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Musculoskeletal disorders & ergonomic considerations in computer use among medical sciences students
Aram Tirgar, Zahra Aghalari, Fatemeh Salari,
Volume 1, Issue 3 (3-2014)
Abstract

Introduction: Musculoskeletal disorders (MSDs) are common consequences of poor working conditions associated with computer use. Regarding the lack of information about MSDs and the extensive use of computer among the university students in our country, this study aimed to explore the awareness level of ergonomic considerations in computer use and the prevalence of MSDs among university students.

Materials and Methods: This cross-sectional study was conducted on 450 students of three faculties of medicine, dentistry and paramedical of Babol University of Medical Sciences in 2012. The subjects were selected by simple sampling method. The data were gathered by the researcher-made questionnaire consisting of 6 open and 10 closed questions. Data processing was performed by using descriptive statistics and chi-square test.  

 Results: The mean (SD) age of students was 21.7 (2.5) years, 64% were females and 67% were undergraduate students. Ninety percent of the students had personal computer and 48% had spent 1 hour or more on their computer daily. It has been reported that approximately 55% of students had suffered from MSDs and less than 10% of them had been familiar with ergonomic considerations in computer use. Chi-square test indicated a significant difference in the incidence of MSDs in terms of the duration of working with computer (p<0.05).

 Conclusion: The complaints of MSDs in about half of the students and the lack of awareness of ergonomic considerations in most of them suggest the possibility of increasing future problems. Therefore, regarding the inclination of most students in receiving information and their influential role in the dissemination of knowledge, performing interventional programs including education in computer ergonomic principles is recommended.   Normal 0 false false false EN-US X-NONE AR-SA
Assessing the appropriateness of educational furniture with body size of students in Yazd
Mohammad Ghofrani, Habib Noori, Ahmad Roshan Bakhsh Yazdi,
Volume 2, Issue 3 (12-2014)
Abstract
 

Introduction: Due to the deleterious effects of mismatch between body dimensions of students and educational furniture, this study aimed to assess the size of students’ body in Yazd.

Material and Methods: The study population included all high school students in Yazd city. Popliteal height, buttock-popliteal length, elbow rest height, hips width, thighs thickness and scapular elevation were measured in 307 students. Besides, in furniture used in the schools studied, two chairs and two benches that had a greater frequency of analysis were chosen.

Results: The results of the statistical comparisons showed that type 1 furniture, seat width was acceptable for 96.74% and thigh freedom was 100% fit. The type 2 furniture depth for most students was appropriate, and seat width was acceptable for 96.42% of students. Thigh freedom was fit for 100% with a good rating. In type 3 furniture, there was not any parameter with good fit and in type 4 furniture, wide seat width and thigh freedom was desirable.

Conclusions: In general, the furniture conformity with students’ anthropometry was not desirable.


Anthropometric Evaluation of Primary School Students in the Mazandaran Province for the Design of School Furniture
Mohammad Amin Mououdi, Seyed Noroddin Mousavinasab, Seyed Mohammad Reza Gramian, Jafar Akbari,
Volume 4, Issue 1 (6-2016)
Abstract

Introduction: Introduction: Inappropriate sizes of school furniture and the deformation of children’s bodies is one of the issues of concern in the world. The aim of this study was the evaluation of anthropometry of primary students aged 6-12 years in Mazandaran, Iran and the design of school furniture based on the anthropometric criteria of the students.

Methods: In this cross-sectional study, 18 anthropometric dimensions of 2336 boys and girls aged 6-12 years in 2014-2015 were measured. To collect data, anthropometric chair, camera and camera stand, and Anthropometric photo graphical software were used. After determining the anthropometric dimensions, ergonomic school furniture was designed.

Results: Average, minimum, maximum, standard deviation, median and percentile value of 2.5 to 97.5 of the anthropometric dimensions of students were calculated. The results showed that gender had no effect on the popliteal height in the age groups of 6 to 7 and 7 to 8, but age had effects on popliteal height (P < 0.001). In the age groups of 8 to 9 and 9 to 10 years and also the age groups of 10 to 11 and 11 to 12 years both gender and age had effects on popliteal height (P < 0.001).

