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Evaluation of the effects of ergonomics and exercise training on pain and quality of life in desk workers

Yıl 2025, Cilt: 52 Sayı: 3, 463 - 474, 16.09.2025
https://doi.org/10.5798/dicletip.1784959

Öz

Aim: This study aimed to evaluate the effectiveness of exercise and ergonomics training on neck and low back pain and quality of life in secretaries working as office-based staff in a hospital setting.
Methods: This semi-experimental pretest–posttest study was conducted with 100 secretaries working at a tertiary hospital. Participants received a 45-minute interactive training session including desk exercises and ergonomic principles. For four weeks following the training, weekly reminders were provided to support exercise implementation and adherence to ergonomic rules. Data were collected before and after the training using the Participant Information Form, the Neck Disability Index (NDI), the Oswestry Low Back Pain Scale, and the SF-36 Quality of Life Questionnaire. The dependent variables were neck and back pain levels, as well as quality of life scores. The independent variables were demographic and work-related characteristics. Data were analyzed using SPSS 18.0. Descriptive statistics, Wilcoxon signed-rank test for dependent group comparisons, and Mann–Whitney U test for between-group comparisons were applied. The significance level was set at p<0.05.
Results: The mean age of participants was 37.90±6.44 years, and 74% were female. Following the training, NDI and Oswestry scores significantly decreased (p=0.009; p=0.024, respectively), while SF-36 total score significantly increased (p=0.001). Significant improvements in pain and quality of life scores were also observed among women, daytime workers, and those who developed musculoskeletal pain after starting the job (p<0.05).
Conclusion: Exercise and ergonomics training effectively reduce neck and low back pain and improve quality of life among desk-based employees.

Etik Beyan

The study was approved by Necmettin Erbakan University Non-Pharmaceutical and Non-Medical Device Research Ethics Committee on 03.06.2022 with decision number 2022/3835.

