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01-12-2011

Behavioral and Psychophysiological Responses to Job Demands and Association with Musculoskeletal Symptoms in Computer Work

Authors: Karin Lindgren Griffiths, Martin G. Mackey, Barbara J. Adamson

Published in: Journal of Occupational Rehabilitation | Issue 4/2011

Abstract

Introduction: The purpose of this study was to identify and compare individual behavioral and psychophysiological responses to workload demands and stressors associated with the reporting of musculoskeletal symptoms with computer work. Evidence is growing that the prevalence of musculoskeletal symptoms increases with longer hours of computer work and exposure to psychosocial stressors such as high workloads and unrealistic deadlines. Workstyle, or how an individual worker behaves in response to such work demands, may also be an important factor associated with musculoskeletal symptoms in computer operators. Method Approximately 8,000 employees of the Australian Public Service were invited to complete an on-line survey if they worked with a computer for 15 or more hours per week. The survey was a composite of three questionnaires: the ASSET to measure perceived organizational stressors, Nordic Musculoskeletal Questionnaire to measure reported prevalence of musculoskeletal symptoms and additional questions to measure individual work behaviors and responses. Results 934 completed surveys were accepted for analyses. Logistic regression was used to identify significant behavioral and work response predictors of musculoskeletal symptoms. Reporting of heightened muscle tension in response to workload pressure was more strongly associated, than other physical behavioral factors, with musculoskeletal symptoms for all body areas, particularly the neck (OR = 2.50, 95% CI: 2.09–2.99). Conclusions Individual Workstyles in response to workload demands and stressors, including working with heightened muscle tension and mental fatigue, were significantly associated with musculoskeletal symptoms. Future risk management strategies should have a greater focus on the identification and management of those organizational factors that are likely to encourage and exacerbate adverse Workstyles.

Åborg C, Billing A. Health effects of the “paperless office”—evaluations of the introduction of electronic document handling systems. Behav Inf Technol. 2003;22(6):389–96.CrossRef

Cooper CL, Cox A. Occupational stress among word process operators. Stress Med. 1985;1:87–92.CrossRef

IJmker S, Huysmans MA, Blatter BM, van der Beek AJ, van Mechelen W, Bongers PM. Should office workers spend fewer hours at their computer? A systematic review of the literature. Occup Environ Med. 2007;64:211–22.PubMedCrossRef

Hagberg M, Silverstein B, Wells R, Smith M, Hendrick H, Carayon P, Perusse M, editors. Work related musculoskeletal disorders (WMSDs): a reference book for prevention. London: Taylor & Francis; 1995.

Nordlund A, Ekberg K. Self reported musculoskeletal symptoms in the neck/shoulders and/or arms and general health (SF-36): eight year follow up of a case-control study. Occup Environ Med. 2004;61(3):e11.PubMedCrossRef

Rossignol A, Morse E, Summers V, Pagnotto L. Video display terminal use and reported health symptoms among Massachusetts clerical workers. J Occup Med. 1987;29(2):112–8.PubMed

Village J, Rempel D, Teschke K. Musculoskeletal disorders of the upper extremity associated with computer work: a systematic review. Occup Ergon. 2005;5:205–18.

Dainoff MJ. Occupational stress factors in visual display terminal (VDT) operations: a review of empirical research. Behav Inf Technol. 1982;1(2):141–76.CrossRef

Yang C, Carayon P. Effect of job demands and social support on worker stress: a study of VDT users. Behav Inf Technol. 1995;14(1):32–40.CrossRef

10.

Smith B, Cohen B, Stammerjohn LW. An investigation of health complaints in job stress in video display operations. Hum Factors. 1981;23(4):387–400.PubMed

11.

Amick B III, Smith MJ. Stress, computer-based work monitoring and measurement systems: a conceptual overview. Appl Ergon. 1992;23(1):6–16.PubMedCrossRef

12.

