Effects of posture and ergonomics training for students receiving distance education during the covid-19 pandemic on musculoskeletal pain, exercise behavior decision-making balance, and physical activity level

Ayça Tigli; Atahan Altıntaş; Aydan Aytar

Research Article

Covid-19 salgını sırasında uzaktan eğitim alan öğrenciler için postür ve ergonomi eğitiminin kas-iskelet sistemi ağrısı, egzersiz davranışına karar verme dengesi ve fiziksel aktivite düzeyi üzerine etkileri

Year 2020, Volume: 7 Issue: 2, 137 - 144, 31.08.2020

Ayça Tigli Atahan Altıntaş , Aydan Aytar

Abstract

Amaç: Çalışmamızın amacı, uzaktan eğitim alan öğrencilere verilen duruş ve ergonomi eğitiminin kas-iskelet sistemi
bozuklukları, egzersiz davranışı karar verme dengesi ve fiziksel aktivite düzeyleri üzerindeki etkilerini araştırmak idi.

Yöntem: Çalışmaya 155 (%76,7) kadın ve 47 (%23,3) erkek olmak üzere toplam 202 lisans öğrencisi dahil edildi. Öğrenciler
rastgele eğitim ve kontrol grubu olarak iki gruba ayrıldı. Eğitim grubuna, fizyoterapist tarafından 60 dakika boyunca uzaktan
eğitim yoluyla postür ve ergonomi ile ilgili özel bir program verildi. Kontrol grubuna herhangi bir eğitim verilmedi. “Genişletilmiş
Nordic Kas İskelet Sistemi Anketi (NMQ-E)”, “Egzersiz Davranışına Karar Verme Dengesi Anketi” ve “Uluslararası Fiziksel Aktivite
Anketi’nin kısa formu sırasıyla kas iskelet sistemi bozukluklarını, egzersiz davranışına karar verme dengesini ve fiziksel aktivite
düzeyini değerlendirmek için kullanıldı.

Bulgular: Eğitim ve kontrol grupları arasında fiziksel aktivite ve egzersiz davranışına karar verme dengesi anketinin eksi puanları
açısından bir fark bulunmadı (p> 0,05). Egzersiz davranışına karar verme dengesi artı puanlarında ise kontrol grubu lehine fark
vardı (p <0,05). Kas-iskelet sistemi ağrısı ve aktivite önleme açısından anlamlı fark bulunmadı (p <0,05).

Sonuç: Covid-19 salgını sırasında uzaktan eğitim alan öğrenciler için duruş ve ergonomi içeren özel eğitim programlarının
ergonomik farkındalığı artırarak fiziksel aktivite düzeylerini arttırırken kas iskelet sistem ağrılarını azaltacağını ve egzersiz
davranışına karar verme dengesi tutumlarına katkıda bulunacağını inanmaktayız.

