Showing 69 results for Musculoskeletal
Abbasali Jafari Nodoushan, Amirabbas Abouei Mehrizi, Fateme Sadat Mosavi Nodoushan,
Volume 10, Issue 4 (3-2023)
Abstract
Objectives: COVID-19 virus pandemic and quarantine implementation have different effects on students' psychological aspects and musculoskeletal disorders. This study aims to evaluate the impact of the COVID-19 virus on musculoskeletal disorders and the mental health of Meybod University students.
Methods: For this purpose, a random sample of 350 students of Meybod University was selected in 2021. Data were collected based on three questionnaires Nordic Musculoskeletal Disorders, Mental Health, and Corona Disease Anxiety Scale. The Logistic regression and Chi-square test.
Results: The results showed that the anxiety caused by the outbreak of the COVID-19 virus has a significant effect on students' mental health. The COVID-19 pandemic has also caused musculoskeletal disorders in most parts of the student body. The grade, exercise, daily sports, and the number of people infected with the virus are the variables that significantly affect organ disorders and the mental health of students in this condition.
Conclusion: Due to the importance of students' physical and mental health, it is necessary to plan students' classrooms properly. Also, with virus outbreaks and the need to comply with restrictions, planning for sports and simple stretching exercises can reduce disorders and increase students' vitality.
Zahra Akbari-Chehrehbargh, Niloofar Navaei, Hamidreza Navaei,
Volume 11, Issue 1 (5-2023)
Abstract
Objectives: Scientific evidence shows that artistic activities, such as playing music, can put individuals at risk for specific musculoskeletal injuries. This study aimed to determine the prevalence and location of musculoskeletal injuries among Iranian music students and musicians, as well as to identify the related risk factors for their occurrence.
Methods: To find published studies without time limitations, a detailed search was conducted in databases including Pubmed, Scopus, Google Scholar, the Scientific Information Database (SID), and Magiran using appropriate keywords. In this investigation, we only reviewed cross-sectional studies that were available to explore the prevalence of musculoskeletal disorders and their related risk factors among eligible music students and musicians from Iran. Review articles with less than five participants and articles written in languages other than English and Persian were excluded from the study.
Results: Out of 19 studies found, after removing duplicates and similar studies, 7 cross-sectional descriptive-analytical studies with a sample size of 1,444 eligible participants were reviewed. The prevalence of injuries ranged from 53% to 65%. The most common area of pain was the neck and shoulders, which were present in all types of instruments. Being female was a predisposing factor for musculoskeletal problems in musicians.
Conclusion: Iranian music students and musicians often suffer from musculoskeletal injuries. The most common areas of the body where these injuries occur are the neck and shoulders. There are multiple risk factors, such as age, improper posture, and duration of training, for musculoskeletal injuries in this population.
Mehran Maleki Roveshti, Mehdi Raei, Firouz Valipour,
Volume 11, Issue 2 (9-2023)
Abstract
Objectives: Musculoskeletal disorders are an important issue in many healthcare work environments. The aim of this systematic review is to investigate musculoskeletal disorders and occupational risk factors on the physical status of medical staff in Iran.
Methods: In this systematic review, eligible studies from national and international databases, such as PubMed, Embase, Web of Science, Scopus, SID, Magiran and IranMedex from 1390 to 1400 were independently analyzed by two researchers based on the preferred reporting cases of the Guidelines for Systematic Reviews and Meta-Analysis (PRISMA) . MeSH keywords and phrases were used to implement the search strategy.
Results: Of the 360 articles, the full text of 24 articles was finally examined. The results of the study showed that the highest prevalence of musculoskeletal abnormalities and complaints among workers in the last 12 months was related to neck pain (46.01%). Furthermore, among the 24 occupational risk factors identified, prolonged standing (20.83%) and repetitive movements (16.66%) are the most important factors for the occurrence of physical complaints among healthcare workers.
