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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2016

Open Access 01-12-2016 | Research article

Associations between musculoskeletal pain and work-related factors among public service sector computer workers in Kaunas County, Lithuania

Authors: Gintare Kaliniene, Ruta Ustinaviciene, Lina Skemiene, Vidmantas Vaiciulis, Paulius Vasilavicius

Published in: BMC Musculoskeletal Disorders | Issue 1/2016

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Abstract

Background

Information technologies in occupational activities have been developing very rapid. Epidemiological studies have shown that musculoskeletal disorders are widely prevalent among employees working with a computer. The aim of this study was to evaluate the prevalence of musculoskeletal pain in various anatomical areas and its associations with individual, ergonomic, and psychosocial factors among computer workers of the public sector in Kaunas County, Lithuania.

Methods

The investigation consisting of two parts – questionnaire study (Nordic Musculoskeletal Questionnaire and Copenhagen Psychosocial Questionnaire) and direct observation (evaluation of work ergonomics using the Rapid Upper Limb Assessment [RULA]) – was carried out in three randomly selected public sector companies of Kaunas County. The representative study sample comprised 513 public service office workers. The prevalence of musculoskeletal pain in five anatomical areas of the body (shoulders, elbows, wrists/hands, as well as upper and low back) was evaluated.

Results

The prevalence rates of shoulder, elbow, wrist/hand, upper and low back pain were 50.5 %, 20.3 %, 26.3 %, 44.8 %, and 56.1 %, respectively. Individual factors such as gender, age, computer work experience, and body mass index were found as significant for musculoskeletal pain in various musculoskeletal regions. The respondents reporting pain in shoulder, wrist/hand, upper back, and low back areas had a statistically significantly higher mean RULA score. The duration of working with a computer was found as a significant factor for shoulder pain. High quantitative demands were related to musculoskeletal pain in all investigated anatomical areas expect for the low back; weak social support was a significant predictor for complaints in upper and low back areas.

