Neck pain prevalence and associated occupational factors in Portuguese office workers

ObjectiveThis study aimed to assess the prevalence of neck pain and to identify associated occupational factors in Portuguese office workers.BackgroundThere is still necessary to quantify the association of the use of new technologies with neck pain in office workers.MethodsSix hundred-and-one office workers completed online questionnaires with questions related to anthropometric parameters, work-related variables, workstation setup, and musculoskeletal pain from the Portuguese version of the Standardized Nordic Musculoskeletal Questionnaire.ResultsThe prevalence of neck pain was 56.1%. An average of 35.6% of the office workers with neck pain reported pain in more than three body segments. The significantly risk factors were “age between 50 and 65” [OR: 1.92 (1.26–2.91) P = 0.002], “working without break for 2 h” [OR: 1.82 (1.00–3.31) P = 0.05], “more than 3 h” [OR: 2.41 (1.35–4.10) P = 0.003], screen localization not centered” [OR: 2.01 (1.01–4.00) P = 0.045], and “use of computer mouse more than 50% of the worktime” [OR: 2.05 (1.14–3.71) P = 0.017].ConclusionThere was a high prevalence of neck pain and a considerable number of painful body segments in office workers. Age, working without break, screen localization and the use of computer mouse where the significant risk factors associated with the development of neck pain.Relevance to industryA high prevalence of neck pain and number of areas with pain in office workers require a detailed pain mechanism assessment. There were associated occupational risk factors for the development of neck pain. Call for concerted actions to explore optimal and efficient management plans.     

The prevalence of neck pain and associated risk factors among undergraduate students: A large-scale cross-sectional study

BackgroundNeck pain is a pervasive ailment causing work absenteeism, disabilities, and sleep disturbance among working adults. While the onset of neck pain in many individuals may date back to college-age, little is known regarding the prevalence of neck pain and associated risk factors among undergraduates. The current study aimed to compare the prevalence of neck pain among students in different undergraduate programs and to investigate their risk factors.MethodsUndergraduates from two universities were invited to participate in a self-administered online survey. The survey collected data regarding demographics, previous and the current neck pain symptoms, and potential risk factors (e.g., gender, age, body mass index, study programs, electronic devices usage, study hours, sports participation, and anxiety and depression levels, etc.). Multiple logistic regressions were conducted to identify risk factors for neck pain.ResultsA total of 5,195 invitation emails were sent. Of 1,002 respondents, 22.3% reported having current neck pain. Physiotherapy (26.5%) and nursing students (26.1%) had significantly higher prevalence of neck pain as compared to business students (13.2%). Anxiety (odds ratio (OR):1.11, 95%CI:1.07–1.16), concurrent low back pain (OR:3.28, 95%CI:2.15–5.00) and senior years of studies (OR:1.19,95%CI:1.01–1.41) were significantly associated with the presence of neck pain. Taller students (OR:1.02,95%CI:0.99–1.05) and prolonged smartphone usage (OR:1.05,95%CI:0.99–1.12) appeared to be associated with the presence of neck pain.ConclusionThis study not only revealed the high prevalence of neck pain among undergraduates but also identified several modifiable and non-modifiable risk factors for neck pain in this population. Specific prevention strategies should be developed and implemented to reduce the risk of neck pain in vulnerable students.     

Associations between individual and workplace risk factors for self-reported neck pain and disability among female office workers

A cross-sectional survey of female office workers (n=333) was undertaken to determine the level of neck pain and disability (Neck Disability Index-NDI) and to explore the relationship between individual and workplace risk factors with the NDI score and the presence of pain. Workers reported nil (32%), mild (53%), moderate (14%) and severe (1%) neck pain. There were more risk factors associated with the NDI score than the presence of neck pain. The presence of neck pain was associated with a history of neck trauma (OR: 4.8), using a graduated lens (OR: 4.6), and negative affectivity (OR: 2.7) in the multiple regression model. Factors associated with higher NDI score were using the computer mouse for more than 6h per day, higher negative affectivity, older age and an uncomfortable workstation. These results suggest that measuring the level of neck pain and disability rather than just the presence of neck pain provides more specific directives for the prevention and management of this disorder.     