Keywords

Covid-19 salgını, Kas-iskelet sistemi, Fiziksel aktivite

Supporting Institution

Başkent Üniversitesi

Project Number

17162298.600-409

Thanks

YOK

References

1. Witherspoon L, Fitzpatrick R, Patel P, et al. Clinical pearls to managing men’s health conditions during the COVID-19 pandemic. Can Urol Assoc J. 2020;14:161-166.
2. İnce Dİ, Yağlı NV, Sağlam M, et al. Covid-19 enfeksiyonunda akut ve post-akut fizyoterapi ve rehabilitasyon. Turk J Physiother Rehabil. 2020;31:81-93.
3. Raio RA. Physical exercise is essential for physical and mental health during the COVID- 19 Pandemic. Braz J Hea. 2020;3:2804-2813. Telli Yamamoto G, Altun D. The coronavirus and the rising of online education. Journal of University Research. 2020;3:25-34.
4. Telli Yamamoto G, Altun D. The coronavirus and the rising of online education. Journal of University Research. 2020;3:25-34.
5. https://www.yok.gov.tr/Sayfalar/Haberler/2020/ universitelerde-uygulanacak-uzaktan-egitime-iliskin-aciklama.aspx, retrieved May 21, 2020.
6. Bozkurt A. Türkiye’de uzaktan eğitimin dünü, bugünü ve yarını. AUAd. 2017;3:85-124.
7. Çalık BB, Atalay OT, Başkan E, et al. Bilgisayar kullanan masa başı çalışanlarında kas iskelet sistemi rahatsızlıkları, işin engellenmesi ve risk faktörlerinin incelenmesi. Müsbed. 2013;3:208- 214.
8. Kim HJ, Kim JS. The relationship between smartphone use and subjective musculoskeletal symptoms and university students. J Phys Ther Sci. 2015;27:575-579.
9. Sehnal J. Addressing musculoskeletal disorders at computer workstations. In: Ergonomics and the management of musculoskeletal disorders. Sanders MJ, eds. Missouri: Butterworth- Heinemann, Elsevier; 2004;494-524.
10. Amick BC, Robertson MM, DeRango K, et al. Effect of office ergonomics intervention on reducing musculoskeletal symptoms. Spine. 2003;28:2706-2711.
11. Özer K. Fiziksel uygunluk. Ankara: Nobel Yayın Dağıtım; 2001.
12. Özdinç S, Turan FN. Sağlık bilimleri fakültesi öğrencilerinde kas iskelet sistemi problemleri ile fiziksel aktivite ve stres düzeyi arasındaki ilişkinin incelenmesi. Sağlık Bilimleri ve Meslekleri Dergisi. 2019;6:1-9.
13. Dawson AP, Steele EJ, Hodges PW, et al. Development and test-retest reliability of an extended version of the Nordic Musculoskeletal Questionnaire (NMQ-E): a screening instrument for musculoskeletal pain. J Pain. 2009;5:517- 526.
14. Tunçay SU, Yeldan İ. Kas iskelet sistemi rahatsızlıklarıyla fiziksel inaktivite ilişkili midir? Ağrı. 2013;25:147-155.
15. Çetinkaya E, Tanır H, Atay E, et al. Vücut geliştirme ve fitness sporu yapanlarda, kas, iskelet sistemi sakatlıklarının belirlenmesi. Uluslararası İnsan Bilimleri Dergisi. 2017;14:4023-4031.
16. Kandemir D, Karaman A, Uğraş GA, et al. Ameliyathane hemşirelerinde kas iskelet sistemi ağrılarının incelenmesi. Hemşirelikte Eğitim ve Araştırma Dergisi. 2019;16:1-7.
17. Sağlam M, Arıkan H, Savcı S. International physical activity questionnare reliability and validity of turkish version. Percept Mot Ski. 2010;11:278-284.
18. Cengiz C, Aşçı FH, İnce ML. Exercise stages of change questionnaire: its reliability and validity. Türkiye Klinikleri Spor Bilimleri. 2010;2:32-37.
19. Miçooğulları BO, Cengiz C, Aşçı H, et al. Examinations of young adults’ exercise selfefficacy and decisional balance with regard to gender and exercise stage of change. Hacettepe J of Sports Sciences. 2010;21:49-59.
20. Marcus BH, Eaton CA, Rossi JS, et al. Self- Efficacy, decision-making, and stages of change: An integrative model of physical exercise. J Appl Soc Psychol.1994;24:489–508.
21. Hammami A, Harrabi B, Mohr M, et al. Physical activity and coronavirus disease 2019 (COVID- 19): specific recommendations for home-based physical training. Managing sport and Leisure. 2020;doi:10.1080/23750472.2020.1757494.
22. Haskell WL, Lee IM, Pate RR, et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc. 2007;39:1423-1434.
23. World Health Organization. Global recommendations on physical activity for health. Geneva: Switzerland; 2010.
24. Chau JY, Daley M, Dunn S, et al. The effectiveness of sit-stand workstations for changing office workers’ sitting time: results from the Stand@Work randomized controlled trial pilot. Int J Behav Nutr Phys Act. 2014;11:127.
25. Kızar O, Kargün M, Togo OT, et al. The examining of the physical activity level of the university students. Marmara University. J Sport Sci. 2016;1:61-72.
26. Olcucu B, Vatansever S, Ozcan G, et al. The relationship between depression, anxiety and physical activity level among university students. Int J Turkish Educ Sci. 2015;4:294- 303.
27. Caglar E, Bilgili N, Karaca A, et al. Screen time differences among Turkish university students as indicator for sedantary lifestyle and inactivite. Croat J Educ. 2017;9:1105-1130.
28. Prochaska JO, Velicer WF. Transtheoretikal sağlık davranışı modeli değişiyor. J Sağlık Teşvikiyim. 1997;12:38-48.
29. Gerr F, Marcus M, Ensor C, et al. A prospective study of computer users: I. Study design and incidence of musculoskeletal symptoms and disorders. Am J Ind Med. 2002;41:221-235.
30. Yağcı N, Çalık BB. Üniversite öğrencilerinde masaüstü bilgisayar kullanımının boyun ağrısına olan etkisinin incelenmesi. Ergoterapi ve Rehabilitasyon Dergisi. 2014;2:65-72.
31. Todd AI, Bennett AI, Christie CJ. Physical implications of prolonged sitting in a confined posture-a literature review. Ergonomics SA. 2007;19:7-21.
32. Myrtveit SM, Sivertsen B, Skogen JC, et al. Adolescent neck and shoulder pain – the association with depression, physical activity, screen-based activities, and use of health care services. J Adolesc Health. 2014;55:366-372.
33. Ariens GAM, Bongers P, Douwes MC, et al. Are neck flexion, neck rotation, and sitting at work risk factors for neck pain? Results of prospective cohort study. Occup Environ Med. 2000;58:200- 207.
34. Noack-Cooper KL, Sommerich C M, Mirka GA. College students and computers: Assessment of usage patterns and musculoskeletal discomfort. Work. 2009;32:285-298.
35. Dalkılınç M, Kayihan H. Efficacy of Web-Based [E-Learning] Office Ergonomics Training: A Test Study. J Musculoskelet Pain. 2014;22:275- 285.
36. Omer SR, Ozcan E. Karan A, et al. Musculoskeletal system disorders in computer users: effectiveness of training and exercise programs. J Back Musculoskelet Rehabil. 2004;17:9-13.
37. Olıveıra MMS, Penedo AST, Pereıra VS. Distance education: advantages and disadvantages of the point of view of education and society. Dialogia São Paulo. 2018;29:139- 152.