Conclusion: The results of this study can play an important role in strengthening and improving the country's health system in terms of individual, administrative and organizational measures in health centers. In this way, the physical needs, the psychological and ergonomic stresses of the working environment and the health of the treatment staff can be improved.
Seyed Mohammad Hosseini, Armin Lahouri, Ataalah Barati, Hadi Miri,
Volume 11, Issue 2 (9-2023)
Abstract
Objectives: In today's advanced world, musculoskeletal problems are among the most serious problems. The present study aimed to assess the relationship between ergonomics and postural abnormalities in manufacturing workers.
Methods: The statistical population of this research consists of 210 male employees working in two production units. Among this population, 134 cases were included in the study according to Morgan's table and based on the inclusion criteria. The pain in different parts of the body was assessed by the Nordic Musculoskeletal Questionnaire, the Rapid Entire Body Assessment (REBA) was utilized to evaluate workplace ergonomics, and the body posture was evaluated by the New York Posture Rating. The collected data were analyzed in SPSS software (version 26). The Shapiro-Wilk test was used to investigate the normality of data distribution. Moreover, a linear regression statistical test was utilized to assess the relationship between research variables. The significance level was set at <0.05.
Results: The obtained results pointed to a significant and negative relationship between the ergonomics score and the physical condition assessment (P=0.00; R=0.60). In addition, the results highlighted the presence of skeletal-muscular disorders in different parts of the body, with the highest prevalence in the back (53.73%).
Conclusion: According to the high and negative correlation of the variables, it was found that unfavorable ergonomic conditions can lead to poor physical condition and numerous musculoskeletal consequences.
Atefeh Elyasi Gomari, Behzad Fouladi Dehaghi, Saeed Ghanbari, Abbas Mohammadi,
Volume 11, Issue 3 (12-2023)
Abstract
Objectives: Musculoskeletal disorders (MSDs) are widespread and important health and social problems in industrialised society, reducing productivity, increasing treatment costs and affecting the quality of life of workers. The present study was conducted with the aim of investigating the effects of workload, fatigue, sleep quality and physical condition on musculoskeletal disorders among workers in the steel industry.
Methods: The present study is a descriptive and analytical study conducted on a population of 540 workers working in the steel industry in the city of Dezful. Based on simple random sampling, 400 people were selected as samples. The instruments used in this study are the Demographic Information Questionnaire, the Cornell Musculoskeletal Disorders Questionnaire (CMDQ), the Swedish Occupational Fatigue Inventory(SOFI), the Pittsburgh Sleep Quality (PSQI) and the NASA-TLX workload index. The Rapid Entire Body Assessment (REBA) was used. Descriptive statistical indices were used to analyze the data, and the relationships between observed and hidden variables were examined using structural equation modeling (SEM) The data were analyzed at a significance level of 0.05 and in SPSS software version 25.
Results: According to the prevalence of musculoskeletal disorders, back pain ranked first with a mean and standard deviation of 52.39±25.44 and knee pain ranked second with a mean and standard deviation of 46.46±26.45, indicating that the prevalence of these disorders is high among steel industry workers. The results of the correlation analysis showed that there is a positive and significant relationship between workload, fatigue, sleep quality and body condition and musculoskeletal disorders (p<0.05). The RMSEA index of less than 0.1 shows that the model proposed in this study fits well and demonstrates the role of workload variables, fatigue, sleep quality and body position in the direct and indirect causation of musculoskeletal disorders.
Conclusion: The results of this study show that improving workplace ergonomics, reducing workload and fatigue, and improving sleep quality can reduce the likelihood of musculoskeletal disorders in workers.
Mohsen Arefian, Fatemeh Raeesi, Mohammadjavad Hadianfard,
Volume 11, Issue 3 (12-2023)
Abstract
Objectives: Work-related musculoskeletal pains (WMSPs) are considered one of the major factors affecting the quantity and quality of work and threatening the physical and psychological health of employees. The present study aimed to assess the prevalence and prediction of WMSPs based on body posture, work-related stress, mental health, and psychological flexibility among the employees of an industrial company in Shiraz.
