Ergonomic and psychosocial risk factors associated with work-related musculoskeletal disorders in Mohs histotechs Journal Article


Authors: Shah, K.; Maruthur, M.; Phillips, W.; Dusza, S.; Zakhari, L.; Rossi, A.; Lee, E. H.; Nehal, K.
Article Title: Ergonomic and psychosocial risk factors associated with work-related musculoskeletal disorders in Mohs histotechs
Abstract: Mohs histotechs are at high risk for work-related musculoskeletal disorders (WRMSDs) due to repetitive motions, forceful exertions, and fixed postures required for their work. Psychosocial factors such as perceptions of pressure to achieve deadlines may exacerbate risk of occupational injury. To assess the prevalence of and risk factors for WRMSD in Mohs histotechs, an online survey was created using literature review, expert opinion, and two validated instruments (the Nordic Musculoskeletal Questionnaire and the Oldenburg Burnout Inventory) and distributed to Mohs histotechs. 88% of respondents reported musculoskeletal problems in 2 or more of the 9 body sites assessed in the past year. Standing during specimen processing was correlated with having neck pain and upper back pain, while sitting was protective against lower back pain. Individuals that felt that they could not take breaks or slow their pace of work were more likely to report pain at multiple body sites. Total pain scores were significantly lower in those reporting extensive ergonomic training. There is a high prevalence of WRMSD in Mohs histotechs. Addressing poor posture as well as psychosocial risk factors could further reduce injury. © 2022, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Keywords: adult; aged; middle aged; major clinical study; united states; pain; prevalence; risk factors; risk factor; risk assessment; backache; questionnaire; body mass; cross-sectional study; standing; pain assessment; job stress; musculoskeletal disease; occupational diseases; social psychology; low back pain; neck pain; mohs; complication; health care survey; musculoskeletal diseases; e-mail; movement (physiology); body position; ergonomics; occupational disease; occupational accident; humans; human; male; female; article; laboratory personnel; surveys and questionnaires; anatomical location; oldenburg burnout inventory; histotech; contact stress; mohs histology technician; nordic musculoskeletal questionnaire
Journal Title: Archives of Dermatological Research
Volume: 315
Issue: 4
ISSN: 0340-3696
Publisher: Springer  
Date Published: 2023-05-01
Start Page: 917
End Page: 923
Language: English
DOI: 10.1007/s00403-022-02428-x
PUBMED: 36400864
PROVIDER: scopus
PMCID: PMC11003295
DOI/URL:
Notes: Article -- MSK Cancer Center Support Grant (P30 CA008748) acknowledged in PDF -- MSK corresponding author is Kalee Shah -- Export Date: 1 May 2023 -- Source: Scopus
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MSK Authors
  1. Kishwer S Nehal
    278 Nehal
  2. Stephen Dusza
    288 Dusza
  3. Erica H Lee
    135 Lee
  4. Anthony Rossi
    233 Rossi
  5. Kalee Sunil Shah
    5 Shah