diagnosis will halt the progress of the disease. Availability and awareness of rehabilitation facilities will go a long way in improving the quality of life of individuals with locomotor disabilities.

PDF Share
  1. Disability, utilization, and costs associated with musculoskeletal conditions, United States, 1980. National Medical Care Utilization and Expenditure Survey. Series C. Analytical Report No. 5. Washington: DHHS Pub. No. 86-20405. National Center for Health Statistics, Public Health Service. Washington. U.S. Government Printing Office, Sept. 1986. [cited 2011 March 7]. Available from: URL:
  2. Census and You – Disabled Population [cited 2011 Feb10]. Available from: URL:
  3. Disabled Persons in India, 58th Round National Sample Survey Organisation, Ministry of Statistics and Programme Implementation, Report No.485 (58/26/1), 2003. [cited 2011 Jan 7]. Available from: URL:
  4. Is muscle power output a key factor in the age-related decline in physical performance? A comparison of muscle cross section, chair-rising test and jumping power. Clin Physiol Funct Imaging 2004;24:335-340
  5. Disability. South Asia Network for Chronic Disease [online] [cited 2011 June 7]. Available from: URL:
  6. Prevalence of functional disability in activities of daily living (ADL), instrumental activities of daily living (IADL) and associated factors, as predictors of morbidity and mortality. Archi Gerontol Geriatr 2010; 50: 306-10.
  7. A measure of primary sociobiological functions. Int J Health Serv 1976; 6: 493-508.
  8. Nervous System. In: Swash M, Glynn M, eds. Hutchison's Clinical Methods. An Integrated Approach to Clinical Practice. International Edition: Saunders Elsevier, 2007:208
  9. Study of prevalence and types of disabilities at rural health centre mandur – a community based cross sectional house to house study in Rural oa. JPMR 2008;19:56-60.
  10. Problems of women with locomotor disabilities, CIF International Conference, Goa 2003. [online] [Cited 2011 September 21]. Available from: URL:
  11. An Empirical Study of Causes of Disability in India. The Internet Journal of Epidemiology, 2009;6 (2) [online] [Cited 2011 August 21]. Available from: URL:
  12. Disability and the Rural Labor Market in India: Evidence for Males in Tamil Nadu, 2006 [Cited 2011 November 1]. Available from: URL:
  13. Pain and disability, perceptions and beliefs of a rural Indian population: A WHO-ILAR COPCORD study. WHO-International League of Associations for Rheumatology. Community Oriented Program for Control of Rheumatic Diseases. J Rheumatol 2002;29:614-21.
  14. Multiple joint pain and lower extremity disability in middle and old age. Disability Rehabil 2006;28:1543-9.
  15. Prevalence of disabling conditions in a rural northern Thai community: a survey conducted by village health communicators. Southeast Asian J Trop Med Public Health. 1994;25:45-9.
  16. Gender and incidence of functional disabilityin the elderly: a systematic review. Cad. SaúdePública, Rio de Janeiro 2009; 25: 464-76.
  17. Association of locomotor complaints and disability in the Rotterdam study. Ann Rheum Dis. 1995;54:721-5.
  18. Relationships among impairments in lower-extremity strength and power, functional limitations, and disability in older adults. Phys Ther 2007;87:1334-47.
  19. Temporal and reciprocal relationship betweenIADL/ADL disability and depressive smptoms in late life. Gerontology: Psycholo sci 2002;57B:338-47.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.