Journal of Occupational Rehabilitation

, Volume 12, Issue 2, pp 77–91 | Cite as

A Study on the Prevalence of and Risk Factors for Neck Pain Among University Academic Staff in Hong Kong

  • T. T. W. Chiu
  • W. Y. Ku
  • M. H. Lee
  • W. K. Sum
  • M. P. Wan
  • C. Y. Wong
  • C. K. Yuen


The 1-year prevalence of neck pain and possible risk factors among university academic staff were investigated. Self-administered questionnaires were distributed to all the fulltime academic staff in one of the universities in Hong Kong. The 1-year prevalence of neck pain was investigated. The relationship between individual factors, job nature, psychosocial factors, and neck pain were also analyzed. The 1-year prevalence of neck pain among after being an academic staff was 46.7%. A significant association was found between gender and neck pain (p = 0.02). The percentage of female academic staff with neck pain (62%) was higher than that in male staff (38%). This matched the results of other studies, which demonstrated that neck pain was more prevalent in women. There was a significant association between head posture during computer processing and neck pain (p = 0.02). Among those with neck pain during computer processing, 60.5% had a forward head posture. However, a low correlation between psychosocial factors and neck pain was demonstrated (r = 0.343). Academic staff in tertiary institutions could be considered as a high-risk group of job-related neck pain.

