Abstract

Objectives

This study was conducted to determine the prevalence of musculoskeletal symptoms and associated risk factors among Iranian handicraft workers engaged in different hand sewing tasks.

Methods

Data were collected using questionnaires (including the Nordic Musculoskeletal Questionnaire) as well as direct observations of posture (using the Rapid Upper Limb Assessment [RULA] method) from 632 workers including carpet handicraft workers (n=222), textiles handicraft workers (n=209), and leather handicraft workers (n= 201) in Tabriz, Iran.

Results

The response rate was 88.8%. The overall prevalence of musculoskeletal complaints, particularly in the neck (57.9%), lower back (51.6%), and shoulders (40.5%) was relatively high. The prevalence of neck and shoulder pain was higher among females and with increasing age. Working posture and fast working were associated with neck, shoulder, and lower back pain. Years worked as a sewing worker was associated with neck and lower back pain. Long duration of continuous sitting work (>2 h) without a break was associated with neck pain. Body mass index, marital status, sport/physical activity, smoking, daily working hours, job satisfaction, and perceived pressure due to work had no effect.

Conclusions

The findings indicate a high prevalence of musculoskeletal pain among the studied handicraft workers and emphasize the importance of individual, physical, and psychosocial aspects of hand sewing tasks in this regard.

References

1

Andersen
 
JH
,
Kaergaard
 
A
,
Frost
 
P
 et al.  
Physical, psychosocial, and individual risk factors for neck/shoulder pain with pressure tenderness in the muscles among workers performing monotonous, repetitive work
.
Spine
 
2002
;
27
:
660
667
.

2

Picavet
 
HSJ
,
Schouten
 
JSAG
.
Musculoskeletal pain in the Netherlands: prevalences, consequences and risk groups, the DMC 3-study
.
Pain
 
2003
;
102
:
167
178
.

3

McBeth
 
J
,
Jones
 
K
.
Epidemiology of chronic musculoskeletal pain
.
Best Pract Res Clin Rheumatol
 
2007
;
21
:
403
425
.

4

Dianat
 
I
,
Salimi
 
A
.
Working conditions of Iranian hand-sewn shoe workers and associations with musculoskeletal symptoms
.
Ergonomics
 
2014
;
57
:
602
611
.

5

Ariëns
 
GA
,
Van Mechelen
 
W
,
Bongers
 
PM
,
Bouter
 
LM
,
Van Der Wal
 
G
.
Physical risk factors for neck pain
.
Scand J Work Environ Health
 
2000
;
26
:
7
19
.

6

van der Windt
 
DA
,
Thomas
 
E
,
Pope
 
DP
 et al.  
Occupational risk factors for shoulder pain: a systematic review
.
Occup Environ Med
 
2000
;
57
:
433
442
.

7

Linton
 
SJ
.
Occupational psychological factors increase the risk for back pain: a systematic review
.
J Occup Rehab
 
2001
;
11
:
53
66
.

8

Côté
 
P
,
van der Velde
 
G
,
David Cassidy
 
J
 et al.  
The burden and determinants of neck pain in workers
.
Eur Spine J
 
2008
;
17
:
60
74
.

9

Dianat
 
I
,
Kord
 
M
,
Yahyazade
 
P
,
Karimi
 
MA
,
Stedmon
 
AW
.
Association of individual and work-related risk factors with musculoskeletal symptoms among Iranian sewing machine operators
.
Appl Ergon
 
2015
;
51
:
180
188
.

10

Nazari
 
J
,
Mahmoudi
 
N
,
Dianat
 
I
,
Graveling
 
R
.
Working conditions in carpet weaving workshops and musculoskeletal complaints among workers in Tabriz-Iran
.
Health Promot Perspect
 
2012
;
2
:
265
273
.

11

Kaergaard
 
A
,
Andersen
 
JH
.
Musculoskeletal disorders of the neck and shoulders in female sewing machine operators: prevalence, incidence, and prognosis
.
Occup Environ Med
 
2000
;
57
:
528
534
.