Conclusion

This study confirmed associations between musculoskeletal pain and work ergonomics; therefore, preventive measures at the workplace should be directed to the improvement in ergonomic work environment, education, and workload optimization.
Literature
1.
2.
Punnett L, Wegman DH. Work-related musculoskeletal disorders: the epidemiologic evidence and the debate. J Electromyogr Kinesiol. 2004;14:13–23.CrossRefPubMed
3.
Wahlstrom J. Ergonomics, musculoskeletal disorders and computer work. Occup Med. 2005;55:168–76.CrossRef
4.
Cook C, Limerick BR, Chang S. The prevalence of neck and upper extremity musculoskeletal symptoms in computer mouse users. Int J Ind Ergon. 2000;26:347–56.CrossRef
5.
Sillanpää J, Huikko S, Nyberg M, Kivi P, Laippala P, Uitti P. Effect of work with visual display units on musculoskeletal disorders in the office environment. Occup Med (Lond). 2003;53:443–51.CrossRef
6.
Jensen C. Development of neck and hand-wrist symptoms in relation to duration of computer use at work. Scand J Work Environ Health. 2003;29(3):197–205.CrossRefPubMed
7.
Jensen C, Finsen L, Sogaard K, Christensen H. Musculoskeletal symptoms and duration of computer and mouse use. Int J Ind Ergon. 2002;30(4–5):265–75.CrossRef
8.
Canie B, Danneels L, Tiggelen D, De Loose V, Cambier D. Individual and work related risk factors for neck pain among office workers: a cross sectional study. Eur Spine J. 2007;16:679–86.CrossRef
9.
Eltayeb S, Staal BJ, Kennes J, Lamberts P, Bie R. Prevalence of complains of arm, neck and shoulder among computer office workers and psychometric evaluation of a risk factor questionnaire. BMC Muscoskel Disord. 2007;8:68.CrossRef
10.
Ranasinghe P, Perera YS, Lamabadusuriya DA, Kulatunga S, Jayawardana N, Rajapakse S, 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. Environmental Health. 2011;10:70.CrossRefPubMedPubMedCentral
11.
Oha K, Animägi L, Pääsuke M, Coggon D, Merisalu E. Individual and work-related risk factors for musculoskeletal pain: a cross-sectional study among Estonian computer users. BMC Muscoskel Disord. 2014;15:181.CrossRef
12.
Kaliniene G, Ustinaviciene R, Skemiene L, Januskevicius V. Associations between the neck musculoskeletal complaints and work related factors among public service computer workers in Kaunas. Int J Occup Med Environ Health. 2013;26(5):670–81.CrossRefPubMed
13.
Marcus M, Gerr F, Monteilh C, Ortiz DJ, Gentry E, Cohen S, et al. A prospective study of computer users: II. Postural risk factors for musculoskeletal symptoms and disorders. Am J Ind Med. 2002;41:236–49.CrossRefPubMed
14.
Eltayeb S, Staal JB, Hassan A, de Bie RA. Work Related Risk Factors for Neck, Shoulder and Arms Complaints: A Cohort Study among Dutch Computer Office Workers. J Occup Rehabil. 2009;19:315–22.CrossRefPubMedPubMedCentral
15.
Heuvel SG, Beek AJ, Blatter BM, Bongers PM. Physical risk factors for neck and upper limb disorders in industrial and office workers: results from the smash study. Occup Environ Med. 2004;61:e47.
16.
Griffiths KL, Mackey MG, Adamson BJ. Behavioral and Psychophysiological Responses to Job Demands and Association with Musculoskeletal Symptoms in Computer Work. J Occup Rehabil. 2011;21:482–92.CrossRefPubMed
17.
Van den Heuvel SG, Van der Beek AJ, Blatter BM, et al. Psychosocial work characteristics in relation to neck and upper limb symptoms. Pain. 2005;114:47–53.CrossRefPubMed
18.
Torp SM, Rijse T, Moen BE. The impact of psychosocial work factors on musculoskeletal pain: a prospective study. J Occup Environ Med. 2001;43:120–6.CrossRefPubMed
19.
Zakerian SA, Subramaniam ID. The Relationship Between Psychosocial Work Factors, Work Stress and Computer-Related Musculoskeletal Discomforts Among Computer Users in Malaysia. Int J Occup Safety Ergono. 2009;15(4):425–34.CrossRef
20.
Spyropoulos P, Papathanasiou G, Georgoudis G, Chronopoulos E, Koutis H, Koumoutsou F. Prevalence of Low Back Pain in Greek Public Office Workers. Pain Physician. 2007;10:651–60.PubMed
21.
Akrouf QAS, Crawford JO, Al-Shatti AS, Kamel I. Musculoskeletal disorders among bank office workers in Kuwait. Eastern Mediterranean Health Journal. 2010;16(1):94–100.PubMed
22.
Juul-Kristensen B, Søgaard K, Strøyer J, Jensen C. Computer users’ risk factors for developing shoulder, elbow and back symptoms. Scand J Work Environ Health. 2004;30(5):390–8.CrossRefPubMed
23.
Griffiths KL, Martin G, Mackey M, Adamson BJ. The Impact of a Computerized Work Environment on Professional Occupational Groups and Behavioural and Physiological Risk Factors for Musculoskeletal Symptoms: A Literature Review. J Occup Rehabil. 2007;17:743–65.CrossRefPubMed
24.
Feveile H, Jensen C, Burr H. Risk factors for neck-shoulder and wrist-hand symptoms in a 5-year follow-up study of 3,990 employees in Denmark. Int Arch Occup Environ Health. 2002;75(4):243–51.CrossRefPubMed
25.
Paksaichol A, Janwantanakul P, Purepong N, Pensri P, van der Beek AJ. Office workers’ risk factors for the development of non-specific neck pain: a systematic review of prospective cohort studies. Occup Environ Med. 2012;69(9):610–8.CrossRefPubMed
26.
Waersted M, Hanvold TN, Veiersted KB. Computer work and musculoskeletal disorders of the neck and upper extremity: A systematic review. BMC Muscoskel Disord. 2010;11:79.CrossRef
27.
Riffenburgh, Robert H. Statistics in Medicine. Burlington: Academic; 2011.
28.
Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sorensen F, Andersson G, et al. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Applied Ergonomics. 1987;18(3):233–7.CrossRefPubMed
29.
