Rodrigues Mirela Sant'Ana, Leite Raquel Descie Veraldi, Lelis Cheila Maira, Chaves Thaís Cristina
Rehabilitation and Functional Performance Post-graduation Program, Ribeirão Preto School of Medicine, University of São Paulo, Brazil.
Department of Neuroscience and Behavioural Sciences, Ribeirão Preto Medical School, University of São Paulo, Brazil.
Work. 2017;57(4):563-572. doi: 10.3233/WOR-172582.
Some studies have suggested a causal relationship between computer work and the development of musculoskeletal disorders. However, studies considering the use of specific tools to assess workplace ergonomics and psychosocial factors in computer office workers with and without reported musculoskeletal pain are scarce.
The aim of this study was to compare the ergonomic, physical, and psychosocial factors in computer office workers with and without reported musculoskeletal pain (MSP).
Thirty-five computer office workers (aged 18-55 years) participated in the study. The following evaluations were completed: Rapid Upper Limb Assessment (RULA), Rapid Office Strain Assessment (ROSA), and Maastricht Upper Extremity Questionnaire revised Brazilian Portuguese version (MUEQ-Br revised). Student t-tests were used to make comparisons between groups.
The computer office workers were divided into two groups: workers with reported MSP (WMSP, n = 17) and workers without positive report (WOMSP, n = 18). Those in the WMSP group showed significantly greater mean values in the total ROSA score (WMSP: 6.71 [CI95% :6.20-7.21] and WOMSP: 5.88 [CI95% :5.37-6.39], p = 0.01). The WMSP group also showed higher scores in the chair section of the ROSA, workstation of MUEQ-Br revised, and in the upper limb RULA score. The chair height and armrest sections from ROSA showed the higher mean values in workers WMSP compared to workers WOMSP. A positive moderate correlation was observed between ROSA and RULA total scores (R = 0.63, p < 0.001).
Our results demonstrated that computer office workers who reported MSP had worse ergonomics indexes for chair workstation and worse physical risk related to upper limb (RULA upper limb section) than workers without pain. However, there were no observed differences in workers with and without MSP regarding work-related psychosocial factors. The results suggest that inadequate workstation conditions, specifically the chair height, arm and back rest, are linked to improper upper limb postures and that these factors are contributing to MSP in computer office workers.
一些研究表明计算机工作与肌肉骨骼疾病的发展之间存在因果关系。然而,在有和没有报告肌肉骨骼疼痛的计算机办公人员中,考虑使用特定工具评估工作场所人体工程学和心理社会因素的研究很少。
本研究的目的是比较有和没有报告肌肉骨骼疼痛(MSP)的计算机办公人员的人体工程学、身体和心理社会因素。
35名计算机办公人员(年龄在18 - 55岁之间)参与了本研究。完成了以下评估:快速上肢评估(RULA)、快速办公室劳损评估(ROSA)以及马斯特里赫特上肢问卷巴西葡萄牙语修订版(MUEQ - Br修订版)。使用学生t检验进行组间比较。
计算机办公人员被分为两组:报告有MSP的工作人员(WMSP,n = 17)和没有阳性报告的工作人员(WOMSP,n = 18)。WMSP组在ROSA总分中的平均值显著更高(WMSP:6.71 [CI95% : 6.20 - 7.21],WOMSP:5.88 [CI95% : 5.37 - 6.39],p = 0.01)。WMSP组在ROSA的椅子部分、MUEQ - Br修订版的工作站部分以及上肢RULA评分中也显示出更高的分数。与WOMSP组相比,WMSP组在ROSA的椅子高度和扶手部分显示出更高的平均值。在ROSA和RULA总分之间观察到正的中度相关性(R = 0.63,p < 0.001)。
我们的结果表明,报告有MSP的计算机办公人员在椅子工作站的人体工程学指标以及与上肢相关的身体风险(RULA上肢部分)方面比没有疼痛的工作人员更差。然而,在有和没有MSP的工作人员之间,在与工作相关的心理社会因素方面没有观察到差异。结果表明,不合适的工作站条件,特别是椅子高度、手臂和靠背,与不当的上肢姿势有关,并且这些因素导致了计算机办公人员的MSP。