Occupational Medicine Quarterly Journal

fa ارزیابی ریسک ارگونومیک ایستگاه‌های کاری و شیوع اختلالات اسکلتی عضلانی در کارکنان بانک رفاه شیراز Ergonomic risk assessment of work stations and prevalence of musculoskeletal disorders among employees of Refah Bank in Shiraz ارگونومی Ergonomics پژوهشي Research مقدمه: اختلالات اسکلتی عضلانی ناشی از کار، خطرات بهداشتی جدی برای کارکنان دفتری ایجاد می‌کنند؛ به‌ویژه کارکنان بانک که وظایف ترکیبی رایانه‌ای و نوشتاری انجام می‌دهند، با این حال، ارزیابی‌های ارگونومیک در زمینه‌های بانکی ایران همچنان محدود است. این مطالعه با هدف ارزیابی عوامل ریسک ارگونومیک ایستگاه‌های کاری و تعیین شیوع و شدت اختلالات اسکلتی عضلانی در میان کارکنان بانک رفاه در شیراز انجام شد. روش بررسی: یک مطالعه توصیفی-تحلیلی مقطعی در سال ۱۴۰۳ با شرکت ۷۷ نفر از کارکنان نمونه‌گیری‌شده به روش طبقه‌ای از شعب بانکی اجرا شد. ایستگاه‌های کاری با استفاده از چک‌لیست طراحی‌شده توسط پژوهشگر و روش ارزیابی سریع فشار اداری (ROSA) ارزیابی گردید. شیوع اختلالات اسکلتی‌- عضلانی در ۱۲ ماه گذشته با پرسشنامه نوردیک و در ۹ ناحیه بدنی سنجیده شد، در حالی که شدت علائم از طریق مقیاس نقشه بدنی (۰-۵) کمی‌سازی گردید. داده‌ها با استفاده از نرم‌افزار SPSS نسخه ۲۶ و آمار توصیفی و آزمون‌های استنباطی (کای‌دو، من-ویتنی، کروسکال-والیس، 05/0 p<) تحلیل شد. نتایج: یافته‌ها نشان داد که شیوع اختلالات اسکلتی- ‌عضلانی 6/89 درصد بود و عمدتاً گردن (6/76 درصد)، شانه‌ها و کمر تحتانی هرکدام (1/70درصد) را درگیر می‌کرد. بین تعداد نواحی دارای درد و سن و سابقه کار&rlm; ارتباط معناداری وجود داشت، به طوری که با افزایش سن و سابقه کار نواحی بیشتری از بدن درگیر درد می‌شدند همچنین میانگین امتیاز ROSA (56/1±43/7) حاکی از ریسک ارگونومیک بالا، به‌ویژه برای دستگاه‌های ورودی و مانیتورها بود. نتیجه‌گیری: شیوع بالای دردهای اسکلتی عضلانی و نمره بالای کسب‌شده در روش ROSA در بین کارمندان بانک، گواه ضرورت اجرای مداخلات ارگونومیک در بین این گروه از شاغلین می‌باشد. این مداخلات بایستی بازطراحی ایستگاه‌های کاری و آموزش کارکنان را شامل شود. مطالعات طولی آینده باید کارایی مداخلات را ارزیابی و عوامل روان اجتماعی را در بر گیرند. واژه‌های کلیدی: اختلالات اسکلتی عضلانی، روش ROSA، پرسشنامه نوردیک، کارکنان بانک، ارزیابی ریسک ارگونومیک <div class="WordSection1" dir="RTL"> <ol> <li class="EndNoteBibliographyCxSpFirst" dir="LTR" style="text-align:justify">Panel on Musculoskeletal Disorders a, Workplace t. Musculoskeletal disorders and the workplace: Low back and upper extremities: National Academies Press; 2001.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify">Krishnan KS, Raju G, Shawkataly O. Prevalence of work-related musculoskeletal disorders: Psychological and physical risk factors. International journal of environmental research and public health. 2021;18(17):9361.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify">Briggs AM, Woolf AD, Dreinhöfer K, Homb N, Hoy DG, Kopansky-Giles D, et al. Reducing the global burden of musculoskeletal conditions. Bulletin of the World Health Organization. 2018;96(5):366.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify">Hokmabadi R, Fallah H. Ergonomic assessment of musculoskeletal disorders risk factors in construction workers by PATH Method. 2013.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify">Khairi MASZ, Udin NM. Physical Ergonomic Risk Factors and Work-Related Musculoskeletal Disorders Among Office Workers in Universiti Teknologi MARA Shah Alam. Junior Science Communication. 2024;39.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify">Mohammadipour F, Pourranjbar M, Naderi S, Rafie F. Work-related musculoskeletal disorders in Iranian office workers: prevalence and risk factors. Journal of medicine and life. 2018;11(4):328.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify">Mirmohammadi T, Gook O, Mousavinasab N, Mahmoodi Sharafe H. Investigating the Prevalence of Musculoskeletal Disorders in Melli Bank Staff and Determining Its Relationship with Office Tension in North Khorasan Province in 2019. Iranian Journal of Ergonomics. 2020;7(4):31-9.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify">Putri AS, Amalia D. Analysis of Work Posture and Work-Related Musculoskeletal Disorders with ROSA Method at Batam Environmental Service: Analisis Postur Kerja dan Work-Related Musculoskeletal Disorders dengan Metode ROSA pada Dinas Lingkungan Hidup Kota Batam. Procedia of Engineering and Life Science. 