Trastornos musculoesqueléticos y prácticas ergonómicas en universitarios peruanos durante la pandemia de la COVID-19
Texto completo:
PDFResumen
Introducción: El aislamiento social impuesto por la pandemia de la COVID-19 ha obligado a adaptarse a la educación a distancia.
Objetivo: Determinar la prevalencia de trastornos musculoesqueléticos y su asociación con las prácticas ergonómicas durante el uso de la computadora en estudiantes de una universidad peruana.
Métodos: Se realizó un estudio transversal en octubre de 2020. La muestra se compuso por 738 estudiantes, a quienes se les aplicaron el cuestionario nórdico estandarizado, para detectar síntomas de trastornos musculoesqueléticos, y otro desarrollado por los autores, para evaluar las prácticas ergonómicas.
Resultados: La prevalencia de trastornos musculoesqueléticos fue de 97,4 %. Las regiones más afectadas resultaron el cuello (85,5 %), la región lumbar (73 %) y la dorsal (70,2 %). Los estudiantes con antecedentes de algún traumatismo (PRa: 1,03; IC 95 %: 1,01-1,04) que, durante el uso de la computadora, adoptaron las posturas decúbito prono (RPa: 1,02; IC 95 %: 1,01-1,04) y sentados con la cabeza inclinada (RPa: 1,03; IC 95 %: 1,00-1,07) tuvieron mayor prevalencia de un trastorno musculoesquelético.
Conclusiones: Existe una alta prevalencia de trastornos musculoesqueléticos en los universitarios. Sobresalen el sexo femenino y quienes adoptan malas posturas durante el uso de la computadora; por tanto, se deben brindar medidas ergonómicas preventivas y de intervención en esta población.
Palabras clave
Referencias
Congreso de la República. Decreto Supremo que declara Estado de Emergencia Nacional por las graves circunstancias que afectan la vida de la Nación a consecuencia del brote del COVID-19. DECRETO SUPREMO-No. 044-2020-PCM. Lima, Perú: El Peruano; 2020 Mar 15 [acceso 20/04/2022]. Disponible en: https://busquedas.elperuano.pe/normaslegales/decreto-supremo-que-declara-estado-de-emergencia-nacional-po-decreto-supremo-n-044-2020-pcm-1864948-2/
Aquino CR, Medina CI. COVID-19 y la educación en estudiantes de medicina. Rev Cub Inv Bioméd. 2020 [acceso 20/04/2022];39(2):e758. Disponible en: http://www.revibiomedica.sld.cu/index.php/ibi/article/view/758/687
Majumdar P, Biswas A, Sahu S. COVID-19 pandemic and lockdown: cause of sleep disruption, depression, somatic pain, and increased screen exposure of office workers and students of India. Chronobiol Int. 2020;37(8):1191-200. DOI: https://doi.org/10.1080/07420528.2020.1786107
Lee SP, Hsu YT, Bair B, Toberman M, Chien LC. Gender and posture are significant risk factors to musculoskeletal symptoms during touchscreen tablet computer use. J Phys Ther Sci. 2018 [acceso 20/04/2022];30(6):855-61. Disponible en: https://www.jstage.jst.go.jp/article/jpts/30/6/30_jpts-2018-027/_pdf/-char/en
Rodarte L, Araujo R, Trejo PM, González J. Calidad de vida profesional y trastornos musculoesqueléticos en profesionales de Enfermería. Enferm Clín. 2016 [acceso 20/04/2022];26(6):336-43. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=5742629
da Costa BR, Vieira ER. Risk factors for work-related musculoskeletal disorders: A systematic review of recent longitudinal studies. Am J Ind Med. 2010;53(3):285-323. DOI: https://doi.org/10.1002/ajim.20750
Gómez M, Pérez J, Callejón ÁJ, López J. Musculoskeletal disorders: OWAS review. Ind Health. 2017 [acceso 20/04/2022];55(4):314-37. Disponible en: https://www.jstage.jst.go.jp/article/indhealth/55/4/55_2016-0191/_pdf/-char/en
Almhdawi KA, Mathiowetz V, Al-Hourani Z, Khader Y, Kanaan SF, Alhasan M. Musculoskeletal pain symptoms among allied health professions’ students: Prevalence rates and associated factors. BMR. 2017;30(6):1291-301. DOI: https://doi.org/10.3233/BMR-169669
Smith DR, Wei N, Ishitake T, Wang RS. Musculoskeletal disorders among chinese medical students. Kurume Med J. 2005;52(4):139-46. DOI: https://doi.org/10.2739/kurumemedj.52.139
