Musculoskeletal disorders in nursing staff: analysis of the effect of forced postures
Keywords:
ENFERMEDADES MUSCULOESQUELÉTICAS; EQUILIBRIO POSTURAL; ERGONOMÍA; PERSONAL DE ENFERMERÍA.; MUSCULOSKELETAL DISEASES; POSTURAL BALANCE; ERGONOMÍA; NURSING STAFF.; DOENÇAS MUSCULOESQUELÉTICAS; EQUILÍBRIO POSTURAL; ERGONOMIA; RECURSOS HUMANOS DE ENFERMAGEM.Abstract
Introduction: nursing staff are exposed to forced postures during healthcare delivery, which increases the risk of musculoskeletal disorders affecting their health and work performance.
Objective: to analyze the effect of forced postures on musculoskeletal health in nursing staff.
Methods: an observational, descriptive, cross-sectional study was conducted with an intentional sample of 50 nursing professionals from Health District 18D04, Tungurahua, identifying ergonomic risks and their relationship with the occurrence of symptoms. The standardized Nordic questionnaire was applied to assess musculoskeletal symptoms in different body regions. Descriptive and inferential statistical methods were employed, respecting bioethical principles.
Results: 80 % of respondents reported discomfort in the dorsolumbar region, 76 % in the neck, and 52 % in the shoulders. Most symptoms appeared chronically, lasting months or years, especially in the lower back and neck. In the last 12 months, 90 % reported recurrent dorsolumbar pain associated with repetitive activities, load handling, and accelerated work pace. The most frequent postures were trunk inclination, knee flexion with unbalanced load, and arm elevation above shoulder level.
Conclusions: the findings confirm a high prevalence of musculoskeletal disorders among nursing staff, linked to forced postures and poor ergonomic conditions. Preventive programs, training in postural hygiene, and organizational measures are required to reduce physical overload, improving quality of life and productivity in the healthcare team.
Downloads
References
1. Cieza A, Causey K, Kamenov K, Hanson SW, Chatterji S, Vos T. Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. [Internet] 2020 [citado 16/03/2024]; 396(10267): 2006-17.Disponible en: https://pubmed.ncbi.nlm.nih.gov/33275908/
2. Cárdenas P. Relación de trastornos musculoesqueléticos en el personal de limpieza que adoptan posturas forzadas en la unidad de salud Quichinche-Otavalo [Internet]. Universidad Internacional SEK [Internet]; 2020 [citado 16/03/2024]. Disponible en: https://repositorio.uisek.edu.ec/handle/123456789/4005.
3. Fajardo Zapata AL. Trastornos musculoesqueléticos en auxiliar de enfermería en unidad de cuidados intensivos. Cienc Trab [Internet]. 2015 [citado 16/03/2024]; 17(53):150-3. Disponible en: https://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-24492015000200009
4. Organización Internacional del Trabajo. Salud y seguridad en trabajo en América Latina y el Caribe [Internet]. OIT; 2019 [citado 16/03/2024]. Disponible en: https://www.paho.org/es/temas/salud-trabajadores.