Kaynakça

  • 1. WHO (World Health Organization). Musculoskeletal health. Available from: https://www.who.int/news-room/fact-sheets/detail/musculoskeletal-conditions [Verified 28 Nov 2023].
  • 2.Cieza A, Causey K, Kamenov K, et al. Globalestimates of the need for rehabilitation based on theGlobal Burden of Disease study 2019: a systematicanalysis for the Global Burden of Disease Study2019. The Lancet 2021; 396(10267): 2006-17.
  • 3.Health statıstıcs yearbook, 2021. Available from:https://www.saglik.gov.tr/Eklenti/45316/0/siy2021-turkcepdf.pdf [Verified 28 Dec 2023].
  • 4.Kaliniene G, Ustinaviciene R, Skemiene L, et al.Associations between musculoskeletal pain andwork-related factors among public service sectorcomputer workers in Kaunas County, Lithuania.BMC Musculoskeletal Disorders 2016; 17(1): 1-12.
  • 5.Zakerian SA, Monazzam MR, Dehghan SF, et al.Relationship between knowledge of ergonomics and workplace conditions with musculoskeletaldisorders among nurses: A questionnaire survey.World Appl Sci J 2013; 24(2): 227-33.
  • 6.Habib MM, Yesmin S, Moniruzzaman. A pilot studyof prevalence and distributions of musculoskeletalsymptoms (MSS) among paper based office workersin Bangladesh. Work 2015; 50(3): 371-8.
  • 7.Tanır F, Güzel R, İşsever H, et al. MusculoskeletalDisorders in an Automotive Manufacturing Plantand the Outcomes of Ergonomics and ExerciseTraining in Workers Who Used Sick Leave. Turk JPhys Med Rehab 2013; 59: 214-21.
  • 8.European Agency for Safety and Health at Work.Work-related musculoskeletal disorders:prevalence, costs and demographics in the EU.Luxembourg: Publications Office of the EuropeanUnion; 2019.
  • 9.Tunçez IH, Demir LD, Kunt M, et al. Ergonomicevaluation of desk-bound work offices of acommunity health center and effect of ergonomicintervention on the health complaints of theworkers. Nobel Medicus 2020; 16(2): 30-9.
  • 10.Sohrabi MS, Babamiri M. Effectiveness of anergonomics training program on musculoskeletaldisorders, job stress, quality of work-life andproductivity in office workers: a quasi-randomizedcontrol trial study. Int J Occup Saf Ergon 2022;28(3): 1664-71.
  • 11.Çimen O. The efficiency of ergonomics, activebreak and stretching exercise program in officeworkers with chronic neck and back pain. J Exp ClinMed 2023; 40(2): 329-32.
  • 12.Dalkılıç M, Kayıhan H. Effects of interactive e-learning office ergonomics training on risk factorsassociated with musculoskeletal injuries in officeworkers, Hacettepe Unıversity, Institute of HealthSciences, Ergotherapy Programme, PhD Thesis,Ankara, 2011.
  • 13.Vernon H, Mior S. The Neck Disability Index: astudy of reliability and validity. J Manipulative andPhysiological Therapeutics 1991; 14(7): 409-15.
  • 14.Aslan E, Karaduman A, Yakut Y, et al. The culturaladaptation, reliability and validity of neck disabilityindex in patients with neck pain: A Turkish versionstudy. Spine (Phila Pa 1976) 2008; 33 (11): E362-5.
  • 15.Fairbanks JC, Couper J, Davies JB, et al. TheOswestry low back pain questionnaire.Physiotherapy 1980; 66: 271-3.
  • 16.Yakut E, Düger T, Oksüz C, et al. Validation of theTurkish version of the Oswestry Disability Index forpatients with low back pain. Spine (Phila Pa 1976)2004; 29: 581-5.
  • 17.Brazier JE, Harper R, Jones N, et al. Validating theSF-36 health survey questionnaire: new outcomemeasure for primary care. BMJ 1992; 305: 160-4.
  • 18.Koçyiğit H, Aydemir Ö, Fişek G, et al. The validityand reliability of Turkish version of the Short Form36 (SF-36). Turkish J Drugs Therap 1999; 12: 102-6.
  • 19.İkiz H, Ergin E. Musculoskeletal system problems in office workers: relationship of physical activitylevels and quality of life. International Journal ofOccupational Safety and Ergonomics 2023; 29(1):321-8.
  • 20.Griffiths KL, Mackey MG, Adamson BJ. Behavioraland psychophysiological responses to job demandsand association with musculoskeletal symptoms incomputer work. J Occup Rehabil 2011; 21: 482-92.
  • 21.Kaliniene G, Ustinaviciene R, Skemiene L, et al.Associations between neck musculoskeletalcomplaints and work related factors among public service computer workers in Kaunas. Int J Occup Med Environ Health 2013; 26: 670-81.
  • 22.AlOmar RS, AlShamlan NA, Alawashiz S, et al.Musculoskeletal symptoms and their associated riskfactors among Saudi office workers: A cross-sectional study. BMC Musculoskelet Disord 2021;22(1): 763.
  • 23.Santana DA, Cordeiro Araujo-Junior ML,Carvalho FL, et al. Musculoskeletal complaints,absenteeism and associated factors amongcytotechnologists: cross-sectional study. Rev BrasMed Trab 2020; 17(3): 363-9.
  • 24.Virtanen M, Ervasti J, Head J, et al. Lifestylefactors and risk of sickness absence from work: amulticohort study. Lancet Public Health 2018;3(11): e545-e4.
  • 25.Holzgreve F, Fraeulin L, Haenel J, et al. Officework and stretch training (OST) study: effects on the prevalence of musculoskeletal diseases and genderdifferences: a non-randomised control study. BMJ2021; 11(5): e044453.
  • 26.Heiden B, Weigl M, Angerer P, et al. Associationof age and physical job demands withmusculoskeletal disorders in nurses. Appliedergonomics 2013; 44(4): 652-8.
  • 27.Louw S, Makwela S, Manas L, et al. Effectivenessof exercise in office workers with neck pain: Asystematic review and meta-analysis. S Afr JPhysiother 2017; 73(1): 392.
  • 28.Kim R, Wiest C, Clark K, et al. Identifying riskfactors for first-episode neck pain: a systematicreview. Musculoskelet Sci Pract 2018; 33: 77-83.
  • 29. Ardahan M, Simsek H. Analyzing musculoskeletalsystem discomforts and risk factors in computer-using office workers. Pak J Med Sci 2016; 32(6):1425-29.
  • 30.Nwaogazie I, ThankGod C, Omuruka L, et al.Work-related musculoskeletal disorders: A case ofoffice-based civil servants in Rivers State. Nigeria.Int J Trop Disease Health 2016; 18(1): 1-13.