Neck/shoulder pain,habitual spinal posture and computer use in adolescents: the importance of gender

Neck/shoulder pain is a common complaint, with evidence suggesting rates in adolescence have increased in line with increased computer use. The study aimed to examine the influence of gender on relationships between computer use, habitual posture and neck/shoulder pain. Adolescents (n = 1483) participating in the 14 year follow-up of the Raine Study cohort were surveyed for computer use, habitual sitting posture and neck/shoulder pain. Females used computers less than males (52% vs. 45% used for up to 7 h per week). Females sat much more upright than males with greater anterior pelvic tilt (9.4° vs. 0.4°). Females reported a higher 1 month prevalence of neck/shoulder pain (34.7%) than males (23.1%). A multivariate model showed neck/shoulder pain risk was increased in females (OR 2.61, 95% CI 1.70–4.00) and with computer use (OR 1.19, CI 1.01–1.40). Computer use is related to neck/shoulder pain and posture in adolescents but this relationship is different in boys and girls.

Statement of Relevance: This study showed the confounding effect of gender on the relationships among computer use, posture and neck/shoulder pain and thus the need to consider genders separately in research and practice aiming to optimise young people's use of computers.     

Modeling the influence of individual and employment factors on musculoskeletal disorders in fabrication industry

This study was designed to identify the individual and employment factors that influence highly frequent, less severe self‐reported musculoskeletal disorder pain incidences among welders. A self‐reporting questionnaire to measure two individual factors (age and experience), six employment factors (physical workload, working hours, shift work, nature of employment, mode of apprenticeship training, and association with present employer), along with a modified Nordic questionnaire response sheet was used to collect data. The survey was conducted among welders employed in a fabrication cluster in a southern part of India. A total of 987 completed questionnaires (response rate: 66%) were analyzed using the SPSS program. The analysis showed that two employment factors, “shift work” and “mode of apprenticeship training” significantly influence self‐reported musculoskeletal disorder pain. The mode of apprenticeship training was found to influence musculoskeletal disorder pain in the neck region for annual prevalence and causes annual disability in neck and upper back regions. Similarly, shift work was found to influence musculoskeletal disorder pain in the shoulder and neck regions for weekly and annual prevalence and causes annual disability in shoulder, wrist/hands, upper back, and hip/thigh/buttock regions among welders. These factors can be considered as points for targeting intervention efforts.     

Representation of interrelationships among binary variables under dempster–shafer theory of belief functions

This paper presents an algorithm for developing models under Dempster–Shafer theory of belief functions for categorical and “uncertain” logical relationships among binary variables. We illustrate the use of the algorithm by developing belief‐function representations of the following categorical relationships: “AND,” “OR,” “exclusive OR (EOR)” and “not exclusive OR (NEOR),” and “AND‐NEOR” and of the following uncertain relationships: “discounted AND,” “conditional OR,” and “weighted average.” Such representations are needed to fully model and analyze a problem with a network of interrelated variables under Dempster–Shafer theory of belief functions. In addition, we compare our belief‐function representation of the “weighted average” relationship with the “weighted average” representation developed and used by Shenoy and Shenoy (in Belief Functions in Business Decisions, edited by R. P. Srivastava and T. Mock; Heidelberg, Germany: Physica‐Verlag; 2002; pp 316–332). We find that Shenoy and Shenoy representation of the weighted average relationship is an approximation and yields significantly different values under certain conditions. © 2009 Wiley Periodicals, Inc.     