Kristensen TS. A new tool for assessing psychosocial factors at work: The Copenhagen Psychosocial Questionnaire. TUTB Newsl. 2002;19–20:45.
30.
Lueder R. A Proposed RULA for Computer Users. San Francisco: UC Berkeley Center for Occupational & Environmental Health Continuing Education Program; 1996.
31.
Wu S, He L, Li J, Wang J, Wang S. Visual Display Terminal Use Increases the Prevalence and Risk of Work-related Musculoskeletal Disorders among Chinese Office Workers: A Cross-sectional Study. J Occup Health. 2012;54:34–43.CrossRefPubMed
32.
Jensen C, Borg V, Finsen L, Hansen K, Juul-Kristensen B, Christensen H. Job demands, muscle activity and musculoskeletal symptoms in relation to work with the computer mouse. Scand J Work Environ Health. 1998;24(5):418–24.CrossRefPubMed
33.
Rocha LE, Glina DMR, Marinho MF, Nagasato D. Risk Factors for Musculoskeletal Symptoms among Call Center Operators of a Bank in São Paulo. Brazil. Industrial Health. 2005;43:637–46.CrossRefPubMed
34.
Radulović B, Huršidić-Radulović A. Musculoskeletal and eye symptoms in computer users at work. Arh Hig RadaToksikol. 2012;63:215–8.
35.
Korpinen L, Pääkkönen R, Gobba F. White-collar workers’ self-reported physical symptoms associated with using computers. Int J Occup Saf Ergon. 2012;18(2):137–47.CrossRefPubMed
36.
Ye Z, Abe Y, Kusano Y, Takamura N, Eida K, Takemoto T, et al. The Influence of Visual Display Terminal Use on the Physical and Mental Conditions of Administrative Staff in Japan. J PhysiolAnthropol. 2007;26:69–73.
37.
Klussmann A, Gebhardt H, Liebers F, Rieger MA. Musculoskeletal symptoms of the upper extremities and the neck: A cross-sectional study on prevalence and symptom predicting factors at visual display terminal (VDT) workstations. BMC Muscoskel Disord. 2008;9:96.CrossRef
38.
Bhanderi D, Choudhary SK, Parmar L, Doshi V. A Study of Occurrence of Musculoskeletal Discomfort Computer Operators. Indian J Community Med. 2008;33(1):65–6.CrossRefPubMedPubMedCentral
39.
Walker BF. The Prevalence of Low Back Pain: A Systematic Review of the Literature from 1966 to 1998. J Spinal Disord. 2000;13(3):205–17.CrossRefPubMed
40.
Johnston V, Jull G, Darnell R, Jimmieson NL, Souvlis T. Alterations in cervical muscle activity in functional and stressful tasks in female office workers with neck pain. Eur J Appl Physiol. 2008;103(3):253–64.CrossRefPubMed
41.
El-Bestar SF, El-Mitwalli AA, Khashaba EO. Neck-upper extremity musculoskeletal disorders among workers in the telecommunications company at Mansoura. Int J Occup Saf Ergon. 2011;17(2):195–205.CrossRefPubMed
42.
Tornqvist EW, Hagberg M, Hagman M, Risberg EH, Toomingas A. The influence of working conditions and individual factors on the incidence of neck and upper limb symptoms among professional computer users. Int Arch Occup Environ Health. 2009;82:689–702.CrossRefPubMed
43.
Gerr F, Marcus M, Ensor C, Kleinbaum D, Cohen S, Edwards A, et al. A prospective Study of Computer Users: Study Design and Incidence of Musculoskeletal Symptoms and Disorders. Am J Ind Med. 2002;41:221–35.CrossRefPubMed
44.
Liuke M, Solovieva S, Lamminen A, Luoma K, Leino-Arjas P, Luukkonen R, et al. Disc degeneration of the lumbar spine in relation to overweight. Int J Obes (Lond). 2005;29:903–8.CrossRef
45.
Szeto GPY, Straker LM, O’Sullivan PB. Neck shoulder muscle activity in general and task-specific resting postures of symptomatic computer users with chronic neck pain. Manual Therapy. 2009;14:338–45.CrossRefPubMed
46.
Birch L, Juul-KristensenIs B, Chri J, 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.CrossRefPubMed
47.
Johnston V, Jull G, Souvlis T, Jimmieson NL. Neck movement and muscle activity characteristics in female office workers with neck pain. Spine. 2008;33(5):555–63.CrossRefPubMed
48.
Gerr F, Marcus M, Monteilh C. Epidemiology of musculoskeletal disorders among computer users: lesson learned from the role of posture and keyboard use. J Electromyogr Kinesiol. 2004;14:25–31.CrossRefPubMed
49.
Gerr F, Monteilh CP, Marcus M. Keyboard use and musculoskeletal outcomes among computer users. J Occup Rehabil. 2006;16:265–77.CrossRefPubMed
50.
Blatter BM, Bongers PM. Duration of computer use and mouse use in relation to musculoskeletal disorders of neck or upper limb. Int J Ind Ergon. 2002;30:295–306.CrossRef
51.
Andersen JH, Harhoff M, Grimstrup S, Vilstrup I, Lassen CF, Brandt LP, et al. Computer mouse use predicts acute pain but not prolonged or chronic pain in the neck and shoulder. Occup Environ Med. 2008;65:126–31.CrossRefPubMed
52.
Bergquist U. Health problems during work with visual display terminals. Sweden: Institute of Enviromental medicine, Department of Neuromedicine, National Institute of Occupational Health; 2003.
53.
Bridger RS, Brasher K. Cognitive task demands, self-control demands and the mental well-being of office workers. Ergonomics. 2011;54(9):830–9.CrossRefPubMed
54.
Sharan D, Parijat P, Sasidharan AP, Ranganathan R, Mohandoss M, Jose J. Workstyle Risk Factors for Work Related Musculoskeletal Symptoms among Computer Professionals in India. J Occup Rehabil. 2011;21:520–5.CrossRefPubMed
Metadata
Title
Associations between musculoskeletal pain and work-related factors among public service sector computer workers in Kaunas County, Lithuania
Authors
Gintare Kaliniene
Ruta Ustinaviciene
Lina Skemiene
Vidmantas Vaiciulis
Paulius Vasilavicius
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2016
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-016-1281-7

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