Smith MJ. Psychosocial aspects of working with video display terminals (VDTs) and employee physical and mental health. Ergonomics. 1997;40(10):1002–15.PubMedCrossRef

13.

Bongers P, de Winter CR, Kompier MAJ, Hildebrandt VH. Psychosocial factors at work and musculoskeletal disease. Scand J Work Environ Health. 1993;19:297–312.PubMed

14.

Neerincx MA, Griffioen E. Cognitive task analysis: harmonizing tasks to human capacities. Ergonomics. 1996;39(4):543–61.PubMedCrossRef

15.

Smith M. Mental and physical strain at VDT workstations. Behav Inf Technol. 1987;6(3):243–55.CrossRef

16.

Huang GD, Feuerstein M, Kop WJ, Schor K, Arroyo F. Individual and combined impacts of biomechanical and work organization factors in work-related musculoskeletal symptoms. Am J Ind Med. 2003;43:495–506.PubMedCrossRef

17.

Feuerstein M, Nicholas RA, Huang GD, Haufler AJ, Pransky G, Robertson M. Workstyle: development of a measure of response to work in those with upper extremity pain. J Occup Rehabil. 2005;15(2):87–104.PubMedCrossRef

18.

Smith MJ, Carayon P. Work organization, stress, and cumulative trauma disorders. In: Moon SD, Sauter SL, editors. Beyond biomechanics. Psychosocial aspects of musculoskeletal disorders in office work. London: Taylor and Francis; 1996. p. 23–42.

19.

Shirom A. The effects of work stress on health. In: Schabracq MJ, Winnubst JAM, Cooper CL, editors. The handbook of work and health psychology. West Sussex: Wiley; 2003. p. 63–82.

20.

Bongers PM, IJmker S, van den Heuvel S, Blatter BM. Epidemiology of work related neck and upper limb problems: psychological and personal risk factor (part I) and effective interventions from a bio behavioral perspective (part II). J Occup Rehabil. 2006;16:279–302.PubMedCrossRef

21.

Leroyer A, Edme J, Vaxevanoglou X, Buisset C, Laurent P, Desobry P, Frimat P. Neck, shoulder, and hand and wrist pain among administrative employees: relation to work-time organization and psychosocial factors at work. J Occup Med. 2006;48(3):326–33.CrossRef

22.

Bergqvist U, Wolgast E, Nilsson B, Voss M. Musculoskeletal disorders among visual terminal workers: individual, ergonomic and work organizational factors. Ergonomics. 1995;38(4):763–76.PubMedCrossRef

23.

Wahlstrom J, Hagberg M, Toomingas A, Tornqvist EW. Perceived muscular tension, job strain, physical exposure, and associations with neck pain among VDU users; a prospective cohort study. Occup Environ Med. 2004;61:523–8.PubMedCrossRef

24.

Bernard B, Sauter S, Fine L, Petersen M, Hales T. Job task and psychosocial risk factors for work-related musculoskeletal disorders among newspaper employees. Scand J Work Environ Health. 1994;20:417–26.PubMed

25.

Karlqvist L, Tornqvist EW, Hagberg M, Hagman M, Toomingas A. Self-reported working conditions of VDU operators and associations with musculoskeletal symptoms: a cross-sectional study focusing on gender differences. Int J Ind Ergon. 2002;30(4–5):277–94.CrossRef

26.

Polanyi MFD, Cole DC, Beaton DE, Chung J, Wells R, Abdolell M, et al. Upper limb work-related musculoskeletal disorders among newspaper employees: cross sectional survey results. Am J Ind Med. 1997;32:620–8.PubMedCrossRef

27.

Fredriksson K, Alfredsson L, Koster M, Thorbjornsson CB, Toomingas A, Torgen M, et al. Risk factors for neck and upper limb disorders: results from 24 years of follow up. Occup Environ Med. 1999;56:59–66.PubMedCrossRef

28.

