Mayra Pacheco-Cardín, Juan Luis Hernández-Arellano, José-Manuel Mejía-Muñoz
{"title":"Identification of anthropometric variables influencing the prediction of manual strength using advanced models to prevent occupational injuries in the economically active population.","authors":"Mayra Pacheco-Cardín, Juan Luis Hernández-Arellano, José-Manuel Mejía-Muñoz","doi":"10.1177/10519815251400749","DOIUrl":"10.1177/10519815251400749","url":null,"abstract":"<p><p>BackgroundHand grip and torque strength are critical in occupational tasks, particularly in industries requiring manual tool handling. Ergonomic designs tailored to workers' anthropometric characteristics can help reduce Musculoskeletal Disorders (MSDs), a leading cause of workplace absenteeism. While several studies have examined anthropometric influences on grip strength, predictive models integrating machine learning remain limited.ObjectiveThis study aims to identify the most influential anthropometric variables in predicting hand grip and torque strength among economically active individuals, using machine learning models to enhance force estimation for ergonomic applications.MethodsA cross-sectional study was conducted with 382 participants (194 women, 188 men), aged 15-65 years. Three predictive models-Linear Regression (LR), Random Forest (RF), and AdaBoost (AB)-were evaluated based on Mean Absolute Error (MAE), Mean Squared Error (MSE), and Explained Variance Score (EVS). Feature importance was analyzed using Mean Decrease in Impurity (MDI) for RF and AB and coefficient magnitude for LR.ResultsLR was the best model in four cases, while RF and AB performed better in nonlinear relationships. In women, grip and torque strength depended on hand and wrist dimensions, whereas in men, variables such as palmar length and lateral reach played a more significant role.ConclusionsAnthropometric characteristics significantly influence manual strength, highlighting the need for sex-specific ergonomic adaptations. Machine learning models improve predictive accuracy, supporting the design of interventions to reduce MSD risks.</p>","PeriodicalId":51373,"journal":{"name":"Work-A Journal of Prevention Assessment & Rehabilitation","volume":" ","pages":"128-140"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maha F Algabbani, Rawaf Abduljabbar, Raneem Babtain, Razan Alharthi, Shahad Alfaddaghi, Hessah M Bin Zuair, Shahad Alshehri, Saad A Alhammad, Samiha Mi Abdelkader, Rehab Fm Gawad, Muneera M Almurdi, Nabila Tounsi, Afaf Shaheen
{"title":"Relationship between levels of burnout and self-efficacy with hand grip strength and hand dexterity among nursing students: Cross-sectional study.","authors":"Maha F Algabbani, Rawaf Abduljabbar, Raneem Babtain, Razan Alharthi, Shahad Alfaddaghi, Hessah M Bin Zuair, Shahad Alshehri, Saad A Alhammad, Samiha Mi Abdelkader, Rehab Fm Gawad, Muneera M Almurdi, Nabila Tounsi, Afaf Shaheen","doi":"10.1177/10519815251406249","DOIUrl":"10.1177/10519815251406249","url":null,"abstract":"<p><p>BackgroundNursing practice demands a high level of manual dexterity and hand grip strength for tasks such as medication administration, patient handling, and operating medical equipment. Burnout and self-efficacy are common psychological factors among nursing students that may potentially influence the development or expression of these physical skills. However, the nature of this relationship is not well understood.ObjectiveTo investigate the relationship between levels of self-efficacy and burnout, with hand grip strength and hand dexterity, in nursing students at King Saud University.MethodsA cross-sectional study was conducted with 57 nursing students average age was 21.98 ± 1.70 years. Maslach Burnout Inventory-Student Survey and General Self-Efficacy Scale were used. Hand dexterity was evaluated using Purdue Pegboard Test and hand grip strength was assessed using a dynamometer. Correlation analysis was used to determine the associations between the variables.ResultsNo significant correlations between overall burnout or its emotional exhaustion and cynicism sub-scores, and hand function (p > .05). However, professional efficacy showed a significant positive correlation with Purdue Pegboard Assembly (r<sub>s</sub> = .29, p = .03) and Purdue Pegboard Both Hands scores (r<sub>s</sub> = .32, p = .01). General self-efficacy also correlated positively with Purdue Pegboard Assembly (r<sub>s</sub> = .34, p = .009), but no other significant correlations were observed.ConclusionsThese results may have implications for student support and interventions aimed at enhancing self-efficacy, potentially optimizing the development of skills critical for future nursing practice.