5. Paredes Rizo ML, Vázquez Ubago M. Descriptive Study on the Working Conditions and Musculoskeletal Disorders in the Nursing Staff (Nurses and Auxiliary of Nursing) of the Pediatric and Neonatal Intensive Care Unit at the University Clinical Hospital of Valladolid. Med. segur. trab. [Internet]. 2018 jun 12 [citado 16/05/2024]; 64(251): 161-199. Disponible en: https://scielo.isciii.es/scielo.php?pid=S0465-546X2018000200161&script=sci_abstract&tlng=en
6. Ou YK, Liu Y, Chang YP, Lee BO. Relationship between musculoskeletal disorders and work performance of nursing staff: a comparison of hospital nursing departments. Int J Environ Res Public Health [Internet]. 2021 [citado 16/03/2024]; 18(13). Disponible en: https://pubmed.ncbi.nlm.nih.gov/34281022/
7. Pincay M, Chiriboga G, Vega V. Posturas inadecuadas y su incidencia en trastornos músculo esqueléticos. Rev Asoc Esp Med Trab [Internet]. 2021 [citado 16/03/2024]; 30(2): 161-8. Disponible en: https://scielo.isciii.es/pdf/medtra/v30n2/1132-6255-medtra-30-02-161.pdf
8. Marín Vargas JB, González-Argote J. Riesgos ergonómicos y sus efectos sobre la salud en el personal de enfermería. Rev Inf Cient [Internet]. 2022 [citado 16/03/2024]; 101(1): 12. Disponible en: https://revinfcientifica.sld.cu/index.php/ric/article/view/3724/5069
9. Pesántez Calle FM, Rogel Echeverría JB, Romero Vélez LC, Guaraca Pin AC, Quezada Arias CM, Parra Sinchi JC, Peralta Morales JA. Riesgos ergonómicos en el personal de enfermería del Hospital San Vicente de Paúl, Ecuador. Rev Cienc Salud Redalyc [Internet]. 2021 [citado 17/03/2024]; 16(5). Disponible en: https://www.redalyc.org/journal/1702/170271860008/html/
10. Hartvigsen J, Hancock MJ, Kongsted A, et al. What low back pain is and why we need to pay attention. Lancet. [Internet] 2018 [citado 16/03/2024]; 391: 2356–67.Disponible en: https://pubmed.ncbi.nlm.nih.gov/29573870/
11. Morales J, Carcausto W. Desórdenes musculoesqueléticos en trabajadores de salud del primer nivel de atención de la Región Callao. Rev Esp Med Trab [Internet]. 2020 [citado 16/03/2024]; 28(1): 11. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1132-62552019000100005
12. Fierro Vasco SG, Ocampo Bermeo JD, Guano Gutiérrez DA, Pacheco Toro SI. Riesgos ergonómicos en personal de enfermería: una revisión práctica. Polo Conoc [Internet]. 2022 [citado 16/03/2024]; 7(8): 17. Disponible en: https://polodelconocimiento.com/ojs/index.php/es/article/view/4436
13. Zamora-Chávez S, Vásquez-Alva R, Luna-Muñoz C, Carvajal-Villamizar L. Factores asociados a trastornos musculoesqueléticos en trabajadores de limpieza del servicio de emergencia de un hospital terciario. Rev Fac Med Humana [Internet]. 2020 [citado 16/03/2024]; 20(3): 388-96. Disponible en: http://www.scielo.org.pe/pdf/rfmh/v20n3/2308-0531-rfmh-20-03-388.pdf
14. Fernández González M, Fernández Valencia M, Manso Huerta MA, Gómez Rodríguez MP, Jiménez Recio MC, Coz Díaz F. Trastornos musculoesqueléticos en personal auxiliar de enfermería del Centro Polivalente de Recursos para Personas Mayores "Mixta" de Gijón - C.P.R.P.M. Mixta. Gerokomos [Internet]. 2014 mar [citado 18/03/2024]; 25(1): 17-22. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-928X2014000100005
15. Secretaría de Medio Ambiente y Salud Laboral. Cuaderno preventivo: posturas forzadas [Internet]; 2022 [citado 17/03/2024]. Disponible en: https://www.ugt.cat/wp-content/uploads/2022/06/cuaderno_posturas_forzadas.pdf
16. Ministerio de Trabajo y Promoción del Empleo. Trastornos musculoesqueléticos: prevención y tratamiento [Internet]; 2023 [citado 18/03/2024]. Disponible en: https://ma.com.pe/trastornos-musculoesqueleticos.
