Prevalence of Musculoskeletal Complaints of Arm, Neck and Shoulder and Associated Risk Factors in Computer Office Workers

Abstract

Background The musculoskeletal complaints of the arm, neck and/or shoulder (CANS) affect the work-related tasks of workers who are sitting in front of the computer for an extended period of time and therefore lead to a reduction in productivity. The purpose of this study was to determine the prevalence of CANS and associated risk factors among computer office worker.

Methodology A cross-sectional study was conducted among 773 computer workers working in different work settings located in Faisalabad Pakistan from January to August 2019. The questionnaires adopted in this survey study were previously used and consist of 2 parts; the first section for demographic information and the second part consists of the the Masstricht Upper Extremity Questionnaire (MUEQ) that was used to determine the prevalence of CANS.

Results Of the 773 participants, 327 (42%) had shoulder pain, followed by neck pain 270 (35%), and the prevalence of pain in the upper arm and lower arm was 129 (17%) and 80 (10%), respectively. Those absent due to musculoskeletal problems were only 80 (10%). Females have reported overall more complaints 65% in upper extremity during the past years than male i. e. 56%. The study showed that there was a significant relationship between pain and age (years) (P=0.024), pain and work posture (P<0.001), and pain and work setting (P=0.009).

Conclusion The study concluded that CANs are prevalent in office workers, predominantly among women, and that risk factors closely related to CANS are age, work setting and sitting posture.

Zusammenfassung

Hintergrund Büroangestellte, die längere Zeit am PC arbeiten, leiden häufig unter Beschwerden der Arme, Nacken und/oder Schulter (CANS Complaints of Arm, Neck and/or Shoulder), was wiederum zu einem Rückgang der Produktivität führen kann. Ziel der Studie war es, die Prävalenz solcher Beschwerden bei Büroangestellten und die damit verbundenen Risikofaktoren zu bestimmen.

Methoden Von Januar bis August 2019 wurde eine Querschnittsstudie mit 773 Arbeitnehmern mit PC-Arbeitsplatz von unterschiedlichen Arbeitsstätten in Faisalabad, Pakistan, durchgeführt. Die verwendeten Fragebögen waren bekannt und bestanden aus 2 Teilen, und zwar der Erhebung der demografischen Daten und dem Maastricht Upper Extremity Questionnaire (MUEQ), mit dem die Prävalenz der Beschwerden in Armen, Nacken und Schultern bestimmt wurde.

Ergebnisse Von den 773 Teilnehmern hatten 327 (42%) Schulterschmerzen und 270 (35%) Nackenschmerzen. Die Prävalenz der Schmerzen in Oberarm und Unterarm betrug 129 (17%) bzw. 80 (10%). Die Anzahl der wegen Beschwerden des Bewegungsapparats nicht am Arbeitsplatz erschienenen Personen betrug lediglich 80 (10%). Der Anteil der weiblichen Angestellten, die in den letzten Jahren Beschwerden der oberen Extremitäten angegeben hatten, war mit 65% größer als der Anteil der Männer mit 56%. Die Studie zeigte einen signifikanten Zusammenhang zwischen Schmerzen und Alter (Jahren) (P=0.024), zwischen Schmerzen und Arbeitshaltung (P<0.001), sowie zwischen Schmerzen und Arbeitsumgebung (P=0.009).

Schlussfolgerung Diese Studie zeigte die Prävalenz von Beschwerden der Arme, Nacken und/oder Schultern bei Büroangestellten, insbesondere bei Frauen. Risikofaktoren für derartige Beschwerden sind Alter, Arbeitsumgebung und Arbeitshaltung.

Key Words

Musculoskeletal problems - CANS - Computer - Officer Workers - Prevalence

Schlüsselwörter

Beschwerden des Bewegungsapparats - CANS - Computer - Büroangestelle - Häufigkeit