</p>","PeriodicalId":51373,"journal":{"name":"Work-A Journal of Prevention Assessment & Rehabilitation","volume":" ","pages":"190-196"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Workplace safety communication: A systematic review of GHS pictogram comprehension in Iranian work settings.","authors":"Soleiman Ramezanifar, Ehsan Ramezanifar","doi":"10.1177/10519815251398497","DOIUrl":"10.1177/10519815251398497","url":null,"abstract":"<p><p>BackgroundDespite the wide usage of Globally Harmonized System (GHS) pictograms in Iranian work settings, there is limited evidence that workers comprehend these signs. Misinterpreting GHS signs can result in hazardous exposures, accidents, and reduced workplace safety.ObjectiveThis study vitally reviews available research to determine the level of comprehension of GHS symbols among Iranian workers.MethodsIn this systematic review, a comprehensive search was performed in international databases (Embase, Scopus, PubMed, and Web of Science) and Persian (SID, IranMedex, Magiran, and IranDoc). Relevant articles in these databases were extracted by searching keywords such as GHS pictograms, chemical labeling comprehension, and Iran from 2015 to 2025. To extract the required data, all parts of the studies were reviewed following the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) 2020.ResultsOut of the 14 collected articles, 10 articles were selected as final articles, of which five, three, one, and one article dealt with laboratory staff and students, industrial workers, hospital service workers, and farmers, respectively. The signs \"flammable substances\" (Comprehension Ratio (CR) (%): 39.5-98.8) and \"risk of explosion\" (CR (%):13-100) had the highest and the signs \"skin irritant\" (CR (%): 1.6-82) and \"gas under pressure\" (CR (%): 3.5-88.8) had the lowest comprehension among the GHS signs. Training, safety culture, education level, and gender were among the factors affecting the perception of these pictograms.ConclusionThis systematic review reveals that although GHS pictograms are a critical tool in safety communication, their inadequate perception in Iranian workplaces remains a significant challenge. This review highlights the requirement to review the design (e.g., simplifying signs or adding text labels), training (e.g., local language programs customized to a particular setting), and implementation (e.g., periodic assessments and specific workplace adjustments) of these international signs, taking into account local and cultural characteristics.</p>","PeriodicalId":51373,"journal":{"name":"Work-A Journal of Prevention Assessment & Rehabilitation","volume":" ","pages":"52-65"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gary Harbin, Alexander Harbin, Nicklaus Millican, John M Pederson
{"title":"Relation of pre-existing lower-back problems with post-offer pre-placement physical testing.","authors":"Gary Harbin, Alexander Harbin, Nicklaus Millican, John M Pederson","doi":"10.1177/10519815251396722","DOIUrl":"10.1177/10519815251396722","url":null,"abstract":"<p><p>BackgroundPhysical Capacity Profile (PCP) testing involves a series of physical fitness tests to assess physical capabilities of newly-hired workers for specific job requirements. Studies have found a higher incidence of work-related lower-back injuries in employees with PCP scores below their job level as defined by the U.S. Department of Labor.ObjectiveThis study evaluated associations between demographics, history of lower-back pain (HxLBP), and associated surgery (HxLBP+Surgery) with PCP results of newly hired workers from a large database.MethodsThis retrospective, cross-sectional study used data collected from 150 test sites between March 19, 2015 and December 31, 2018. Regressions were conducted for overall PCP score as well as individual tests for spinal range of motion (ROM) and dynamic strength, controlling for demographics, anthropometrics, and medical history.ResultsPCP data from the first 100,000 consecutive subjects entered into a database were assessed (mean age 33.2 ± 12.4 years, 32,926 [32.9%] female) of whom 12,246 (12.2%) had HxLBP and 531 (0.5%) had HxLBP + Surgery. Higher age predicted increased odds of HxLBP (OR = 1.02/year; p < 0.001) and HxLBP + Surgery (OR = 1.03/year; p < 0.001). Males had lower odds of HxLBP compared to females (OR = 0.45; p < 0.001). Overall PCP scores and each ROM and dynamic strength test were significantly reduced with HxLBP; all but overall PCP and one dynamic strength test (squats) were also significantly decreased with HxLBP + Surgery.ConclusionsHxLBP is common in employees, moreso among females and older workers, and predicts slightly decreased PCP performance. Future work should explore the suitability of PCP in predicting injury rates in the context of multiple comorbidities.