Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin 2019; 29(02): 99-103
DOI: 10.1055/a-0756-9782
Original Article
© Georg Thieme Verlag KG Stuttgart · New York

The Prevalence of Musculoskeletal Disorders and Work-Station Evaluation in Bank Employees

Prävalenz von Beschwerden des Bewegungsapparats und Arbeitsplatzevaluation bei Bankangestellten
Aneela Umar
1   Riphah College of Rehabilitation Sciences, Riphah International University, Faisalabad , Pakistan
,
Muhammad Kashif
1   Riphah College of Rehabilitation Sciences, Riphah International University, Faisalabad , Pakistan
,
Nawal Zahid
2   Physiotherpy, Faisalabad, District Headquarter Hospital Faisalabad, Pakistan
,
Ramsha Sohail
1   Riphah College of Rehabilitation Sciences, Riphah International University, Faisalabad , Pakistan
,
Aatik Arsh
3   Physiotherapy, Peshawar, Paraplegic Center Peshawar, Pakistan
,
Abdul Raqib
4   Physiotherapy Department, Dera Ismail Khan, DHQ Hospital Dera Ismail Khan, Pakistan
,
Pir Zada
5   Department of Physiotherapy, Helping hand Institute of Rehabilitation Sciences, Mansehra, Pakistan
› Author Affiliations
Further Information

Publication History

received 18 August 2018

accepted 20 September 2018

Publication Date:
01 February 2019 (online)

Abstract

Objective The objective of the study was to evaluate the computer workstation settings and the prevalence of musculoskeletal (MSK) related problems in computer users of bank.

Methods A cross-sectional study was conducted among100 computer users of State Bank of Pakistan, Faisalabad and National Bank of Pakistan, Faisalabad from March to December 2017. Inclusion criteria of the study were male and female bank workers, age between 25–60 years who use desktop computers for at least 3 h a day and had at least 6 months working experience. Cornell Musculoskeletal Discomfort Questionnaire (CMDQ) was used to determine prevalence of MSK problems while Rapid Office Strain Assessment (ROSA) tool was used to evaluate Computer Work-Station (CWS) ergonomic parameters. The data was analyzed by descriptive statistics and variant correlation using SPSS version 20.

Results The mean CMDQ was higher (43.0 ±33.6) in female than male (16.9±20.8) and there was significant association between gender and total discomfort (P=0.001). The discomfort was higher among females then males. The body parts reported to have the most significant levels of discomfort was the neck and head (mean 3.595±7.49), lower back (2.75±5.39) and right shoulder (mean 2.15±4.32).

About 40% subjects suffered from neck pain while the remaining body parts having discomfort were right shoulder (39%), left shoulder (37%), and low back (36%).Almost 90% of the participants had ROSA score greater than 5 that shows that most individuals were at higher risk of ergonomics hazardous.

Conclusion The results of the present study demonstrated that MSK discomfort is common among computer users of bank employees and neck, shoulder and lower back region were at greater risk. MSK discomfort was higher in females. Workers are exposed to ergonomic hazards and need immediate improvement.

Zusammenfassung

Ziel Ziel dieser Studie war die Evaluation der Arbeitsplatzbedingungen und Prävalenz von Beschwerden des Bewegungsapparats bei Bankangestellten mit PC-Arbeitsplatz.

Methoden Es nahmen 100 Bankangestellten mit PC-Arbeitsplatz der State Bank of Pakistan, Faisalabad und der National Bank of Pakistan, Faisalabad, an dieser Querschnittsstudie teil, die von März bis Dezember 2017 durchgeführt wurde. In die Studie eingeschlossen wurden männliche und weibliche Bankangestellte im Alter von 25-60 Jahren, die mindestens 3 Stunden pro Tag einen Desktop-Computer nutzen und mindestens 6 Monate Arbeitserfahrung hatten. Zur Erfassung von Beschwerden des Bewegungsapparats wurde der Cornell Musculoskeletal Discomfort Questionnaire (CMDQ; Fragebogen zu Beschwerden des Bewegungsapparats) verwendet und zur Bewertung der ergonomischen Parameter am PC-Arbeitsplatz wurde das Rapid Office Strain Assessment (ROSA) Tool angewandt. Die Daten wurden mithilfe deskriptiver Statistiken und Variantenkorrelation mit SPSS Version 20 ausgewertet.

Ergebnisse Der Mittelwert des CMD-Fragebogens war bei Frauen höher (43,0 ±33,6) als bei Männern (16,9±20,8) und es bestand ein signifikanter Zusammenhang zwischen Geschlecht und sehr starken Beschwerden (P=0,001). Die Beschwerden waren bei Frauen stärker als bei Männern. Die stärksten Beschwerden traten an den Körperbereichen Nacken und Kopf (Mittelwert 3,595±7,49), Lendenwirbelsäule (2,75±5,39) und rechte Schulter (Mittelwert 2,15±4,32) auf. Rund 40% der Studienteilnehmer litten unter Nackenschmerzen, gefolgt von Schmerzen in der rechten Schulter (39%), linken Schulter (37%), und Lendenwirbelsäule (36%). Fast 90% der Studienteilnehmer hatten einen ROSA Score über 5, was darauf hinweist, dass für die meisten Studienteilnehmer die ergonomischen Bedingungen ein erhöhtes Risiko darstellen.