Masa Başı Çalışanlarına Verilen Ergonomi ve Egzersiz Eğitiminin, Ağrı ve Yaşam Kalitesine Etkisinin Değerlendirilmesi

Yıl 2025, Cilt: 52 Sayı: 3, 463 - 474, 16.09.2025
https://doi.org/10.5798/dicletip.1784959

Öz

Amaç: Bu çalışma, hastane ortamında masa başı çalışan sekreterlerde egzersiz ve ergonomi eğitiminin boyun ve bel ağrısı ile yaşam kalitesi üzerindeki etkinliğini değerlendirmeyi amaçlamaktadır.
Yöntemler: Öntest-sontest desenli yarı deneysel bir araştırma olarak tasarlanan bu çalışma, bir üçüncü basamak hastanede görev yapan 100 sekreter ile yürütülmüştür. Katılımcılara 45 dakikalık interaktif bir eğitim verilmiş, ardından dört hafta boyunca haftada bir kez masa başı egzersizlerin uygulanması ve ergonomik ilkelerin hatırlatılması sağlanmıştır. Veriler müdahale öncesi ve sonrası dönemde toplanmıştır. Bağımlı değişkenler boyun ve bel ağrısı düzeyi ile yaşam kalitesi skorları; bağımsız değişkenler ise demografik ve iş yaşamıyla ilgili özelliklerdir. Veri toplama araçları; Katılımcı Bilgi Formu, Boyun Disabilite İndeksi, Oswestry Bel Ağrısı Skalası ve SF-36 Yaşam Kalitesi Anketi’dir. Veriler SPSS 18.0 ile analiz edilmiş; tanımlayıcı istatistiklerin yanı sıra bağımlı grup karşılaştırmalarında Wilcoxon işaretli sıra testi, gruplar arası karşılaştırmalarda Mann–Whitney U testi kullanılmıştır. Anlamlılık düzeyi p<0,05 olarak kabul edilmiştir.
Bulgular: Katılımcıların yaş ortalaması 37,90±6,44 yıl olup %74’ü kadındı. Müdahale sonrasında Boyun Disabilite İndeksi ve Oswestry Bel Ağrısı Skalası puanlarında anlamlı azalma (p=0,009; p=0,024) ve SF-36 toplam puanında anlamlı artış (p=0,001) gözlenmiştir. Kadınlarda, sadece gündüz vardiyasında çalışanlarda ve işe başladıktan sonra kas-iskelet sistemi ağrısı gelişenlerde, ağrı ve yaşam kalitesi skorlarında müdahale sonrası anlamlı iyileşme saptanmıştır (p<0,05).
Sonuç: Egzersiz ve ergonomi eğitimi, masa başı çalışan sekreterlerde boyun ve bel ağrısını azaltmakta; yaşam kalitesini artırmaktadır.