Feuerstein M, Armstrong T, Hickey P, Lincoln A. Computer keyboard force and upper extremity symptoms. J Occup Environ Med. 1997;39(12):1144–53.PubMedCrossRef

29.

Martin BJ, Armstrong TJ, Foulke JA, Natarajan S, Klinenberg E, Serina E, et al. Keyboard reaction force and finger flexor electromyograms during computer keyboard work. Hum Factors. 1996;38(4):654–64.PubMedCrossRef

30.

Hales TR, Sauter SL, Peterson MR, Fine LJ, Putz-Anderson V, Schleifer LR, et al. Musculoskeletal disorders among visual display terminal users in a telecommunications company. Ergonomics. 1994;37(10):1603–21.PubMedCrossRef

31.

Johansson G, Aronsson G. Stress reactions in computerized administrative work. J Occup Behav. 1984;5:159–81.CrossRef

32.

Robertson Cooper. ASSET. Manchester: Robertson Cooper Ltd; 2002.

33.

Kuorinka I, Jonsson B, Kilborn A, Vinterberg H, Biering-Sorensen F, Anderson G, et al. Standardised nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon. 1987;18(3):233–7.PubMedCrossRef

34.

Comcare Officewise. A guide to health and safety in the office. Canberra: Commonwealth of Australia; 2008.

35.

Stock S, Fernandes R, Delisle A, Vezina N. Reproducibility and validity of workers’ self-reports of physical work demands. Scand J Work Environ Health. 2005;31(6):409–37.PubMed

36.

Feuerstein M, Nicholas RA. Development of a short form of the Workstyle measure. Occup Med. 2006;56:94–9.CrossRef

37.

Mortimer M, Hjelm EW, Wiktorin C, Pernold C, Kilbom A, Vingard E. Validity of self-reported duration of work postures obtained by interview. MUSIC-Norrtalje study group. Appl Ergon. 1999;30(6):477–86.PubMedCrossRef

38.

Feuerstein M, Huang GD, Pransky G. Workstyle and work-related upper extremity disorders. In: Gatchel R, Turk DC, editors. Psychosocial factors in pain. New York: Guilford Press; 1999. p. 175–92.

39.

Birch L, Juul-Kristensen B, Jensen C, Finsen L, Christensen H. Acute response to precision, time pressure and mental demand during simulated computer work. Scand J Work Environ Health. 2000;26(4):299–305.PubMed

40.

Wærsted M, Bjørklund RA, Westgaard RH. Shoulder muscle tension induced by two VDU-based tasks of different complexity. Ergonomics. 1991;34(2):137–50.PubMedCrossRef

41.

Lundberg U, Kadefors R, Melin B, Palmerud G, Hassmen P, Engstrom M, et al. Psychophysiological stress and EMG activity of the trapezius muscle. Int J Behav Med. 1994;1(4):354–70.PubMedCrossRef

42.

Punnett L, Bergqvist U. Visual display unit and upper extremity musculoskeletal disorders: a review of epidemiological findings. Solna, Sweden: National Institute for Working Life; 1997.

43.

Sjøgaard G, Søgaard K. Muscle injury in repetitive motion disorders. Clin Orthop Relat Res. 1998;351:21–31.PubMed

44.

Knardahl S. Psychophysiological mechanisms of pain in computer work: the blood vessel-nociceptor interaction hypothesis. Work Stress. 2002;16(2):179–89.CrossRef

45.

Sjøgaard G, Lundberg U, Kadefors R. The role of muscle activity and mental load in the development of pain and degenerative processes at the muscle cell level during computer work. Eur J Appl Physiol. 2000;83:99–105.PubMedCrossRef

46.

Hägg GM, Åström A. Load pattern and pressure pain threshold in the upper trapezius muscle and psychosocial factors in medical secretaries with and without shoulder/neck disorders. Int Arch Occup Environ Health. 1997;69:423–32.PubMedCrossRef

47.