Schlussfolgerung Das Ergebnis der vorliegenden Studie zeigte, dass Beschwerden des Bewegungsapparats bei Bankangestellten mit PC-Arbeitsplatz häufig auftreten und das Risiko für Beschwerden des Nackens, der Schulter und der Lendenwirbelsäule erhöht ist. Beschwerden des Bewegungsapparats traten bei Frauen stärker auf. Die aktuellen ergonomischen Arbeitsplatzbedingungen stellen eine Gefahr für Angestellte dar und sollten zeitnah verbessert werden.

 
  • References

  • 1 Sauter S, Moon S. An ecological model of musculoskeletal disorders in office work. Beyond Biomechanics. CRC Press; 2014. p. 15-31
  • 2 Straker L, Pollock C, Burgess-Limerick R. et al. The impact of computer display height and desk design on muscle activity during information technology work by young adults. Journal of Electromyography and Kinesiology 2008; 18: 606-617
  • 3 Parent-Thirion A. Fourth European working conditions survey: Office for official Publ. of the European Communities 2007
  • 4 Wærsted M, Hanvold TN, Veiersted KB. Computer work and musculoskeletal disorders of the neck and upper extremity: a systematic review. BMC musculoskeletal disorders 2010; 11: 79
  • 5 Zakerian S, Subramaniam I. Examining the relationship between psychosocial work factors and musculoskeletal discomfort among computer users in Malaysia. Iranian journal of public health 2011; 40: 72
  • 6 Gerr F, Fethke NB, Merlino L. et al. A prospective study of musculoskeletal outcomes among manufacturing workers: I. Effects of physical risk factors. Human factors 2014; 56: 112-130
  • 7 Gerr F, Marcus M, Ensor C. et al. A prospective study of computer users: I. Study design and incidence of musculoskeletal symptoms and disorders. American journal of industrial medicine 2002; 41: 221-235
  • 8 Wahlström J. Ergonomics, musculoskeletal disorders and computer work. Occupational Medicine 2005; 55: 168-176
  • 9 Maldonado-Macías A, Realyvásquez A, Hernández JL. et al. Ergonomic assessment for the task of repairing computers in a manufacturing company: A case study. Work 2015; 52: 393-405
  • 10 Zeidi IM, Morshedi H, Zeidi BM. The effect of interventions based on transtheoretical modelling on computer operators’ postural habits. Clinical Chiropractic 2011; 14: 17-28
  • 11 Samani A. On advanced biofeedback and trapezius muscular activity during computer work: Center for Sensory-Motor Interaction (SMI), Department of Health Science and Technology. Aalborg University; Denmark: 2010
  • 12 Straker L, Maslen B, Burgess-Limerick R. et al. Evidence-based guidelines for the wise use of computers by children: Physical development guidelines. Ergonomics. 2010; 53: 458-477
  • 13 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. Applied ergonomics. 2013; 44: 73-85
  • 14 Hoe V, 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 DOI: 10.1002/14651858.CD008570.pub2.
  • 15 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
  • 16 Kennedy CA, Amick III BC, Dennerlein JT. et al. Systematic review of the role of occupational health and safety interventions in the prevention of upper extremity musculoskeletal symptoms, signs, disorders, injuries, claims and lost time. Journal of occupational rehabilitation 2010; 20: 127-162
  • 17 Malińska M, Bugajska J. The influence of occupational and non-occupational factors on the prevalence of musculoskeletal complaints in users of portable computers. International Journal of Occupational Safety and Ergonomics 2010; 16: 337-343
  • 18 Sonne M, Villalta DL, Andrews DM. Development and evaluation of an office ergonomic risk checklist: ROSA–Rapid office strain assessment. Applied ergonomics 2012; 43: 98-108
  • 19 Hakala PT, Saarni LA, Punamäki R-L. et al. Musculoskeletal symptoms and computer use among Finnish adolescents-pain intensity and inconvenience to everyday life: a cross-sectional study. BMC musculoskeletal disorders 2012; 13: 41
  • 20 Sterud T, Tynes T. Work-related psychosocial and mechanical risk factors for low back pain: a 3-year follow-up study of the general working population in Norway. Occup Environ Med 2013; 70: 296-302
  • 21 Brynjolfsson E, McAfee A. The second machine age: Work, progress, and prosperity in a time of brilliant technologies. WW Norton & Company; 2014
  • 22 Silvian SP, Maiya A, Resmi A. et al. Antecedents of work related musculoskeletal disorders in software professionals. International Journal of Enterprise Network Management 2011; 4: 247-260
  • 23 Karwowski W. The discipline of human factors and ergonomics. Handbook of human factors and ergonomics 2012; 4: 3-37