Conclusions: The results showed that by eliminating the effects of gender, 16.2 mm popliteal height increased per year. It was also found that after eliminating the effects of age, popliteal height increased 20.39 mm more in girls than in boys. Until the age of puberty, the anthropometric dimensions in girls increased more than in boys. The dimensions of ergonomics tables and chairs for students were designed in three sizes.


Evaluation of the Effectiveness of Ergonomics Training Course Among Medical Students Using Quasi-OSCE Method
Aram Tirgar, Zahra Aghalari, Fatemeh Salari,
Volume 4, Issue 3 (12-2016)
Abstract

Introduction: Musculoskeletal disorders (MSDs) are inevitable consequences of ergonomic principles neglect. The increasing use of computer by students may result in these disorders. Therefore, the present study was conducted to determine the prevalence of MSDs and evaluate the effectiveness of ergonomics training intervention among university students.

Methods: This interventional and cross-sectional study was performed on a group of medical and paramedical students. Samples were chosen by simple sampling method. In the first stage, data were gathered by means of a self-made measurement and Nordic Musculoskeletal Questionnaire (NMQ). Furthermore, an educational booklet regarding the principles of ergonomics in computer use (educational intervention) was offered to the subjects. In the second stage of the study, the effectiveness of intervention was evaluated using a written exam and a quasi-objective structured clinical examination (quasi-OSCE) test. Data were analyzed by SPSS 15, as well as descriptive and analytical statistical indexes.

Results: From 205 students participated in the first round of the study, the results showed that 62.44% of them (128 persons) reported at least one complain or limitation in their musculoskeletal systems during the past year. Less than 10% of the participants were aware about the considerations of ergonomics principals during computer use. After submission of the educational materials, their awareness about the ergonomics considerations in computer use significantly improved(P<0.001) and more than 95% of them had good or medium performance after the intervention.

Conclusions: The training program was effective on the awareness of ergonomics principles in computer use. However, prevention of musculoskeletal disorders requires complementary measures such as elimination of risk factors and administrative controls.


Assessment of local discomfort in common pencils and ergonomic pencil designed with local discomfort scale in elementary school students
Dr Rashid Heidarimoghadam, Dr Mohammad Babamiri, Dr Majid Motamedzade, Nasrin Nouri,
Volume 5, Issue 3 (11-2017)
Abstract
Background: The design of tools may play an important role in development of the problems related to hands and arms. The health and satisfaction of those who use these tools can be affected by the improvement of ergonomic tools. This research aims to assess the local discomfort caused by the usage of common pencils comparing to the ergonomic ones.
Methods: 50 right-handed students (girls only) participated in this study. They wrote one paragraph using all the writing tools that were being studied in this research. At the end the comments were collected using the LPD questionnaire and were analyzed by t-test and Mann-Whitney test and SPSS version 23.
Results: The results of the CHQ questionnaire showed that this questionnaire could be a useful tool for assessing the comfort of using writing tools among students in the school environment. Also, the results from the LPD scale showed that this scale could be very helpful for assessing local perceived discomfort among school students. In the second part, the results of the comparison of the mean of data from the CHQ questionnaire and the LPD scale showed that there is a significant difference between the common pencils and the designed pencil for comfort and local perceived discomfort.
Conclusion: It was found that common pencils cause pain, pressure, inflammation and numbness in the hands and forearm and shoulder. And the use of designed ergonomic pencil will reduce the pressure and pain on the hands and shoulders.

