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20(4): 1-14, 2016; Article no.IJTDH.29675
ISSN: 2278–1005, NLM ID: 101632866
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Authors’ contributions
This work was carried out in collaboration between all authors. All authors read and approved the final
manuscript.
Article Information
DOI: 10.9734/IJTDH/2016/29675
Editor(s):
(1) Janvier Gasana, Department of Environmental & Occupational Health, Robert Stempel College of Public Health & Social
Work, Florida International University, USA.
(2) Shankar Srinivasan, Department of Health Informatics, University of Medicine & Dentistry of New Jersey, USA.
Reviewers:
(1) Olufemi O. Oyewole, Olabisi Onabanjo University Teaching Hospital, Nigeria.
(2) Kayiguvwe Kragha, Case Western Reserve University, USA.
(3) Loveness A. Nkhata, University of Zambia, Zambia.
Complete Peer review History: http://www.sciencedomain.org/review-history/17249
ABSTRACT
This study examines the experiences of musculoskeletal discomfort among staff and students of
the University of Port Harcourt as it relates to their workstations. Questionnaires were designed to
extract information from respondents on their experience of musculoskeletal pains and other
discomforts. A total of 320 questionnaires were distributed randomly to staff and students across
the three campuses of the University of Port Harcourt. One hundred and forty (140) questionnaires
were distributed to staff (academic, 60 and non-academic, 90) out of which 115 were retrieved.
Similarly, 170 questionnaires were distributed to students out of which 163 were retrieved;
altogether 278 out of 320 yielded a 86.9% response rate. The study revealed that there is a strong
relationship between the workstation set up and development of musculoskeletal discomfort in
classrooms and offices at the University of Port Harcourt. Most staff and students experienced low
back and neck pains due to poor ergonomic practices. Furthermore, most of the students
respondents spent their reasonable time sitting in class receiving lectures (47%) and
_____________________________________________________________________________________________________
studying/reading (18.3%), respectively. While a handful of students (9%) stood for most of the time
receiving lectures; due to limited number of seats. A multiple regression analysis on workstation
against MSDs (lower backaches, headaches, neck & upper backaches and neck & shoulder aches)
yielded a coefficient of variance, R2 of 87%. The sensitivity analysis on the regression model gave
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the following results: R = 29.94, 1.23, 41.7, and 14.12% for workstation against i) lower backaches;
ii) headaches; iii) neck & upper backaches; iv) neck & shoulder aches, respectively. The result of
Kruskal-Walli’s test of significance on the questionnaire response to simple ergonomic workstation
(the cause) and those of musculoskeletal disorder (the effect) showed not significant. This
confirmed the consistency of responses (that is, the samples were from the same distribution).
Kendall’s w-statistic for staff and students level of agreement < 50% in all cases.
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Nwaogazie et al.; IJTDH, 20(4): 1-14, 2016; Article no.IJTDH.29675
company workers, with an estimated population Thus, the sample size for the study is obtained
of 1,005,904 (2006) inhabitants. The city is host via Equation (1) as follows:
to the University of Port Harcourt, Choba;
University of Port Harcourt Teaching Hospital, 1 .96 2 (0.07 )(1 − 0 .07 )
Alakahia; Rivers State University of Science and N = = 277 .88
Technology, Nkpolu; University of Education, 0 .03
Rumuolumini; College of Arts and Science,
several broadcast stations and many oil servicing For attrition rate of 15.1%, then N = 320 persons
companies, respectively.
2.3 Data Collection
2.2 Study Population
Data collection involved selection of the sample
The study population comprises of teaching staff, population, questionnaire design and distribution,
non-teaching staff and students of the University collation, and tabulation in frequency tables for
of Port Harcourt. The probability sampling analysis. The data for this study were obtained
technique, precisely the stratified sampling through questionnaire as the primary source
technique was used to select the respondents for while the secondary sources were those
the study. The estimation of sample size using from literature, observations and personal
prevalence formula [15] was adopted as communication with the participants
Equation (1)
2.3.1 Inclusion criteria
z 2 P (1 − P )
N= (1) The criterion includes academic and non-
T2 academic staff as well as students who were 18
Where years and above at the time of study.
