Research Article
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Examination of Working Posture, Musculoskeletal System Disorders, Disability Level Due to Lumbar Pain and Health Related Quality Of Life in Office Workers

Year 2018, Volume: 6 Issue: 2, 135 - 144, 29.08.2018
https://doi.org/10.30720/ered.463658

Abstract

Purpose: The aim of this study is to
determine the relationships between posture of work, musculoskeletal system
disorders, low back pain related disability, and health-related quality of life
(HRQoL) of office workers.
Material and Methods: Total of 213 office workers were included in the
study. Office workers were analyzed by Ovako Working Posture Analysis System,
Cornell Musculoskeletal System Discomfort Survey, Oswestry back pain disability
questionnaire (ODQ), Nottingham Health Profile (NHP).
Results: Significant correlations
were found between ODQ and spine, lower extremity, upper extremity pain
frequency, severity and pain-related job inhibition (p=0,000,r=0,328-0,505).
Significant correlations were found between all sub-parameters of NHP and
spine, lower-upper extremity pain frequency, severity, pain-related work
inhibition and back pain (p=0,020-0,000,r= 0,159-0,671<0,005).
Conclusion: The level of disability of
female office workers was higher than that of men. It was found that the level
of disability related to low back pain was associated with the frequency and
severity of pain due to the musculoskeletal system, which prevented the work.
Also level of disability due to low back pain was also related to HRQoL. In
future studies, it is necessary to give comprehensive training on the right
work posture and study the impact of ergonomic regulations on HRQoL.