Methods: To this end, among the employees of an industrial company in 2023, 147 people (51 women and 96 men) were selected and evaluated by 1. The Nordic Musculoskeletal Questionnaire, 2. Quick Exposure Check, 3. Effort-Reward Imbalance questionnaire, 4. General Health Questionnaire, and 5. Cognitive Flexibility Inventory. The collected data were analyzed in SPSS software (version 26) using regression analysis test.
Results: Descriptive findings demonstrated that the most common WMSPs in the sample group were back pain(76.19%), neck pain (69.38%), and lower back pain (56.46). Moreover, the mean hours of physical exercise per week were significantly associated with WMSPs (P<0.05). Based on the findings, body posture had the greatest ability to predict neck, shoulder, hand, and back pain (P<0.01). Furthermore, work-related stress, mental health, and psychological flexibility significantly predicted WMSPs (P<0.05).
Conclusion: As evidenced by the obtained results, body posture education may contribute greatly to the mitigation of WMSPs.Moreover, work-related stress management and the promotion of employees’ psychological flexibility will reduce WMSPs.
Esmaeil Hani, Maryam Rafiee, Tahereh Eskandari,
Volume 11, Issue 3 (12-2023)
Abstract
Objectives: Pre-hospital emergency workers who are responsible for providing essential pre-hospital medical services are exposed to physical and mental disorders. Since musculoskeletal disorders can be affected by work-related stress and fatigue, the present study aimed to assess the relationship of work-related stress and fatigue with the prevalence of musculoskeletal disorders in pre-hospital emergency workers in Saveh.
Methods: This descriptive-analytical cross-sectional study was conducted in 2023. A total of 88 personnel of urban and road pre-hospital emergency centers in Saveh were included in the study by the census method. Data collection tools were the Health and Safety Executive (HSE), Multidimensional Fatigue Inventory (MFI-20, and Nordic Musculoskeletal Questionnaire. Data were analyzed in SPSS software (version 22) using independent t-tests, analysis of variance, Poisson regression, and Pearson correlation coefficients.
Results: The most common areas involved in musculoskeletal disorders were back (34.1%; n=30), neck (19.3%; n=17), and upper back (19.3%; n=17). Moreover, mean scores of work-related stress and work fatigue were 113.52±4.09 and 62.95±5.06, respectively. Musculoskeletal disorders showed a significant relationship with marital status, workplace, age, work experience, and number of working hours (P≤0.05). Nonetheless, there was no significant relationship between work-related stress and work fatigue (P=0.28), musculoskeletal disorders and work-related stress (P=0.93), as well as musculoskeletal disorders and work fatigue (P=0.44).
Conclusion: The prevalence of skeletal-muscular disorders was relatively high, and considering that these disorders are more frequently observed in married people and those who work on the road, training should be provided to these workers according to their place of work. The risk of developing skeletal-muscular disorders increases with age and work experience. Therefore, it is necessary to take precautions in this regard. Furthermore, since skeletal-muscular disorders increase with an increase in working hours, it is necessary to adjust working hours and avoid long shifts.
Sina Ghasemi, Behzad Imani, Ramin Rahmani, Shirdel Zandi,
Volume 11, Issue 4 (1-2024)
Abstract
Objectives: Musculoskeletal disorders are among the common problems in most work environments and work ability is considered a factor affecting the performance and productivity of employees. In the present study, the status of these two components and their relationship with each other in the staff working in the operating room were investigated.
Methods: The current cross-sectional study was conducted in the winter of 2023. In this research, 96 employees working in the operating rooms of government hospitals in Hamadan, Iran were enrolled by census sampling method based on the inclusion criteria. The data were collected through the Nordic standard questionnaire and the work ability index questionnaire. The collected data were analyzed in SPSS software (version 24) at two levels of descriptive (frequency, mean, and standard deviation) and inferential (t-test) statistics.