prevalence risk factors neck pain academic staff 


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  1. 1.
    Andersson HI, Ejlertsson G, Leden I, Rosenberg C. Chronic pain in a geographically defined general population: Studies of differences in age, gender, social class, and pain localization. Clin J Pain 1993; 9(3): 174–182.Google Scholar
  2. 2.
    Hasvold T, Johnsen R. Headache and neck or shoulder pain-frequent and disabling complaints in the general population. Scand J Prim Health Care 1993; 23(3): 127–133.Google Scholar
  3. 3.
    Kamwendo K, Linton SJ, Moritz U. Neck and shoulder disorders in medical secretaries. Part I. Pain prevalence and risk factors. Scand J Rehabil Med 1991; 23(3): 127–133.Google Scholar
  4. 4.
    Lau EMC, Sham A, Wong KC. The prevalence of and risk factors for neck pain in Hong Kong Chinese. J Public Health Med 1996; 18(4): 396–399.Google Scholar
  5. 5.
    Cote P, Cassidy DJ, Carroll L. The Saskatchewan health and back pain survey. The Prevalence of neck pain and related disability in Saskatchewan adults. Spine 1998; 23(15): 1689–1698.Google Scholar
  6. 6.
    Rempel DM, Harrison RJ, Barnhart S. Work related cumulative trauma disorders of the upper extremity. JAMA 1992; 267: 838–842.Google Scholar
  7. 7.
    Krause N, Ragland DR, Greiner BA, Syme SL, Holman BL, Fisher JM. Psychosocial job factors associated with back and neck pain in public transit operators. Scand J Work Environ Health 1997; 23(3): 179–186.Google Scholar
  8. 8.
    Occupational Safety and Health Council (HK). Green Cross 1998; 8(1): 8–11.Google Scholar
  9. 9.
    Winkel J, Westgaard R. Occupational and individual risk factors for shoulder-neck complaints: Part II-the scientific basis (literature review) for the guide. Int J Ind Ergonomics 1992; 10: 84–104.Google Scholar
  10. 10.
    Viikan-Juntura ERA. The scientific basis for making guidelines and standards to prevent work-related musculoskeletal disorders. Ergonomics 1997; 40(10): 1097–1117.Google Scholar
  11. 11.
    Holmstorm EB, Lindell J, Moritz U. Low back and neck/shoulder pain in construction workers: Occupational workload and psychosocial risk factors. Spine 1992; 17(6): 672–677.Google Scholar
  12. 12.
    Barnekow-Bergkvist M, Hedberg GE, Janlert U, Jansson E. Determinants of self-reported neck-shoulder and low back symptoms in a general population. Spine 1998; 23(2): 235–243.Google Scholar
  13. 13.
    Bovim G, Schrader H, Sand T. Neck pain in the general population. Spine 1994; 19(12): 1307–1309.Google Scholar
  14. 14.
    Krause N, Ragland DR, Greiner BA, Fisher JM, Holman BL, Selvin S. Physical workload and ergonomic factors associated with prevalence of back and neck pain in urban transit operators. Spine 1997; 22(18): 2117–2127.Google Scholar
  15. 15.
    Rossignol AM, Morse EP, Summers VM, Pagnotto LD. Video display terminal use and reported health symptoms among Massachusetts clerical workers. J Occup Med 1987; 29: 112–118.Google Scholar
  16. 16.
    Purnett L. Work-related musculoskeletal disorders in computer keyboard operation. In: Gordon SL, Blair S, Fine LJ, eds. Repetitive motion disorders of the upper extremity. Rosemont, IL: American Academy of Orthopaedic Surgeons, 1995, pp. 43–48.Google Scholar
  17. 17.
    Hagberg M, Sundelin G. Discomfort and load on the upper trapezius muscle when operating aword-processor. Ergonomics 1986; 29: 1637–1645.Google Scholar
  18. 18.
    Tayyari F, Smith JL. Occupational ergonomics: Principles and application, 1st edn. London: Chapman Hall, 1997.Google Scholar
  19. 19.
    Enwemeka CS, Bonet IM, Ingle JA, Prudhithumrong S, Ogbahon FE, Gbenedio NA. Postural correction in persons with neck pain II. Integrated electromyography of the upper trapezius in three simulated neck positions. J Orthop Sports Phys Ther 1986; 8(5): 240–242.Google Scholar
  20. 20.
    Haughie LJ, Fiebert IM, Roach KE. Relationship of forward head posture and cervical backward bending to neck pain. J Manual Manipulative Ther 1995; 3: 91–96.Google Scholar
  21. 21.
    Harms-Ringdahl K, Ekholm J. Intensity and character of pain and muscular activity levels elicited by maintained extreme flexion position of the lower-cervical-upper-thoracic spine. Scand J Rehabil Med 1986; 18: 117–126.Google Scholar
  22. 22.
    Grandjean HE, Maeda K. Constrained postures in accounting machine operators. Appl Ergonomics 1980; 11(3): 145–149.Google Scholar
  23. 23.
    Donatelli R. Physical therapy of the shoulder, 2nd edn. New York: Churchill Livingstone, 1991.Google Scholar
  24. 24.
    Schuldt K, Ekholm J, Harms-Ringdahl K, Nemeth G, Arborelius UP. Effects of changes in sittingwork posture on static neck and shoulder muscle activity. Ergonomics 1986; 29(12): 1525–1537.Google Scholar
  25. 25.
    Williams PC. Low back and neck pain. Springfield: Charles C. Thomas, 1982.Google Scholar
  26. 26.
    Bigos SJ, Battie MC, Spengler DM, Fisher LD, Fordyce WE, Hansson TH, Nachemson AL, Wortley MD. A prospective study of work perceptions and psychosocial factors affecting the report of back injury. Spine 1991; 16(1): 1–6.Google Scholar
  27. 27.
    Gerdle B, Brulin C, Elert J, Brittmarie G. Factors interacting with perceived work-related complaints in the musculoskeletal system among home care service personnel. Scand J Rehabil Med 1994; 26: 51–58.Google Scholar
  28. 28.
    Linton SJ, Kamwendo K. Risk factors in the psychosocial work environment for neck and shoulder pain in secretaries. J Occup Med 1989; 31(7): 609–613.Google Scholar
  29. 29.
    Magnusson ML, Pope MH, Wilser DG, Areskoug B. Are occupational drivers at an increased risk for developing musculoskeletal disorders? Spine 1996; 21(6): 710–717.Google Scholar
  30. 30.
    Health and Safety Executives. Health and safety statistics 1996/1997. London: HSE Books.Google Scholar
  31. 31.
    Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sorensen F, Andersson G, Jorgensen K. Standardized Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergonomics 1987; 18(3): 233–237.Google Scholar
  32. 32.
    Leak AM, Cooper J, Dyer S, Williams KA, Turner-Stokers L, Frank AO. The Northwick Park Neck Pain Questionnaire, devised to measure neck pain and disability. Br J Rheumatol 1994; 33: 469–474.Google Scholar
  33. 33.
    Domholdt E. Physical therapy research: Principles and applications. Philadelphia: W. B. Saunders Company, 1993.Google Scholar
  34. 34.
    Occupational Safety and Health Council (HK). Green Cross 1998; 8(2): 44–47.Google Scholar
  35. 35.
    Andersen JH, Gaardboe O. Musculoskeletal disorders of the neck and upper limb among sewing machine operators: A clinical investigation. Am J Ind Med 1993; 698–700.Google Scholar
  36. 36.
    Paris SV. Cervical symptoms of forward head posture. Top Geriatric Rehabil 1990; 5(4): 11–19.Google Scholar
  37. 37.
    Caillient R. Neck and arm pain, 3rd edn. Philadelphia: F. A. Davis Company, 1990.Google Scholar

Copyright information

© Plenum Publishing Corporation 2002

Authors and Affiliations

  • T. T. W. Chiu
    • 1
  • W. Y. Ku
    • 1
  • M. H. Lee
    • 1
  • W. K. Sum
    • 1
  • M. P. Wan
    • 1
  • C. Y. Wong
    • 1
  • C. K. Yuen
    • 1
  1. 1.Department of Rehabilitation SciencesThe Hong Kong Polytechnic UniversityHong Kong

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