The Relationship between Sitting Posture and Musculoskeletal Pain in Boy Elementary School Students
Saeed Ilbeigi, Aboozar Kabootari, Mohamadesmaiel Afzalpour, Hossein Farzaneh,
Volume 5, Issue 3 (11-2017)
Abstract
Background: Undesirable sit-up and deviation from desirable status is one of the factors affecting the health of students in the classroom. The purpose of this study was to evaluate the relationship between posture and musculoskeletal pain in boys 9 to 13 years old.
Methods: In this correlation study, the population consisted of all boy students in the primary city of Birjand. 60 students were selected as a sample group based on random-cluster method. Two video cameras were recorded 30 minutes of sitting position for every student. The anthropometric characteristics of subjects including height, weight, etc., were measured with a standard tool. The back and neck pain were collected using a modified Nordic questionnaire. Moreover, the kinovea software was used to analyze the flexion and rotation angle during sitting. The statistical calculations were applied by Kolmogorov-Smirnov normality test. The ETA correlation coefficient also was used to identify the relationship between variables. All statistical calculations performed using SPSS version 21.
Results: The result indicated significant relationship between bending and rotation angles with both neck and back pain (P≤0.05). Therefore it would be noticed that improper sitting can be accounted as a cause of muscle-skeletal pain in boy students based on bad postures during sitting.
Conclusion: According to the results, the posture of students while sitting in class is inadequate and harmful. Thus performing some intervention and education for students is recommended.

The Trend of Anthropometric Dimensions Changes in Elementary PSchool Cof Mazandaran Province Between 1992 and 2014
Mohammad Amin Mououdi, Seyed Noroddin Mousavinasab,
Volume 5, Issue 4 (3-2018)
Abstract
Background: Problems and complications caused by inappropriate tables and chairs dimensions in changing the shape of children's body are important issues nowadays. The aim of this study was to evaluate anthropometric dimensions of the changes in elementary school students of Mazandaran province between 1992 and 2014.
Methods: in two cross-sectional studies carried out between 1992 and 2014, anthropometric information of elementary school students were collected in the range of 6 to 11 years old. In 1992, 1758 students out of a population of 254204 and in 2014 2336 students out of a population of 208820 were selected using stratified random sampling method. In 1992, mechanical anthropometric was used for measuring while in 2014, an anthropometric chair photographic camera and anthropometric photogrammetric software (made by the researcher) were applied to measure. In this study, we measured the parameters of weight, amount of height, seat height, sitting height, shoulder width, hip width, thigh thickness, sitting length of the buttocks, hip length in sitting leg knee position. Data were analyzed using SPSS software package version 20.
Results: Comparison of the two study revealed that the average (SD) of the boy's weight increased from 25.82 kg (9.5) to 32.17 (11.03) (6.35 kg increase) and girls ‘weight accelerated 25.19 kg (6.5) to 33.10 (12.50) (7.91 kg increase). The boys' height was increased from 127.26 cm (9.6) to 134.80 (10.84) (54.7 cm increase) and a raise was observed form 126.5 cm (10.1) to 133.30 (11.18) (6.8 cm) among girls’ height and there were changes in other anthropometric factors as well.
Conclusion: The results show that students have significant anthropometric changes during a 22 years’ period, and it is needed to carefully design and construct children's devices especially the school chair and table.
 

The Relationship Between Upper Body Posture with Physical Activity, Psychological Properties and Electronic Entertainment Using Measures in Female Primary Students in Tehran
Saideh Meshgin, Rahman Sheikhhoseini, Ramin Balouchi,
Volume 6, Issue 2 (9-2018)
Abstract
Introduction: People with different ages especially children and teenagers spend most of their free time using electronic entertainments The purpose of this research was studying the relationship between “upper body posture” and physical activity, mental aspects and the use of electronic entertainments.
Materials & Methods: In this cross-sectional study, 160 female students aged 7-12 years old, from 17th district of Tehran were chosen. Tools for collecting information was short-form physical activity measure questionnaire (IPAQ), personal information questionnaire consisting of questions about the amount of time using electronic entertainments, Revised Children’s Manifest Anxiety Scale (RCMAS) and children’s depression inventory (CDI) by Maria Kovacs. Photogrammetric method was applied for measuring forward head and rounded shoulder angle, and a flexible ruler for measuring kyphosis angle. A linear regression test with a %95 level of certainty was used for analysing collected information (P <0.05).
Results: There is a meaningful relationship between depression and anxiety with students’ forward head angle, and depression and electronic entertainments with kyphosis angle (P<0.05). But no meaningful relationship was observed between rounded shoulder angle and mental aspects and physical activity.
Conclusion: A close relationship between psychological factors and upper body posture in female primary school students from Tehran was observed and this issue should be considered while designing preventive and corrective programs.
 