Veiersted KB. Sustained muscle tension as a risk factor for trapezius myalgia. Int J Ind Ergon. 1994;14:333–9.CrossRef

48.

Lundberg U. Psychophysiology of work: stress, gender, endocrine response, and work-related upper extremity disorders. Am J Ind Med. 2002;41:383–92.PubMedCrossRef

49.

Melin B, Lundberg U. A biopsychosocial approach to work-stress and musculoskeletal disorders. J Psychophysiol. 1997;11:238–47.

50.

Wærsted M, Westgaard RH. An experimental study of shoulder muscle activity and posture in a paper version versus a VDU version of a monotonous work task. Int J Ind Ergon. 1997;19:175–85.CrossRef

51.

Ekberg K, Eklund J, Tuvesson M, Ortengren R, Odenrick P, Ericson M. Psychological stress and muscle activity during data entry at visual display units. Work Stress. 1995;9(4):475–90.CrossRef

52.

Larsson S, Larrson R, Zhang Q, Cai H, Oberg PA. Effects of psychophysiological stress on trapezius muscles blood flow and electromyography during static load. Eur J Appl Physiol. 1995;71:493–8.CrossRef

53.

Wærsted M, Westgaard RH. Attention-related muscle activity in different body regions during VDU work with minimal activity. Ergonomics. 1996;39(4):661–76.PubMedCrossRef

54.

Laursen B, Jensen BR, Garde AH, Jørgensen AH. Effect of mental and physical demands on muscular activity during the use of a computer mouse and a keyboard. Scand J Work Environ Health. 2002;28(4):215–21.PubMed

55.

Takala E-P. Static muscular load, an increasing hazard in modern information technology. Scand J Work Environ Health. 2002;28(4):211–3.PubMed

56.

Wahlstrom J. Physical load in computer mouse work. Working technique, sex and stress aspects. Goteborg, Sweden: National Institute for Working Life; 2001.

57.

Hoonakker P, Carayon P. Questionnaire survey nonresponse: a comparison of postal mail and internet surveys. Int J Hum Comput Interact. 2009;25(5):348–73.CrossRef

58.

Bernaards C, Ariens GAM, Knol DL, Hildebrandt VH. The effectiveness of a work style intervention and a lifestyle physical activity intervention on the recovery from neck and upper limb symptoms in computer workers. Pain. 2007;132:142–53.PubMedCrossRef

59.

Brewer S, Van Eerd D, Amick BC III, Irvin E, Daum KM, et al. Workplace interventions to prevent musculoskeletal and visual symptoms and disorders among computer users: a systematic review. J Occup Rehabil. 2006;16:325–58.PubMedCrossRef

60.

Verhagen AP, Karels C, Bierma-Zeinstra SMA, Feleus A, Dahaghin S, et al. Exercise proves effective in a systematic review of work-related complaints of the arm, neck, or shoulder. J Clin Epidemiol. 2007;60:110–7.PubMedCrossRef

61.

Kahn RL, Byosiere P. Stress in organizations. In: Dunnette MD, Hough LM, editors. Handbook of industrial and organizational psychology. Palo Alto, California: Consulting Psychologists Press; 1991. p. 571–650.

Title: Behavioral and Psychophysiological Responses to Job Demands and Association with Musculoskeletal Symptoms in Computer Work
Authors: Karin Lindgren Griffiths
Martin G. Mackey
Barbara J. Adamson
Publication date: 01-12-2011
Publisher: Springer US
Published in: Journal of Occupational Rehabilitation / Issue 4/2011
Print ISSN: 1053-0487
Electronic ISSN: 1573-3688
DOI: https://doi.org/10.1007/s10926-010-9263-3

At a glance: The STEP trials

Springer Medicine

Behavioral and Psychophysiological Responses to Job Demands and Association with Musculoskeletal Symptoms in Computer Work

Abstract

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Springer Medicine

Abstract

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