Guidelines to sewing machine workstation design for improving working posture of sewing operator

Sewing machine operators suffer from musculoskeletal problems imposed due to constrained restricted body postures. This study was conducted to investigate the effects of three design parameters (fore/aft sewing distance, sewing desk inclination and sewing desk height) of sewing workstation on postural variables and subjective experience and to develop guidelines for sewing workstation design. At a prototype of adjustable sewing workstation, ten professional sewing machine operators performed sewing task in nine different workstation arrangements. Sewing machine operators working posture and perceptions were recorded. It was shown that trunk, neck and arm postures were influenced by fore/aft sewing distance, sewing desk inclination and sewing desk height. The determinant factor for sewing machine operators’ perception on the trunk and neck found to be fore/aft sewing distance, sewing desk inclination. The sewing desk height influences the arm posture significantly. Based on the results, the following guidelines were developed: (1) Fore/aft sewing distance should be adjusted to 140 mm towards the sewing operator; (2) a 10° sewing desk inclination towards sewing should be used at sewing workstations. (3) Sewing desk height should be adjusted between 762 mm and 787 mm from the ground.     

Towards exposure limits for working postures and musculoskeletal symptoms – a prospective cohort study

Occupational postures are considered to be an important group of risk factors for musculoskeletal pain. However, the exposure-outcome association is not clear yet. Therefore, we aimed to determine the exposure-outcome association of working postures and musculoskeletal symptoms. Also, we aimed to establish exposure limits for working postures. In a prospective cohort study among 789 workers, intensity, frequency and duration of postures were assessed at baseline using observations. Musculoskeletal pain was assessed cross-sectionally and longitudinally and associations of postures and pain were addressed using logistic regression analyses. Cut-off points were estimated based on ROC-curve analyses. Associations were found for kneeling/crouching and low-back pain, neck flexion and rotation and neck pain, trunk flexion and low-back pain, and arm elevation and neck and shoulder pain. The results provide insight into exposure-outcome relations between working postures and musculoskeletal symptoms as well as evidence-based working posture exposure limits that can be used in future guidelines and risk assessment tools.

Practitioner Summary: Our study gives insight into exposure-outcome associations of working postures and musculoskeletal symptoms (kneeling/crouching and low-back pain, neck flexion/rotation and neck pain, trunk flexion and low-back pain, and arm elevation and neck and shoulder pain). Results furthermore deliver evidence-based postural exposure limits that can be used in guidelines and risk assessments.     

Tablet as human: How intensity and stability of the user-tablet relationship influences users’ impression formation of tablet computers

When can computers seem “human”? How do users form identity impressions of computers? In an examination of the ways in which users form impressions of their tablet computers, this study offers a new perspective by allowing users to verbalize their impressions of their products. Findings from in-depth interviews revealed two basic constructs that inform users’ impression formation – intensity and stability, which respectively foster social-contextualization and attribute association processes. This study contributes to impression formation and human–computer relationship literature in two aspects. The first is a novel methodological design that was humanistic in nature but was informed by social psychology; the second is a new construct “relationship intensity,” which operates jointly with relationship stability in impression formation processes.     

Mobile touch screen device use and associations with musculoskeletal symptoms and visual health in a nationally representative sample of Singaporean adolescents

This study aimed to describe contemporary technology use, especially smartphones and tablets (mobile touch screen devices), and examine associations with musculoskeletal symptoms and visual health among adolescents in Singapore. A representative sample of 1884 adolescents (50.4% girls) from grades primary 5 to post-secondary (10–18?years old), recruited from 13 schools, completed an online questionnaire in class. Total technology use was high, with smartphone duration being highest (mean?=?264 [SD?=?243] min/day). Patterns of use, including multitasking and bout length, were influenced by gender, school level, type of device and activities. Musculoskeletal discomfort and visual symptoms were commonly reported. After adjusting for potential confounders, more hours/day of smartphone use was associated with increased risk of neck/shoulders, upper back, arms and wrist/hand discomfort (OR?=?1.04[95%CI?=?1.01–1.07] to 1.07[1.03–1.10]) and visual symptoms (OR?=?1.05[1.02–1.08]), but was associated with decreased odds of myopia (OR?=?0.97[0.94–0.99]). No significant associations were found for tablet use.

