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International Journal of Academic Research in Business and Social Sciences

Open Access Journal

ISSN: 2222-6990

Video Display Unit Exposure and Risk of Musculoskeletal Symptoms During Covid-19 Pandemic

Nurul Shazlin Mohd Shamsul, Haliza Abdul Rahman, Faridah Naim

http://dx.doi.org/10.6007/IJARBSS/v12-i13/14157

Open access

The number of visual display unit (VDU) users is growing dramatically. The VDU use during open and distance learning (ODL) frequently forces the users to adopt a repetitive motion, and static and sustained postures leading to an increased risk of musculokseletal symptoms (MSS). The study aimed to assess the ergonomic risk factors (ERFs) on MSS when working with VDU among undergraduate students in USM Health Campus (USMKK). A cross-sectional study was conducted among 385 undergraduate students in USMKK. A modified and adapted questionnaire was used to assess the demographic, VDU risk factors and Nordic Musculoskeletal Questionnaire. The data were analyzed using descriptive and inferential statistics; Chi-Square and Logistic Regression tests. The highest six-month prevalence of MSS was neck (75.7%). Chi-Square test revealed that the six months prevalence of MSS on body regions that have significantly associated with gender are shoulder, upper back, lower back, and knees (p<0.05). Duration of exposure to VDU screen for more than 6 hours/day for ODL increased the risk of shoulder [Odd Ratio (OR) and 95% Confidence Interval (CI): 4.34(1.71-10.99)], upper back [OR(95% CI): 3.34(1.33-8.37)] and lower back pain [OR(95% CI): 4.19(1.68-10.42)]. Exposure to VDU for 4-6 hours/day was also associated with shoulder and lower back pain. Chair, desk and accessories factor increased the risk of shoulder, elbow, wrists/hands, upper back, hips/thigh and knees pain. The results of this study indicated that ERFs when working with VDUs were associated with the chronic MSS. These association patterns also suggest opportunities for intervention strategies in order to stimulate an ergonomic workplace setting.

