Research Article
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Musculoskeletal Problems and Manual Therapy Awareness in Office Workers

Year 2025, Volume: 16 Issue: 2, 253 - 260, 18.08.2025
https://doi.org/10.22312/sdusbed.1534010

Abstract

Work-related musculoskeletal disorders are frequently associated with ergonomic risk factors, particularly poor posture, commonly affecting the neck, back, and shoulders. Manual therapy is a treatment modality rooted in manual assessment and encompassing various techniques to techniques to alleviate pain, enhance function, and reduce disability. The current study investigates the potential relationship between manual therapy awareness and musculoskeletal disorders in office workers. A total of 272 office workers employed in different departments of … University were included in the study. Participants' musculoskeletal problems were evaluated with the Cornell Musculoskeletal Discomfort Questionnaire, and their levels of manual therapy awareness were assessed with the Manual Therapy Awareness Questionnaire. The Cornell Musculoskeletal Discomfort Questionnaire spine score and total score were statistically significantly higher among those aware of manual therapy (p=0.041, p=0.024). However, no difference was found in the upper and lower extremity scores (p=0.342, p=0.173). It was concluded that as the musculoskeletal disorders of office workers increased, their awareness of manual therapy also increased. It is thought that office workers with more musculoskeletal pain may need more health-related research, thereby increasing their level of knowledge.