Tantawy SA, Abdul Rahman A, Abdul M. The relationship between the development of musculoskeletal disorders, body mass index, and academic stress in Bahraini University students. Korean J Pain. 2017;30(2):126-33. DOI: https://doi.org/10.3344/kjp.2017.30.2.126
Algarni AD, Al-Saran Y, Al-Moawi A, Bin Dous A, Al-Ahaideb A, Kachanathu SJ. The prevalence of and factors associated with neck, shoulder, and low-back pains among medical students at university hospitals in central Saudi Arabia. Pain Res Treat. 2017;2017:1235706. DOI: https://doi.org/10.1155/2017/1235706
Leirós R, Rodríguez Ó, Pinto A, Álvarez MJ, Galán MÁ, Montero F, et al. Musculoskeletal pain and non-classroom teaching in times of the COVID-19 pandemic: analysis of the impact on students from two spanish universities. J Clin Med. 2020;9(12):4053. DOI: https://doi.org/10.3390/jcm9124053
Toprak S, Karaaslan Y, Mete O, Ozer Kaya D. Coronaphobia, musculoskeletal pain, and sleep quality in stay-at home and continued-working persons during the 3-month Covid-19 pandemic lockdown in Turkey. Chronobiol Int. 2020;37(12):1778-85. DOI: https://doi.org/10.1080/07420528.2020.1815759
Yaseen QB, Salah H. The impact of e-learning during COVID-19 pandemic on students’ body aches in Palestine. Sci Rep. 2021;11:22379. DOI: https://doi.org/10.1038/s41598-021-01967-z
Shuai J, Yue P, Li L, Liu F, Wang S. Assessing the effects of an educational program for the prevention of work-related musculoskeletal disorders among school teachers. BMC Public Health. 2014;14(1):1211. DOI: https://doi.org/10.1186/1471-2458-14-1211
Alsalameh AM, Harisi MJ, Alduayji MA, Almutham AA, Mahmood FM. Evaluating the relationship between smartphone addiction/overuse and musculoskeletal pain among medical students at Qassim University. J Family Med Prim Care. 2019;8(9):2953-9. DOI: https://doi.org/10.4103/jfmpc.jfmpc_665_19
Mowatt L, Gordon C, Santosh ABR, Jones T. Computer vision syndrome and ergonomic practices among undergraduate university students. Int J Clin Pract. 2018;72(1):e13035. DOI: https://doi.org/10.1111/ijcp.13035
Khan R, Surti A, Rehman R, Ali U. Knowledge and practices of ergonomics in computer users. J Pak Med Assoc. 2012 [acceso 20/04/2022];62(3):213-7. Disponible en: https://www.jpma.org.pk/PdfDownload/3293.pdf
World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013;310(20):2191-4. DOI: https://doi.org/10.1001/jama.2013.281053
Alshagga MA, Nimer AR, Yan LP, Ibrahim IAA, Al-Ghamdi SS, Radman Al-Dubai SA. Prevalence and factors associated with neck, shoulder and low back pains among medical students in a Malaysian Medical College. BMC Res Not. 2013;6(1):244. DOI: https://doi.org/10.1186/1756-0500-6-244
Felemban RA, Sofi RA, Alhebshi SA, Alharbi SG, Farsi NJ, Abduljabbar FH, et al. Prevalence and predictors of musculoskeletal pain among undergraduate students at a dental school in Saudi Arabia. Clin Cosmet Investig Dent. 2021;13:39-46. DOI: https://doi.org/10.2147%2FCCIDE.S292970
Hashim R, Salah A, Mayahi F, Haidary S. Prevalence of postural musculoskeletal symptoms among dental students in United Arab Emirates. BMC Musculosk Disord. 2021;22:30. DOI: https://doi.org/10.1186/s12891-020-03887-x
Abdollahi T, Pedram S, Pahlevan D, Yekaninejad MS, Amaniyan S, Leibold C, et al. Effect of an ergonomics educational program on musculoskeletal disorders in nursing staff working in the operating room: A quasi-randomized controlled clinical trial. Int J Environ Res Public Health. 2020;17(19):7333. DOI: https://doi.org/10.3390/ijerph17197333
Jain R, Verma V, Rana KB, Meena ML. Effect of physical activity intervention on the musculoskeletal health of university student computer users during homestay. Int J Occup Saf Ergon. 2022;1-6. DOI: https://doi.org/10.1080/10803548.2021.2014090