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workstation setup and musculoskeletal disorders To assess the contributions of each independent
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as multiple regression (see Equation 5): variable with respect to R , sensitivity analysis
was performed and the results are presented in
y = a0 + a1 x1 + a 2 x2 + a3 x3 + a4 x4 (5) Table 2. From column 4 of Table 2, we observe
the order of importance of the four independent
Where variables, with x3 in the first position, followed by
y = Ergonomic workstation setup; x1 = lower x1, x4 and x2, respectively. The benefit of
backache; x2 = headache; x3 = neck & upper sensitivity analysis is the ranking it brings about,
back ache; and x4 = neck & shoulder ache. thus, less contributory variables can be dropped
if need be. In situation where three independent
A sensitivity analysis was carried out on Equation variables are needed instead of four, then x2 is to
(5) to determine the contribution of each of the be dropped from Equation (6). Another set of
independent variables (x1, x2, x3, & x4) as results were obtained by carrying out Kruskal-
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measured by the coefficient of variance (R ). In Walli’s test of significance for workstation setup
effect, this analysis offered the opportunity to and four independent variables (see Equation 5
rank the independent variables in their order of for sample/variables definition and Tables 3 and
importance based on the experiences of the 4 for results summary).
respondents on MSDs.
3.3 Time versus Work Schedule
3. RESULTS AND DISCUSSION
3.1 Socio-demographic Data Distribution Fig. 3 shows that staff spent the largest amount
of time sitting and this is followed by time on
Table 1 shows the demography survey of the computer, reading, standing and on telephones,
respondents. The socio-demographic feature of respectively. On the part of the students the
the respondents, showed that more males than largest amount of time is spent on receiving
females were among sampled population. lectures, studying/reading, telephones and
Available in the table are three distinct age standing, respectively. For both staff and
groups of 18-30, 31–50 and 51 years & above. students more than fifty percent (50%) of their
The highest to the least in number of time is spent sitting for either computer and
respondents follow the order of the age groups reading (for staff) or receiving lectures and
(see Table1). reading (for students). The issue of poor
workstation in the university and reported cases
3.2 Relationship between Workstation of musculoskeletal disorder, particularly waist
and Musculoskeletal Disorders pains, back ache, neck and shoulder aches, etc.
due to prolonged sitting were established as
For multiple regression analysis, the ‘cause’ is 2
being related with a coefficient of variance, R of
taken as the questionnaire responses on 0.8696. This is in agreement with literature [15].
ergonomic workstation setup (see Table A1)
while ‘effect’ represents four questionnaire 3.4 Break Schedule
groups (see independent variables in Equation 5)
on neck, back (lower & upper), shoulder aches,
Given the staff response on break schedule, it is
etc (see Tables A2 – A5). Adopting the positive
observed that they take break away from the
responses on the applicable questionnaire
office amidst prolonged computer use (see Fig.
parameters as input data for XLSTAT simulation
4a). The largest number of students agreed that
yielded a multiple regression of Equation (6) with
breaks are taken between study hours (see Fig.
coefficient of variance, R2 of 0.8696, indicating
4b). However, the Kendall’s w-statistic for staff
high positive relationship (see Fig. 2). Physical
and students responses on break schedule
inspection of various workstations at the
indicates very low values of 8.4 and 38.9% (see
University of Port Harcourt confirmed poor
Table 5). These values indicate lack of
knowledge of ergonomics in procurement of
agreement amongst respondents on break
office and classroom furniture and the resultant
schedule, which is apparent in Figs. 4a and b.
effect is the MSDs. Apparently, the multiple
The combined values of ‘no’ and ‘undecided’
regression model has confirmed the existence of
seem to outweigh the ‘yes’ response option. This
cause-effect relationship.
