Ann Rehabil Med.  2018 Feb;42(1):101-112. 10.5535/arm.2018.42.1.101.

Risk Factor, Job Stress and Quality of Life in Workers With Lower Extremity Pain Who Use Video Display Terminals

• Choi S
• Jang SH
• Lee KH
• Kim MJ
• Park SB
• Han SH

• KMID: 2440975
• DOI: http://doi.org/10.5535/arm.2018.42.1.101

Abstract

OBJECTIVE
To investigate the general characteristics of video display terminal (VDT) workers with lower extremity pain, to identify the risk factors of work-related lower extremity pain, and to examine the relationship between work stress and health-related quality of life.
METHODS
A questionnaire about the general characteristics of the survey group and the musculoskeletal symptom was used. A questionnaire about job stress used the Korean Occupational Stress Scale and medical outcome study 36-item Short Form Health Survey (SF-36) to assess health-related quality of life.
RESULTS
There were 1,711 subjects in the lower extremity group and 2,208 subjects in the control group. Age, sex, hobbies, and feeling of loading affected lower extremity pain as determined in a crossover analysis of all variables with and without lower extremity pain. There were no statistically significant difference between the two groups in terms of job stress and SF-36 values of the pain and control groups.
CONCLUSION
Job stress in VDT workers was higher than average, and the quality of life decreased as the stress increased. Factors such as younger age, women, hobbies other than exercise, and feeling of loading influenced lower extremity pain of workers. Further long-term follow-up and supplementary studies are needed to identify risk factors for future lower extremity pain, taking into account ergonomic factors such as worker's posture.

Keyword

Work-related lower extremity pain; SF-36; Job stress

MeSH Terms

Computer Terminals*
Female
Follow-Up Studies
Health Surveys
Hobbies
Humans
Lower Extremity*
Outcome Assessment (Health Care)
Posture
Quality of Life*
Risk Factors*

Reference

1. Mohr SN, Shalat SL. Clinical occupational and environmental medicine. 2nd ed. Philadelphia: Saunders;2005. p. 227–232.

2. Chang SJ, Koh SB, Kang D, Kim SA, Kang MG, Lee CG, et al. Developing an occupational stress scale for Korean employees. Korean J Occup Environ Med. 2005; 17:297–317.

3. Oh KT, Kwak EJ, Ju EK, Kim TH, Lee JH, Chung WT, et al. Health-related quality of life in Korean patients with rheumatic diseases. J Korean Rheum Assoc. 2002; 9(Suppl):S39–S59.

4. Rah UW, Kim KM, Lee IY, Shim DS, Rhie KS, Im ID, et al. Quality of life and life satisfaction of the registered disabled persons in Uiwang city. J Korean Acad Rehabil Med. 2002; 26:615–625.

5. Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992; 30:473–478. PMID: 1593914.

6. Son S, Pyun SB, Kim SD. Assessment of quality of life in lower limb amputees using short-form 36. J Korean Acad Rehabil Med. 2001; 25:505–513.

7. Mukaka MM. Statistics corner: a guide to appropriate use of correlation coefficient in medical research. Malawi Med J. 2012; 24:69–71. PMID: 23638278.

8. Larsson B, Sogaard K, Rosendal L. Work related neck-shoulder pain: a review on magnitude, risk factors, biochemical characteristics, clinical picture and preventive interventions. Best Pract Res Clin Rheumatol. 2007; 21:447–463. PMID: 17602993.

9. Ortiz-Hernandez L, Tamez-Gonzalez S, Martinez-Alcantara S, Mendez-Ramirez I. Computer use increases the risk of musculoskeletal disorders among newspaper office workers. Arch Med Res. 2003; 34:331–342. PMID: 12957532.

10. Subratty AH, Korumtollee F. Occupational overuse syndrome among keyboard users in Mauritius. Int J Occup Environ Med. 2005; 9:71–75.

11. Bernard B, Sauter S, Fine L, Petersen M, Hales T. Job task and psychosocial risk factors for work-related musculoskeletal disorders among newspaper employees. Scand J Work Environ Health. 1994; 20:417–426. PMID: 7701287.

12. Bongers PM, Ijmker S, van den, Blatter BM. Epidemiology of work related neck and upper limb problems: psychosocial and personal risk factors (part I) and effective interventions from a bio behavioural perspective (part II). J Occup Rehabil. 2006; 16:279–302. PMID: 16850279.

13. Devereux JJ, Vlachonikolis IG, Buckle PW. Epidemiological study to investigate potential interaction between physical and psychosocial factors at work that may increase the risk of symptoms of musculoskeletal disorder of the neck and upper limb. Occup Environ Med. 2002; 59:269–277. PMID: 11934955.

14. Wijnhoven HA, de Vet HC, Picavet HS. Explaining sex differences in chronic musculoskeletal pain in a general population. Pain. 2006; 124:158–166. PMID: 16716517.

15. Lacroix P, Aboyans V, Preux PM, Houles MB, Laskar M. Epidemiology of venous insufficiency in an occupational population. Int Angiol. 2003; 22:172–176. PMID: 12865883.

16. Lee EC, Kim HC, Jung DY, Kim DH, Leem JH, Park SG. Association between job-stress and VDT work, and musculoskeletal symptoms of neck and shoulder among white-collar workers. Korean J Occup Environ Med. 2007; 19:187–195.

17. de Zwart BC, Broersen JP, Frings-Dresen MH, van Dijk FJ. Musculoskeletal complaints in The Netherlands in relation to age, gender and physically demanding work. Int Arch Occup Environ Health. 1997; 70:352–360. PMID: 9352339.

18. Hooftman WE, van der Beek AJ, Bongers PM, van Mechelen W. Gender differences in self-reported physical and psychosocial exposures in jobs with both female and male workers. J Occup Environ Med. 2005; 47:244–252. PMID: 15761320.

19. Messing K, Tissot F, Stock S. Distal lower-extremity pain and work postures in the Quebec population. Am J Public Health. 2008; 98:705–713. PMID: 17761561.

20. Croft PR, Rigby AS. Socioeconomic influences on back problems in the community in Britain. J Epidemiol Community Health. 1994; 48:166–170. PMID: 8189172.

21. Yi CH, Park JR, Cha AR, Koh KW, Kim YW, Lee SI. A study on the risk factors of low back pain in computer terminal operators. Korean J Occup Environ Med. 1999; 11:264–275.

22. Amin S, Niu J, Guermazi A, Grigoryan M, Hunter DJ, Clancy M, et al. Cigarette smoking and the risk for cartilage loss and knee pain in men with knee osteoarthritis. Ann Rheum Dis. 2007; 66:18–22. PMID: 17158140.

23. Karasek JR, Robert A. Job demands, job decision latitude, and mental strain: implications for job redesign. Adm Sci Q. 1979; 24:285–308.

24. Kim CG, Oh KT, Choe JY, Bae SC. Health-Related quality of life in Korean patients with rheumatoid arthritis. J Korean Rheum Assoc. 2002; 9(Suppl):S60–S72.