Kaynakça

  • 1. WHO (World Health Organization). Musculoskeletal health. Available from: https://www.who.int/news-room/fact-sheets/detail/musculoskeletal-conditions [Verified 28 Nov 2023].
  • 2.Cieza A, Causey K, Kamenov K, et al. Globalestimates of the need for rehabilitation based on theGlobal Burden of Disease study 2019: a systematicanalysis for the Global Burden of Disease Study2019. The Lancet 2021; 396(10267): 2006-17.
  • 3.Health statıstıcs yearbook, 2021. Available from:https://www.saglik.gov.tr/Eklenti/45316/0/siy2021-turkcepdf.pdf [Verified 28 Dec 2023].
  • 4.Kaliniene G, Ustinaviciene R, Skemiene L, et al.Associations between musculoskeletal pain andwork-related factors among public service sectorcomputer workers in Kaunas County, Lithuania.BMC Musculoskeletal Disorders 2016; 17(1): 1-12.
  • 5.Zakerian SA, Monazzam MR, Dehghan SF, et al.Relationship between knowledge of ergonomics and workplace conditions with musculoskeletaldisorders among nurses: A questionnaire survey.World Appl Sci J 2013; 24(2): 227-33.
  • 6.Habib MM, Yesmin S, Moniruzzaman. A pilot studyof prevalence and distributions of musculoskeletalsymptoms (MSS) among paper based office workersin Bangladesh. Work 2015; 50(3): 371-8.
  • 7.Tanır F, Güzel R, İşsever H, et al. MusculoskeletalDisorders in an Automotive Manufacturing Plantand the Outcomes of Ergonomics and ExerciseTraining in Workers Who Used Sick Leave. Turk JPhys Med Rehab 2013; 59: 214-21.
  • 8.European Agency for Safety and Health at Work.Work-related musculoskeletal disorders:prevalence, costs and demographics in the EU.Luxembourg: Publications Office of the EuropeanUnion; 2019.
  • 9.Tunçez IH, Demir LD, Kunt M, et al. Ergonomicevaluation of desk-bound work offices of acommunity health center and effect of ergonomicintervention on the health complaints of theworkers. Nobel Medicus 2020; 16(2): 30-9.
  • 10.Sohrabi MS, Babamiri M. Effectiveness of anergonomics training program on musculoskeletaldisorders, job stress, quality of work-life andproductivity in office workers: a quasi-randomizedcontrol trial study. Int J Occup Saf Ergon 2022;28(3): 1664-71.
  • 11.Çimen O. The efficiency of ergonomics, activebreak and stretching exercise program in officeworkers with chronic neck and back pain. J Exp ClinMed 2023; 40(2): 329-32.
  • 12.Dalkılıç M, Kayıhan H. Effects of interactive e-learning office ergonomics training on risk factorsassociated with musculoskeletal injuries in officeworkers, Hacettepe Unıversity, Institute of HealthSciences, Ergotherapy Programme, PhD Thesis,Ankara, 2011.
  • 13.Vernon H, Mior S. The Neck Disability Index: astudy of reliability and validity. J Manipulative andPhysiological Therapeutics 1991; 14(7): 409-15.
  • 14.Aslan E, Karaduman A, Yakut Y, et al. The culturaladaptation, reliability and validity of neck disabilityindex in patients with neck pain: A Turkish versionstudy. Spine (Phila Pa 1976) 2008; 33 (11): E362-5.
  • 15.Fairbanks JC, Couper J, Davies JB, et al. TheOswestry low back pain questionnaire.Physiotherapy 1980; 66: 271-3.
  • 16.Yakut E, Düger T, Oksüz C, et al. Validation of theTurkish version of the Oswestry Disability Index forpatients with low back pain. Spine (Phila Pa 1976)2004; 29: 581-5.
  • 17.Brazier JE, Harper R, Jones N, et al. Validating theSF-36 health survey questionnaire: new outcomemeasure for primary care. BMJ 1992; 305: 160-4.
  • 18.Koçyiğit H, Aydemir Ö, Fişek G, et al. The validityand reliability of Turkish version of the Short Form36 (SF-36). Turkish J Drugs Therap 1999; 12: 102-6.
  • 19.İkiz H, Ergin E. Musculoskeletal system problems in office workers: relationship of physical activitylevels and quality of life. International Journal ofOccupational Safety and Ergonomics 2023; 29(1):321-8.
  • 20.Griffiths KL, Mackey MG, Adamson BJ. Behavioraland psychophysiological responses to job demandsand association with musculoskeletal symptoms incomputer work. J Occup Rehabil 2011; 21: 482-92.
  • 21.Kaliniene G, Ustinaviciene R, Skemiene L, et al.Associations between neck musculoskeletalcomplaints and work related factors among public service computer workers in Kaunas. Int J Occup Med Environ Health 2013; 26: 670-81.
  • 22.AlOmar RS, AlShamlan NA, Alawashiz S, et al.Musculoskeletal symptoms and their associated riskfactors among Saudi office workers: A cross-sectional study. BMC Musculoskelet Disord 2021;22(1): 763.
  • 23.Santana DA, Cordeiro Araujo-Junior ML,Carvalho FL, et al. Musculoskeletal complaints,absenteeism and associated factors amongcytotechnologists: cross-sectional study. Rev BrasMed Trab 2020; 17(3): 363-9.
  • 24.Virtanen M, Ervasti J, Head J, et al. Lifestylefactors and risk of sickness absence from work: amulticohort study. Lancet Public Health 2018;3(11): e545-e4.
  • 25.Holzgreve F, Fraeulin L, Haenel J, et al. Officework and stretch training (OST) study: effects on the prevalence of musculoskeletal diseases and genderdifferences: a non-randomised control study. BMJ2021; 11(5): e044453.
  • 26.Heiden B, Weigl M, Angerer P, et al. Associationof age and physical job demands withmusculoskeletal disorders in nurses. Appliedergonomics 2013; 44(4): 652-8.
  • 27.Louw S, Makwela S, Manas L, et al. Effectivenessof exercise in office workers with neck pain: Asystematic review and meta-analysis. S Afr JPhysiother 2017; 73(1): 392.
  • 28.Kim R, Wiest C, Clark K, et al. Identifying riskfactors for first-episode neck pain: a systematicreview. Musculoskelet Sci Pract 2018; 33: 77-83.
  • 29. Ardahan M, Simsek H. Analyzing musculoskeletalsystem discomforts and risk factors in computer-using office workers. Pak J Med Sci 2016; 32(6):1425-29.
  • 30.Nwaogazie I, ThankGod C, Omuruka L, et al.Work-related musculoskeletal disorders: A case ofoffice-based civil servants in Rivers State. Nigeria.Int J Trop Disease Health 2016; 18(1): 1-13.
Toplam 30 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi, Tıp Eğitimi, Sağlık Hizmetleri ve Sistemleri (Diğer)
Bölüm Original Articles
Yazarlar