References

  • Ardahan, M., & Simsek, H. (2016). Analyzing musculoskeletal system discomforts and risk factors in computer-using office workers. Pak J Med Sci, 32(6), 1425.
  • Ariëns, G. A. M., Bongers, P. M., Douwes, M., Miedema, M. C., Hoogendoorn, W. E., van der Wal, G., & van Mechelen, W. (2001). Are neck flexion, neck rotation, and sitting at work risk factors for neck pain? Results of a prospective cohort study. Occupational and Environmental Medicine, 58(3), 200-207.
  • Blümel, J. E., Arteaga, E., Mezones-Holguín, E., Zúñiga, M. C., Witis, S., Vallejo, M. S., ... & Mostajo, D. (2017). Obesity is associated with a higher prevalence of musculoskeletal pain in middle-aged women. Gynecol Endocrinol, 33(5), 378-382.
  • Cho, C. Y., Hwang, Y. S., & Cherng, R. J. (2012). Musculoskeletal symptoms and associated risk factors among office workers with high workload computer use. J Manipulative Physiol Ther 35(7), 534-540.
  • Corlett, E. N. (2006). Background to sitting at work: research-based requirements for the design of work seats. Ergonomics, 49(14), 1538-1546.
  • del Pozo-Cruz, B., Gusi, N., Adsuar, J. C., del Pozo-Cruz, J., Parraca, J. A., & Hernandez-Mocholí, M. (2013). Musculoskeletal fitness and health-related quality of life characteristics among sedentary office workers affected by sub-acute, non-specific low back pain: a cross-sectional study. Physiotherapy, 99(3), 194-200.
  • Erdinc, O., Hot, K., & Ozkaya, M. (2011). Turkish version of the Cornell Musculoskeletal Discomfort Questionnaire: cross-cultural adaptation and validation. Work, 39(3), 251-260.
  • Eryavuz, M., & Akkan, A. (2003). Fabrika çalışanlarında bel ağrısı risk faktörlerinin değerlendirilmesi. Turk J Phys Med Rehab, 49(5). Fairbank, J. C., & Pynsent, P. B. (2000). The Oswestry disability index. Spine, 25(22), 2940-2953.
  • Gerr, F., Marcus, M., & Monteilh, C. (2004). Epidemiology of musculoskeletal disorders among computer users: lesson learned from the role of posture and keyboard use. J Electromyogr Kinesiol, 14(1), 25-31.
  • Gerr, F., Monteilh, C. P., & Marcus, M. (2006). Keyboard use and musculoskeletal outcomes among computer users. J Occup Rehabil, 16(3), 259.
  • Gilkey, D. P., Keefe, T. J., Bigelow, P. L., Herron, R. E., Duvall, K., Hautaluoma, J. E., ... & Sesek, R. (2007). Low back pain among residential carpenters: ergonomic evaluation using OWAS and 2D compression estimation. Int J Occup Saf Ergon, 13(3), 305-321. González, V. M., & Condón, H. M. (2000). Disability from low back pain in Spain. Med Clin, 114(13), 491-492.
  • Gupta, N., Christiansen, C. S., Hallman, D. M., Korshøj, M., Carneiro, I. G., & Holtermann, A. (2015). Is objectively measured sitting time associated with low back pain? A cross-sectional investigation in the NOMAD study. PLoS One, 10(3), e0121159.
  • Hallman, D. M., Gupta, N., Heiden, M., Mathiassen, S. E., Korshøj, M., Jørgensen, M. B., & Holtermann, A. (2016). Is prolonged sitting at work associated with the time course of neck–shoulder pain? A prospective study in Danish blue-collar workers. BMJ open, 6(11), e012689.
  • Hedge, A. (1994). Cornell musculoskeletal discomfort questionnaire: human factors and ergonomics laboratory at Cornell University. Female. January 10, 2015. http://www. ergo. human. cornell. edu.
  • Hopayian, K., & Notley, C. (2014). A systematic review of low back pain and sciatica patients' expectations and experiences of health care. Spine J, 14(8), 1769-1780.
  • Hoy, D., Brooks, P., Blyth, F., & Buchbinder, R. (2010). The epidemiology of low back pain. Best Pract Res Clin Rheumatol, 24(6), 769-781.
  • Hussain, S. M., Urquhart, D. M., Wang, Y., Shaw, J. E., Magliano, D. J., Wluka, A. E., & Cicuttini, F. M. (2017). Fat mass and fat distribution are associated with low back pain intensity and disability: results from a cohort study. Arthritis Res. Ther., 19(1), 26.
  • Janwantanakul, P., Pensri, P., Moolkay, P., & Jiamjarasrangsi, W. (2011). Development of a risk score for low back pain in office workers-a cross-sectional study. BMC Musculoskelet Disord, 12(1), 23.
  • Johnston, V., Jull, G., Souvlis, T., & Jimmieson, N. L. (2008). Neck movement and muscle activity characteristics in female office workers with neck pain. Spine, 33(5), 555-563.
  • Kim, D., Park, S., Yang, D., Cho, M., Yoo, C., Park, J., & Yang, Y. (2015). The relationship between obesity and health-related quality of life of office workers. J Phys Ther Sci, 27(3), 663-666.
  • Kücükdeveci, A. A., McKenna, S. P., Kutlay, S., Gürsel, Y., Whalley, D., & Arasil, T. (2000). The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res, 23(1), 31-38.
  • Leak, A. M., Cooper, J., Dyer, S., Williams, K. A., Turner-Stokes, L., & Frank, A. O. (1994). The Northwick Park Neck Pain Questionnaire, devised to measure neck pain and disability. Rheumatology, 33(5), 469-474.
  • Lee, S., Park, M. H., & Jeong, B. Y. (2017). Gender differences in public office workers’ satisfaction, subjective symptoms and musculoskeletal complaints in workplace and office environments. Int J Occup Saf Ergon, 1-6.
  • McGill, S. M., Hughson, R. L., & Parks, K. (2000). Lumbar erector spinae oxygenation during prolonged contractions: implications for prolonged work. Ergonomics, 43(4), 486-493.
  • Nachemson, A. L. (1981). Disc pressure measurements. Spine, 6(1), 93-97.
  • Omokhodion, F. O., & Sanya, A. O. (2003). Risk factors for low back pain among office workers in Ibadan, Southwest Nigeria. Occup Med, 53(4), 287-289.
  • Özel, E., & Çetik, O. (2010). Mesleki görevlerin ergonomik analizinde kullanılan araçlar ve bir uygulama örneği. DPÜ Fen Bilimleri Enstitüsü Dergisi, 22 (8), 41-56 Rodriguez-Blanco, T., Fernández-San-Martin, I., Balagué-Corbella, M., Berenguera, A., Moix, J., Montiel-Morillo, E., ... & Roura-Olivan, M. (2010). Study protocol of effectiveness of a biopsychosocial multidisciplinary intervention in the evolution of non-specific sub-acute low back pain in the working population: cluster randomised trial. BMC Health Serv Res, 10, 12-12.
  • Saridoğan, M. E. (2000). Bel ağrısı nedenleri ve epidemiyolojisi. Modern Tıp Seminerleri. Ankara, 19-29.
  • Schaller, A., & Froboese, I. (2014). Movement coaching: study protocol of a randomized controlled trial evaluating effects on physical activity and participation in low back pain patients. BMC Musculoskelet Disord, 15(1), 391.
  • Solidaki, E., Chatzi, L., Bitsios, P., Markatzi, I., Plana, E., Castro, F., ... & Kogevinas, M. (2010). Work related and psychological determinants of multi-site musculoskeletal pain. Scand J Work Environ Health, 36(1), 54.
  • Swartz, A. M., Rote, A. E., Welch, W. A., Maeda, H., Hart, T. L., Cho, Y. I., & Strath, S. J. (2014). Peer Reviewed: Prompts to Disrupt Sitting Time and Increase Physical Activity at Work, 2011–2012. Prev Chronic Dis, 11.
  • Szeto, G. P. Y., Straker, L. M., & O'Sullivan, P. B. (2009). Neck–shoulder muscle activity in general and task-specific resting postures of symptomatic computer users with chronic neck pain. Man Ther, 14(3), 338-345.
  • Yakut, E., Düger, T., Öksüz, Ç., Yörükan, S., Üreten, K., Turan, D., ... & Yakut, Y. (2004). Validation of the Turkish version of the Oswestry Disability Index for patients with low back pain. Spine, 29(5), 581-585.
  • Whoqol Group. (1994). The development of the World Health Organization quality of life assessment instrument (the WHOQOL). In Quality of life assessment: International perspectives (pp. 41-57). Berlin, Heidelberg: Springer.