Aghili, M. M., Asilian H., & Poursafa, P. (2012). Evaluation of musculoskeletal disorders in sewing machine operators of a shoe manufacturing factory in Iran. J Pak Med Assoc; 62 (3 Suppl 2): S20–5.
Agnes, P. D., & Saliza, M. E. (2016). Knowledge and practice of laptop ergonomics and prevalence of musculoskeletal symptoms among university students, Asia Pacific Environmental and Occupational Health Journal, 2(2), 8-18.
Antonelli, G., Gomes, J. C., Oliveira, M. A. K., & Baroni, M. P. (2020). Assessment of musculoskeletal symptoms in academics in full time and part-time courses. Manual Therapy, Posturology & Rehabilitation Journal, 1–5.
https://doi.org/10.17784/mtprehabjournal.2016.14.382
Apuke, O. D., & Iyendo, T. O. (2018). University students’ usage of the internet resources for research and learning: forms of access and perceptions of utility. Heliyon, 4(12), e01052.
Araujo, L. G. L., Rodrigues, V. P., Figueiredo, I. A., & Medeiros, M. N. L. (2020). Association between sitting posture on school furniture and spinal changes in adolescents. International Journal of Adolescent Medicine and Health, 0(0), 1–7. https://doi.org/10.1515/ijamh-2020-0179
Balram, A. (2020). How online learning can affect student health. Retrieved October 23, 2020, from https://www.jhunewsletter.com/article/2020/04/how-online-learning-can-affect-student-health
Canadian Centre for Occupational Health and Safety. (2021). Working in a sitting position – Overview. Retrieved October 3, 2021, from https://www.ccohs.ca/oshanswers/ ergonomics/sitting/sitting_overview.html?=undefined&wbdisable=false.
Castillo-Manzano, J., Castro-Nuño, M., López-Valpuesta, L., Sanz-Díaz, M., & Yñiguez, R. (2017). To take or not to take the laptop or tablet to classes, that is the question. Computers in Human Behavior, 68, 326-333.
Chowdhury, F., Habib, M., and Nahar, N. (2014). Self-reported musculoskeletal symptoms (MSS) and its physical and psychological risk factors of arm, neck and shoulder among computer office workers. Bachelor of Science in Occupational Therapy, University of Dhaka
Christensson, P. (2009). VDU Definition. Retrieved 2020, Nov 12, from https://techterms.com
Cooper, K., Sommerich, C., & Campbell, N. (2009). Technology in the classroom: College Students' computer usage and ergonomic risk factors. Retrieved October 30, 2020, from https://www.researchgate.net/publication/272237388_Technology_in_the_classroom_College_Students'_computer_usage_and_ergonomic_risk_factors
Demure, B., Luippold, R. S., Bigelow, C., Ali, D., Mundt, K. A., & Liese, B. (2000). Video display terminal workstation improvement program: I. Baseline associations between musculoskeletal discomfort and ergonomic features of workstations. Journal of Occupational and Environmental Medicine, 42:783–791.
Department of Occupational Safety and Health Ministry of Human Resources. (2003). Guidelines on occupational safety and health for working with video display units (VDUs), 1, 1-31. Retrieved October 29, 2020, from
https://www.dosh.gov.my/index.php/legislation/guidelines/ergonomic/605-03-guidelines-on-occupational-safety-and-health-for-working-with-video-display-unit-vdu-s-2003/file
Deschacht, N., & Goeman, K. (2015). The Effect of Blended Learning on Course Persistence and Performance of Adult Learners: A Difference-In-Differences Analysis. Computers & Education, 87, 1–18.
Development for Health and Safety, Romania. (2020). Musculoskeletal disorders in visual display unit (VDU) tasks: OSHwiki. OSH WIKI. Retrieved October 29, 2020, from https://oshwiki.eu/wiki/Musculoskeletal_disorders_in_visual_display_unit_(VDU)_tasks
Dhawan, S. (2020). Online Learning: A Panacea in the Time of COVID-19 Crisis. Journal of Educational Technology Systems, 49(1), 5–22. doi.org/10.1177/0047239520934018
Dinar, A., Susilowati, I. H., Azwar, A., Indriyani, K., & Wirawan, M. (2018). Analysis of Ergonomic Risk Factors in Relation to Musculoskeletal Disorder Symptoms in Office Workers. KnE Life Sciences, 4(5), 16. https://doi.org/10.18502/kls.v4i5.2536
Dockrell, S., Bennett, K., & Culleton-Quinn, E. (2015). Computer use and musculoskeletal symptoms among undergraduate university students. Computers & Education, 85, 102-109.
European Agency for Safety and Health at Work- European Union. (2013). New risks and trends in the safety and health of women at work (No. 978–92-9240-153–5). Elke Schneider. https://doi.org/10.2802/69206