Yasemin Durduran

Mehtap Yücel

Banu Ordahan

Hasan Küçükkendirci

Yayımlanma Tarihi 16 Eylül 2025
Gönderilme Tarihi 21 Mart 2025
Kabul Tarihi 4 Ağustos 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 52 Sayı: 3

Kaynak Göster

APA Durduran, Y., Yücel, M., Ordahan, B., Küçükkendirci, H. (2025). Evaluation of the effects of ergonomics and exercise training on pain and quality of life in desk workers. Dicle Medical Journal, 52(3), 463-474. https://doi.org/10.5798/dicletip.1784959
AMA Durduran Y, Yücel M, Ordahan B, Küçükkendirci H. Evaluation of the effects of ergonomics and exercise training on pain and quality of life in desk workers. diclemedj. Eylül 2025;52(3):463-474. doi:10.5798/dicletip.1784959
Chicago Durduran, Yasemin, Mehtap Yücel, Banu Ordahan, ve Hasan Küçükkendirci. “Evaluation of the effects of ergonomics and exercise training on pain and quality of life in desk workers”. Dicle Medical Journal 52, sy. 3 (Eylül 2025): 463-74. https://doi.org/10.5798/dicletip.1784959.
EndNote Durduran Y, Yücel M, Ordahan B, Küçükkendirci H (01 Eylül 2025) Evaluation of the effects of ergonomics and exercise training on pain and quality of life in desk workers. Dicle Medical Journal 52 3 463–474.
IEEE Y. Durduran, M. Yücel, B. Ordahan, ve H. Küçükkendirci, “Evaluation of the effects of ergonomics and exercise training on pain and quality of life in desk workers”, diclemedj, c. 52, sy. 3, ss. 463–474, 2025, doi: 10.5798/dicletip.1784959.
ISNAD Durduran, Yasemin vd. “Evaluation of the effects of ergonomics and exercise training on pain and quality of life in desk workers”. Dicle Medical Journal 52/3 (Eylül2025), 463-474. https://doi.org/10.5798/dicletip.1784959.
JAMA Durduran Y, Yücel M, Ordahan B, Küçükkendirci H. Evaluation of the effects of ergonomics and exercise training on pain and quality of life in desk workers. diclemedj. 2025;52:463–474.
MLA Durduran, Yasemin vd. “Evaluation of the effects of ergonomics and exercise training on pain and quality of life in desk workers”. Dicle Medical Journal, c. 52, sy. 3, 2025, ss. 463-74, doi:10.5798/dicletip.1784959.
Vancouver Durduran Y, Yücel M, Ordahan B, Küçükkendirci H. Evaluation of the effects of ergonomics and exercise training on pain and quality of life in desk workers. diclemedj. 2025;52(3):463-74.