Effects of posture and ergonomics training for students receiving distance education during the covid-19 pandemic on musculoskeletal pain, exercise behavior decision-making balance, and physical activity level

Year 2020, Volume: 7 Issue: 2, 137 - 144, 31.08.2020

Ayça Tigli Atahan Altıntaş , Aydan Aytar

Abstract

Purpose: The purpose of our study is to investigate the effects of posture and ergonomics training for students receiving distance
education during the Covid-19 pandemic on musculoskeletal pain and activity prevention, exercise behavior decision-making
balance and physical activity level.

Methods: The study included a total of 202 undergraduate students including 155 (76.7%) women and 47 (23.3%) men. The
students were randomly divided into two groups as the training and control groups. The training group received a specific
program regarding posture and ergonomics by a physiotherapist for 60 minutes via distance education. No training was given
to the control group. The “Extended Nordic Musculoskeletal Questionnaire” (NMQ-E), “Decisional Balance Scale: Exercise” and
“International Physical Activity Questionnaire Short Form” (IPAQ-SF) were used to assess musculoskeletal system disorders,
exercise behavior decision-making balance and physical activity level, respectively.

Results: No significant difference was determined between the training and control groups in terms of their physical activity
level and exercise behavior decision-making balance cons scores (p>0.05). There was a significant difference in favor of the
control group in the exercise decision-making pros scores (p<0.05). No significant difference was found in terms of
musculoskeletal pain and activity prevention (p<0.05).

Conclusion: We believe that specific training programs including posture and ergonomics may raise ergonomics awareness in
terms of reducing musculoskeletal pain while increasing their physical activity level and contributing their attitude of exercise
behavior decision-making balance for students receiving distance education during the Covid-19 pandemic.

