A cross-sectional study determining the prevalence of musculoskeletal diseases in automotive factory workers

Occupational musculoskeletal diseases



Occupational musculoskeletal diseases, Work-related musculoskeletal diseases, Repetitive strain injury, Pain, Back pain, Knee pain


Background/Aim: Work-related musculoskeletal disorders (WMSDs) develop due to exposure to physical and psycho-social factors in the work environment. The diagnostic criteria and prevalence of WMSDs are not well established. In this study, we aimed to determine which WMSDs occur in automotive industry workers and what the underlying risk factors may be.

Methods: A cross-sectional study was designed that included 200 automotive industry workers who were diagnosed with a WMSD by physical and radiological examination in the physical therapy and rehabilitation outpatient clinic in the past year. We recorded demographic data, risk factors and WMSD diagnosis names for the patients.

Results: In our study, the most common diagnosis was low back disorder (66.5%), followed by neck and shoulder (58%) and upper extremity (23%) disorders. There was a statistically significant increase in the occurrences of shoulder-neck diseases, upper extremity, and low back-lower extremity diseases in workers with inappropriate posture (P < 0.001). Workers who exerted heavy effort or performed repetitive motions were statistically more likely to experience upper extremity disorders (P < 0.001) as well as low back-lower extremity disorders (P = 0.020 and P < 0.001, respectively); there was no statistically significant change in the incidence of shoulder and neck diseases with heavy effort (P = 0.538).

Conclusion: WMSD is a serious health and economic problem. In our study, we found that low back and lower extremities and neck and shoulder problems are the most common types of WMSDs in individuals working in the automotive sector. Not using proper posture while working causes health problems in the shoulders, neck, upper extremities and low back and lower extremities. Employees in this sector should be encouraged to use good work ergonomics.


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Schuchmann JH. Occupational Rehabilitation, Braddom BL (Ed) Physical Medecine and Rehabilitation. 1996; 938-954, W.B. Saunders

Diez-Caballero BR, Alfonso-Beltrán J, Bautista IJ, Barrios C. Occupational risk factors for shoulder chronic tendinous pathology in the Spanish automotive manufacturing sector: a case-control study. BMC Musculoskelet Disord. 2020 Dec 7;21(1):818. DOI: https://doi.org/10.1186/s12891-020-03801-5

van Tulder M, Malmivaara A, Koes B.. Repetitive strain injury. Lancet. 2007 May 26;369(9575):1815-22. DOI: https://doi.org/10.1016/S0140-6736(07)60820-4

Yassi A. Work-related musculoskeletal disorders. Current Opinion in Rheumatology. 2000;12:124–30. DOI: https://doi.org/10.1097/00002281-200003000-00006

Schneider E, Irastorza X. OSH in Figures: Work-related Musculoskeletal Disorders in the EU — Facts and Figures. European Agency for Safety and Health at Work. 2010 Luxembourg: Publications Office of the European Union.

Aublet-Cuvelier A, Aptel M, Weber H. The dynamic course of musculoskeletal disorders in an assembly line factory. Int Arch Occup Environ Health. 2006;79(7):578-84. DOI: https://doi.org/10.1007/s00420-006-0092-9

Deros BM, Daruis DDI, Ismail AR, Sawal NA, Ghani JA. Work-Related Musculoskeletal Disorders among Workers' Performing Manual Material Handling Work in an Automotive Manufacturing Company. Am J Applied Sci. 2010;7(8):1087-92. doi: 10.3844/ajassp.2010.1087.1092 DOI: https://doi.org/10.3844/ajassp.2010.1087.1092

Buckle PW. Work factors and upper limb disorders. BMJ. 1997;315(7119):1360-3. DOI: https://doi.org/10.1136/bmj.315.7119.1360

Stock SR, Nicolakakis N, Vézina N, Vézina M, Gilbert L, Turcot A, et al. Are work organization interventions effective in preventing or reducing work-related musculoskeletal disorders? A systematic review of the literatüre. Scand J Work Environ Health. 2018 Mar 1;44(2):113-33.

Latko WA, Armstrong TJ, Franzblau A, Ulin SS, Werner RA, Albers JW. Cross-sectional study of the relationship between repetitive work and the prevalence of upper limb musculoskeletal disorders. Am J Ind Med. 1999;36:248–59. DOI: https://doi.org/10.1002/(SICI)1097-0274(199908)36:2<248::AID-AJIM4>3.0.CO;2-Q

Punnett L, Wegman DH. Work-related musculoskeletal disorders: the epidemiologic evidence and the debate. J Electromyogr Kinesiolog. 2004;Feb 14(1):13-23. DOI: https://doi.org/10.1016/j.jelekin.2003.09.015

Helliwell PS, Taylor WJ. Repetitive strain injury. Postgrad Med J. 2004;80:438–43. DOI: https://doi.org/10.1136/pgmj.2003.012591

Piligian G, Herbert R, Hearns M, Dropkin J, Landsbergis P, Cherniack M. Evaluation and management of chronic work-related musculoskeletal disorders of the distal upper extremity. Am J Ind Med. 2000 Jan;37(1):75-93. DOI: https://doi.org/10.1002/(SICI)1097-0274(200001)37:1<75::AID-AJIM7>3.0.CO;2-4

Waters T, Genaidy A, Deddens J, Barriera-Viruet H. Lower back disorders among forklift operators: An emerging occupational health problem? American Journal of Industrial Medicine. 2005;47(4):333–40. DOI: https://doi.org/10.1002/ajim.20146

Monaco MGL, Uccello R, Muoio M. Work-related upper limb disorders and risk assessment among automobile manufacturing workers: A retrospective cohort analysis. Work. 2019;64(4):755-61. DOI: https://doi.org/10.3233/WOR-193037

Hoe VCW, Urquhart DM, Kelsall HL, Zamri EN, Sim MR. Ergonomic interventions for preventing work-related musculoskeletal disorders of the upper limb and neck among Office workers. Cochrane Database of Systematic Reviews. 2018 Oct 23;10(10):CD008570. DOI: https://doi.org/10.1002/14651858.CD008570.pub3






Research Article

How to Cite

Sirzai H, Dundar EA. A cross-sectional study determining the prevalence of musculoskeletal diseases in automotive factory workers: Occupational musculoskeletal diseases. J Surg Med [Internet]. 2022 Oct. 26 [cited 2024 Apr. 13];6(10):868-72. Available from: https://jsurgmed.com/article/view/1050531