Practitioner Summary: 1884 adolescents in Singapore completed an in-depth questionnaire regarding their use of technology. The smartphone was the device with the highest usage, and greater smartphone use was associated with increased odds of musculoskeletal and visual symptoms. High use of smartphones has physical health implications for adolescents.     

Interactive effects from self-reported physical and psychosocial factors in the workplace on neck pain and disability in female office workers

This study explored the interaction between physical and psychosocial factors in the workplace on neck pain and disability in female computer users. A self-report survey was used to collect data on physical risk factors (monitor location, duration of time spent using the keyboard and mouse) and psychosocial domains (as assessed by the Job Content Questionnaire). The neck disability index was the outcome measure. Interactions among the physical and psychosocial factors were examined in analysis of covariance. High supervisor support, decision authority and skill discretion protect against the negative impact of (1) time spent on computer-based tasks, (2) non-optimal placement of the computer monitor and (3) long duration of mouse use. Office workers with greater neck pain experience a combination of high physical and low psychosocial stressors at work. Prevention and intervention strategies that target both sets of risk factors are likely to be more successful than single intervention programmes.

Statement of Relevance: The results of this study demonstrate that the interaction of physical and psychosocial factors in the workplace has a stronger association with neck pain and disability than the presence of either factor alone. This finding has important implications for strategies aimed at the prevention of musculoskeletal problems in office workers.     

Neck pain combined with arm pain among professional drivers of forest machines and the association with whole-body vibration exposure

The purpose of this study was to investigate the existence of neck pain and arm pain among professional forest machine drivers and to find out if pain were related to their whole-body vibration (WBV) exposure. A self-administered questionnaire was sent to 529 forest machine drivers in northern Sweden and the response was 63%. Two pain groups were formed; 1) neck pain; 2) neck pain combined with arm pain. From WBV exposure data (recent measurements made according to ISO 2631–1, available information from reports) and from the self-administered questionnaire, 14 various WBV exposure/dose measures were calculated for each driver. The prevalence of neck pain reported both for the previous 12 months and for the previous 7 d was 34% and more than half of them reported neck pain combined with pain in one or both arms. Analysis showed no significant association between neck pain and high WBV exposure; however, cases with neck pain more often experienced shocks and jolts in the vehicle as uncomfortable. There was no significant association between the 14 WBV measures and type of neck pain (neck pain vs. neck pain combined with arm pain). It seems as if characteristics of WBV exposure can explain neither existence nor the type of neck pain amongst professional drivers of forest machines. The logging industry is important for several industrialised countries. Drivers of forest machines frequently report neuromusculoskeletal pain from the neck. The type of neck pain is important for the decision of treatment modality and may be associated with exposure characteristics at work.     

Reliability analysis for an apparel manufacturing system applying fuzzy multistate network

This paper addresses the reliability analysis for a real-world apparel manufacturing system by using fuzzy mathematics. The studied apparel manufacturing system is a precise handicraft profession which involves a great amount of labor-intensive processes. To consider human performance, the apparel manufacturing system is constructed as a fuzzy multistate network, termed apparel manufacturing network (AMN). The workload state of a workstation in the AMN is defined by three fuzzy membership functions: “under-normal-workload”, “normal-workload”, and “over-normal-workload”. Hence, the workload of a workstation is fuzzy multistate and the workstation-reliability is measured by three fuzzy membership functions. Subsequently, the system reliability is evaluated in terms of all workstation-reliabilities, and is derived by fuzzy intersection. The reliability analysis can help the production manager to understand the demand satisfaction of the AMN.     