References

  • 1. Luttmann A, Schmidt KH, Jäger M. Working conditions, muscular activity and complaints of office workers. Int J Ind Ergon. 2010;40(5):549-559. doi: 10.1016/j.ergon.2010.04.006
  • 2. Akyürek G, Üstün B. Akademik Personelin Ofislerindeki Ergonomik Düzenlemeye Göre Ağrı, Stres ve Fiziksel Aktivite Düzeylerinin Karşılaştırılması. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi, 2021;12(3):386-394. doi: 10.22312/sdusbed.1005156
  • 3. Wahlström J. Ergonomics, musculoskeletal disorders and computer work. Occup Med. 2005;55(3):168-176. doi: 10.1093/occmed/kqi083
  • 4. Guduru RKR, Domeika A, Obcarskas L, Ylaite B. The Ergonomic Association between Shoulder, Neck/Head Disorders and Sedentary Activity: A Systematic Review. J Healthc Eng. 2022;2022. doi: 10.1155/2022/5178333
  • 5. Landau K, Brauchler R, Diaz-Meyer M, Kiesel J, Lenz A, Meschke H, et al. Occupational stress factors and musculo-skeletal disease in patients at a rehabilitation center. Occup Ergon. 2012;10(4):139-153. doi: 10.3233/OER-2012-0198
  • 6. Mohammadipour F, Pourranjbar M, Naderi S, Rafie F. Work-related Musculoskeletal Disorders in Iranian Office Workers: Prevalence and Risk Factors. J Med Life. 2018;11(4):328. doi: 10.25122/jml-2018-0054
  • 7. Babatunde OO, Legha A, Littlewood C, Chesterton LS, Thomas MJ, Menz HB, et al. Comparative effectiveness of treatment options for plantar heel pain: a systematic review with network meta-analysis. Br J Sports Med. 2019;53(3):182-194. doi: 10.1136/bjsports-2017-098998
  • 8. George SZ, Fritz JM, Silfies SP, Schneider MJ, Beneciuk JM, Lentz TA, et al. Interventions for the Management of Acute and Chronic Low Back Pain: Revision 2021. J Orthop Sports Phys Ther. 2021;51(11):CPG1-CPG60. doi: 10.2519/jospt.2021.0304
  • 9. Short S, Tuttle M, Youngman D. A Clinically-Reasoned Approach to Manual Therapy in Sports Physical Therapy. Int J Sports Phys Ther. 2023;18(1):262-271. doi: 10.26603/001c.67936
  • 10. Köppen PJ, Dorner TE, Stein KV, Simon J, Crevenna R. Health literacy, pain intensity and pain perception in patients with chronic pain. Wien Klin Wochenschr. 2018;130(1-2):23-30. doi: 10.1007/s00508-017-1309-5
  • 11. Özcan F, Gürçay E. The Relationship Between Demographic and Clinical Characteristics and Health Literacy in Patients with Shoulder Pain. Fiz Tıp ve Rehabil Bilim Derg. 2023;26(2):167-173. doi: 10.31609/jpmrs.2022-92942
  • 12. Hedge A, Morimoto S, Mccrobie D. Effects of keyboard tray geometry on upper body posture and comfort. Ergonomics. 1999;42(10):1333-1349. doi: 10.1080/001401399184983
  • 13. Erdinc O, Hot K, Ozkaya M. Turkish version of the Cornell Musculoskeletal Discomfort Questionnaire: cross-cultural adaptation and validation. Work. 2011;39(3):251-260. doi: 10.3233/WOR-2011-1173
  • 14. Ince B. The Awareness of Manual Therapy in Turkish Society: A Cross Sectional Survey Study and an Overview of Manual Therapy. Fiz Tıp ve Rehabil Bilim Derg. 2021;24(1):45-51. doi: 10.31609/jpmrs.2020-78636
  • 15. Kerry R, Young KJ, Evans DW, Lee E, Georgopoulos V, Meakins A, et al. A modern way to teach and practice manual therapy. Chiropr Man Therap. 2024;32(1):17. doi: 10.1186/s12998-024-00537-0
  • 16. Swait G, Finch R. What are the risks of manual treatment of the spine? A scoping review for clinicians. Chiropr Man Therap. 2017;25(1):37. doi: 10.1186/s12998-017-0168-5
  • 17. Bronfort G, Haas M, Evans R, Leininger B, Triano J. Effectiveness of manual therapies: the UK evidence report. Chiropr Man Therap. 2010;18(1):3. doi: 10.1186/1746-1340-18-3
  • 18. Borrella-Andrés S, Marqués-García I, Lucha-López MO, Fanlo-Mazas P, Hernández-Secorún M, Pérez-Bellmunt A, et al. Manual Therapy as a Management of Cervical Radiculopathy: A Systematic Review. Biomed Res. Int. 2021;2021(1), 9936981. doi: 10.1155/2021/9936981
  • 19. Thomas M, Thomson OP, Kolubinski DC, Stewart-Lord A. The attitudes and beliefs about manual therapy held by patients experiencing low back pain: a scoping review. Musculoskelet Sci Pract. 2023;65:102752. doi: 10.1016/j.msksp.2023.102752
  • 20. Pasquier M, Daneau C, Marchand AA, Lardon A, Descarreaux M. Spinal manipulation frequency and dosage effects on clinical and physiological outcomes: a scoping review. Chiropr Man Therap. 2019;27(1): 23. doi: 10.1186/s12998-019-0244-0
  • 21. van Ravensberg CDD, Oostendorp RAB, van Berkel LM, Scholten-Peeters GGM, Pool JJM, Swinkels RAHM, et al. Physical Therapy and Manual Physical Therapy: Differences in Patient Characteristics. J Man Manip Ther. 2005;13(2):113-124. doi: 10.1179/106698105790825058
  • 22. Kim K, Yang Y, Wang Z, Chen J, Barandouzi ZA, Hong H, et al. A systematic review of the association between health literacy and pain self-management. Patient Educ Couns. 2022;105(6):1427-1440. doi: 10.1016/j.pec.2021.09.037
  • 23. Agarwal G, Habing K, Pirrie M, Angeles R, Marzanek F, Parascandalo J. Assessing health literacy among older adults living in subsidized housing: a cross-sectional study. Can J Public Heal. 2018;109(3):401-409. doi: 10.17269/s41997-018-0048-3
  • 24. Ardahan M, Simsek H. Analyzing musculoskeletal system discomforts and risk factors in computer-using office workers. Pakistan J Med Sci. 2016;32(6):1425-1429. doi: 10.12669/pjms.326.11436
  • 25. Cho C-Y, Hwang Y-S, Cherng R-J. Musculoskeletal Symptoms and Associated Risk Factors Among Office Workers With High Workload Computer Use. J Manipulative Physiol Ther. 2012;35(7):534-540. doi: 10.1016/j.jmpt.2012.07.004

Ofis Çalışanlarında Kas İskelet Sistemi Problemleri ve Manuel Terapi Farkındalığı

Year 2025, Volume: 16 Issue: 2, 253 - 260, 18.08.2025
https://doi.org/10.22312/sdusbed.1534010