12

Öztürk
 
N
,
Esin
 
MN
.
Investigation of musculoskeletal symptoms and ergonomic risk factors among female sewing machine operators in Turkey
.
Int J Ind Ergon
 
2011
;
41
:
585
591
.

13

Wang
 
P
,
Rampel
 
D
,
Harrison
 
R
,
Chan
 
J
,
Ritz
 
B
.
Work-organizational and personal factors associated with upper body musculoskeletal disorders among sewing machine operators
.
Occup Environ Med
 
2007
;
64
:
806
813
.

14

Van
 
L
,
Chaiear
 
N
,
Sumananont
 
C
,
Kannarath
 
C
.
Prevalence of musculoskeletal symptoms among garment workers in Kandal province, Cambodia
.
J Occup Health
 
2016
;
58
:
108
117
.

15

Roquelaure
 
Y
,
Mariel
 
J
,
Fanello
 
S
 et al.  
Active epidemiological surveillance of musculoskeletal disorders in a shoe factory
.
Occup Environ Med
 
2002
;
59
:
452
458
.

16

Motamedzade
 
M
,
Moghimbeigi
 
A
.
Musculoskeletal disorders among female carpet weavers in Iran
.
Ergonomics
 
2012
;
55
:
229
236
.

17

Salganik
 
MJ
.
Variance estimation, design effects, and sample size calculations for respondent-driven sampling
.
J Urban Health
 
2006
;
83
:
98
112
.

18

McAtamney
 
L
,
Corlett
 
EN
.
RULA: a survey method for the investigation of work-related upper limb disorders
.
Appl Ergon
 
1993
;
24
:
91
99
.

19

Kuorinka
 
I
,
Jonsson
 
B
,
Kilbom
 
A
 et al.  
Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms
.
Appl Ergon
 
1987
;
18
:
233
237
.

20

Dianat
 
I
,
Javadivala
 
Z
,
Asghari-Jafarabadi
 
M
,
Asl Hashemi
 
A
,
Haslegrave
 
CM
.
The use of schoolbags and musculoskeletal symptoms among primary school children: are the recommended weight limits adequate?
 
Ergonomics
 
2013
;
56
:
79
89
.

21

Dianat
 
I
,
Sorkhi
 
N
,
Pourhossein
 
I
,
Alipour
 
A
,
Asghari-Jafarabadi
 
M
.
Neck, shoulder and low back pain in secondary schoolchildren in relation to schoolbag carriage: Should the recommended weight limits be gender-specific?
 
Appl Ergon
 
2014
;
45
:
437
442
.

22

Dianat
 
I
,
Karimi
 
MA
.
Association of parental awareness of using schoolbags with musculoskeletal symptoms and carrying habits of schoolchildren
.
J School Nurs
 
2014
;
30
:
440
447
.

23

Stedmon
 
AW
,
Howells
 
H
,
Wilson
 
JR
,
Dianat
 
I
.
Ergonomics/ human factors needs of an aging workforce in the manufacturing sector
.
Health Promot Perspect
 
2012
;
2
:
112
125
.

24

Teodoroski
 
R
,
Koppe
 
VM
,
Merino
 
E
.
Old scissors to industrial automation: the impact of technologic evolution on worker’s health
.
Work
 
2012
;
41
:
2349
2354
.

25

Johnston
 
V
,
Souvlis
 
T
,
Jimmieson
 
NL
,
Jull
 
G
.
Associations between individual and workplace risk factors for self-reported neck pain and disability among female office workers
.
Appl Ergon
 
2008
;
39
:
171
182
.

26

McLean
 
L
,
Tingley
 
M
,
Scott
 
RN
,
Rickards
 
J
.
Computer terminal work and the benefit of microbreaks
.
Appl Ergon
 
2001
;
32
:
225
237
.

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