Woo EHC, White P, Lai CWK. Musculoskeletal impact of the use of various types of electronic devices on university students in Hong Kong: An evaluation by means of self-reported questionnaire. Man Ther. 2016;26:47-53. DOI: https://doi.org/10.1016/j.math.2016.07.004
Ye S, Jing Q, Wei C, Lu J. Risk factors of non-specific neck pain and low back pain in computer-using office workers in China: a cross-sectional study. BMJ Open. 2017;7(4):e014914. DOI: http://dx.doi.org/10.1136/bmjopen-2016-014914
Calik BB, Yagci N, Gursoy S, Zencir M. Upper extremities and spinal musculoskeletal disorders and risk factors in students using computers. Pak J Med Sci. 2014 [acceso 20/04/2022];30(6):1361-6. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4320731/
Yang S, Lu J, Zeng J, Wang L, Li Y. Prevalence and risk factors of work-related musculoskeletal disorders among intensive care unit nurses in China. Workplace Health Saf. 2019;67(6):275-87. DOI: https://doi.org/10.1177/2165079918809107
Menéndez CC, Amick BC, Jenkins M, Janowitz I, Rempel DM, Robertson M, et al. A multi-method study evaluating computing-related risk factors among college students. Work. 2007 [acceso 20/04/2022];28(4):287-97. Disponible en: https://pubmed.ncbi.nlm.nih.gov/17522450/
Roggio F, Trovato B, Ravalli S, Di Rosa M, Maugeri G, Bianco A, et al. One year of COVID-19 pandemic in Italy: effect of sedentary behavior on physical activity levels and musculoskeletal pain among university students. Int J Environ Res Public Health. 2021;18(16):8680. DOI: https://doi.org/10.3390/ijerph18168680
Reddy SC, Low CK, Lim YP, Low LL, Mardina F, Nursaleha MP. Computer vision syndrome: a study of knowledge and practices in university students. Nepal J Ophthalmol. 2013 [acceso 20/04/2022];5(2):161-8. Disponible en: https://pdfs.semanticscholar.org/a067/a682ecbb0d533d7fa7f84b4a322ab3714882.pdf?_ga=2.114942535.1321782953.1650598590-1962458653.1650598590
Meisha DE, Alsharqawi NS, Samarah AA, Al-Ghamdi MY. Prevalence of work-related musculoskeletal disorders and ergonomic practice among dentists in Jeddah, Saudi Arabia. Clin Cosmet Investig Dent. 2019;11:171-9. DOI: https://doi.org/10.2147/CCIDE.S204433
Shohel Md, Tasnim N, Talapatra S, Ruhani A, Hoque A. Assessment of musculoskeletal problems among bangladeshi university students in relation to classroom and library furniture. J Inst Eng India Ser C. 2022;103:279-92 DOI: https://doi.org/10.1007/s40032-021-00792-7
MacLean K, Neyedli HF, Dewis C, Frayne RJ. The role of at home workstation ergonomics and gender on musculoskeletal pain. Work. 2022;71(2):309-18. DOI: https://doi.org/10.3233/WOR-210692
Gutiérrez W, Gutiérrez SE. Diferencias de sexo en el dolor. Una aproximación a la clínica. Rev Colomb Anestesiol. 2012;40(3):207-12. DOI: https://doi.org/10.1016/j.rca.2012.05.007
Craft RM, Mogil JS, Aloisi AM. Sex differences in pain and analgesia: the role of gonadal hormones. Eur J Pain. 2004;8(5):397-411. DOI: https://doi.org/10.1016/j.ejpain.2004.01.003
Yu Z, James C, Edwards S, Snodgrass SJ. Differences in posture kinematics between using a tablet, a laptop, and a desktop computer in sitting and in standing. Work. 2018;61(2):257-66. DOI: https://doi.org/10.3233/WOR-182796
Osama M, Ali S, Malik RJ. Posture related musculoskeletal discomfort and its association with computer use among university students. J Pak Med Assoc. 2018 [acceso 20/04/2022];68(4):639-41. Disponible en: https://jpma.org.pk/PdfDownload/8656
Jacobs K, Foley G, Punnett L, Hall V, Gore R, Brownson E, et al. University students’ notebook computer use: lessons learned using e-diaries to report musculoskeletal discomfort. Ergon. 2011;54(2):206-19. DOI: https://doi.org/10.1080/00140139.2010.544764
Enlaces refback
- No hay ningún enlace refback.
Copyright (c) 2023 Fabricio Ccami-Bernal, Patricia Urday-Ramos, Frank Zela-Coila, Jhian Karlo Cáceres-Ruiz, Victor Cabrera-Caso
Esta obra está bajo una licencia de Creative Commons Reconocimiento-NoComercial 4.0 Internacional.