Publikationsverlauf

Eingereicht: 30. September 2019

Angenommen: 30. Januar 2020

Artikel online veröffentlicht:
17. März 2020

• References

• 1 Parot-Schinkel E, Descatha A, Ha C. et al. Prevalence of multisite musculoskeletal symptoms: a French cross-sectional working population-based study. BMC Musculoskelet Disord 2012; 13: 122
• 2 Lanhers C, Pereira B, Garde G. et al. Evaluation of ‘I-Preventive’: a digital preventive tool for musculoskeletal disorders in computer workers-a pilot cluster randomised trial. BMJ open 2016; 6: e011304
• 3 Rodrigues MSA, Leite RDV, Lelis CM. et al. Differences in ergonomic and workstation factors between computer office workers with and without reported musculoskeletal pain. Work 2017; 57: 563-572
• 4 Faryza E, Murad MS, Anwar S. A study of work related complaints of arm, neck and shoulder (CANS) among office workers in Selangor and Kuala Lumpur. Malaysian J Public Health Med 2015; 15: 8-16
• 5 Ranasinghe P, Perera YS, Lamabadusuriya DA. et al. Work related complaints of neck, shoulder and arm among computer office workers: a cross-sectional evaluation of prevalence and risk factors in a developing country. Environ Health 2011; 10: 70
• 6 Lerner JC, Sanchez E, Sambeth J. et al. Characterization and health risk assessment of VOCs in occupational environments in Buenos Aires, Argentina. Atmos Environ 2012; 55: 440-447
• 7 Umar A, Kashif M, Zahid N. et al. The Prevalence of Musculoskeletal Disorders and Work-Station Evaluation in Bank Employees. Phys Med Rehab Kuror 2019; 29: 99-103
• 8 Gerr F, Marcus M, Ensor C. et al. A prospective study of computer users: I. Study design and incidence of musculoskeletal symptoms and disorders. Am J Ind Med 2002; 41: 221-235
• 9 Gerr F, Fethke NB, Anton D. et al. A prospective study of musculoskeletal outcomes among manufacturing workers: II. Effects of psychosocial stress and work organization factors. Hum Factors 2014; 56: 178-190
• 10 Wærsted M, Hanvold TN, Veiersted KB. Computer work and musculoskeletal disorders of the neck and upper extremity: a systematic review. BMC Musculoskelet Disord 2010; 11: 79
• 11 Kaliniene G, Ustinaviciene R, Skemiene L. et al. Associations between neck musculoskeletal complaints and work related factors among public service computer workers in Kaunas. Int J Occup Med Environ Health 2013; 26: 670-681
• 12 Robertson MM, Ciriello VM, Garabet AM. Office ergonomics training and a sit-stand workstation: Effects on musculoskeletal and visual symptoms and performance of office workers. Appl Ergon 2013; 44: 73-85
• 13 Hoe VC, Urquhart DM, Kelsall HL. et al. Ergonomic design and training for preventing work-related musculoskeletal disorders of the upper limb and neck in adults. Cochrane Database Syst Rev 2012; 8: 6-110
• 14 Johnston V, Jull G, Souvlis T. et al. Interactive effects from self-reported physical and psychosocial factors in the workplace on neck pain and disability in female office workers. Ergonomics 2010; 53: 502-513
• 15 Turci AM, Bevilaqua-Grossi D, Pinheiro CF. et al. The Brazilian Portuguese version of the revised Maastricht Upper Extremity Questionnaire (MUEQ-Br revised): translation, cross-cultural adaptation, reliability, and structural validation. BMC musculoskeletal disords 2015; 16: 41
• 16 Eltayeb S, Staal JB, Hassan A. et al. Work related risk factors for neck, shoulder and arms complaints: a cohort study among Dutch computer office workers. J Occup Rehabil 2009; 19: 315
• 17 Mohan V, Inbaraj LR, George CE. et al. Prevalence of complaints of arm, neck, and shoulders among computer professionals in Bangalore: A cross-sectional study. J Family Med Prim Care 2019; 8: 171
• 18 Korhonen T, Ketola R, Toivonen R. et al. Work related and individual predictors for incident neck pain among office employees working with video display units. Ann Occup Environ Med 2003; 60: 475-482
• 19 Bongers P, Ijmker S, Van den Heuvel S. et al. Epidemiology of work related neck and upper limb problems: psychosocial and personal risk factors (part I) and effective interventions from a bio behavioural perspective (part II). J Occup Rehab 2006; 16: 272-295
• 20 Eltayeb S, Staal JB, Kennes J. et al. Prevalence of complaints of arm, neck and shoulder among computer office workers and psychometric evaluation of a risk factor questionnaire. BMC Musculoskelet Disord 2007; 8: 68
• 21 IJmker S, Blatter BM, van der Beek AJ. et al. Prospective research on musculoskeletal disorders in office workers (PROMO): study protocol. BMC Musculoskelet Disord 2006; 7: 55
• 22 Merlino LA, Rosecrance JC, Anton D. et al. Symptoms of musculoskeletal disorders among apprentice construction workers. Appl Occup Environ Hyg 2003; 18: 57-64
• 23 Punnett L, Wegman DH. Work-related musculoskeletal disorders: the epidemiologic evidence and the debate. J Electromyogr Kinesiol 2004; 14: 13-23
• 24 Cagnie B, Danneels L, Van Tiggelen D. et al. Individual and work related risk factors for neck pain among office workers: a cross sectional study. Eur Spine J 2007; 16: 679-686
• 25 Mörl F, Bradl I. Lumbar posture and muscular activity while sitting during office work. J Electromyogr Kinesiol 2013; 23: 362-368
• 26 Juul-Kristensen B, Jensen C. Self-reported workplace related ergonomic conditions as prognostic factors for musculoskeletal symptoms: the “BIT” follow up study on office workers. Ann Occup Environ Med 2005; 62: 188-194
• 27 Mohammadipour F, Pourranjbar M, Naderi S. et al. Work-related Musculoskeletal Disorders in Iranian Office Workers: Prevalence and Risk Factors. J Med Life 2018; 11: 328
• 28 Viikari-Juntura E, Martikainen R, Luukkonen R. et al. Longitudinal study on work related and individual risk factors affecting radiating neck pain. Ann Occup Environ Med 2001; 58: 345-352
• 29 Leclerc A, Niedhammer I, Landre M-F. et al. One-year predictive factors for various aspects of neck disorders. Spine 1999; 24: 1455
• 30 Huysmans MA, IJmker S, Blatter BM. et al. The relative contribution of work exposure, leisure time exposure, and individual characteristics in the onset of arm-wrist-hand and neck-shoulder symptoms among office workers. Int Arch Occ Env Hea 2012; 85: 651-666
• 31 Ye Z, Abe Y, Kusano Y. et al. The influence of visual display terminal use on the physical and mental conditions of administrative staff in Japan. J Physiol Anthropol 2007; 26: 69-73