  • 24 Merlino LA, Rosecrance JC, Anton D. et al. Symptoms of musculoskeletal disorders among apprentice construction workers. Applied occupational and environmental hygiene 2003; 18: 57-64
  • 25 Punnett L, Wegman DH. Work-related musculoskeletal disorders: the epidemiologic evidence and the debate. Journal of Electromyography and Kinesiology 2004; 14: 13-23
  • 26 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. European Spine Journal 2007; 16: 679-686
  • 27 Abbas SB, Qazi SR, Iftikhar S et al. Musculoskeletal disorders among dentists and dental students. Pakistan Oral & Dental Journal 2015; 35:
  • 28 Ahmad A, Zain A, Naz S. et al. Prevalence of musculoskeletal complaints in working female nurses in tertiary care hospitals. Rawal Medical Journal 2017; 42: 40-42
  • 29 Ayaz SB, Malik R, Khan AA. et al. Neck pain secondary to excessive flexion posturing, its association with study activities and duration of posturing and impact on sleep in students of women medical college, abbottabad. Editorial Advisory Board 2016; 66: 22
  • 30 Baqar M, Arslan M, Zahid H. Work-related musculoskeletal symptoms among motorcycle mechanics, Lahore (Pakistan): an application of standardized Nordic questionnaire. Bulletin of Environmental Studies 2016; 1: 56-60
  • 31 Ijaz A, Khan I, Ahmed A. et al. Frequency of neck pain among dentists. Pakistan Orthodontic Journal 2016; 8: 89-93
  • 32 Kashif M, Zafar M, Asif M. et al. Prevalence of neck pain and adopted posture in drivers.. Ann Allied Health Sci 2015; 1 (1) 37-41
  • 33 Kazi N, Naqvi SHR, Lohana D. et al. Musculoskeletal Problems and Recommended Remedies to Computer Users at Isra University. Isra Med J 2010; 2: 17-22
  • 34 Khan M, Aman N, Pasha L. Musculoskeletal disorders and its associated factors amongst healthcare professionals. Pakistan Oral & Dental Journal 2015; 35 (4): 641-644
  • 35 Khan U, Fasih M. Prevalence of work related neck pain among physiotherapists and its association with age and gender. Pak J Physiol 2017; 13: 39-42
  • 36 Aslam MW, Tanveer F, Arshad HS. Job-related Musculoskeletal Disorders in Bus Drivers of Lahore, Pakistan. 2016; 5 (5): 796-800
  • 37 Hussain M, Iqbal AA, Gillani SA. et al. Association of neck pain with use of android phone and its daily usage among students of universities of lahore. International Journal of Scientific & Engineering Research 2017; 8 (10) 485-494
  • 38 Mansoor SN, Rathore FA, Azad AA. et al. Frequency of musculoskeletal disorders among dental professionals at armed forces institute of dentistry. JPDA 2013; 22: 185-188
  • 39 Maria Zain MK, Zerish Z, Larib A. Prevalence of musculoskeletal disorder and work related associated factor among nurses of Allied and D.H.Q hospital, Faisalabad. Journal of Pharmacy and Alternative Medicine 2014; 3: 6
  • 40 Waqas M, Fiaz AA, Munawar A. et al. Prevalence of musculoskeletal pain in traffic police wardens of Lahore, Pakistan. Rawal Medical Journal 2018; 43 (1) 61-63
  • 41 Rathore FA, Rayan Attique YA. Prevalence and Perceptions of Musculoskeletal Disorders Among Hospital Nurses in Pakistan: A Cross-sectional Survey. Cureus 2017; 9 (1) 1-10
  • 42 Rehman B, Aslam A, ALI A, TARIQ A. Ergonomic hazards to dental surgeons: a cross-sectional study. Pakistan Oral & Dental Journal 2016; 36
  • 43 Rehman K, Ayaz H, Urooj W. et al. Work-related musculoskeletal disorders among dental practitioners in Khyber Pakhtunkhwa. Pakistan Oral & Dental Journal 2013; 33 (3) 531-534
  • 44 Sabeen F, Bashir MS, Hussain SI. et al. Prevalance of neck pain in computer users. Annals of King Edward Medical University. 2013; 19: 137
  • 45 Shabbir M, Rashid S, Umar B. et al. Frequency of neck and shoulder pain and use of adjustable computer workstation among bankers. Pakistan journal of medical sciences 2016; 32: 423
  • 46 Tanveer F, Shahid S. Prevalence of neck pain among Doctors of Physical Therapy students of University of Lahore due to bad posture. Rawal Medical Journal 2017; 42 (2) 172-175
  • 47 Oha K, Animägi L, Pääsuke M. et al. Individual and work-related risk factors for musculoskeletal pain: a cross-sectional study among Estonian computer users. BMC musculoskeletal disorders 2014; 15: 181
  • 48 Abledu J, Abledu G. Multiple logistic regression analysis of predictors of musculoskeletal disorder and disability among bank workers in Kumasi. Ghana J Ergon 2012; 2: 111-115
  • 49 Abledu J, Offei E, Abledu G. Predictors of work-related musculoskeletal disorders among commercial minibus drivers in Accra metropolis, Ghana. Advances in Epidemiology 2014