Predictors of Lower Back Musculoskeletal Disability Among Emergency Department Healthcare Professionals: A Multicenter Cross-Sectional Study
Alaa Oteir, Norhan Hawari, Khader Almhdawi, Mohammad Al-WardatBackground:
Musculoskeletal disorders (MSDs), particularly lower back (LB) pain are highly prevalent in emergency department (ED) healthcare professionals with significant health-related impacts due to the high and unexpected workload.
Objective:
This study aimed to identify the predictors of LB disability among ED healthcare professionals in Jordan, including physical, psychological, and ergonomic occupational factors.
Methods:
A multicenter convenience sample of ED healthcare professionals was recruited from Jordanian ED departments. Data collection included demographics, ergonomics-related factors and a group of validated outcome measures: the Oswestry Disability Index (ODI), Pittsburgh Sleep Quality Index (PSQI) and the Depression, Anxiety and Stress Scale (DASS-21). A stepwise multivariable linear regression model was used to identify predictors of LB disability.
Results:
The study included 447 participants, of whom 57% were male (
Conclusion:
This study highlights the burden of LB disability among ED healthcare professionals. LB disability was significantly associated with depression, recent Musculoskeletal injury, Musculoskeletal-related sick leave and older age, with safe handling and posture practices showing a protective effect. Comprehensive interventions to integrate ergonomic improvements, mental health support, workload optimization, and exercise programs.