Keywords

Covid-19 pandemic, Musculoskeletal system, Physical activity

Project Number

17162298.600-409

References

1. Witherspoon L, Fitzpatrick R, Patel P, et al. Clinical pearls to managing men’s health conditions during the COVID-19 pandemic. Can Urol Assoc J. 2020;14:161-166.
2. İnce Dİ, Yağlı NV, Sağlam M, et al. Covid-19 enfeksiyonunda akut ve post-akut fizyoterapi ve rehabilitasyon. Turk J Physiother Rehabil. 2020;31:81-93.
3. Raio RA. Physical exercise is essential for physical and mental health during the COVID- 19 Pandemic. Braz J Hea. 2020;3:2804-2813. Telli Yamamoto G, Altun D. The coronavirus and the rising of online education. Journal of University Research. 2020;3:25-34.
4. Telli Yamamoto G, Altun D. The coronavirus and the rising of online education. Journal of University Research. 2020;3:25-34.
5. https://www.yok.gov.tr/Sayfalar/Haberler/2020/ universitelerde-uygulanacak-uzaktan-egitime-iliskin-aciklama.aspx, retrieved May 21, 2020.
6. Bozkurt A. Türkiye’de uzaktan eğitimin dünü, bugünü ve yarını. AUAd. 2017;3:85-124.
7. Çalık BB, Atalay OT, Başkan E, et al. Bilgisayar kullanan masa başı çalışanlarında kas iskelet sistemi rahatsızlıkları, işin engellenmesi ve risk faktörlerinin incelenmesi. Müsbed. 2013;3:208- 214.
8. Kim HJ, Kim JS. The relationship between smartphone use and subjective musculoskeletal symptoms and university students. J Phys Ther Sci. 2015;27:575-579.
9. Sehnal J. Addressing musculoskeletal disorders at computer workstations. In: Ergonomics and the management of musculoskeletal disorders. Sanders MJ, eds. Missouri: Butterworth- Heinemann, Elsevier; 2004;494-524.
10. Amick BC, Robertson MM, DeRango K, et al. Effect of office ergonomics intervention on reducing musculoskeletal symptoms. Spine. 2003;28:2706-2711.
11. Özer K. Fiziksel uygunluk. Ankara: Nobel Yayın Dağıtım; 2001.
12. Özdinç S, Turan FN. Sağlık bilimleri fakültesi öğrencilerinde kas iskelet sistemi problemleri ile fiziksel aktivite ve stres düzeyi arasındaki ilişkinin incelenmesi. Sağlık Bilimleri ve Meslekleri Dergisi. 2019;6:1-9.
13. Dawson AP, Steele EJ, Hodges PW, et al. Development and test-retest reliability of an extended version of the Nordic Musculoskeletal Questionnaire (NMQ-E): a screening instrument for musculoskeletal pain. J Pain. 2009;5:517- 526.
14. Tunçay SU, Yeldan İ. Kas iskelet sistemi rahatsızlıklarıyla fiziksel inaktivite ilişkili midir? Ağrı. 2013;25:147-155.
15. Çetinkaya E, Tanır H, Atay E, et al. Vücut geliştirme ve fitness sporu yapanlarda, kas, iskelet sistemi sakatlıklarının belirlenmesi. Uluslararası İnsan Bilimleri Dergisi. 2017;14:4023-4031.
16. Kandemir D, Karaman A, Uğraş GA, et al. Ameliyathane hemşirelerinde kas iskelet sistemi ağrılarının incelenmesi. Hemşirelikte Eğitim ve Araştırma Dergisi. 2019;16:1-7.
17. Sağlam M, Arıkan H, Savcı S. International physical activity questionnare reliability and validity of turkish version. Percept Mot Ski. 2010;11:278-284.
18. Cengiz C, Aşçı FH, İnce ML. Exercise stages of change questionnaire: its reliability and validity. Türkiye Klinikleri Spor Bilimleri. 2010;2:32-37.
19. Miçooğulları BO, Cengiz C, Aşçı H, et al. Examinations of young adults’ exercise selfefficacy and decisional balance with regard to gender and exercise stage of change. Hacettepe J of Sports Sciences. 2010;21:49-59.
20. Marcus BH, Eaton CA, Rossi JS, et al. Self- Efficacy, decision-making, and stages of change: An integrative model of physical exercise. J Appl Soc Psychol.1994;24:489–508.