Abstract

İşle ilgili kas-iskelet sistemi rahatsızlıkları sıklıkla ergonomik risk faktörleriyle, özellikle de kötü postürle ilişkilendirilir ve genellikle boyun, sırt ve omuzları etkiler. Manuel terapi, manuel değerlendirmeye dayanan ve ağrıyı hafifletmek, fonksiyonu artırmak ve engelliliği azaltmak için çeşitli teknikleri kapsayan bir tedavi yöntemidir. Mevcut çalışma, ofis çalışanlarında manuel terapi farkındalığı ile kas-iskelet sistemi rahatsızlıkları arasındaki potansiyel ilişkiyi araştırmaktadır. Çalışmaya ... Üniversitesi'nin farklı bölümlerinde çalışan toplam 272 ofis çalışanı dahil edildi. Katılımcıların kas-iskelet sistemi sorunları Cornell Kas-iskelet Sistemi Rahatsızlıkları Ölçeği ile değerlendirildi ve manuel terapi farkındalık düzeyleri Manuel Terapi Farkındalık Anketi ile değerlendirildi. Cornell Kas-iskelet Sistemi Rahatsızlıkları Ölçeğinin omurga skoru ve toplam skoru, manuel terapiyi bilenlerde istatistiksel olarak anlamlı şekilde daha yüksekti (p=0,041, p=0,024). Ancak, üst ve alt ekstremite skorlarında bir fark bulunamadı (p=0,342, p=0,173). Ofis çalışanlarının kas-iskelet sistemi rahatsızlıkları arttıkça, manuel terapiye ilişkin farkındalıklarının da arttığı sonucuna varılmıştır. Daha fazla kas-iskelet sistemi ağrısı olan ofis çalışanlarının daha fazla sağlık ile ilgili araştırmaya ihtiyaç duyabileceği ve dolayısıyla bilgi düzeylerinin artabileceği düşünülmektedir.

References

  • 1. Luttmann A, Schmidt KH, Jäger M. Working conditions, muscular activity and complaints of office workers. Int J Ind Ergon. 2010;40(5):549-559. doi: 10.1016/j.ergon.2010.04.006
  • 2. Akyürek G, Üstün B. Akademik Personelin Ofislerindeki Ergonomik Düzenlemeye Göre Ağrı, Stres ve Fiziksel Aktivite Düzeylerinin Karşılaştırılması. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi, 2021;12(3):386-394. doi: 10.22312/sdusbed.1005156
  • 3. Wahlström J. Ergonomics, musculoskeletal disorders and computer work. Occup Med. 2005;55(3):168-176. doi: 10.1093/occmed/kqi083
  • 4. Guduru RKR, Domeika A, Obcarskas L, Ylaite B. The Ergonomic Association between Shoulder, Neck/Head Disorders and Sedentary Activity: A Systematic Review. J Healthc Eng. 2022;2022. doi: 10.1155/2022/5178333
  • 5. Landau K, Brauchler R, Diaz-Meyer M, Kiesel J, Lenz A, Meschke H, et al. Occupational stress factors and musculo-skeletal disease in patients at a rehabilitation center. Occup Ergon. 2012;10(4):139-153. doi: 10.3233/OER-2012-0198
  • 6. Mohammadipour F, Pourranjbar M, Naderi S, Rafie F. Work-related Musculoskeletal Disorders in Iranian Office Workers: Prevalence and Risk Factors. J Med Life. 2018;11(4):328. doi: 10.25122/jml-2018-0054
  • 7. Babatunde OO, Legha A, Littlewood C, Chesterton LS, Thomas MJ, Menz HB, et al. Comparative effectiveness of treatment options for plantar heel pain: a systematic review with network meta-analysis. Br J Sports Med. 2019;53(3):182-194. doi: 10.1136/bjsports-2017-098998
  • 8. George SZ, Fritz JM, Silfies SP, Schneider MJ, Beneciuk JM, Lentz TA, et al. Interventions for the Management of Acute and Chronic Low Back Pain: Revision 2021. J Orthop Sports Phys Ther. 2021;51(11):CPG1-CPG60. doi: 10.2519/jospt.2021.0304
  • 9. Short S, Tuttle M, Youngman D. A Clinically-Reasoned Approach to Manual Therapy in Sports Physical Therapy. Int J Sports Phys Ther. 2023;18(1):262-271. doi: 10.26603/001c.67936
  • 10. Köppen PJ, Dorner TE, Stein KV, Simon J, Crevenna R. Health literacy, pain intensity and pain perception in patients with chronic pain. Wien Klin Wochenschr. 2018;130(1-2):23-30. doi: 10.1007/s00508-017-1309-5
  • 11. Özcan F, Gürçay E. The Relationship Between Demographic and Clinical Characteristics and Health Literacy in Patients with Shoulder Pain. Fiz Tıp ve Rehabil Bilim Derg. 2023;26(2):167-173. doi: 10.31609/jpmrs.2022-92942
  • 12. Hedge A, Morimoto S, Mccrobie D. Effects of keyboard tray geometry on upper body posture and comfort. Ergonomics. 1999;42(10):1333-1349. doi: 10.1080/001401399184983
