Open AccessContribution of biopsychosocial risk factors to nonspecific neck pain in office workers: A path analysis model
Author(s) -
Paksaichol Arpalak,
Lawsirirat Chaipat,
Janwantanakul Prawit
Publication year - 2015
Publication title -
journal of occupational health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.664
H-Index - 59
ISSN - 1348-9585
DOI - 10.1539/joh.14-0124-oa
Subject(s) - biopsychosocial model , medicine , neck pain , physical therapy , risk factor , incidence (geometry) , etiology , prospective cohort study , physical examination , cohort , cohort study , physical medicine and rehabilitation , surgery , pathology , alternative medicine , psychiatry , physics , optics
Contribution of biopsychosocial risk factors to nonspecific neck pain in office workers: A path analysis model: Arpalak PAKSAICHOL, et al . Department of Physical Therapy, Faculty of Allied Health Sciences, Chulalongkorn University, ThailandObjective The etiology of nonspecific neck pain is widely accepted to be multifactorial. Each risk factor has not only direct effects on neck pain but may also exert effects indirectly through other risk factors. This study aimed to test this hypothesized model in office workers. Methods A one‐year prospective cohort study of 559 healthy office workers was conducted. At baseline, a self‐administered questionnaire and standardized physical examination were employed to gather biopsychosocial data. Follow‐up data were collected every month for the incidence of neck pain. A regression model was built to analyze factors predicting the onset of neck pain. Path analysis was performed to examine direct and indirect associations between identified risk factors and neck pain. Results The onset of neck pain was predicted by female gender, having a history of neck pain, monitor position not being level with the eyes, and frequently perceived muscular tension, of which perceived muscular tension was the strongest effector on the onset of neck pain. Gender, history of neck pain, and monitor height had indirect effects on neck pain that were mediated through perceived muscular tension. History of neck pain was the most influential effector on perceived muscular tension. Conclusions The results of this study support the hypothesis that each risk factors may contribute to the development of neck pain both directly and indirectly. The combination of risk factors necessary to cause neck pain is likely occupation specific. Perceived muscular tension is hypothesized to be an early sign of musculoskeletal symptoms.