Results: In this study, 4 (4.2%) of the participants had one musculoskeletal disorder and the remaining 91 personnel (95.8%) had more than one disorder in their musculoskeletal systems. Average work ability index was 42.3±04.91. The results of the independent t-test showed that the work ability index among people with pain in the neck (P=0.003), shoulders (P=0.001), elbows (P=0.038), back (P=0.011), knees (P=0.001), and legs (P=0.002) were less than those without pain in these organs.
Conclusion: Results indicated the need to pay more attention to the implementation of ergonomic work environment and management interventions to reduce the prevalence of musculoskeletal disorders and thereby increase the efficiency and effectiveness of personnel.
Zohreh Goudarzi, Sara Izadi, Abbas Seifollah Zade, Roghayyeh Hassanzadeh, Neda Mahdavi,
Volume 11, Issue 4 (1-2024)
Abstract
Objectives: Musculoskeletal disorders are among the health challenges for faculty members, affecting their performance and work-related quality of life. The present study aimed to investigate the relationship between these disorders and the ergonomic features of their workstations.
Methods: This research was conducted among 22 faculty members after obtaining informed consent and using a census method. The prevalence of disorders was assessed using the Cornell questionnaire, and the evaluation of the workstation was performed using the Rapid Office Strain Assessment (ROSA) method. Then, 14 anthropometric dimensions (differentiated by gender) were measured, and 13 workstation characteristics were assessed. Finally, 11 criteria were used for anthropometric fitness evaluation. Moreover, data analysis was carried out using SPSS software (version 26).
Results: Approximately 46% of the participants had experienced pain and discomfort in one of the musculoskeletal areas, with the wrist, neck, shoulder, and lower back being the most affected areas, respectively. The ROSA results indicated that 22.73% of the participants' workstations required ergonomic improvements. The most significant mismatches were found in the criteria of 1) trunk length-chair backrest length, 2) thigh thickness in a seated position-distance between thighs and desk, and 3) shoulder width-chair seat width.
Conclusion: The signs of a connection between the high prevalence of musculoskeletal disorders and the lack of anthropometric compatibility/inadequate knowledge among faculty members in the field of ergonomics were observed. This issue underscores the importance of considering ergonomic/anthropometric characteristics of office desks and chairs during the procurement of office supplies and emphasizes the need to enhance ergonomics knowledge.
Abbas Mohammadi, Behzad Fouladi Dehaghi, Fatemeh Assadian, Saeed Ghanbari,
Volume 11, Issue 4 (1-2024)
Abstract
Objectives: Cargo workers at Ahvaz Airport in Ahvaz, Iran are at risk of musculoskeletal disorders. In this regard, the present study aimed to investigate their carrying out tasks and postures.
Methods: In this descriptive-analytical study, the census method was used to select 21 cargo workers in Ahvaz Airport. Task analysis was carried out by Hierarchical Task Analysis (HTA) and Quick Exposure Check (QEC). Moreover, the Manual Handling Assessment Charts were used to evaluate the manual load. The tools employed in this study included observation, photography, and a Cornell Musculoskeletal Disorder Questionnaire (CMQD) questionnaire. Statistical calculations were performed in SPSS (version 16) and Spearman's correlation coefficient for the variables.
Results: Each of the cargo workers of Ahvaz airport moves an average of 400 bags per shift. Spearman's correlation coefficient showed a significant relationship between musculoskeletal disorders and the variables of age, height, and Body Mass Index with values of 0.002, 0.005, and 0.003, respectively. The QEC method was used to observe the worst postures with a numerical score between 50 and 70, which were related to the standing posture at the flat roller and the sitting posture in the aircraft cargo. The examination of the CMQD questionnaire revealed that 61.6%, 65%, and 62% of diseases were related to shoulder, arm, and back, respectively.
Conclusion: After job analysis by the HTA method and evaluation of the results through the QEC method, it was determined that loading and arranging luggage in the cart and cargo were the most risky tasks. Both the MAC and QEC methods also indicated the necessity of an immediate change in the process of moving luggage.