European Agency for Safety and Health at Work- European Union. (2017). Musculoskeletal disorders caused by the most common job demands and ergonomic risks (No. 2016-3600/001-001). Retrieved October 26, 2020, from
https://ec.europa.eu/programmes/erasmus-plus/project-result-content/c7cc4b4d-52c9-4b5e-a282-46f53f5f5e98/D2.1.MSDs_job_demands_Revised.pdf
Gazibara, T., Pekmezovic, T., Popovic, A., Paunic, M., & Kisic-Tepavcevic, D. (2018). Chronic diseases among University students: Prevalence, patterns and impact on health-related quality of life. Vojnosanitetski Pregled, 75(12), 1178–1184.
https://doi.org/10.2298/vsp160920050g
Ghosh, S., Nath, J., Agarwal, S., Nath, A., & Chaudhuri, A. (2012). Open And Distance Learning (ODL) Education System: Past, Present And Future – A Systematic Study Of An Alternative Education System. Journal of Global Research in Computer Science. 3. 53-57.
Hamilton, A., Jacobs, K., & Orsmond, G. (2005). The prevalence of computer-related musculoskeletal complaints in female college students. WORK: A Journal of Prevention, Assessment, and Rehabilitation, 24(4), 387-394.
Hussin, S., Manap, M. R., Amir, Z., & Krish, P. (2017). Mobile Learning Readiness Among Malaysian Students at Higher Learning Institutes. Asian Social Science, 8(12), 276–283.
International Non-Ionizing Radiation Committee. (1994). Visual Display units: Radiation Protection Guidance. Retrieved December 5, 2020, from
https://www.ilo.org/wcmsp5/groups/public/---ed_protect/---protrav/---safework/documents/publication/wcms_107821.pdf
Karlqvist L. K., Hagberg, M., Koster, M., Wenermark, M., & Anell, R. (1996) Musculoskeletal symptoms among computer assisted design (CAD) operators and evaluation of self-assessment questionnaire. International Journal of Occupational and Environmental Health, 2:186–194
Kazemi, S., Asgari, A., Khatib, M., Poyafar, L., & Mohammadi, M. (2019). Determining the Prevalence of Musculoskeletal Disorders in Tailors in Kermanshah, Iran Using the Nordic Questionnaire (2018). International Journal of Health and Life Sciences, In Press(In Press). https://doi.org/10.5812/ijhls.85896
Keis, O., Grab, C., Schneider, A., & Ochsner, W. (2017). Online Or Face-To-Face Instruction ? A Qualitative Study on The Electrocardiogram Course At The University Of Ulm To Examine Why Students Choose A Particular Format. Medical Education Online, 17, 1–8.
Kenny, Z. Z., & R. F. (2010). Learning In An Online Distance Education Course : Experiences Of Three International Students. International Review of Research In Open and Distance Learning, 11(1), 18–36.
Kerckebosch. (2014). Questionnaire on VDU work. Retrieved December 7, 2020, from core.ac.uk/download/pdf/51243859.pdf#page=81
Khan, R., Surti, A., Rehman, R., & Ali, U. (2012). Knowledge and practices of ergonomics in computer users. JPMA Journal of the Pakistan Medical Association, 62(3), 213-217.
Kirkwood, A., & Price, L. (2014). Technology-enhanced learning and teaching in higher education: what is ‘enhanced and how do we know? A critical literature review. Learning, Media, and Technology, 39(1), 6-36.
Korhan, O., & Memon, A. A. (2019). Introductory Chapter: Work-Related Musculoskeletal Disorders | IntechOpen. Retrieved November 20, 2020, from https://www.intechopen.com/books/work-related-musculoskeletal-disorders/introductory-chapter-work-related-musculoskeletal-disorders
Kuo, Y., Walker, A. E., Schroder, K. E., & Belland, B. R. (2014). Interaction, Internet Self-Efficacy, And Self-Regulated Learning As Predictors Of Student Satisfaction In Online Education Courses. The Internet And Higher Education, 20(1), 35–50.
Laeser, K. L., Maxwell, L. E., and Hedge, A. (1998) The Effect of Computer Workstation Design on Student Posture. Journal of Research on Computing in Education. 31(2), 173-
Larrea-Araujo, C., Ayala-Granja, J., Vinueza-Cabezas, A., & Acosta-Vargas, P. (2021). Ergonomic Risk Factors of Teleworking in Ecuador during the COVID-19 Pandemic: A Cross-Sectional Study. International Journal of Environmental Research and Public Health, 18(10), 5063. https://doi.org/10.3390/ijerph18105063
Lee, S. P., Hsu, Y. T., Bair, B., Toberman, M., & Chien, L. C. (2018). Gender and posture are significant risk factors to musculoskeletal symptoms during touchscreen tablet computer use. Journal of Physical Therapy Science, 30(6), 855–861. https://doi.org/10.1589/jpts.30.855
Lei, L., Dempsey, P. G., Xu, J., Ge, L., & Liang, Y. (2005). Risk factors for the prevalence of musculoskeletal disorders among Chinese foundry workers. International Journal of Industrial Ergonomics, 35(3), 197–204. doi.org/10.1016/j.ergon.2004.08.007