17. Diego-Mas JA. Evaluación postural mediante el método OWAS. Ergonautas, Universidad Politécnica de Valencia [Internet]; 2015 [citado 20/05/2024]. Disponible en: https://www.ergonautas.upv.es/metodos/owas/owas-ayuda.php
18. Terán Granja AA, Izquierdo Buchelli AE. Valoración del riesgo ergonómico de estudiantes de odontología mediante el método Owas. Rev Odontol [Internet]. 2020 jul 1 [citado 21/05/2024]; 22(2): 60-71. Disponible en: https://revistadigital.uce.edu.ec/index.php/odontologia/article/view/2386
19. Vega NL, Haro ME, Quiñones KA, Hernández C. Determinantes de riesgo ergonómico para desarrollo de trastornos musculoesqueléticos del miembro superior en México [Internet]; 2019 [citado 22/05/2024]. Disponible en: https://www.medigraphic.com/pdfs/revcubsaltra/cst-2019/cst191h.pdf
20. Baquero Sastre GA. Caracterización de condiciones de flexibilidad muscular y su relación
con alteraciones posturales lumbo-pélvicas. Rev Cient Gen José María Córdova [Internet]. 2012 [citado 16/03/2024]; 10(10): 319.Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S1900-65862012000200016
21. Galindo-Estupiñan ZT, Maradei-García MF, Espinel-Correal F. Low back pain perception from the prolonged use of a dynamic seat in sitting posture. Rev Salud Publica [Internet]. 2016 [citado 16/03/2024]; 18(3): 412–24. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28453104/
22. Tandazo R. Posturas forzadas en personal femenino auxiliar de enfermería en el manejo de pacientes críticos del área de emergencia de un hospital de Quito. Universidad Internacional SEK [Internet]; 2021 [citado 16/03/2024]. Disponible en: https://repositorio.uisek.edu.ec/bitstream/123456789/4164/2/PTT%20-%20Rosa%20Esperanza%20Tandazo%20Tandazo.pdf
23. Aponte ME, Cedeño C, Henríquez G. Trastornos musculoesqueléticos en el personal de enfermería en la UCI. Rev Saluta [Internet]. 2022 [citado 16/03/2024]; 5. Disponible en: https://portal.amelica.org/ameli/journal/327/3273192004/3273192004.pdf
24. Paredes Rizo ML, Vázquez Ubago M. Descriptive study on the working conditions and musculoskeletal disorders in the nursing staff (nurses and auxiliary of nursing) of the pediatric and neonatal intensive care unit at the Universit. Med. segur. trab [Internet]. 2018 jun 12 [citado 16/03/2024]; 64(251). Disponible en: https://scielo.isciii.es/scielo.php?pid=S0465-546X2018000200161&script=sci_abstract&tlng=en
25. Cabanilla Proaño EA, Jiménez Luna CL, Paz Gaibor VY, Acebo Murillo MR. Riesgos ergonómicos del personal de enfermería: central de esterilización del hospital de especialidades Dr. Abel Gilbert Pontón, Guayaquil 2019. Rev Cienc Salud MásVita [Internet]. 2010 [citado 16/03/2024]; 2(2). Disponible en: https://acvenisproh.com/revistas/index.php/masvita/article/view/81
26. Ruiz C. Musculoskeletal disorders in nursing staff related to ergonomic risks. NPunto [Internet]. 2023 ago [citado 16/03/2024]; VI(65): 43-65.Disponible en: https://www.npunto.es/content/src/pdf-articulo/64eedf2500acaart3.pdf.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Diana Sofía Iglesias Espín

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors who have publications with this journal agree to the following terms: Authors will retain their copyrights and grant the journal the right of first publication of their work, which will be publication of their work, which will be simultaneously subject to the Creative Commons Attribution License (CC-BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.
Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a volume). Likewise, and according to the recommendations of the Medical Sciences Editorial (ECIMED), authors must declare in each article their contribution according to the CRediT taxonomy (contributor roles). This taxonomy includes 14 roles, which can be used to represent the tasks typically performed by contributors in scientific academic production. It should be consulted in monograph) whenever initial publication in this journal is indicated. Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which may produce interesting exchanges and increase citations of the published work. (See The effect of open access). https://casrai.org/credit/