2021;2.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify">Khoiri AU, Widajati N. Analysis of working posture risk of office employees in one of the ports companies using the ROSA method. 2024.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify"> Villanueva MBG, Sotoyama M, Jonai H, Takeuchi Y, SAITO S. Adjustments of posture and viewing parameters of the eye to changes in the screen height of the visual display terminal. Ergonomics. 1996;39(7):933-45.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify"> Ghasemi F, Gholamizadeh K, Rahmani R, Doosti-Irani A. Prevalence and severity of carpal tunnel syndrome symptoms among Iranian butchers and their association with occupational risk factors: Implications for ergonomic interventions. Work. 2020;66(4):817-25.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify"> hashemi habybabady R, dehbashi a, paridokht f, sepehr p, maleki roveshti m. Investigating Occupational and Personal Factors Effective in Causing Musculoskeletal Disorders in the Personnel of One of the Hospitals in Zahedan City. Tolooebehdasht. 2024;23(2):50-65.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify"> Descatha A, Evanoff BA, Leclerc A, Roquelaure Y. Occupational determinants of musculoskeletal disorders.  Handbook of disability, work and health: Springer; 2020:169-88.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify"> Karwowski W, Marras WS. Occupational ergonomics: engineering and administrative controls: CRC press; 2003.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify"> Cho C-Y, Hwang Y-S, Cherng R-J. Musculoskeletal symptoms and associated risk factors among office workers with high workload computer use. Journal of Manipulative and Physiological therapeutics. 2012;35(7):534-40.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify"> Loghmani A, Golshiri P, Zamani A, Kheirmand M, Jafari N. Musculoskeletal symptoms and job satisfaction among office-workers: a cross-sectional study from Iran. Acta medica academica. 2013;42(1):46-54.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify"> Choobineh A, Daneshmandi H, Fard SKSZ, Tabatabaee SH. Prevalence of work-related musculoskeletal symptoms among Iranian workforce and job groups. International journal of preventive medicine. 2016;7(1):130.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify"> Shikdar AA, Al-Kindi MA. Office ergonomics: deficiencies in computer workstation design. International Journal of Occupational Safety and Ergonomics. 2007;13(2):215-23.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify"> Mokhtarinia HR, Hosseini ZSJ, Shokouhyan SM, Gabel CP. Translation, cultural adaptation and assessment of psychometrics properties of the Extended Version of the Nordic Musculoskeletal Questionnaire (NMQ-E) in Persian language speaking people. BMC musculoskeletal disorders. 2024;25.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify">Sonne M, Andrews DM. The Rapid Office Strain Assessment (ROSA): Validity of online worker self-assessments and the relationship to worker discomfort. Occupational Ergonomics. 2012;10(3):83-101.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify"> Sonne M, Villalta DL, Andrews DM. Development and evaluation of an office ergonomic risk checklist: ROSA–Rapid office strain assessment. Applied ergonomics. 2012;43(1):98-108.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify"> Choobineh AR, Rahimi Fard H, Jahangiri M, Mahmood Khani S. Musculoskeletal Injuries and Their Associated Risk Factors. Iran Occupational Health Journal. 2012;8(4):70-81.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify"> Marzban H, Rezaei E, Shahmahmoudi F, Zangiabadi Z, Sahebi A, Makki F. Musculoskeletal disorders among bank workers: a systematic review and meta-analysis. (1471-2474 (Electronic)).</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify"> Nadri F. Evaluating the factors effective on musculoskeletal disorders among the employees of one of Qazvin’s governmental offices. Journal of Health and Development. 2013;2:06-116.