Ofis Çalışanlarında Çalışma Postürü, Kas İskelet Sistemi Rahatsızlıkları, Bel Ağrısına Bağlı Özürlülük Düzeyi ve Sağlıkla İlgili Yaşam Kalitesinin İncelenmesi

Year 2018, Volume: 6 Issue: 2, 135 - 144, 29.08.2018
https://doi.org/10.30720/ered.463658

Abstract

Amaç: Bu çalışmanın
amacı, ofis çalışanlarının çalışma postürü, kas iskelet sistemi
rahatsızlıkları, bel ağrısına bağlı özürlülük düzeyi, sağlıkla ilgili yaşam
kalitesinin incelenmesi, aralarındaki ilişkinin belirlenmesidir. Gereç ve Yöntem: Araştırmaya toplam 213
ofis çalışanı dâhil edildi. Ofis çalışanları, Ovako Çalışma Postürü Analiz
Sistemi, Cornell Kas İskelet Sistemi Rahatsızlığı Anketi, Oswestry Özürlülük
Anketi ve Nottingham Sağlık Profili ile değerlendirildi. Sonuçlar: Oswestry Özürlülük Anketi ile omurga, alt ekstremite, üst
ekstremite ağrı sıklığı,  ağrı şiddeti ve
ağrıya bağlı işin engellenmesi arasında ileri derecede anlamlı ilişkiler
bulundu(p=0,000, r=0,328-0,505). Nottingham Sağlık Profilinin enerji, ağrı,
fiziksel hareketlilik, uyku, emosyonel reaksiyonlar, sosyal izolasyon alt
parametreleri ile omurga, alt ekstremite, üst ekstremite ağrı sıklığı,  ağrı şiddeti, ağrıya bağlı işin engellenmesi
ve bel ağrısı arasında ileri derecede anlamlı ilişkiler bulundu (p=0,020-0,000,
r= 0,159-0,671<0,005). Tartışma:
Kadın ofis çalışanlarının bel ağrısına bağlı özürlülük düzeyi, erkeklerden daha
fazla bulundu. İlişki analizleri incelendiğinde, bel ağrısına bağlı özürlülük
düzeyi ile kas iskelet sistemine bağlı ağrı sıklığı ve şiddeti ile ilişkili
olduğu bu durumun işi engellediği görüldü. Ayrıca bel ağrısına bağlı özürlülük
düzeyi; sağlıkla ilgili yaşam kalitesi ile de ilişkili bulundu. İleride
yapılacak çalışmalarda, ofis çalışanlarının doğru çalışma postürü konusunda
kapsamlı eğitim verilmesi ve yapılacak ergonomik düzenlemelerin sağlıkla ilgili
yaşam kalitesine etkisi üzerine etkisinin araştırılması gereklidir.

