Professional experience, work setting, work posture and workload influence the risk for musculoskeletal pain among physical therapists: a cross-sectional study
Physical therapists (PTs) have a high risk of developing musculoskeletal pain (MP) due to the physically demanding nature of their work tasks. Experience or the specialty area, have been associated with MP, however, previous studies are few and small. The aim of this study was to investigate the association between work-related factors and MP among PTs.
In this cross-sectional study, we collected information about MP and work-related factors of 1006 PTs using an online questionnaire. Associations between various work-related factors and MP were modelled using logistic regression controlled for various confounders.
Neck (57%) and low back pain (49%) were most common. Work-related factors associated with higher risk for having moderate-to-high MP (≥ 3 on a scale of 0–10) were “treating more patients at the same time” [OR 2.14 (95% CI 1.53–2.99)], “working ≥45 h per week” [OR 1.73 (95% CI 1.05–2.84)], and “work in a seated position” [OR 2.04 (95% CI 1.16–3.57)] for the low back. “More years of experience” showed a negative association for elbow pain [OR 0.41 (95% CI 0.21–0.78)] and low back pain [OR 0.48 (95% CI 0.29–0.79)] compared with their less experienced counterparts.
The lack of professional experience, working in private clinics, working in a seated position and high workload are associated with the higher risk for MP among PTs. These results add further insight about the relevance of such factors, which might be considered for developing effective interventions to prevent work-related MP and better working conditions among PTs.
KeywordsMusculoskeletal Health care workers Physical work Workload
No funding or grant from any commercial source was involved in this study. The authors thank the participants for their contribution to the study
Compliance with ethical standards
Conflict of interest
The authors of this study declare that they have any conflict of interest
This study received ethical approval by the University of Valencia’s Ethical Committee (H1530736596718), and has been performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.
- Devreux IC, Al-Awa B, Mamdouh K, Elsayed E (2012) Relation of work-related musculoskeletal disorders and over-commitment of rehabilitation staff in Saudi Arabia. Life Sci J 9:781Google Scholar
- Ji R-R, Nackley A, Huh Y et al (2018) Neuroinflammation and central sensitization in chronic and widespread pain. Anesthesiol J Am Soc Anesthesiol 129:343–366Google Scholar
- Luger T, Maher CG, Rieger MA, Steinhilber B (2017) Work‐break schedules for preventing musculoskeletal disorders in workers. The Cochrane library. Wiley, HobokenGoogle Scholar
- Luttmann A, Jäger M, Griefahn B et al (2003) Work-related musculoskeletal disorders—a definition. Preventing Musculoskeletal Disorders in the Workplace. World Health Organization, GenevaGoogle Scholar
- Nordin NAM, Leonard JH, Thye NC (2011) Work-related injuries among physiotherapists in public hospitals-a Southeast Asian picture. Clinics 66:373–378Google Scholar
- Power H, Fleming H (2007) Work-related thumb pain in manipulative physiotherapists-an Irish survey. Physiother Irel 28:51Google Scholar