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify"> Gerr F, Marcus M, Ensor C, Kleinbaum D, Cohen S, Edwards A, 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(4):221-35.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify"> Amick III BC, Robertson MM, DeRango K, Bazzani L, Moore A, Rooney T, et al. Effect of office ergonomics intervention on reducing musculoskeletal symptoms. Spine. 2003;28(24):2706-11.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify"> Shahwan BSa, D’emeh WM, Yacoub MI. Evaluation of computer workstations ergonomics and its relationship with reported musculoskeletal and visual symptoms among university employees in Jordan. International Journal of Occupational Medicine and Environmental Health. 2022;35(2):141.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify"> Gerr F, Marcus M, Monteilh C. Epidemiology of musculoskeletal disorders among computer users: lesson learned from the role of posture and keyboard use. Journal of Electromyography and Kinesiology. 2004;14(1):25-31.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify"> Van Niekerk S-M, Louw QA, Hillier S. The effectiveness of a chair intervention in the workplace to reduce musculoskeletal symptoms. A systematic review. BMC musculoskeletal disorders. 2012;13:1-7.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify"> Subramaniam AA-O, Singh DA-O. Effects of using a document holder when typing on head excursion and neck muscle activity among computer users with and without neck pain. (2376-9130 (Electronic)).</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify"> Riyahi A, Pooryamanesh L, Tanha F, Moradzadeh R. Studying Musculoskeletal Disorders Prevalence and Its Associated Factors Among Education Office Employees in Arak in 2016-17: A Descriptive Study. Journal of Rafsanjan University of Medical Sciences. 2019;17(10):913-24.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify"> Etana G, Ayele M, Abdissa D, Gerbi A. Prevalence of work related musculoskeletal disorders and associated factors among bank staff in Jimma city, Southwest Ethiopia, 2019: an institution-based cross-sectional study. Journal of Pain Research. 2021:2071-82.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify"> Tsvetkova T, Mihaylova D. Prevalence of musculoskeletal disorders in Bulgarian administrative workers: a cross-sectional study. Bulgarian Journal of Public Health. 2024.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify"> Samaei SE, Tirgar A, Khanjani N, Mostafaee M, Bagheri Hosseinabadi M, Amrollahi M. Assessment of ergonomics risk factors influencing incidence of musculoskeletal disorders among office workers. Journal of Health and Safety at Work (JHSW). 2015;5:1-10.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify"> Nasiri I, Motamedzade M, Golmohammadi R, Faradmal J. Assessment of risk factors for musculoskeletal disorders using the Rapid Office Strain Assessment (ROSA) Method and implementing ergonomics intervention programs in Sepah Bank. Journal of Health and Safety at Work. 2015;5(2):47-62.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify"> Sonne M, Villalta DL, Andrews DM. Development and evaluation of an office ergonomic risk checklist: ROSA--rapid office strain assessment. Appl Ergon. 2012;43(1):98-108.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify">Shariat A, Cleland J, Danaee M, Kargarfard M, Moradi V, Md Tamrin S. Relationships between Cornell Musculoskeletal Discomfort Questionnaire and Online Rapid Office Strain Assessment (ROSA) Questionnaire. Iranian Journal of Public Health. 2018;47(11):1756–62.</li> <li class="EndNoteBibliography" dir="LTR" style="text-align:justify">   Akhlaghi Pirposhteh E, Golrokh F, Ebrahimi HR, Salehi Sahl Abadi A. The prevalence of musculoskeletal disorders among administrative and service staff of selected hospitals of Shahid Beheshti University of Medical Sciences and their associated risk factors. Health and Development Journal. 2020;9(2):124-36.