References

  • Ardahan, M., & Simsek, H. (2016). Analyzing musculoskeletal system discomforts and risk factors in computer-using office workers. Pak J Med Sci, 32(6), 1425.
  • Ariëns, G. A. M., Bongers, P. M., Douwes, M., Miedema, M. C., Hoogendoorn, W. E., van der Wal, G., & van Mechelen, W. (2001). Are neck flexion, neck rotation, and sitting at work risk factors for neck pain? Results of a prospective cohort study. Occupational and Environmental Medicine, 58(3), 200-207.
  • Blümel, J. E., Arteaga, E., Mezones-Holguín, E., Zúñiga, M. C., Witis, S., Vallejo, M. S., ... & Mostajo, D. (2017). Obesity is associated with a higher prevalence of musculoskeletal pain in middle-aged women. Gynecol Endocrinol, 33(5), 378-382.
  • Cho, C. Y., Hwang, Y. S., & Cherng, R. J. (2012). Musculoskeletal symptoms and associated risk factors among office workers with high workload computer use. J Manipulative Physiol Ther 35(7), 534-540.
  • Corlett, E. N. (2006). Background to sitting at work: research-based requirements for the design of work seats. Ergonomics, 49(14), 1538-1546.
  • del Pozo-Cruz, B., Gusi, N., Adsuar, J. C., del Pozo-Cruz, J., Parraca, J. A., & Hernandez-Mocholí, M. (2013). Musculoskeletal fitness and health-related quality of life characteristics among sedentary office workers affected by sub-acute, non-specific low back pain: a cross-sectional study. Physiotherapy, 99(3), 194-200.
  • Erdinc, O., Hot, K., & Ozkaya, M. (2011). Turkish version of the Cornell Musculoskeletal Discomfort Questionnaire: cross-cultural adaptation and validation. Work, 39(3), 251-260.
  • Eryavuz, M., & Akkan, A. (2003). Fabrika çalışanlarında bel ağrısı risk faktörlerinin değerlendirilmesi. Turk J Phys Med Rehab, 49(5). Fairbank, J. C., & Pynsent, P. B. (2000). The Oswestry disability index. Spine, 25(22), 2940-2953.
  • Gerr, F., Marcus, M., & Monteilh, C. (2004). Epidemiology of musculoskeletal disorders among computer users: lesson learned from the role of posture and keyboard use. J Electromyogr Kinesiol, 14(1), 25-31.
  • Gerr, F., Monteilh, C. P., & Marcus, M. (2006). Keyboard use and musculoskeletal outcomes among computer users. J Occup Rehabil, 16(3), 259.
  • Gilkey, D. P., Keefe, T. J., Bigelow, P. L., Herron, R. E., Duvall, K., Hautaluoma, J. E., ... & Sesek, R. (2007). Low back pain among residential carpenters: ergonomic evaluation using OWAS and 2D compression estimation. Int J Occup Saf Ergon, 13(3), 305-321. González, V. M., & Condón, H. M. (2000). Disability from low back pain in Spain. Med Clin, 114(13), 491-492.
  • Gupta, N., Christiansen, C. S., Hallman, D. M., Korshøj, M., Carneiro, I. G., & Holtermann, A. (2015). Is objectively measured sitting time associated with low back pain? A cross-sectional investigation in the NOMAD study. PLoS One, 10(3), e0121159.
  • Hallman, D. M., Gupta, N., Heiden, M., Mathiassen, S. E., Korshøj, M., Jørgensen, M. B., & Holtermann, A. (2016). Is prolonged sitting at work associated with the time course of neck–shoulder pain? A prospective study in Danish blue-collar workers. BMJ open, 6(11), e012689.
  • Hedge, A. (1994). Cornell musculoskeletal discomfort questionnaire: human factors and ergonomics laboratory at Cornell University. Female. January 10, 2015. http://www. ergo. human. cornell. edu.
  • Hopayian, K., & Notley, C. (2014). A systematic review of low back pain and sciatica patients' expectations and experiences of health care. Spine J, 14(8), 1769-1780.
  • Hoy, D., Brooks, P., Blyth, F., & Buchbinder, R. (2010). The epidemiology of low back pain. Best Pract Res Clin Rheumatol, 24(6), 769-781.
  • Hussain, S. M., Urquhart, D. M., Wang, Y., Shaw, J. E., Magliano, D. J., Wluka, A. E., & Cicuttini, F. M. (2017). Fat mass and fat distribution are associated with low back pain intensity and disability: results from a cohort study. Arthritis Res. Ther., 19(1), 26.