Seyeydeh Hasti Sadati, Mehdi Asghari, Maedeh Moradi Farahani,
Volume 12, Issue 1 (4-2024)
Abstract
Objectives: Awkward posture is a primary cause of musculoskeletal disorders (MSDs) in the dental profession due to the nature of dental activities. This study aimed to examine both observational and device-assisted posture assessment methods used to study dental professionals as well as the reported prevalence of MSDs among them.
Methods: A search was conducted in Scopus, PubMed, and Google Scholar databases for studies performed from 2000 to 2021 using specified keywords. In total, 31 out of the 541 articles found in the initial search were finally included in this study after the exclusion of ineligible articles, duplicates, conference presentations, systematic reviews, and letters to the editor.
Results: Based on the findings, the neck (58%), back and waist (54.9%), and shoulder and hand (29%) areas had the highest reported pain and disorder. Several posture evaluation methods, namely Rapid Upper Limb Assessment (19.4%), Rapid Entire Body Assessment (19.4%), Electromyography (EMG, 13.8%), and Quick Exposure Check (QEC, 8.3%), were the most frequently used methods among all 17 methods employed in the studies.
Conclusion: Among the observational methods, the QEC method was the most practical one as it considered the experiences of dentists and various dimensions of dental tasks. Moreover, the EMG method was the most suitable device-assisted method for the assessment of posture in dentists. The use of questionnaires in conjunction with evaluation methods appears to enhance the understanding and effectiveness of posture assessment.
Mohammad Sadegh Sohrabi,
Volume 12, Issue 1 (4-2024)
Abstract
Objectives: In the last decade in Iran, the highest prevalence of musculoskeletal pain and discomfort among office workers has been reported in the neck, back, and shoulder areas. The present study aimed to assess the impact of ergonomic interventions in knowledge-based companies on musculoskeletal disorders, work-related stress, and quality of work life.
Methods: In this quasi-randomized controlled trial study, the participants, including 311 office workers, received ergonomic interventions at both individual and managerial levels.
Results: The implementation of individual ergonomic training interventions significantly reduced disorders in the neck, right and left shoulders, right forearm, and right wrist. Social support also demonstrated a significant increase in all three intervention groups. The interventions had a significant impact on the quality of working life. The changes in the mean quality of working life for the second and third groups in the first month of growth were significant and then continued similar to the trend of the control group.
Conclusion: The implementation of individual ergonomic training interventions significantly reduced musculoskeletal disorders in the neck, shoulders, and upper limbs. Nonetheless, management training interventions did not affect the musculoskeletal disorders of employees. Furthermore, concurrent implementation of individual ergonomics and management interventions exerted a more pronounced effect on the reduction of disorders. The implementation of management educational interventions and combined interventions led to a marked increase in the level of control experienced by participants, while both types of social support interventions also increased. The implementation of a multi-component ergonomics intervention program was demonstrated to enhance the impact of interventions on employees' health and productivity.
Mounes Khani, Aram Tirgar, Samaneh Pourhadi, Zahra Geraili,
Volume 12, Issue 2 (7-2024)
Abstract
Objectives: Considering that working with virtual education equipment increased significantly during the COVID-19 era, the purpose of this research was to investigate the association of complaints of musculoskeletal disorders with the use of electronic equipment during virtual education.
Methods: This cross-sectional study was carried out on a group of students in the first four years at Babol University of Medical Sciences, whose courses were mostly presented virtually. Data collection tools included a demographic information form and the standard Nordic questionnaire. Data were analyzed in SPSS22 software using descriptive and inferential statistical indicators, including the Chi-square statistical test. The significance level was considered at 0.05.
Results: The data obtained from 318 medical sciences students showed that 83.6% of them complained of pain in the musculoskeletal system during the past year. More than 21% of the participants had to take medicine, 19.9% needed to visit a doctor, and 4.1% had to use physiotherapy services. The results also showed there was a direct and statistically significant correlation between the frequency of complaints regarding musculoskeletal pain and discomfort in the past week and year and the level of use of virtual teaching devices (P≤0.001).