indicated a gap on level of awareness on the
y = − 193 . 115 + 0 . 994 x 1 + 0 . 177 x 2 subject matter. The Kruskal – Walli’s test of
(6) significance (see Table 3) indicates not
+ 0 . 898 x 3 + 0 . 916 x 4
significant. The results confirmed that the five
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Nwaogazie et al.; IJTDH, 20(4): 1-14, 2016; Article no.IJTDH.29675
variables samples were of the same distribution the seven questionnaire parameters (questions)
and there is good reason to assume consistency are 7 out of 7 for staff and 5 out of 7 for students
in responses of staff and students. (see Fig. 5). The positive response indicates the
respondents who answered “yes” are in the
3.5 Response at Simple Ergonomics range of 64.3 – 93.9% for staff and 63.8 - 81%
Checklist for students as against two other options (“no”
and “undecided”). Only 2 out of 7 questionnaire
The staff and students’ responses to simple parameters that a gap was observeved for which
ergonomics checklist are both complimentary the responses on the part of students recorded
and high positive values (the ‘yes’ option) across 56% (that is, ‘no’ and ‘undecided’ combined).
Fig. 2. A multiple regression plot for workstation (WSN) setup against musculoskeletal (MSD)
disorder
3000 2728
2500
2000 1684
TIME (HRS)
1500
950 896
1000 762
520 432
500 370
180
0
0
SF.A1
SF.A1 SD.A2
SD.A2 SF.B SD.B SF.C SD. C SF.D SD.D SF.E SD.E
QUESTIONNAIRE PARAMETER
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Gender No. of Percentage Age No. of Percentage Sample frame No. of Percentage
respondents (%) bracket respondents (%) respondents (%)
18-30 134 48.2 Teaching staff 32 11.5
Male 186 66.9 31-50 85 30.6 Non-Teaching staff 83 29.9
Female 92 33.1 51 and 59 21.2 Students 163 58.6
above
∑ 278 100 ∑ 278 100 ∑ 278 100
2
Table 2. Coefficients of variance (R ) for sensitivity analysis
Table 3a. Kruskal-Wallis test of significance on workstation setup and four independent variables
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Table 4. Results of kendall’s w-statistic and Kruskal-Walli’s test of Significance for workstation
setup and four independent variables
67 120
Responses
56 100 86
60
41 42 76
34 80 65
40 30 57 54 56
22 60 42 42
17 30 33
20 12 40 23
3 7 5
10 20 8 7 7
0 0
0
A B C D E F
A B C D E F
Yes No UN
Variables
Variables
Questionnaire Parameters Yes No UN Questionnaire Parameters
(a) Staff (b) Students
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Table 5. Summary of kendell’s statistic (w)± for staff and students responses on break
schedule
160
120 108 104 135
100 140
100 90 88 120 108 104 108 108
80
80 74
Responses
100
Responses
80 72 72
60
60 60
38 60 50
40 34 43
34 31 31
15 19 15 40 2530 21
20 12 15 16 12
25 56 1
6 3 20 9
0
0 0
A B C D E F G A B C D E F G
Variables Parameters
Questionnaire Questionnaire Parameters
Variables
Yes No UN Yes No UN
a) Staff b) Students
The Kendall’s w-statistic for staff and students setup was found to be very low. Also, Fig. 5b
questionnaire responses (‘yes’ option) yielded shows a good number of students that are likely
16.0 and 10.0%, respectivlely (see Table 4); to experience musculoskeletal aches / pains due
indicating low level of agreement. However, to poor ergonomic set up at their lecture halls
analysis of variance (Kruskal-Walli’s test of and study areas. Also, this highlights the level of
significance) carried out on staff and Safety education on Ergonomics and workstation
students’responses indicates “not significant’(see setup for which there is a gap.
Table 4). Apparently, there is consistency in both
responses (indicating that the samples were of 3.6 Response on Experience of Lower
the same distribution). Back Aches
In addition, Fig. 5a shows teaching and non- The number of staff and students that answered
teaching staff workstations in the University of ‘yes’ option to all the questions are by far higher
Port Harcourt are likely to cause MSDs challenge than those with ‘no’ and ‘undecided’ options with
of muscle and joint ache. Apparently, the level of the exception of questions D & H for staff (see
Safety education on Ergonomics workstation Fig. 6a) and question H for students (Fig. 6b).
