Physical risk factors for developing non-specific neck pain in office workers: a systematic review and meta-analysis
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Identifying risk factors associated with the development of work-related neck pain in office workers is necessary to facilitate the development of prevention strategies that aim to minimise this prevalent and costly health problem. The aim of this systematic review is to identify individual worker (e.g., lifestyle activity, muscular strength, and posture) and workplace (e.g., ergonomics and work environment) physical factors associated with the development of non-specific neck pain in office workers.
Studies from 1980 to 2016 were identified by an electronic search of Pubmed, CINAHL, EMBASE, Psychlnfo and Proquest databases. Two authors independently screened search results, extracted data, and assessed risk of bias using the epidemiological appraisal instrument (EAI). A random effect model was used to estimate the risk of physical factors for neck pain.
Twenty papers described the findings of ten prospective cohort studies and two randomized controlled trials. Low satisfaction with the workplace environment (pooled RR 1.28; CI 1.07–1.55), keyboard position close to the body [pooled RR 1.46; (CI 1.07–1.99)], low work task variation [RR 1.27; CI (1.08–1.50)] and self-perceived medium/high muscular tension (pooled RR 2.75/1.82; CI 1.60 /1.14–4.72/2.90) were found to be risk factors for the development of neck pain.
This review found evidence for a few number of physical risk factors for the development of neck pain, however, there was also either limited or conflicting factors. Recommendations for future studies evaluating risk factors are reported and how these may contribute to the prevention of neck pain in office workers.
KeywordsNeck pain Office worker Physical factors Individual factors Ergonomics Work environment Systematic review Meta-analysis
The authors wish to acknowledge all the authors for the included studies in this review.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
- Aas RW, Tuntland H, Holte KA, Roe C, Lund T, Marklund S, Moller A (2011) Workplace interventions for neck pain in workers. Cochrane Database Syst Rev (4):Cd008160Google Scholar
- Andersen JH et al (2008) Computer mouse use predicts acute pain but not prolonged or chronic pain in the neck and shoulder. Occup Environ Med 65:126–131. doi: 10.1136/oem.2007.033506
- Bertozzi L, Gardenghi I, Turoni F, Villafane JH, Capra F, Guccione AA, Pillastrini P (2013) Effect of therapeutic exercise on pain and disability in the management of chronic nonspecific neck pain: systematic review and meta-analysis of randomized trials. Phys Ther 93:1026–1036. doi: 10.2522/ptj.20120412 CrossRefGoogle Scholar
- Cohen J (1998) Statistical power analysis for the behavioral sciences, 2nd edn. Lawrence Erlbaum Associates, New YorkGoogle Scholar
- Cote P, Yang X, Kristman V, Hogg-Johnson S, Van Eerd D, Rezai M, Vidmar M (2013) The association between workers’ compensation claims involving neck pain and future health care utilization: a population-based cohort study. J Occup Rehabil 23:547–556. doi: 10.1007/s10926-012-9415-8 CrossRefGoogle Scholar
- Di Lorenzo L, Coco V, Forte F, Trinchese GF, Forte AM, Pappagallo, M 2014. The use of odds ratio in the large population-based studies: Warning to readers. Muscles, Ligaments Tendons J 4:90–92.Google Scholar
- Hales TR, Bernard BP (1996) Epidemiology of work-related musculoskeletal disorders. Orthop Clin North Am 27:679–709Google Scholar
- Hansson EK, Hansson TH (2005) The costs for persons sick-listed more than one month because of low back or neck problems. A two-year prospective study of Swedish patients. European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research. Society 14:337–345. doi: 10.1007/s00586-004-0731-3 Google Scholar
- Hush JM, Michaleff Z, Maher CG, Refshauge K (2009) Individual, physical and psychological risk factors for neck pain in Australian office workers: a 1-year longitudinal study. European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research. Society 18:1532–1540. doi: 10.1007/s00586-009-1011-z Google Scholar
- Huysmans MA, Ijmker S, Blatter BM, Knol DL, van Mechelen W, Bongers PM, van der Beek AJ (2012a) The relative contribution of work exposure, leisure time exposure, and individual characteristics in the onset of arm-wrist-hand and neck-shoulder symptoms among office workers. Int Arch Occup Environ Health 85:651–666. doi: 10.1007/s00420-011-0717-5 CrossRefGoogle Scholar
- Ijmker S, Huysmans MA, van der Beek AJ, Knol DL, van Mechelen W, Bongers PM, Blatter BM (2011) Software-recorded and self-reported duration of computer use in relation to the onset of severe arm-wrist-hand pain and neck-shoulder pain. Occup Environ Med 68:502–509. doi: 10.1136/oem.2010.056267 CrossRefGoogle Scholar
- Kraatz S, Lang J, Kraus T, Munster E, Ochsmann E (2013) The incremental effect of psychosocial workplace factors on the development of neck and shoulder disorders: a systematic review of longitudinal studies. Int Arch Occup Environ Health 86:375–395. doi: 10.1007/s00420-013-0848-y CrossRefGoogle Scholar
- Lindegard A, Wahlstrom J, Hagberg M, Vilhelmsson R, Toomingas A, Tornqvist EW (2012) Perceived exertion, comfort and working technique in professional computer users and associations with the incidence of neck and upper extremity symptoms. BMC Musculoskelet Disord 13:38. doi: 10.1186/1471-2474-13-38 CrossRefGoogle Scholar
- Manchikanti L, Singh V, Datta S, Cohen SP, Hirsch JA (2009) Comprehensive review of epidemiology, scope, and impact of spinal pain. Pain Phys 12:E35–E70Google Scholar
- Rempel DM, Krause N, Goldberg R, Benner D, Hudes M, Goldner GU (2006) A randomised controlled trial evaluating the effects of two workstation interventions on upper body pain and incident musculoskeletal disorders among computer operators. Occup Environ Med 63:300–306. doi: 10.1136/oem.2005.022285 CrossRefGoogle Scholar
- Sitthipornvorakul E, Janwantanakul P, Purepong N, Pensri P, van der Beek AJ (2011) The association between physical activity and neck and low back pain: a systematic review. European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research. Society 20:677–689. doi: 10.1007/s00586-010-1630-4 Google Scholar
- Sitthipornvorakul E, Janwantanakul P, Lohsoonthorn V (2015) The effect of daily walking steps on preventing neck and low back pain in sedentary workers: a 1-year prospective cohort study. European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research. Society 24:417–424. doi: 10.1007/s00586-014-3577-3 Google Scholar
- Tornqvist EW, Hagberg M, Hagman M, Risberg EH, Toomingas A (2009) The influence of working conditions and individual factors on the incidence of neck and upper limb symptoms among professional computer users. Int Arch Occup Environ Health 82:689–702. doi: 10.1007/s00420-009-0396-7 CrossRefGoogle Scholar
- Vasseljen O Jr, Johansen BM, Westgaard RH (1995) The effect of pain reduction on perceived tension and EMG-recorded trapezius muscle activity in workers with shoulder and neck pain. Scand J Rehabil Med 27:243–252Google Scholar
- Review Manager (RevMan) [computer program] (2014) Version 5.3 Copenhagen: the Nordic Cochrane Centre, The Cochrane CollaborationGoogle Scholar
- SPSS Inc Version 22.0 Released (2013). PASW Statistics for Windows. ChicagoGoogle Scholar