Conclusion: The expansion of virtual education in universities and the prolonged and continuous use of electronic educational equipment can be effective in increasing the frequency of complaints of musculoskeletal disorders among medical sciences students. Moreover, the lack of regular physical activity, smoking, high levels of stress, insomnia, and fatigue among medical students were also known as other effective factors.
Saeed Ilbeigi, Masoumeh Al-Eghabi, Mohammad Yousefi, Mohammad Hamed Hosseini,
Volume 12, Issue 3 (12-2024)
Abstract
Objectives: Designing one-handed carrying tasks based on biomechanical findings has a significant impact on preventing musculoskeletal injuries. The present study was conducted to investigate the muscle synergy of the trunk and pelvis in the manual carrying of loads with different weights in healthy young people.
Methods: In this experimental study, 20 male volunteers performed the walking protocol without load, carrying different weights of 5%, 10%, and 15% of their own weight during unilateral manual load carrying. The electrical activity of the trunk and pelvis muscles while carrying loads of different weights was recorded using an electromyography device (Biovision). To evaluate the differences between different load-carrying conditions, a repeated measures test was used at a significance level of P≤0.05.
Results: The results showed that in the performance of manual load carrying, there was a significant difference between muscle synergy (synergy size) in all walking protocols, including 5% and 10% of body weight and 5% and 15% of body weight and between 15% and 10% (P≤05). While in the performance of manual load carrying, a significant difference was found between muscle synergy (synergy direction) in 5% of body weight and 10% of body weight, this difference was not seen in manual load carrying with 5% of body weight and 15% of body weight and also between synergy of 15% and 10% (P≥0.05).
Conclusion: It seems that the difference in muscle synergy in terms of size in unilateral manual load carrying can, with increasing load, create more tension in the back and pelvic muscles; however, the direction or angle does not change compared to the no-load state.
Shiva Mohammadjani Kumeleh, Mohammad Amin Rashidi, Azim Akbari,
Volume 12, Issue 4 (2-2025)
Abstract
Objectives: Administrative employees are often at risk of developing musculoskeletal disorders due to prolonged computer use. Additionally, frequent interactions with clients expose them to a high mental workload and job stress. The present study aimed to assess the prevalence of musculoskeletal disorders, mental workload, general health, and job stress among administrative employees to improve their working conditions.
Methods: The present work followed a cross-sectional descriptive-analytical method and was conducted on the administrative employees of an engineering company in 2021. Finally, 119 individuals participated in the study using the census method. Demographic information questionnaires, as well as Rapid Office Strain Assessment (ROSA), Cornell, NASA Task Load Index (NASA-TLX), General Health Questionnaire (GHQ), and Health and Safety Executive (HSE)-UK job stress checklists were used to collect data. Data analysis was performed using the SPSS software, employing descriptive statistics, independent t-tests, and one-way analysis of variance (ANOVA).
Results: According to the posture assessment with the ROSA method, the average final ROSA score was 4.33±1.03. Examination of mental load with the NASA-TLX indicated that 78% had a high mental load. In addition, according to the GHQ questionnaire, the average final general health score was 24.4±11.73. Moreover, based on the HSE-UK occupational stress questionnaire, more than 80% (103 people) of employees were under severe stress, and 12% (15 people) were under critical stress. A significant relationship was observed between occupational stress, body mass index (BMI), and age (P<0.05).
Conclusion: The implementation of intervention and control measures to improve musculoskeletal disorders, workload, general health, and job stress seems to be essential.
Fatemeh Faraghati, Mohammad Javad Asadollahzadeh, Maryam Hasani,
Volume 13, Issue 1 (5-2025)
Abstract
Objectives: Musculoskeletal disorders (MSDs) are among the most common occupational health problems, particularly prevalent in driving-related professions. The present study aimed to assess body posture and the risk of developing MSDs among urban train operators in Mashhad, Iran, using the Rapid Entire Body Assessment (REBA) method.
