Occupational Exposure and Risk Factors for Musculoskeletal Symptoms Among Workers: A Literature Review

Authors

  • Ni Luh Dwi Indrayani Department of Nursing, Faculty of Health, Institute of Technology and Health Bali, Denpasar, Bali, Indonesia https://orcid.org/0000-0001-7330-2489
  • Israfil Israfil Department of Nursing, Faculty of Health, Institute of Technology and Health Bali, Denpasar, Bali, Indonesia
  • I Gede Putu Darma Suyasa Department of Nursing, Faculty of Health, Institute of Technology and Health Bali, Denpasar, Bali, Indonesia
  • Apiradee Pimsen Department of Nursing, College of Medicine, Mahidol University, Salaya, Nakhon Pathom, Thailand

DOI:

https://doi.org/10.53770/medica.v8i3.846

Keywords:

Body Part, Musculoskeletal, Occupational Exposure, Risk Factors

Abstract

Early musculoskeletal (MSK) symptoms across occupations often present as strain or fatigue, which may progress into long-term disorders and contribute to global burden disease. This reviewed literature examined occupational exposures and their association with musculoskeletal (MSK) symptoms related to work using MeSH term and Emtree in structuring a framework of population, context, and concept. The population (P) included workers, the concept (C) focused on prevalence and exposure, and the context (C) addressed musculoskeletal pain, discomfort, or symptoms. Eligible studies reporting self-reported prevalence or occupational risk factors were systematically extracted and summarized. Findings among 9 articles indicated majority prevalence of MSK symptoms higher than 60% measured mostly by Nordic Musculoskeletal Questionnaire (NMQ). The highest body part major in low back and upper limbs including wrists for pink-collar, while in blue-collar workers fairly distributed in upper and lower limbs. The physical exposure mainly due to injury body weight, meanwhile psychosocial occupational exposures such as mental stress, job tenure contribute significantly to musculoskeletal symptoms (p<0.001) rather than physical exposure, with prevalence and distribution varying across body regions and occupational groups. These results emphasize the need for baseline data to guide future research based on job demands and inform targeted preventive strategies and workplace interventions.

References

Alabdali, A. A., Al-Noumani, H., Al Harrasi, T. K., Al Daghaishi, A. A., Al Rasbi, M. A., khalaf Alaamri, H., ... & AlAzri, Z. (2024). Low back pain knowledge and associated disability among nursing staff in Oman. International Journal of Orthopaedic and Trauma Nursing, 53, 101085. https://doi.org/10.1016/j.ijotn.2024.101085

Albanesi, B., Piredda, M., Bravi, M., Bressi, F., Gualandi, R., Marchetti, A., Facchinetti, G., Ianni, A., Cordella, F., Zollo, L., & De Marinis, M. G. (2022). Interventions to prevent and reduce work-related musculoskeletal injuries and pain among healthcare professionals. A comprehensive systematic review of the literature. J Safety Res, 82, 124-143. https://doi.org/10.1016/j.jsr.2022.05.004

Alelyani, M., Gameraddin, M., Khushayl, A. M. A., Altowaijri, A. M., Qashqari, M. I., Alzahrani, F. A. A., & Gareeballah, A. (2023). Work-related musculoskeletal symptoms among Saudi radiologists: a cross-sectional multi-centre study. BMC Musculoskelet Disord, 24(1), 468. https://doi.org/10.1186/s12891-023-06596-3

Chandrasekara, U. H. S., Warnakulasuriya, S. S. P., & Kisokanth, G. (2020). Prevalence of musculoskeletal pain and environmental health hazards among tea pluckers of Maddekanda tea estate in Balangoda Pradeshiya Saba Division, Sri Lanka. Journal of public health research, 9(4), 1796. https://doi.org/10.4081/jphr.2020.1796

Chen, Y. L., Alexander, H., & Hu, Y. M. (2022). Self-Reported Musculoskeletal Disorder Symptoms among Bus Drivers in the Taipei Metropolitan Area. International journal of environmental research and public health, 19(17), 10596. https://doi.org/10.3390/ijerph191710596

Cieza, A., Causey, K., Kamenov, K., Hanson, S. W., Chatterji, S., & Vos, T. (2021). Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet (London, England), 396(10267), 2006–2017. https://doi.org/10.1016/S0140-6736(20)32340-0