Li, C., & Lalani, F. (2020). The rise of online learning during the COVID-19 pandemic. Retrieved October 30, 2020, from https://www.weforum.org/agenda/2020/04/coronavirus-education-global-covid19-online-digital-learning/
Loo. (2012). Ergonomics Issues in Malaysia. Journal of Social Sciences, 8(1), 61–65. doi.org/10.3844/jssp.2012.61.65
López, S., & Franco, D (2019). Ergonomic Risk Factor due to VDT in Teleworkers. Perspect en Intel 11:335–346; ESICI: Bogotá, Colombia.
Middlesworth, M. (2019). The Definition and Causes of Musculoskeletal Disorders. ErgoPlus. Retrieved October 26, 2020, from https://ergo-plus.com/musculoskeletal-disorders-msd/
Morais, B. X., Dalmolin, G. L., Andolhe, R., Dullius, A. I. S., & Rocha, L. P. (2019). Musculoskeletal pain in undergraduate health students: prevalence and associated factors. Revista Da Escola de Enfermagem Da USP, 53, 1–9. doi.org/10.1590/s1980-220x2018014403444
Morrell, H. E. R., Cohen, L. M., & Dempsey, J. P. (2008). Smoking Prevalence and Awareness Among Undergraduate and Health Care Students. American Journal on Addictions, 17(3), 181–186. https://doi.org/10.1080/10550490802019899
Musa, A. H., Rosle, A. N., Baharuddin, F. N., & Ibrahim, S. S. (2020). The effectiveness of online distance learning (ODL) approach in university: A respond of Covid-19 pandemic crisis. International Journal of Academic Research in Business and Social Sciences, 10(9),1069-1076.
National Institute of Occupational Safety and Hygiene. (2020). Working with PVD: Risks derived from the advance of ICT. Liquid Work and Emerging Risk in Information Societies; National Institute for Occupational Safety and Health: Madrid, Spain.
Nawrocka, A., Niestroj-Jaworska, M., Mynarski, A., & Polecho?ski, J. (2019). Association between Objectively Measured Physical Activity And Musculoskeletal Disorders, And Perceived Work Ability Among Adult, Middle-Aged And Older Women. Clinical Interventions in Aging, Volume 14, 1975–1983. https://doi.org/10.2147/cia.s204196
Noack-Cooper, K. L., Sommerich, C. M., & Mirka, G. A. (2009). College students and computers: Assessment of usage patterns and musculoskeletal discomfort. Work, 32(3), 285–298. doi.org/10.3233/wor-2009-0827
Rahman, M. N. A., & Zuhaidi, M. F. A. (2017). Musculoskeletal symptoms and ergonomic hazards among material handlers in grocery retail industries. IOP Conference Series: Materials Science and Engineering, 226, 012027. https://doi.org/10.1088/1757-899x/226/1/012027
Rahman, M. N. A., Masood, I., Awalludin, N. F., & Hassan, M. F. (2017). Ergonomic Risk Factors associated with Musculoskeletal Disorders in Computer Workstation. International Journal of Applied Engineering Research. 12. 1355-1359.
Reising, D. W., Bennett, B. C., Hursh, K., & Plesh, O. (2005). Reports of body pain in a dental student population. Journal of the American Dental Association, 136, 81–86.
Van Der Beek, A. J., Kluver, B. D. R., Frings-Dresen, M. H. W., & Hoozemans, M. J. M. (2000). Gender differences in exerted forces and physiological load during pushing and pulling of wheeled cages by postal workers. Ergonomics, 43(2), 269-281.
Van der Kleij, F., Feskens, R., & Eggen, T. (2015). Effects of feedback in a computer-based learning environment on students’ learning outcomes: A meta-analysis. Review of Educational Research, 85(4), 475-511.
Vingard, E., Alfredsson, L., Hagberg, M., Kilbom, A., Theorell, T., Waldenstrom, M., & MUSIC-Norrtälje Study Group. (2000). To what extent do current and past physical and psychosocial occupational factors explain care-seeking for low back pain in a working population? results from the Musculoskeletal Intervention Center-Norrtälje study. Spine, 25(4), 493-500.
Wærsted, M., Hanvold, T. N., & Veiersted, K. B. (2010). Computer work and musculoskeletal disorders of the neck and upper extremity: A systematic review. BMC Musculoskeletal Disorders, 11(1), 1–15. doi.org/10.1186/1471-2474-11-79
Wallace, R. M. (2010). Online Learning in Higher Education: A Review Of Research On Interactions Among Teachers And Students Online Learning In Higher Education. Education, Communication & Information, 3(2), 37–41.

In-Text Citation: (Shamsul et al., 2022)
To Cite this Article: Shamsul, N. S. M., Abdul Rahman, H., & Naim, F. (2022). Video Display Unit Exposure and Risk of Musculoskeletal Symptoms During Covid-19 Pandemic. International Journal of Academic Research in Business and Social Sciences. 12(13), 148 - 165.