</p>","PeriodicalId":51373,"journal":{"name":"Work-A Journal of Prevention Assessment & Rehabilitation","volume":" ","pages":"179-189"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145919315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Contributing factors influencing occupational burnout among healthcare professionals in medical institutions of Henan Province: A preliminary analysis.","authors":"Xiaobo Chen, Xiaojing Lu, Yali Peng, Ming Xia, Lixiong Gong, Xudong Xia, Zhao Yin","doi":"10.1177/10519815251403558","DOIUrl":"10.1177/10519815251403558","url":null,"abstract":"<p><p>BackgroundHealthcare worker burnout is a global public health crisis, yet evidence on its urban-rural disparities in resource-limited regions like China's inland provinces remains scarce.ObjectiveThis study assessed socio-demographic and occupational predictors of burnout among healthcare workers in Henan Province, China.MethodsA cross-sectional, descriptive, and correlational study was conducted from August-September 2024 among 5189 healthcare workers across urban and rural settings. Burnout was measured using the Maslach Burnout Inventory (MBI). Predictors included work setting, work pressure, promotion opportunities, childcare support, and resource levels.ResultsBurnout patterns showed stark urban-rural contrasts. Rural workers had less than half the risk of emotional exhaustion (EE) (OR = 0.38-0.40), likely due to more manageable workflows. In contrast, urban workers under high pressure faced nearly ten times the risk (OR = 9.57), driven by clinical and academic demands. Adequate promotion opportunities were linked to a 23% lower risk of burnout (OR = 0.77). Notably, strong childcare support (for ≥2 children) halved the risk of EE (OR = 0.46). Despite an overall low sense of personal accomplishment in the sample, rural workers reported significantly higher odds (OR = 2.55-2.88) of high PA.ConclusionsStructural job demands and cultural factors significantly influence burnout disparities. While derived from a study in Henan Province, these findings offer insights likely applicable to other resource-limited settings internationally. Interventions prioritizing workload redistribution, transparent career pathways, and family-friendly policies are essential to mitigate burnout and enhance workforce sustainability in resource-limited settings. Clinicians and policymakers should integrate Job Demands-Resources (JD-R) principles with cultural context to optimize institutional support systems across diverse healthcare environments.</p>","PeriodicalId":51373,"journal":{"name":"Work-A Journal of Prevention Assessment & Rehabilitation","volume":" ","pages":"66-74"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of office strain level on mental workload and musculoskeletal disorders in employees of the design department: A case-control study.","authors":"Shahram Vosoughi, Mohamad Ahmadi, Mohammadhosein Keyvani Brojeni, Saber Moradi Hanifi, Ardalan Vosoughi, Somayeh Kheirandish Sarabi","doi":"10.1177/10519815251382924","DOIUrl":"10.1177/10519815251382924","url":null,"abstract":"<p><p>BackgroundCAD (Computer Aided Design) designers spend long hours in front of visual displays, using specialized automotive design software. In addition to musculoskeletal disorders that may result from prolonged static activities, these individuals are also exposed to high mental workloads.ObjectiveThis study aims to assess the effect of office strain levels on the mental workload and musculoskeletal disorders of the design department.MethodsThis descriptive-analytical study included 48 cases, consisting of the occupation of CAD designing from the computer design department, and 48 control participants, comprised of non-computer users. It assessed musculoskeletal disorders using the CMDQ (Cornell Musculoskeletal Discomfort Questionnaire), ergonomic risk with the ROSA (Rapid Office Strain Assessment), and mental workload with the NASA-TLX (NASA Task Load Index). Data were analyzed using SPSS version 22.ResultsIn the case group, 37.5% were categorized as high risk for strain, compared to 31.25% in the control group. 