21. Hammami A, Harrabi B, Mohr M, et al. Physical activity and coronavirus disease 2019 (COVID- 19): specific recommendations for home-based physical training. Managing sport and Leisure. 2020;doi:10.1080/23750472.2020.1757494.
22. Haskell WL, Lee IM, Pate RR, et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc. 2007;39:1423-1434.
23. World Health Organization. Global recommendations on physical activity for health. Geneva: Switzerland; 2010.
24. Chau JY, Daley M, Dunn S, et al. The effectiveness of sit-stand workstations for changing office workers’ sitting time: results from the Stand@Work randomized controlled trial pilot. Int J Behav Nutr Phys Act. 2014;11:127.
25. Kızar O, Kargün M, Togo OT, et al. The examining of the physical activity level of the university students. Marmara University. J Sport Sci. 2016;1:61-72.
26. Olcucu B, Vatansever S, Ozcan G, et al. The relationship between depression, anxiety and physical activity level among university students. Int J Turkish Educ Sci. 2015;4:294- 303.
27. Caglar E, Bilgili N, Karaca A, et al. Screen time differences among Turkish university students as indicator for sedantary lifestyle and inactivite. Croat J Educ. 2017;9:1105-1130.
28. Prochaska JO, Velicer WF. Transtheoretikal sağlık davranışı modeli değişiyor. J Sağlık Teşvikiyim. 1997;12:38-48.
29. Gerr F, Marcus M, Ensor C, et al. A prospective study of computer users: I. Study design and incidence of musculoskeletal symptoms and disorders. Am J Ind Med. 2002;41:221-235.
30. Yağcı N, Çalık BB. Üniversite öğrencilerinde masaüstü bilgisayar kullanımının boyun ağrısına olan etkisinin incelenmesi. Ergoterapi ve Rehabilitasyon Dergisi. 2014;2:65-72.
31. Todd AI, Bennett AI, Christie CJ. Physical implications of prolonged sitting in a confined posture-a literature review. Ergonomics SA. 2007;19:7-21.
32. Myrtveit SM, Sivertsen B, Skogen JC, et al. Adolescent neck and shoulder pain – the association with depression, physical activity, screen-based activities, and use of health care services. J Adolesc Health. 2014;55:366-372.
33. Ariens GAM, Bongers P, Douwes MC, et al. Are neck flexion, neck rotation, and sitting at work risk factors for neck pain? Results of prospective cohort study. Occup Environ Med. 2000;58:200- 207.
34. Noack-Cooper KL, Sommerich C M, Mirka GA. College students and computers: Assessment of usage patterns and musculoskeletal discomfort. Work. 2009;32:285-298.
35. Dalkılınç M, Kayihan H. Efficacy of Web-Based [E-Learning] Office Ergonomics Training: A Test Study. J Musculoskelet Pain. 2014;22:275- 285.
36. Omer SR, Ozcan E. Karan A, et al. Musculoskeletal system disorders in computer users: effectiveness of training and exercise programs. J Back Musculoskelet Rehabil. 2004;17:9-13.
37. Olıveıra MMS, Penedo AST, Pereıra VS. Distance education: advantages and disadvantages of the point of view of education and society. Dialogia São Paulo. 2018;29:139- 152.

There are 37 citations in total.

Details

Primary Language	English
Subjects	Health Care Administration
Journal Section	Articles
Authors	Ayça Tigli This is me 0000-0002-4089-5406 Atahan Altıntaş 0000-0003-1959-9706 Aydan Aytar 0000-0002-2631-0109
Project Number	17162298.600-409
Publication Date	August 31, 2020
Submission Date	July 5, 2020
Published in Issue	Year 2020 Volume: 7 Issue: 2

Cite

Vancouver	Tigli A, Altıntaş A, Aytar A. Effects of posture and ergonomics training for students receiving distance education during the covid-19 pandemic on musculoskeletal pain, exercise behavior decision-making balance, and physical activity level. JETR. 2020;7(2):137-44.

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