Demissie Biruk, Mekonnen Gebrehiwot Berie, Aytenew Tigabu Munye
Department of Environmental Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Department of Pediatrics and Child Health Nursing, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Sci Rep. 2025 Jul 24;15(1):26858. doi: 10.1038/s41598-025-96470-0.
Musculoskeletal pain was the leading cause of physical injuries and disabilities, and ranking sixth among the top ten diseases in terms of global burden of disease. Approximately 9.5 million working days lost. Office workers including bank workers are vulnerable group for work related musculoskeletal disorders (MSDs) due to prolonged sitting, computer work, repetitive tasks, static posture, and uncomfortably working conditions. In Ethiopia, the annual prevalence of MSDs among computer users ranged from 55.2% to 77.6%. Previous primary studies presented inconsistent findings. Therefore, this review aimed to determine the pooled prevalence of musculoskeletal disorders and their associated factors among computer users in Ethiopia. We have extensively searched the PubMed, Cochrane, Web of Science databases, and Google Scholar for all available studies. All retrieved studies were exported to EndNote version 7 reference manager and analyzed using STATA version 17 statistical software. A weighted inverse-variance random-effects model was used to compute the overall MSDs among computer users. Publication bias was assessed using the funnel plot's symmetry and a significant publication bias was identified using Egger's test with a p-value of less than 0.05. The quality and risk of bias was evaluated using the quality rating standards of the Joanna Briggs Institute and risk of bias assessment tool respectively. The pooled prevalence of MSDs among computer users was 65.86% (95% CI 60.53, 71.18). The pooled prevalence of neck, shoulder, upper back, elbow, lower back, wrist/hand, hip/thigh, knee and ankle were 38.2% (95% CI 27.65, 48.77), 29.06% (95% CI 17.62, 40.49), 30.94% (95% CI 23.76, 38.11), 17.32% (95% CI 9.25, 25.38), 44.41% (95% CI 37.75, 51.06), 19.37% (95% CI 12.44, 26.30), 13.23% (95% CI 7.52, 18.95), 15.50% (95% CI 9.98, 21.01), and 13.34% (95% CI 8.32, 18.36) respectively. Being aged 30 and above 4.019 (95%CI: 1.92, 8.43), working in awkward posture 4.49 (95% CI: 2.66, 7.58), not doing physical exercise 3.43 (95% CI 2.1, 5.32), and prolonged computer work 2.56 (95% CI 1.34, 4.9) were significantly higher risk to MSDs. In Ethiopia, the overall prevalence of MSDs among computer users was significantly high. Therefore, employees should reduce the time spent on computers, engage in at least 150 min of exercise per week, and follow appropriate work practices and procedures while at work.
肌肉骨骼疼痛是身体损伤和残疾的主要原因，在全球疾病负担方面位列十大疾病中的第六位。大约损失950万个工作日。包括银行职员在内的办公室工作人员由于长时间坐着、从事电脑工作、重复性任务、静态姿势以及不舒适的工作条件，是与工作相关的肌肉骨骼疾病（MSDs）的易感人群。在埃塞俄比亚，电脑使用者中MSDs的年患病率在55.2%至77.6%之间。先前的初步研究结果不一致。因此，本综述旨在确定埃塞俄比亚电脑使用者中肌肉骨骼疾病的合并患病率及其相关因素。我们广泛检索了PubMed、Cochrane、Web of Science数据库以及谷歌学术，以查找所有可用的研究。所有检索到的研究都导出到EndNote 7版本的参考文献管理器中，并使用STATA 17版本的统计软件进行分析。采用加权逆方差随机效应模型来计算电脑使用者中MSDs的总体患病率。使用漏斗图的对称性评估发表偏倚，并使用Egger检验（p值小于0.05）来识别显著的发表偏倚。分别使用乔安娜·布里格斯研究所的质量评级标准和偏倚风险评估工具来评估质量和偏倚风险。电脑使用者中MSDs的合并患病率为65.86%（95%可信区间60.53，71.18）。颈部、肩部、上背部、肘部、下背部、手腕/手部、臀部/大腿、膝盖和脚踝的合并患病率分别为38.2%（95%可信区间27.65，48.77）、29.06%（95%可信区间17.62，40.49）、30.94%（95%可信区间23.76，38.11）、17.32%（95%可信区间9.25，25.38）、44.41%（95%可信区间37.75，51.06）、19.37%（95%可信区间12.44，26.30）、13.23%（95%可信区间7.52，18.95）、15.50%（95%可信区间9.98，21.01）和13.34%（95%可信区间8.32，18.36）。年龄在30岁及以上（比值比4.019，95%可信区间：1.92，8.43）、以别扭姿势工作（比值比4.49，95%可信区间：2.66，7.58）、不进行体育锻炼（比值比3.43，95%可信区间2.1，5.32）以及长时间从事电脑工作（比值比2.56，95%可信区间1.34，4.9）是患MSDs的显著高风险因素。在埃塞俄比亚，电脑使用者中MSDs的总体患病率显著较高。因此，员工应减少在电脑上花费的时间，每周至少进行150分钟锻炼，并在工作时遵循适当的工作规范和程序。