Effects of Hypoxia on Voluntary Response Time to Peripheral Stimuli during Central Target Monitoring

The aim of this study was to identify workplace physical and psychosocial risk factors for neck pain among male and female workers and, in particular, to study the relationship between neck pain and intimidation and sexual harassment in the workplace in a representative sample of the Quebec working population. The study sample included 5405 men and 3987 women. In multiple logistic regression analyses, when taking into account individual and other workplace factors, neck pain was significantly associated with intimidation at work among both male (odds ratio (OR) 1.4 (1.01-1.8)) and female workers (OR 1.3 (1.01-1.8)). Among female workers, neck pain was alsosignificantly associated with unwanted sexual attention (OR 1.6 (1.1-2.4)). If confirmed in prospective studies, these results suggest that interventions to prevent harassment in the workplace may help reduce musculoskeletal disorders in the workplace and that workplace programmes to reduce harassment in the workplace should include prevention of sexual harassment. PRACTITIONER SUMMARY: While taking into account relevant personal factors and previously identified workplace physical and psychosocial risk factors, this gender-based study identifies new work exposures associated with neck pain that have not previously been studied, including unwanted sexual attention, intimidation and difficult or tense situations with the public.     

Neck kinematics and muscle activity during mobile device operations

Neck pain is a significant health problem due to its high incident rates and economic costs. Increased use of touch screen mobile devices is becoming pervasive in the modern society and may further influence this already prevalent health problem. However, our current understanding of the cervical spine biomechanics during the operation of touch screen mobile devices is very limited. This study evaluated the neck extensor muscle activities and the kinematics of the cervical spine during the operation of a touch screen tablet and a smart phone. Three-variables, DEVICE, LOCATION and TASK were treated as the independent variables. NASA TLX revealed that “Gaming” was the least difficult task and “Typing” was the most difficult task. Participants of this study maintained significantly deeper neck flexion when operating a smart phone (44.7°), with the mobile devices set on a table (46.4°), and while performing a “Typing” task (45.6°). Lower levels of neck muscle activities were observed while performing a “Reading” task and holding mobile devices with hand. Lower levels of neck muscle activities were also observed when using a smart phone vs. a tablet, however such change was statistically insignificant.Relevance to industryThe current study demonstrated that users maintain deep neck flexion when using touchscreen mobile devices. In the recent years, there is an increasing popularity of mobile smart devices in various occupational environments. The findings of this study may be useful in implementing human-centered task designs to reduce neck injury risks among mobile device users.     

Interaction between physical and psychosocial risk factors on the presence of neck/shoulder symptoms and its consequences

This study aimed to quantify the interaction between physical and psychosocial factors on the presence of neck/shoulder symptoms (NSS) and its consequences (reduced activities and absenteeism) among 1294 coal mining workers in Indonesia. A self-administered questionnaire was used to obtain information on current workplace exposure and NSS and its consequences. Participants were grouped into one of four combination exposure groups: low physical and low psychosocial (as the reference group); low physical and high psychosocial; high physical and low psychosocial, and high physical and high psychosocial (HPhyHPsy). The attributable proportion (AP) due to interaction between both factors was examined. Individuals in the HPhyHPsy group were most likely to report NSS [odds ratio (OR) 4.83, 95% confidence interval (CI) 2.43–9.58], reduced activities (OR 3.90, 95% CI 2.36–6.43), and absenteeism (OR 3.91, 95% CI 2.11–7.25). This study has shown an interaction between physical and psychosocial factors that increases the OR of NSS (AP 0.49, 95% CI 0.08–0.89).

Practitioner Summary: Although physical and psychosocial factors are known to be predictors for NSS, little is known about their interaction. Self-reported questionnaire was used to obtain information about physical and psychosocial factors at work. This study found an interaction between the physical and psychosocial risk factors that increases the odds ratio of NSS.     

