Association Between Work-Relate Musculoskeletal Disorder and Ergonomic Risk Factors Among Nursing Professionals in Ranya and Qaladiza Districts

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Karwan Mahmood Khudhir Kochar Khasraw Saleh Muhammed Saeed Qadir Kochr Ali Mahmood Ahmad Azuhairi Ariffin


Work related musculoskeletal disorders (WRMSDs) represent one of the leading causes of occupational injury and disability among the professional nursing, due to the number and variety of risk factors associated with the work environment. This study was carried out to determine the prevalence of work related musculoskeletal disorders (WRMSDs) and its association with ergonomic risk factors. A self-administered questionnaire and observational method was used to collect information from 420 individuals and then the data were computerized and analyzed by using SPSS version 21. The overall prevalence of WRMSDs among Ranya and Qaladiza districts nurses was 74%. The neck pain was the most prevalent site of WRMSDs (48.4%) compared to other body parts. Logistic regression analysis indicated that significant risk factors for WRMSDs symptoms were older nurses aged >39.5 years old (OR=3.076, 95% CI: 1.200, 7.884), medium RULA risk level (OR= 255.096, 95% CI: 24.078, 2702.681), very high RULA risk level (OR=151.675, 95% CI: 17.536, 1311.891), low RULA risk level (OR=9.277, 95% CI: 1.064, 80.893). Prevention strategies and health education which emphasizes on psychosocial risk factors and how to improve working conditions should be introduced.


work-related musculoskeletal disorders, ergonomic risk factors, nurses, Rania


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[1] MS. Forde, L. Punnett, DH. Wegman, “Pathomechanisms of work-related musculoskeletal disorders:conceptual issues,” Ergonomics, vol.45, pp. 619-630, 2002.
[2] Bureau of Labor Statistics, “Non-fatal occupational injuries and illness requiring days away from work,” 8 September 2016.[Online]. Available: [Accessed: 2013].
[3] AM. Scuffham, SJ. Legg, EC. Firth, MA. Stevenson, “Prevalence and risk factors associated with musculoskeletal discomfort in New Zealand veterinarians,” Applied ergonomics, vol. 41, pp. 444-453, 2010.
[4] J. Smedley, P. Egger, C. Cooper, D. Coggon, “Prospective cohort study of predictors of incident low back pain in nurses,” Bmj, vol. 314 , pp.1225, 1997.
[5] JM. Tullar, S. Brewer, BC. Amick, E. Irvin, Q. Mahood, LA. Pompeii, et al., “Occupational safety and health interventions to reduce musculoskeletal symptoms in the health care sector,” Journal of occupational rehabilitation, vol. 20, pp.199-219, 2010.
[6] Safe Work Australia, “Compendium of Workers’ Compensation Statistics Australia 2010e11,” Canberra, Australia, 10. March 2016. [Online]. Available: /compendium-2010-11. [Accessed: 2012].
[7] M. Jaworek, T. Marek, W. Karwowski, C. Andrzejczak, AM. Genaidy, “Burnout syndrome as a mediator for the effect of work-related factors on musculoskeletal complaints among hospital nurses,” International Journal of Industrial Ergonomics, vol. 40, pp. 368-75, 2010
[8] AM. Trinkoff, JA. Lipscomb, J. Geiger‐ Brown, B. Brady, “Musculoskeletal problems of the neck, shoulder, and back and functional consequences in nurses,” American journal industrial medicine, vol. 41, pp. 170-8, 2002.
[9] DB. Anap, C. Iyer, K. Rao, “Work related musculoskeletal disorders among hospital nurses in rural Maharashtra, India: a multi centre survey,” International Journal of Research in Medical Sciences, vol. 1, pp. 101-107, 2017.
[10] Bureau of Labor Statistics, “Non-fatal occupational injuries and illness requiring daysaway from work,” 8. Sep, 2015. [Online]. Available: [Accessed: 2013].
[11] DR. Smith, N. Wei, L. Kang, RS. Wang, “Musculoskeletal disorders among professional nurses in mainland China,” Journal of Professional Nursing, vol. 20, pp. 390-395, 2004.
[12] S. Lemeshow, D. Hosmer, J. Klar, S. Lwanga, & World Health Organization, “Adequacy of sample size health studies, 1990.
[13] A. Jella, H. Lajili, S. Boudokhane, H. Migaou, S. Maatallah, & Z. Frih, “Musculoskeletal disorders among Tunisian hospital staff: Prevalence and risk factors,” The Egyptian Rheumatologist, vol. 35, pp. 59-63, 2013.
[14] NA. Amin, R. Nordin, QK. Fatt, RM. Noah, J. Oxley, “Relationship between Psychosocial Risk Factors and Work-Related Musculoskeletal Disorders among Public Hospital Nurses in Malaysia,” Annals of occupational and environmental medicine, vol. 26, pp. 23, 2014.
[15] A. Yitayeh, S. Fasika, S. Mekonnen, M. Gizachew, “Work related musculoskeletal disorders and associated factors among nurses working in governmental health institutions of Gondar town, Ethiopia,” Physiotherapy, vol. 101, pp. e1694, 2015.
[16] YC. Chung, CT. Hung, SF. Li, HM. Lee, SG. Wang, SC. Chang, et al., “Risk of musculoskeletal disorder among Taiwanese nurses cohort: a nationwide population-based study,” BMC musculoskeletal disorders IV, vol. 14, pp. 144, 2013.
[17] CD. Rasmussen, AK. Larsen, A. Holtermann, K. Søgaard, MB. Jørgensen, “Adoption of workplaces and reach of employees for a multi-faceted intervention targeting low back pain among nurses’ aides,” BMC medical research methodology, vol. 14, pp. 60, 2014.
[18] L. Punnett, DH. Wegman, “Work-related musculoskeletal disorders: the epidemiologic evidence and the debate,” Journal of electromyography and kinesiology, vol. 14, pp. 13-23, 2004.
[19] IG. Munabi, W. Buwembo, DL. Kitara, J. Ochieng, ES. Mwaka, “Musculoskeletal disorder risk factors among nursing professionals in low resource settings: a cross-sectional study in Uganda,” BMC nursing, vol. 13, pp. 7, 2014.