The Relationship Between the School Furniture Dimensions and Trunk Alignment with Musculoskeletal Disorders in Boy Students in Karaj
Elnaz Rajabi Shameli, Rahman Sheikhhoseini, Shakiba Asadi Melerdi,
Volume 7, Issue 3 (11-2019)
Abstract

Background and Objectives: Musculoskeletal disorders are common in students and several causes may be considered for them. The aim of this study was to investigate the relationship between school furniture dimensions and trunk posture with musculoskeletal disorders in students of the sixth grade of elementary school in Karaj.
Methods: In this cross-sectional study, 346 boy students in sixth grade of elementary school in Karaj were selected. A flexible ruler was used to measure thoracic kyphosis and lumbar lordosis angles. A 50-centimeter metal ruler was used to record ergonomic and anthropometric data of the students. Spearman’s correlation test was run to analyze the collected data at the significant level of 0.05.
Results: The results showed that only 18%, 12% and 50% of desk height, seat depth and seat height measures were at normal ergonomic conditions, respectively. A negative significant correlation was observed between seat depth and total Nordic score (P<0.05).
Conclusion: It seems that school furniture dimensions in sixth grade boy students of elementary school in Karaj were not in acceptable condition. So, we suggest that ergonomics standardization of school furniture should be considered to prevent its possible consequences.


Designing Ergonomic Furniture Based on Students Anthropometry Attributes; College of Agriculture and Natural Resources, University of Tehran
Hossein Manouchehri, Payam Moradpour, Mohammad Amin Mououdi, Ebrahim Aga-Rafiei,
Volume 8, Issue 3 (10-2020)
Abstract
Background and Aim: A well-designed desk and chair, in addition to proper learning, can prevent changes in the user's physical form. Therefore, this study aimed to determine the anthropometric characteristics of students in the College of Agriculture and Natural Resources located at the University of Tehran to design an ergonomic table and chair.
Methods: In this research, 18 anthropometric characteristics including the popliteal height, knee height, shoulder height, eye height, sitting height, elbow support height, elbow height, knotted elbow length, hip-popliteal length, hip-knee length, thigh thickness, abdominal depth, chest depth, hip width, shoulder width, the transverse width of the elbows, height, and as well as weight for 260 students (130 girls and 130 boys) aged 18 to 35 years were investigated. To collect data, an anthropometric chamber and chair were used. Finally, according to the measured physical dimensions of the students, the Dimensions of ergonomic table and chair were calculated and designed according to the INSO 9697-1 standard.
Results: Anthropometric dimensions of students were obtained through mean, minimum, maximum, standard deviation, mean, and the percentile value of 2.5 to 97.5 using SPSS version 20 software. The results showed that the age of the user does not have a significant effect on the size of the table and the chair. Also, the results showed that there was a significant difference in popliteal height between girls and boys.
Conclusions: Considering the difference in dimensions between female and male students, it was found that the popliteal height in the percentile of 5 for boys is 4 cm more than girls. Therefore, using measured anthropometric characteristics, the dimensions of the chair and table ergonomics were designed in two sizes.