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The range of the positive responses of the 3.7 Response on Experience of Neck and
questions is 7 out of 8 for both staff and students. Shoulder Aches
The Kendall’s w-statistic for staff and students on
the experience of back aches are 32.4 and The positive (or yes) response level of 57.4 –
47.0%, respectively. This implies that the level of 92.2% for staff and 68.1 – 81.0% for students on
agreement amongst the respondents on the the issue of neck and shoulder aches are
issue of lower backaches is moderately low for supportive of poor ergonomics workstation setup
both staff and students. The level of agreement at the University of Port Harcourt. On the
may be blamed on the level of awareness of the responses to the questions, a total of 4 out of 5
respondents on effects of poor workstation setup. and 5 out of 5 were recorded for staff and
students with high positive values, respectively.
The high positive responses of staff (see
As evident in Fig. 7a, poor workstations and
Appendixes A2) and students on the experience
ergonomic practice make a number of the
of lower back ache show to a large extent that
University staff prone to neck and shoulder
the teaching and non-teaching staff as well as
aches/pain which could lead to development of
students workstations in the University of Port
MSDs. Better ergonomics awareness and proper
Harcourt are prone to cause MSDs of disc and
workstation design can curb this menace. To a
spine, leading to back ache. In effect continuous
great extent the students’ workstations in the
neglect of proper ergonomics in the workstation
University of Port Harcourt are likely to cause
set up of offices, may result into temporary
neck and shoulder aches (see Fig. 7b) which
injuries in a short term or permanaent injuries in
may result to MSDs. Physical observation /
a long term. In turn this would lead to poor
inspection of the existing workstations in
performance, decreased efficiency and loss of
University of Port Harcourt indicates that there
time. The students’ responses also highlighted
are no real ergonomic considerations in the
the fact that most seats used in their lecture
procurement of classroom furniture as some
rooms have no back rest. Hence, it is likely that
seats or desks are either too high or too low.
continuously neglect of proper ergonomics in the
Thus, continuous neglect of proper ergonomics
workstation set up of class rooms, may result to
in the workstation set up of class rooms, may
injuries which would in turn lead to poor
result to discomfort which apparently leads to
performance, decreased efficiency and loss of
poor performance on the part of students.
time.
80 66 66
Responses
100
60 48
40 80 6663
40
20 20 60
20 910 4 7 9 7 9 35 40
63 1 2 40 32 28 25
0
15
22 20 26 23 20
0 9
20 63
A B C D E F G H 0
0
Questionnaire Parameters A B C D E F G H
Variables Parameters
Questionnaire
Yes No UN Yes No UN
a) Staff b) Students
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Nwaogazie et al.; IJTDH, 20(4): 1-14, 2016; Article no.IJTDH.29675
80 100
Responses
66
60 54
40 54
40 32
22 21 50 32 33 32
17 21
20 85
5 27 13 8 3 3
10
0 0
A B C D E A B Variables
Yes No Variables Parameters
UN Questionnaire C C DD EE
Yes No UN Questionnaire Parameters
a) Staff b) Students
It is interesting to note that the major findings computer (26%) and standing while
from this study which includes poor awareness of teaching (42%);
ergonomic workstation, the resultant effects of v) Most of the students respondents spend
poor ergonomic (pains in lower and upper backs, their reasonable time sitting in class
necks) in staff and students are in agreement receiving lectures (47%) and
with the findings of Nwaogazie et al. [15], where studying/reading (18.3%), respectively;
most office – based civil servants in Rivers State, vi) A handful of students (9%) stand for most
Nigeria suffer from pains in their lower back. of the time receiving lectures due to limited
Also, with reference to the finding on poor number of seats;
workstation for staff and ergonomical compliance vii) Some seats and desks are too high, while
furnitures for lecture hall/classrooms, this agrees some are too low leading to hunching of
with the affirmation of Devereux et al. [17] that shoulders or slouching resulting in
the ergonomical compliance of the office and shoulder and back pain; and
workstation environment is a major contributing viii) Due consideration is not given to
factor to musculoskeletal disorder. ergonomics in the procurement of furniture.
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Nwaogazie et al.; IJTDH, 20(4): 1-14, 2016; Article no.IJTDH.29675
APPENDIX A
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Peer-review history:
The peer review history for this paper can be accessed here:
http://sciencedomain.org/review-history/17249
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