A Predictive Model of Human Performance With Scrolling and Hierarchical Lists

ABSTRACT

Many interactive tasks in graphical user interfaces involve finding an item in a list but with the item not currently in sight. The two main ways of bringing the item into view are scrolling of one-dimensional lists and expansion of a level in a hierarchical list. Examples include selecting items in hierarchical menus and navigating through “tree” browsers to find files, folders, commands, or e-mail messages. System designers are often responsible for the structure and layout of these components, yet prior research provides conflicting results on how different structures and layouts affect user performance. For example, empirical research disagrees on whether the time to acquire targets in a scrolling list increases linearly or logarithmically with the length of the list; similarly, experiments have produced conflicting results for the comparative efficacy of “broad and shallow” versus “narrow and deep” hierarchical structures. In this article we continue in the human–computer interaction tradition of bringing theory to the debate, demonstrating that prior results regarding scrolling and hierarchical navigation are theoretically predictable and that the divergent results can be explained by the impact of the dataset's organization and the user's familiarity with the dataset. We argue and demonstrate that when users can anticipate the location of items in the list, the time to acquire them is best modeled by functions that are logarithmic with list length and that linear models arise when anticipation cannot be used. We then propose a formal model of item selection from hierarchical lists, which we validate by comparing its predictions with empirical data from prior studies and from our own. The model also accounts for the transition from novice to expert behavior with different datasets.     

The combined effect of physical,psychosocial/organisational and/or environmental risk factors on the presence of work-related musculoskeletal symptoms and its consequences

This study assessed the combined effect of physical and psychosocial/organisational and/or environmental factors on the presence of musculoskeletal symptoms (MSS) and its consequences (reduced activities and absenteeism due to MSS) in a random sample of 3003 workers in New Zealand. By telephone interview, participants reported their current workplace exposures and MSS (neck/shoulder, arm/elbow, wrist and low back) and its consequences. Data were analysed using multivariable logistic regression. Combined exposure to physical and psychosocial/organisational and/or environmental factors increased the odds of MSS in the neck/shoulder (OR 3.14, 95% CI 1.79–5.52), arms/elbow regions (OR 4.14, 95% CI 2.21–7.76) and low back (OR 1.74, 95% CI 1.28–2.37) and its consequences, i.e. reduced activities due to neck/shoulder symptoms (OR 5.45, 95% CI 2.28–13.00), absenteeism due to neck/shoulder symptoms (OR 5.19, 95% CI 2.24–12.01) and absenteeism due to low back symptoms (OR 4.37, 95% CI 2.92–6.53). In contrast, favourable psychosocial/organisational work conditions reduced the odds of wrist symptoms due to poor physical work conditions (OR 2.19, 95% CI 1.44–3.34). We conclude that to reduce MSS and its consequences, employers need to adopt a multifaceted approach: concentrate on improving physical conditions as well as the psychosocial/organisational and environmental aspects of the working environment.     

Erklärende Designtheorie

Design, design research, and design science have received increasing attention lately. This has led to a more scientific focus on design that then has made it timely to reconsider our definitions of the design theory concept. Many scholars in Information Systems assume a design theory requires a complex and elaborate structure. While this structure has appeal for its completeness and complexity, it has led scholars to criticize simplicity and elegance in design science theories that fail to demonstrate the “required” elements. Such criticisms lead to questions about whether design theory can be considered theory at all. Based on a study of notable design writing in architecture, finance, management, cognitive psychology, computer science as well as information systems and the philosophy of science, the authors demonstrate that design theory consists of two parts: a design practice theory and an explanatory design theory. An explanatory design theory provides a functional explanation as to why a solution has certain components in terms of the requirements stated in the design. For explanatory design theory, only two elements are essentially necessary for a complete design theory: requirements and solution components. The argument is logical as well as empirical; the authors give examples of design theory drawing from IS as well as other design-related fields show how design theory can be both simple and complete. The paper concludes with a proposal for explanatory design theory.     

Damage to finished goods inventory in A dynamic environment A markov chain model for the arts and crafts industry

A Markov chain model is presented as a tool for analysis of damage caused to an inventory of items which are subject to possibly many movements prior to sale. The model is applied to a case study to describe the nature and extent of such damage. However, possible extensions to other more general inventory-marketing distribution problems are clear. The states “item sold” and “item scrapped” are modelled as absorbing states while the locations of the items “in rework” and “at market” are transient states. Standard Markov chain calculations are made which then describe the expected status of the inventory.