27.08% of participants experienced an unacceptable level of mental workload according to NASA-TLX criteria, while only 17.71% were within the acceptable level. Significant relationships were found between office strain, musculoskeletal disorders, and mental workload, with a direct correlation between ROSA, NASA-TLX, and CMDQ scores (<0.011).ConclusionsThe most significant factors influencing office strain and mental workload among the occupation of CAD designing include ergonomic conditions in the workplace, duration of computer use, temporal demand, and the nature of job tasks. Factors such as health status, physical characteristics, and work experience are crucial in determining the intensity of mental workload and office strain.</p>","PeriodicalId":51373,"journal":{"name":"Work-A Journal of Prevention Assessment & Rehabilitation","volume":" ","pages":"75-86"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluating occupational stress in manufacturing workers using a dot probe task game board: A pilot study.","authors":"Poh Foong Lee, Kai Wen Chong, Mei-Yi Wong, Siak Wah Kok","doi":"10.1177/10519815251396559","DOIUrl":"10.1177/10519815251396559","url":null,"abstract":"<p><p>BackgroundOccupational stress in manufacturing negatively impacts worker health and productivity. Effective tools for assessing stress levels in this high-risk industry can support interventions aimed at improving worker well-being.ObjectiveThis pilot study aims to develop and validate a dot probe task game board to measure occupational stress, integrating the Perceived Stress Scale (PSS-10), the Technology Acceptance Model (TAM), and EEG brainwave analysis.MethodsThe dot probe task measured reaction times to stress-related stimuli, with EEG recordings (focused on the AF8 electrode) taken before and after the task. A RidgeCV regression model assessed predictive factors, emphasizing stress levels measured by the PSS-10.ResultsSignificant reaction time differences validated the task's sensitivity to stress-related cognitive impairment. The RidgeCV model achieved high predictive accuracy (R² = 0.945), identifying the PSS-10 as a primary predictor of stress. EEG data provided insights into stress-induced neurobiological changes in cognitive function.ConclusionThe study supports the integration of the dot probe task in occupational health assessments, highlighting its potential to improve well-being and inform targeted interventions in manufacturing and other high-risk sectors.</p>","PeriodicalId":51373,"journal":{"name":"Work-A Journal of Prevention Assessment & Rehabilitation","volume":" ","pages":"95-106"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145597723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Antoine Maillard, Timon Pasche, Pieter Coenen, Guillaume Christe
{"title":"The association between trunk flexion and low back pain in blue-collar workers: A systematic review.","authors":"Antoine Maillard, Timon Pasche, Pieter Coenen, Guillaume Christe","doi":"10.1177/10519815251397391","DOIUrl":"10.1177/10519815251397391","url":null,"abstract":"<p><p>BackgroundTrunk flexion has been considered as an important risk factor for low back pain (LBP) in blue-collar workers. There is controversy about this claim, and prior reviews mainly included studies assessing trunk flexion with questionnaires and/or outside of the work setting.ObjectiveIn this systematic review, we aimed to investigate the association between objectively measured trunk flexion at work and LBP in blue-collar workers from epidemiological studies.MethodsLiterature searches were performed in PubMed, Embase and Web of Science until June 2024. Cross-sectional and longitudinal cohort studies were included if they objectively measured trunk flexion (amplitude and duration) under normal working conditions in blue collar workers. Two reviewers independently performed study selection, data extraction and risk of bias assessment, and studies were described narratively.ResultsFrom 800 references, four studies with 2013 participants in total were included. There was no evidence for an association between trunk flexion amplitude/duration and increased LBP prevalence, incidence and/or intensity. One study showed an association between higher duration of trunk flexion above 30° and reduced risk of LBP (hazard ratio 0.87, 95%CI: 0.78-0.97).ConclusionsThese results suggest that trunk flexion is not associated with LBP development or aggravation in blue-collar workers. However, based on the limited number of studies and lack of geographical diversity, the certainty of evidence is low and more evidence is needed from studies with objective measures of trunk flexion at work.</p>","PeriodicalId":51373,"journal":{"name":"Work-A Journal of Prevention Assessment & Rehabilitation","volume":" ","pages":"42-51"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13144654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145710319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sevil Çirakoğlu Kelleci, Bülent Mertoğlu, Melih Engin