Deng, H., He, D., & Li, F. (2021). Factors Influencing Job Burnout and Musculoskeletal Disorders among Coal Miners in the Xinjiang Uygur Autonomous Region. Pain Res Manag, 2021, 6629807. https://doi.org/10.1155/2021/6629807

Dianat, I., Afshari, D., Sarmasti, N., Sangdeh, M. S., & Azaddel, R. (2020). Work posture, working conditions and musculoskeletal outcomes in agricultural workers. International Journal of Industrial Ergonomics, 77, 102941. https://doi.org/10.1016/j.ergon.2020.102941

Dong, H., Zhang, Q., Liu, G., Shao, T., & Xu, Y. (2019). Prevalence and associated factors of musculoskeletal disorders among Chinese healthcare professionals working in tertiary hospitals: a cross-sectional study. BMC musculoskeletal disorders, 20(1), 175. https:///doi.org/10.1186/s12891-019-2557-5

Gikaro, J. M., Goi, G. C., Taamala, F. H., Hamadi, H. H., Welema, J. C., Minduva, Z. M., & Swai, E. A. (2025). Prevalence and factors associated with musculoskeletal disorders among primary and secondary school teachers. Front Public Health, 13, 1654131. https://doi.org/10.3389/fpubh.2025.1654131

Indrayani, N. L. D., Kao, C. Y., Suyasa, I., Padmalatha, K. M. S., Chang, J. H., & Wang, C. J. (2024). Effectiveness of exercise programs to reduce low back pain among nurses and nursing assistants: A systematic review and meta-analysis. J Safety Res, 89, 312-321. https://doi.org/10.1016/j.jsr.2024.01.001

Jacquier-Bret, J., & Gorce, P. (2023). Prevalence of body area work-related musculoskeletal disorders among healthcare professionals: a systematic review. International journal of environmental research and public health, 20(1), 841. https://doi.org/10.3390/ijerph20010841

Kabore, P. A., & Schepens, B. (2023). Work-related musculoskeletal disorders and risk factors among weavers: A cross-sectional study. S Afr J Physiother, 79(1), 1904. https://doi.org/10.4102/sajp.v79i1.1904

Mai, H. B., & Kim, J. (2022). The role of job resources in the relationship between job demands and work-related musculoskeletal disorders among hospital nurses in Thua Thien Hue Province, Vietnam. International Journal of Environmental Research and Public Health, 19(8), 4774. https://doi.org/10.3390/ijerph19084774

Rickert, C., Fels, U., Gosheger, G., Kalisch, T., Liem, D., Klingebiel, S., Schneider, K. N., & Schorn, D. (2021). Prevalence of Musculoskeletal Diseases of the Upper Extremity Among Dental Professionals in Germany. Risk Manag Healthc Policy, 14, 3755-3766. https://doi.org/10.2147/RMHP.S316795

Sahu, A., Pandit, S., & Kamble, R. (2023). Identification of work‐related injuries among Dhokra handicraft artisans influencing sustainable growth of bell metal handicraft industry: An unorganized sector of Chhattisgarh, India. Human Factors and Ergonomics in Manufacturing & Service Industries, 34(1), 40-52. https://doi.org/10.1002/hfm.21011

Sun, W., Zhang, H., Tang, L., He, Y., & Tian, S. (2021). The factors of non-specific chronic low back pain in nurses: A meta-analysis. J Back Musculoskelet Rehabil, 34(3), 343-353. https://doi.org/10.3233/BMR-200161

Tesfaye, A. H., Mekonnen, T. H., Alemayehu, M., & Abere, G. (2022). Prevalence and Risk Factors of Work-Related Upper Extremity Disorders among University Teaching Staff in Ethiopia, 2021: An Institution-Based Cross-Sectional Study. Pain Res Manag, 2022, 7744879. https://doi.org/10.1155/2022/7744879

Villarreal, R. T., Kim, S. Y., & Yu, D. (2024). Worker and work-related factors influence on musculoskeletal symptoms among veterinary surgeons. Ergonomics, 67(8), 1064-1079. https://doi.org/10.1080/00140139.2023.2280830

Downloads

Published

2026-03-31

How to Cite

Indrayani, N. L. D., Israfil, I., Suyasa, I. G. P. D., & Pimsen, A. (2026). Occupational Exposure and Risk Factors for Musculoskeletal Symptoms Among Workers: A Literature Review. MEDICA (International Medical Scientific Journal), 8(3), 102–112. https://doi.org/10.53770/medica.v8i3.846