Methods: In this cross-sectional study, 140 train operators from the Mashhad Urban Railway in Iran were randomly selected. Demographic information and the prevalence of MSDs were collected using the Nordic Musculoskeletal Questionnaire, and postural assessment was performed using the REBA method. Statistical analysis was conducted using parametric (independent samples t-test) and non-parametric (chi-square) tests.
Results: According to the findings, 87.1% of participants reported musculoskeletal complaints in at least one body region. The most commonly affected areas were the neck (60%), lower back (57.1%), and upper back (33.6%). The results related to REBA indicated that 71.4% of operators were in the medium-risk category. There was a significant association between MSDs and body mass index (BMI), as well as years of work experience (P<0.05).
Conclusion: Given the high prevalence of MSDs and the medium level of postural risk among train operators, ergonomic interventions and training on proper working posture are strongly recommended to improve occupational health in this group.
Ali Afshari,
Volume 13, Issue 4 (1-2026)
Abstract
Objectives: With the expansion of digital technologies and the increasing use of smart tools in workplaces, challenges, such as musculoskeletal disorders (MSDs) and reduced employee productivity, have emerged. This study aimed to examine the impact of ergonomic digital workplace design and smart tools on MSDs and employee productivity at Maragheh University.
Methods: This study employed a descriptive-analytical design. The statistical population included administrative employees of Maragheh University in 2024. A total of 150 people were selected as a sample from the population above according to the Morgan table and the stratified random sampling method. Data were collected using the Sprecher et al. questionnaire to assess MSDs and an organizational productivity questionnaire. The obtained data were then analyzed using Pearson's correlation and multiple regression in SPSS software (version 25).
Results: The findings revealed a significant negative relationship between musculoskeletal health and productivity (r = -0.47), indicating that increased musculoskeletal problems were associated with decreased efficiency (r = -0.41), task quality (r = -0.39), goal commitment (r = -0.45), and time management (r = -0.36). Multivariate regression analysis demonstrated that digital workplace design and the use of smart tools were significantly associated with reduced musculoskeletal problems (β = -0.52, P < 0.05) and increased employee productivity (β = 0.46, P < 0.05).
Conclusion: The results indicate that ergonomic workplace design combined with smart tools reduces musculoskeletal discomfort and enhances employee productivity. These findings emphasize the importance of ergonomic workplaces and smart tools in promoting both employee health and performance.
Abbas Mohammadi, Leila Aghaei, Marzieh Sadeghian, Mohammad Sadegh Loeloe,
Volume 14, Issue 1 (3-2026)
Abstract
Background and Objectives: Office staff in health networks are exposed to adverse psychosocial factors and work-related musculoskeletal disorders (WMSDs) associated with improper working posture, which may reduce productivity. This study aimed to examine the relationships between psychosocial factors and WMSDs with productivity among administrative staff of a health network and to evaluate the effectiveness of an educational–ergonomic intervention on these outcomes.
Method: This quasi-experimental pretest–posttest study was conducted in 2024–2025 among 150 administrative employees of the Behbahan health network. Data were collected using the Copenhagen Psychosocial Questionnaire (COPSOQ III), the Hersey and Goldsmith ACHIEVE productivity questionnaire, and the Nordic Musculoskeletal Questionnaire (NMQ). Working posture was assessed using the Rapid Office Strain Assessment (ROSA) checklist in a random subsample (n=15). A three-month educational–ergonomic intervention (May–July 2025) was delivered in small groups and covered effective communication/teamwork, stress management, motivation/organizational commitment, social support, and ergonomic principles/healthy work behaviors. Data were analyzed in SPSS-26; statistical significance was set at 0.05.
Results: Overall psychosocial score was positively correlated with total productivity (r=0.633, p<0.01). WMSDs showed significant negative correlations with selected productivity dimensions (p<0.05). After the intervention, psychosocial dimensions and overall productivity improved significantly (p<0.001), with a marked increase in total productivity (2.82 to 4.03; Cohen’s d=1.51). WMSDs decreased significantly (5.36 to 4.24; p<0.001). No significant change was observed in ROSA score (p=0.640).