Comparison of the Risk of Musculoskeletal Disorders among Normal and Students with Hearing Abnormalities in Ilam City
Iraj Alimohammadi, Shahram Vosoughi, Jamileh Abolghasemi, Athena Rafieepour, Seyed Hosein Tabatabaei, Batool Delshadi,
Volume 10, Issue 2 (9-2022)
Abstract
Objectives: Inappropriate sitting posture on bench can contribute to pain and musculoskeletal disorders in students. Hearing and vision disabilities may be the cause of inappropriate sitting postures among students. Therefore, the aim of the present study was to compare the risk of musculoskeletal disorders in normal and students with hearing abnormalities in Ilam city.
Methods: Twenty students with hearing abnormalities (case) and 40 students with normal hearing (control) from primary schools in Ilam city of both genders were randomly included in the study. The worst recorded sitting posture of students on the bench was evaluated by the RULA method. Digimizer software was used to survey the body angles of the students while sitting on the bench. The used for analyzing the obtained data in 95% confidence interval.
Results: The results of posture evaluation showed that there was a significant difference in rula scores between case and control groups (P = 0.001). Deviation from the natural angles of the body in the case groups was more than the control group (P < 0.001), which has a direct and significant relationship with the increased risk of musculoskeletal disorders.
Conclusion: Musculoskeletal disorders possibility incidence were more common in students with hearing abnormalities compared to typical students which was due to an increase in deviation from the natural angles of the body and inappropriate postures. Given the limitation of the sample size, the present study recommends further research with the same goal and encourages interventional studies to correct the posture of hard of hearing students.

Improving the Literacy of Musculoskeletal Health in Students: Brief Policy
Hossein Saremi, Saideh Sadat Mortazavi, Sima Naderifar, Homa Naderifar, Amir Shamlou-Kazemi, Salman Khazaei,
Volume 10, Issue 4 (3-2023)
Abstract
Abstract: Musculoskeletal disorders are one of the three major disabling diseases in the world. However, the burden of disease in Iran is not yet well-known. Due to the high prevalence of musculoskeletal disorders in students, prevention and control policies should focus on students and health interventions should be carried out based on risk factors. Musculoskeletal problems impose significant economic costs on health and indirectly affect the productivity of people. Therefore, it is essential to provide new approaches aimed at maintaining and improving musculoskeletal health and preventing and managing diseases.

Effect of The Prevalence of COVID-19 on Mental Health and Musculoskeletal Disorders Students of Meybod University
Abbasali Jafari Nodoushan, Amirabbas Abouei Mehrizi, Fateme Sadat Mosavi Nodoushan,
Volume 10, Issue 4 (3-2023)
Abstract
Objectives: COVID-19 virus pandemic and quarantine implementation have different effects on students' psychological aspects and musculoskeletal disorders. This study aims to evaluate the impact of the COVID-19 virus on musculoskeletal disorders and the mental health of Meybod University students.
Methods: For this purpose, a random sample of 350 students of Meybod University was selected in 2021. Data were collected based on three questionnaires Nordic Musculoskeletal Disorders, Mental Health, and Corona Disease Anxiety Scale. The Logistic regression and Chi-square test.
Results: The results showed that the anxiety caused by the outbreak of the COVID-19 virus has a significant effect on students' mental health. The COVID-19 pandemic has also caused musculoskeletal disorders in most parts of the student body. The grade, exercise, daily sports, and the number of people infected with the virus are the variables that significantly affect organ disorders and the mental health of students in this condition.
Conclusion: Due to the importance of students' physical and mental health, it is necessary to plan students' classrooms properly. Also, with virus outbreaks and the need to comply with restrictions, planning for sports and simple stretching exercises can reduce disorders and increase students' vitality.

Prevalence and Risk Factors of Musculoskeletal Injuries among Iranian Music Students and Musicians: A Review Study
Zahra Akbari-Chehrehbargh, Niloofar Navaei, Hamidreza Navaei,
Volume 11, Issue 1 (5-2023)
Abstract
Objectives: Scientific evidence shows that artistic activities, such as playing music, can put individuals at risk for specific musculoskeletal injuries. This study aimed to determine the prevalence and location of musculoskeletal injuries among Iranian music students and musicians, as well as to identify the related risk factors for their occurrence.
Methods: To find published studies without time limitations, a detailed search was conducted in databases including Pubmed, Scopus, Google Scholar, the Scientific Information Database (SID), and Magiran using appropriate keywords. In this investigation, we only reviewed cross-sectional studies that were available to explore the prevalence of musculoskeletal disorders and their related risk factors among eligible music students and musicians from Iran. Review articles with less than five participants and articles written in languages other than English and Persian were excluded from the study.
Results: Out of 19 studies found, after removing duplicates and similar studies, 7 cross-sectional descriptive-analytical studies with a sample size of 1,444 eligible participants were reviewed. The prevalence of injuries ranged from 53% to 65%. The most common area of pain was the neck and shoulders, which were present in all types of instruments. Being female was a predisposing factor for musculoskeletal problems in musicians.
Conclusion: Iranian music students and musicians often suffer from musculoskeletal injuries. The most common areas of the body where these injuries occur are the neck and shoulders. There are multiple risk factors, such as age, improper posture, and duration of training, for musculoskeletal injuries in this population.