  • Janwantanakul, P., Pensri, P., Moolkay, P., & Jiamjarasrangsi, W. (2011). Development of a risk score for low back pain in office workers-a cross-sectional study. BMC Musculoskelet Disord, 12(1), 23.
  • Johnston, V., Jull, G., Souvlis, T., & Jimmieson, N. L. (2008). Neck movement and muscle activity characteristics in female office workers with neck pain. Spine, 33(5), 555-563.
  • Kim, D., Park, S., Yang, D., Cho, M., Yoo, C., Park, J., & Yang, Y. (2015). The relationship between obesity and health-related quality of life of office workers. J Phys Ther Sci, 27(3), 663-666.
  • Kücükdeveci, A. A., McKenna, S. P., Kutlay, S., Gürsel, Y., Whalley, D., & Arasil, T. (2000). The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res, 23(1), 31-38.
  • Leak, A. M., Cooper, J., Dyer, S., Williams, K. A., Turner-Stokes, L., & Frank, A. O. (1994). The Northwick Park Neck Pain Questionnaire, devised to measure neck pain and disability. Rheumatology, 33(5), 469-474.
  • Lee, S., Park, M. H., & Jeong, B. Y. (2017). Gender differences in public office workers’ satisfaction, subjective symptoms and musculoskeletal complaints in workplace and office environments. Int J Occup Saf Ergon, 1-6.
  • McGill, S. M., Hughson, R. L., & Parks, K. (2000). Lumbar erector spinae oxygenation during prolonged contractions: implications for prolonged work. Ergonomics, 43(4), 486-493.
  • Nachemson, A. L. (1981). Disc pressure measurements. Spine, 6(1), 93-97.
  • Omokhodion, F. O., & Sanya, A. O. (2003). Risk factors for low back pain among office workers in Ibadan, Southwest Nigeria. Occup Med, 53(4), 287-289.
  • Özel, E., & Çetik, O. (2010). Mesleki görevlerin ergonomik analizinde kullanılan araçlar ve bir uygulama örneği. DPÜ Fen Bilimleri Enstitüsü Dergisi, 22 (8), 41-56 Rodriguez-Blanco, T., Fernández-San-Martin, I., Balagué-Corbella, M., Berenguera, A., Moix, J., Montiel-Morillo, E., ... & Roura-Olivan, M. (2010). Study protocol of effectiveness of a biopsychosocial multidisciplinary intervention in the evolution of non-specific sub-acute low back pain in the working population: cluster randomised trial. BMC Health Serv Res, 10, 12-12.
  • Saridoğan, M. E. (2000). Bel ağrısı nedenleri ve epidemiyolojisi. Modern Tıp Seminerleri. Ankara, 19-29.
  • Schaller, A., & Froboese, I. (2014). Movement coaching: study protocol of a randomized controlled trial evaluating effects on physical activity and participation in low back pain patients. BMC Musculoskelet Disord, 15(1), 391.
  • Solidaki, E., Chatzi, L., Bitsios, P., Markatzi, I., Plana, E., Castro, F., ... & Kogevinas, M. (2010). Work related and psychological determinants of multi-site musculoskeletal pain. Scand J Work Environ Health, 36(1), 54.
  • Swartz, A. M., Rote, A. E., Welch, W. A., Maeda, H., Hart, T. L., Cho, Y. I., & Strath, S. J. (2014). Peer Reviewed: Prompts to Disrupt Sitting Time and Increase Physical Activity at Work, 2011–2012. Prev Chronic Dis, 11.
  • Szeto, G. P. Y., Straker, L. M., & O'Sullivan, P. B. (2009). Neck–shoulder muscle activity in general and task-specific resting postures of symptomatic computer users with chronic neck pain. Man Ther, 14(3), 338-345.
  • Yakut, E., Düger, T., Öksüz, Ç., Yörükan, S., Üreten, K., Turan, D., ... & Yakut, Y. (2004). Validation of the Turkish version of the Oswestry Disability Index for patients with low back pain. Spine, 29(5), 581-585.
  • Whoqol Group. (1994). The development of the World Health Organization quality of life assessment instrument (the WHOQOL). In Quality of life assessment: International perspectives (pp. 41-57). Berlin, Heidelberg: Springer.
There are 34 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Research Article
Authors