Conclusion: The educational–ergonomic intervention improved workplace psychosocial conditions and reduced musculoskeletal complaints, resulting in higher productivity among administrative staff in the health network. Controlled studies with longer follow-up are recommended.
Fatemeh Hajialikhani, Fatemeh Shahbazi, Neda Mahdavi,
Volume 14, Issue 2 (6-2026)
Abstract
Background and Objective: Handicraft artists in Isfahan Province are at heightened risk of developing upper‑extremity musculoskeletal disorders due to the nature of their work, which involves repetitive movements and awkward postures. This study was conducted to examine the influence of hand‑tool characteristics on upper‑extremity musculoskeletal discomfort among these artisans.
Methods: In this cross-sectional analytical study, 191 artisans (70 women and 121 men) working in the fields of enameling, turquoise inlaying, miniature painting, and metal engraving were selected through random sampling. Data were collected using demographic questionnaires, the Quick version of Disabilities of the Arm, Shoulder and Hand (Quick-DASH) questionnaire, and the Comfort QH (CQH) tool comfort questionnaire. Statistical analyses were conducted using Stata version 17, and a significance level of less than 0.05 was considered for all statistical tests.
Results: The mean and standard deviation of the Quick-DASH score were estimated at 28.89 and 4.91, respectively. The highest Quick-DASH score was related to the engravers, with a mean of 30.89 and a standard deviation of 2.91. Work experience was a factor influencing the Quick-DASH score (P = 0.003). The mean CQH questionnaire score for artists was 1.09 with a standard deviation of 0.26. Turquoise inlay workers and engravers had the most discomfort from the tools, with a mean (standard deviation) of 1.04(0.23). No significant correlation was observed between upper limb disability and tool comfort.
Conclusion: The handicraft artists of Isfahan, who routinely perform highly repetitive and fine manual tasks, are exposed to a considerable risk of developing musculoskeletal disorders. Although no statistically significant association was found between musculoskeletal disability and discomfort related to hand tools, both univariate and multivariate analyses highlighted the substantial impact of hand‑tool comfort on upper‑extremity musculoskeletal discomfort.
Ali Lotfi, Maryam Daneshvar, Mehdi Vosoughi Niri, Parvin Ahmadinezhad, Soheila Derisavi Jarafian, Mohsen Poursadeghiyan,
Volume 14, Issue 2 (6-2026)
Abstract
Background: Dentistry, as a profession characterized by a static nature, repetitive movements, and occupational stress, is considered a high-risk occupation for the development of musculoskeletal disorders and reduced quality of life. The aim of this research was to investigate the relationship between musculoskeletal disorders and quality of life among dentists.
Methods: This descriptive-analytical cross-sectional study was conducted in 2025 on 150 practicing dentists in the city of Ardabil. Samples were selected using the convenience sampling method. Data were collected using standard questionnaires, including the Nordic Musculoskeletal Questionnaire (NMQ) for musculoskeletal disorders and the World Health Organization Quality of Life (WHOQOL) questionnaire. Data analysis was performed using SPSS 26 software with Chi-square and logistic regression tests.
Results: The most commonly affected areas were the lower back (64.7%), neck (60.7%), and shoulders (52.1%). These problems had led to reduced professional activity in 28.7% of the individuals. Quality of life was at a moderate to low level, with the lowest score belonging to the environmental health domain (56.79 out of 100). A significant association was observed between lower quality of life and increased musculoskeletal complaints in some body areas (p < 0.05).
Conclusion: The results of this study indicate a very high and concerning prevalence of musculoskeletal problems and a moderate quality of life among dentists in Ardabil. Furthermore, the findings emphasize the necessity of implementing comprehensive intervention programs to improve workplace ergonomics and enhance the health and quality of life of dentists.