  • 13. Erdinc O, Hot K, Ozkaya M. Turkish version of the Cornell Musculoskeletal Discomfort Questionnaire: cross-cultural adaptation and validation. Work. 2011;39(3):251-260. doi: 10.3233/WOR-2011-1173
  • 14. Ince B. The Awareness of Manual Therapy in Turkish Society: A Cross Sectional Survey Study and an Overview of Manual Therapy. Fiz Tıp ve Rehabil Bilim Derg. 2021;24(1):45-51. doi: 10.31609/jpmrs.2020-78636
  • 15. Kerry R, Young KJ, Evans DW, Lee E, Georgopoulos V, Meakins A, et al. A modern way to teach and practice manual therapy. Chiropr Man Therap. 2024;32(1):17. doi: 10.1186/s12998-024-00537-0
  • 16. Swait G, Finch R. What are the risks of manual treatment of the spine? A scoping review for clinicians. Chiropr Man Therap. 2017;25(1):37. doi: 10.1186/s12998-017-0168-5
  • 17. Bronfort G, Haas M, Evans R, Leininger B, Triano J. Effectiveness of manual therapies: the UK evidence report. Chiropr Man Therap. 2010;18(1):3. doi: 10.1186/1746-1340-18-3
  • 18. Borrella-Andrés S, Marqués-García I, Lucha-López MO, Fanlo-Mazas P, Hernández-Secorún M, Pérez-Bellmunt A, et al. Manual Therapy as a Management of Cervical Radiculopathy: A Systematic Review. Biomed Res. Int. 2021;2021(1), 9936981. doi: 10.1155/2021/9936981
  • 19. Thomas M, Thomson OP, Kolubinski DC, Stewart-Lord A. The attitudes and beliefs about manual therapy held by patients experiencing low back pain: a scoping review. Musculoskelet Sci Pract. 2023;65:102752. doi: 10.1016/j.msksp.2023.102752
  • 20. Pasquier M, Daneau C, Marchand AA, Lardon A, Descarreaux M. Spinal manipulation frequency and dosage effects on clinical and physiological outcomes: a scoping review. Chiropr Man Therap. 2019;27(1): 23. doi: 10.1186/s12998-019-0244-0
  • 21. van Ravensberg CDD, Oostendorp RAB, van Berkel LM, Scholten-Peeters GGM, Pool JJM, Swinkels RAHM, et al. Physical Therapy and Manual Physical Therapy: Differences in Patient Characteristics. J Man Manip Ther. 2005;13(2):113-124. doi: 10.1179/106698105790825058
  • 22. Kim K, Yang Y, Wang Z, Chen J, Barandouzi ZA, Hong H, et al. A systematic review of the association between health literacy and pain self-management. Patient Educ Couns. 2022;105(6):1427-1440. doi: 10.1016/j.pec.2021.09.037
  • 23. Agarwal G, Habing K, Pirrie M, Angeles R, Marzanek F, Parascandalo J. Assessing health literacy among older adults living in subsidized housing: a cross-sectional study. Can J Public Heal. 2018;109(3):401-409. doi: 10.17269/s41997-018-0048-3
  • 24. Ardahan M, Simsek H. Analyzing musculoskeletal system discomforts and risk factors in computer-using office workers. Pakistan J Med Sci. 2016;32(6):1425-1429. doi: 10.12669/pjms.326.11436
  • 25. Cho C-Y, Hwang Y-S, Cherng R-J. Musculoskeletal Symptoms and Associated Risk Factors Among Office Workers With High Workload Computer Use. J Manipulative Physiol Ther. 2012;35(7):534-540. doi: 10.1016/j.jmpt.2012.07.004
There are 25 citations in total.

Details

Primary Language English
Subjects Physiotherapy
Journal Section Araştırma Articlesi
Authors

Erkan Erol 0000-0002-0087-1821

Ayla Günal 0000-0003-2213-2111

Muhammed Kurtboğan 0009-0003-6860-2008

Ömer Buğra Soylar 0009-0004-8648-7784

Kardelen Özçelik 0009-0006-0773-6311

Gülsen Aktaş 0009-0003-3243-310X

Zehra Bulut 0009-0008-5776-1480

Gülümser Akar 0009-0008-6896-9172

Arzu Gabilayeva 0009-0001-8029-893X

Beyza Durupunar 0009-0003-6516-8314

Ayşe Kartal 0009-0000-7857-773X

Publication Date August 18, 2025
Submission Date August 16, 2024
Acceptance Date October 24, 2024
Published in Issue Year 2025 Volume: 16 Issue: 2

Cite

Vancouver Erol E, Günal A, Kurtboğan M, Soylar ÖB, Özçelik K, Aktaş G, Bulut Z, Akar G, Gabilayeva A, Durupunar B, Kartal A. Musculoskeletal Problems and Manual Therapy Awareness in Office Workers. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi. 2025;16(2):253-60.

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