</li> </ol> </div> <div aria-label="Page Break" class="cke_pagebreak" contenteditable="false" data-cke-display-name="pagebreak" data-cke-pagebreak="1" style="page-break-after:always" title="Page Break"></div><div aria-label="Page Break" class="cke_pagebreak" contenteditable="false" data-cke-display-name="pagebreak" data-cke-pagebreak="1" style="page-break-after:always" title="Page Break"></div> Ergonomic risk assessment of work stations and prevalence of musculoskeletal disorders among employees of Refah Bank in Shiraz Fallah H1, Ghetmiri SF2*, Sefidkar R3, Mortazavi Mehrizi M4 1Assistant Professor, Industrial Diseases Research Center, Department of Ergonomics, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran 2Msc. Student, Department of Ergonomics, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran 3Assistant Professor, Center for Healthcare Data Modeling, Department of Biostatistics and Epidemiology, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran 4Assistant Professor, Occupational Health Department, School of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Abstract Introduction: Work-related musculoskeletal disorders (WMSDs) pose significant health risks to office workers, particularly bank employees who perform combined computer and paperwork tasks. However, ergonomic assessments in Iran's banking sector remain limited. This study aimed to evaluate ergonomic risk factors in workstations and determine the prevalence and severity of WMSDs among Refah Bank employees in Shiraz. Materials and Methods: A descriptive-analytical cross-sectional study was conducted in 2024, involving 77 stratified sampled employees from bank branches. Workstations were assessed using a researcher-designed checklist and the Rapid Office Strain Assessment (ROSA) method. The prevalence of WMSDs over the past 12 months was measured using the Nordic Musculoskeletal Questionnaire across nine body regions, while symptom severity was quantified via the Body Map Scale (0–5). Data were analyzed using SPSS version 26, employing descriptive statistics and inferential tests (Chi-square, Mann-Whitney, Kruskal-Wallis; P < 0.05). Results: Findings revealed an alarmingly high WMSD prevalence of 89.6%, predominantly affecting the neck (76.6%), shoulders, and lower back ( 70.1%). A significant association was found between the number of painful body regions and both age and work experience (P< 0.05), with increasing age and tenure linked to greater involvement of body areas. The mean ROSA score (7.1 ± 4.56) indicated high ergonomic risk, particularly for input devices and monitors. Conclusion: The high prevalence of WMSDs and elevated ROSA scores among bank employees underscore the urgent need for ergonomic interventions targeting this occupational group. Such interventions should encompass workstation redesign and employee training. Future longitudinal studies should evaluate intervention efficacy and incorporate psychosocial factors. اختلالات اسکلتی عضلانی, روش ROSA, پرسشنامه نوردیک, کارکنان بانک, ارزیابی ریسک ارگونومیک Musculoskeletal disorders, ROSA method, Nordic questionnaire, bank employees, ergonomic risk assessment 1 12 http://tkj.ssu.ac.ir/browse.php?a_code=A-11-1389-1&slc_lang=fa&sid=1 Hossein Fallah حسین فلاح Drfallah.h@gmail.com 0000-0002-1538-4436 No Industrial Diseases Research Center, Department of Ergonomics, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran مرکز تحقیقات بیماریهای ناشی از صنعت، گروه ارگونومی، دانشکده بهداشت، دانشگاه علوم پزشکی شهید صدوقی، یزد، ایران Seyedeh Fatemeh Ghetmiri سیده فاطمه قطمیری fa.ghetmirii@gmail.com 0009-0006-8339-3066 Yes Industrial Diseases Research Center, Department of Ergonomics, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran مرکز تحقیقات بیماریهای ناشی از صنعت، گروه ارگونومی، دانشکده بهداشت، دانشگاه علوم پزشکی شهید صدوقی، یزد، ایران Reyhaneh Sefidkar ریحانه سفیدکار reyhanesefidkar@gmail.com 0000-0003-2395-8265 No Center for Healthcare Data Modeling, Department of Biostatistics and Epidemiology, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran مرکز تحقیقات مدل سازی داده های سلامت،گروه آمار زیستی و اپیدمیولوژی، دانشکده بهداشت، دانشگاه علوم پزشکی شهید صدوقی، یزد، ایران Morteza Mortazavi Mehrizi مرتضی مرتضوی مهریزی Matinmehrsa1360@gmail.com 0000-0003-3576-947X No Occupational Health Department, School of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran گروه مهندسی بهداشت حرفه‌ای، دانشکده بهداشت، دانشگاه علوم پزشکی شهید صدوقی، یزد