Fadime Küçük This is me 0000-0001-5065-1336

Seren Düzenli Öztürk This is me

Hande Şenol This is me

Mehmet Özkeskin This is me

Publication Date August 29, 2018
Published in Issue Year 2018 Volume: 6 Issue: 2

Cite

APA Küçük, F., Düzenli Öztürk, S., Şenol, H., Özkeskin, M. (2018). Ofis Çalışanlarında Çalışma Postürü, Kas İskelet Sistemi Rahatsızlıkları, Bel Ağrısına Bağlı Özürlülük Düzeyi ve Sağlıkla İlgili Yaşam Kalitesinin İncelenmesi. Ergoterapi Ve Rehabilitasyon Dergisi, 6(2), 135-144. https://doi.org/10.30720/ered.463658
AMA Küçük F, Düzenli Öztürk S, Şenol H, Özkeskin M. Ofis Çalışanlarında Çalışma Postürü, Kas İskelet Sistemi Rahatsızlıkları, Bel Ağrısına Bağlı Özürlülük Düzeyi ve Sağlıkla İlgili Yaşam Kalitesinin İncelenmesi. Ergoterapi ve Rehabilitasyon Dergisi. August 2018;6(2):135-144. doi:10.30720/ered.463658
Chicago Küçük, Fadime, Seren Düzenli Öztürk, Hande Şenol, and Mehmet Özkeskin. “Ofis Çalışanlarında Çalışma Postürü, Kas İskelet Sistemi Rahatsızlıkları, Bel Ağrısına Bağlı Özürlülük Düzeyi Ve Sağlıkla İlgili Yaşam Kalitesinin İncelenmesi”. Ergoterapi Ve Rehabilitasyon Dergisi 6, no. 2 (August 2018): 135-44. https://doi.org/10.30720/ered.463658.
EndNote Küçük F, Düzenli Öztürk S, Şenol H, Özkeskin M (August 1, 2018) Ofis Çalışanlarında Çalışma Postürü, Kas İskelet Sistemi Rahatsızlıkları, Bel Ağrısına Bağlı Özürlülük Düzeyi ve Sağlıkla İlgili Yaşam Kalitesinin İncelenmesi. Ergoterapi ve Rehabilitasyon Dergisi 6 2 135–144.
IEEE F. Küçük, S. Düzenli Öztürk, H. Şenol, and M. Özkeskin, “Ofis Çalışanlarında Çalışma Postürü, Kas İskelet Sistemi Rahatsızlıkları, Bel Ağrısına Bağlı Özürlülük Düzeyi ve Sağlıkla İlgili Yaşam Kalitesinin İncelenmesi”, Ergoterapi ve Rehabilitasyon Dergisi, vol. 6, no. 2, pp. 135–144, 2018, doi: 10.30720/ered.463658.
ISNAD Küçük, Fadime et al. “Ofis Çalışanlarında Çalışma Postürü, Kas İskelet Sistemi Rahatsızlıkları, Bel Ağrısına Bağlı Özürlülük Düzeyi Ve Sağlıkla İlgili Yaşam Kalitesinin İncelenmesi”. Ergoterapi ve Rehabilitasyon Dergisi 6/2 (August 2018), 135-144. https://doi.org/10.30720/ered.463658.
JAMA Küçük F, Düzenli Öztürk S, Şenol H, Özkeskin M. Ofis Çalışanlarında Çalışma Postürü, Kas İskelet Sistemi Rahatsızlıkları, Bel Ağrısına Bağlı Özürlülük Düzeyi ve Sağlıkla İlgili Yaşam Kalitesinin İncelenmesi. Ergoterapi ve Rehabilitasyon Dergisi. 2018;6:135–144.
MLA Küçük, Fadime et al. “Ofis Çalışanlarında Çalışma Postürü, Kas İskelet Sistemi Rahatsızlıkları, Bel Ağrısına Bağlı Özürlülük Düzeyi Ve Sağlıkla İlgili Yaşam Kalitesinin İncelenmesi”. Ergoterapi Ve Rehabilitasyon Dergisi, vol. 6, no. 2, 2018, pp. 135-44, doi:10.30720/ered.463658.
Vancouver Küçük F, Düzenli Öztürk S, Şenol H, Özkeskin M. Ofis Çalışanlarında Çalışma Postürü, Kas İskelet Sistemi Rahatsızlıkları, Bel Ağrısına Bağlı Özürlülük Düzeyi ve Sağlıkla İlgili Yaşam Kalitesinin İncelenmesi. Ergoterapi ve Rehabilitasyon Dergisi. 2018;6(2):135-44.

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