{"title":"The effect of emotional intelligence on the acceptance and use of technologies used İn occupational health and safety: A systematic literature review.","authors":"Sevil Çirakoğlu Kelleci, Bülent Mertoğlu, Melih Engin","doi":"10.1177/10519815251401872","DOIUrl":"10.1177/10519815251401872","url":null,"abstract":"<p><p>BackgroundWhile the complexity of today's business environments links the adoption of occupational health and safety (OHS) technologies with individual and institutional factors, emotional intelligence (EI) plays an important role in this process. It contributes to the development of a safety culture.ObjectiveThis study aims to analyze the effect of EI on the acceptance and use of OHS technologies using the systematic literature review (SLR) method.MethodsThis systematic literature review selected and evaluated 39 academic studies examining the relationship between OHS and EI in the context of technology acceptance and use between 2010 and 2025 using PRISMA and Mixed Methods Assessment Tool (MMAT) methods in Scopus, PubMed, Web of Science, and SpringerLink databases with the specified keywords.ResultsWhile the 39 studies evaluated according to the MMAT criteria generally offered high methodological quality and consistent analyses, it was observed that the themes of EI, occupational health and safety, and technology adaptation came to the fore, especially with the increasing number of publications after 2021.ConclusionsThis systematic review demonstrates that EI is a key determinant of accepting and using OHS technologies. Improvements are needed in methodological consistency and contextual diversity. Integrating EI as a mediating structure in technology acceptance models can enhance the effectiveness of OHS practices. Developing employee EI skills accelerates technology adoption within the Unified Technology Acceptance and Use Model 2 (UTAUT2) model, strengthening individual and organizational OHS performance.</p>","PeriodicalId":51373,"journal":{"name":"Work-A Journal of Prevention Assessment & Rehabilitation","volume":" ","pages":"210-230"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13144645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145812182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Examination of occupational and physical therapists' exposure to physical risk factors in outpatient rehabilitation settings using the workplace ergonomics risk assessment and pain scale.","authors":"Musaed Z Alnaser, Mohammed Sh Nadar, Fatma Madouh","doi":"10.1177/10519815251393213","DOIUrl":"10.1177/10519815251393213","url":null,"abstract":"<p><p>BackgroundHealthcare providers experience a significant rate of nonfatal occupational injuries associated with their occupational duties and characteristics.ObjectiveThis study aimed to gauge occupational and physical therapists' exposure to physical risk factors and pain levels related to patient handling in outpatient rehabilitation settings.MethodsFor this observational, descriptive, and cross-sectional study design, the Workplace Ergonomics Risk Assessment (WERA) tool was used to collect real-time data, and a self-administered numeric pain intensity scale was utilized to rate pain levels.ResultsThe study included ninety-eight participants. The WERA overall final score showed that participants were exposed to moderate physical risk factors associated with Work-Related Musculoskeletal Disorders (WMSDs). Postures and repetitions of the anatomical areas were positively correlated with the use of force, vibration tools, contact stress tools, and task duration. Pain ratings showed that most of the participants experienced moderate to severe physical pain immediately after therapy sessions. A Kruskal-Wallis H test revealed a statistically significant difference in the exposure to physical risk factors in outpatient rehabilitation settings.ConclusionParticipants were exposed to moderate levels of physical risk factors and moderate to severe pain that may lead to WMSDs. Participants working in pediatric settings experienced the most significant exposure to physical risk factors. Results from this observational study were consistent with those from self-reported studies involving WMSDs from different geographical regions worldwide.</p>","PeriodicalId":51373,"journal":{"name":"Work-A Journal of Prevention Assessment & Rehabilitation","volume":" ","pages":"107-116"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13144651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}