Examining the Prevalence of Musculoskeletal Problems Related to Mobile Phone Usage and Providing Corrective Solutions to Dental Students of Jundishapur University of Medical Sciences, Ahvaz
Behzad Fouladi Dehaghi, Abbas Mohammadi, Marzieh Sadeghian, Maryam Tayebi, Azarnoosh Aryankia, Saeed Ghanbari,
Volume 12, Issue 1 (4-2024)
Abstract
Objectives: The present study aimed to assess the prevalence of musculoskeletal problems related to mobile phone usage and provide corrective solutions for dental students of Jundishapur University of Medical Sciences, Ahvaz.
Methods: The current study was conducted based on an analytical cross-sectional design. In order to collect relevant data, such as the presence of pain in the upper limbs, back, and neck, questionnaires and instrumental methods were used. Students were examined in two groups: the first group included 150 dental students up to the 4th semester, and the second group encompassed 150 dental students from the 5th semester onwards (3rd, 8th, 5th, and 6th year). Data collection instruments were demographic characteristic form, nomophobia questionnaire (NMP-Q), neck disability index (NDI), and Cornell hand discomfort questionnaire (CHDQ).
Results: According to the results of the present study, the prevalence of nomophobia among dental students of Jundishapur University of Medical Sciences in Ahvaz was at an average level. The mean  NDI score was 16.20, and the mean pain score among the students was 1.72. Moreover, 46.5% of students had pain in the hand area, and the highest amount of pain was reported in the F area. The mean score of Cornell's musculoskeletal disorders was reported as 2.72.
Conclusion: Examining the relationship between the pain area and the year of entry to the university demonstrated a significant relationship between the year of entry to the university and the pain area. In this regard, the incoming students 2021-22 had the greatest amount of pain. According to the results of the corrective intervention on skeletal disorders in the wrist and neck region, the mean scores of the variables increased significantly after the intervention and corrective measures.

Evaluation of Musculoskeletal Complaints among Medical Students: An Outcome Related to the Expansion of Virtual Education during the COVID-19 Pandemic
Mounes Khani, Aram Tirgar, Samaneh Pourhadi, Zahra Geraili,
Volume 12, Issue 2 (7-2024)
Abstract
Objectives: Considering that working with virtual education equipment increased significantly during the COVID-19 era, the purpose of this research was to investigate the association of complaints of musculoskeletal disorders with the use of electronic equipment during virtual education.
Methods: This cross-sectional study was carried out on a group of students in the first four years at Babol University of Medical Sciences, whose courses were mostly presented virtually. Data collection tools included a demographic information form and the standard Nordic questionnaire. Data were analyzed in SPSS22 software using descriptive and inferential statistical indicators, including the Chi-square statistical test. The significance level was considered at 0.05.
Results: The data obtained from 318 medical sciences students showed that 83.6% of them complained of pain in the musculoskeletal system during the past year. More than 21% of the participants had to take medicine, 19.9% needed to visit a doctor, and 4.1% had to use physiotherapy services. The results also showed there was a direct and statistically significant correlation between the frequency of complaints regarding musculoskeletal pain and discomfort in the past week and year and the level of use of virtual teaching devices (P≤0.001).
Conclusion: The expansion of virtual education in universities and the prolonged and continuous use of electronic educational equipment can be effective in increasing the frequency of complaints of musculoskeletal disorders among medical sciences students. Moreover, the lack of regular physical activity, smoking, high levels of stress, insomnia, and fatigue among medical students were also known as other effective factors.

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