Occurrence of Musculoskeletal Symptoms, Among Teachers of Special Education Institutes in Rawalpindi and Islamabad: A Cross-Sectional Study

Authors

  • Bisma Batool Student, Foundation University Islamabad, Pakistan
  • Musab Pervaiz Butt Student, Foundation University Islamabad, Pakistan
  • Muhammad Rafay Rasool Student, Foundation University Islamabad, Pakistan
  • Tayyaba Arzoo Qureshi Student, Foundation University Islamabad, Pakistan
  • Tehreem Aziz Student, Foundation University Islamabad, Pakistan
  • Saman Shaukat Lecturer, FUCP, Foundation University Islamabad, Pakistan

Abstract

Background: Teaching students with mental, physical, and learning disabilities is a highly demanding nature of work, which often leads to varying degrees of musculoskeletal disorders worldwide. Nevertheless, there is a limitation of the studies focusing on the occurrence of musculoskeletal symptoms in this group. Therefore, the purpose of this research was to investigate the occurrence of musculoskeletal symptoms among special education teachers in Rawalpindi and Islamabad. Pakistan.

Objective:  To determine the prevalence of musculoskeletal disorders among teachers of special education institutes.

Methodology: This cross-sectional study was conducted between September 2023 and June 2024.  Two tools were used: the primary tool was the Nordic Musculoskeletal Questionnaire (NMQ), and the second tool was a socio-demographic questionnaire developed by the research team. With the use of Rao-soft, a sample size of 109 was obtained; however, data were collected from 150 special education teachers aged 24 to 50.

Results: The average age of the participants was 36 years (SD = 8.66). In total, musculoskeletal issues were reported by 66.3% of special education instructors. The most often impacted body parts within the previous 12 months were the shoulders (32%), lower back (35.3%), and neck (36.7%). On the other hand, lower back pain was the most common complaint reported during the previous seven days (19.3%).

Conclusion: Musculoskeletal problems were shown to be quite prevalent among special education teachers in this study, affecting 66.3% of participants. Most frequently, the neck was affected, then the shoulders and lower back. These results emphasise how crucial it is to improve workplace design, implement ergonomic interventions, and embrace preventive measures in order to reduce the likelihood that special education instructors in Pakistan would experience musculoskeletal complaints.

Keywords: Special education teachers, Musculoskeletal disorders, Musculoskeletal symptoms, work-related musculoskeletal disorders

References

Tahernejad S, Hejazi A, Rezaei E, Makki F, Sahebi A, Zangiabadi Z. Musculoskeletal disorders among teachers: a systematic review and meta-analysis. Frontiers in public health. 2024; 12:1399552.

Choi K, Park J-H, Cheong H-K. Prevalence of musculoskeletal symptoms related with activities of daily living and contributing factors in Korean adults. Journal of Preventive Medicine and Public Health. 2013;46(1):39.

Jeffree MS, Abdul Rahim AA, Daud DMA, Pang N, Sazali MF, Sudi S, et al. Predictors of musculoskeletal disorders among special education teachers in Sabah, Malaysia. Heliyon. 2024;10(10): e30873.

March L, Smith EU, Hoy DG, Cross MJ, Sanchez-Riera L, Blyth F, et al. Burden of disability due to musculoskeletal (MSK) disorders. Best practice & research Clinical rheumatology. 2014;28(3):353-66.

Gill TK, Mittinty MM, March LM, Steinmetz JD, Culbreth GT, Cross M, et al. Global, regional, and national burden of other musculoskeletal disorders, 1990–2020, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021. The Lancet Rheumatology. 2023;5(11): e670-e82.

Korkmaz NC, Cavlak U, Telci EA. Musculoskeletal pain, associated risk factors and coping strategies in school teachers. Scientific Research and Essays. 2011;6(3):649-57.

Erick PN, Smith DR. A systematic review of musculoskeletal disorders among school teachers. BMC musculoskeletal disorders. 2011;12(1):260.

Muto S, Muto T, Seo A, Yoshida T, Taoda K, Watanabe M. Prevalence of and risk factors for low back pain among staffs in schools for physically and mentally handicapped children. Industrial health. 2006;44(1):123-7.

Cheng H-YK, Wong M-T, Yu Y-C, Ju Y-Y. Work-related musculoskeletal disorders and ergonomic risk factors in special education teachers and teacher’s aides. BMC Public Health. 2016;16(1):137.

Billingsley BS. Recognizing and supporting the critical roles of teachers in special education leadership. Exceptionality. 2007;15(3):163-76.

Abdul Rahim AA, Jeffree MS, Ag Daud DM, Pang N, Sazali MF. Factors Associated with Musculoskeletal Disorders among Regular and Special Education Teachers: A Narrative Review. International Journal of Environmental Research and Public Health. 2022;19(18):11704.

Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sørensen F, Andersson G, et al. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon. 1987;18(3):233-7.

Payà A. Inclusive and special education policies in South America. Oxford Research Encyclopedia of Education2020.

Argenan Y. Work-Related Musculoskeletal Disorders (WMSDs) Among Teachers and Student's Management Assistants in Special Education Schools in Malaysia: University of Malaya (Malaysia); 2017.

Published

2026-03-29

How to Cite

1.
Batool B, Pervaiz Butt M, Rasool MR, Arzoo Qureshi T, Aziz T, Shaukat S. Occurrence of Musculoskeletal Symptoms, Among Teachers of Special Education Institutes in Rawalpindi and Islamabad: A Cross-Sectional Study. J Riphah Coll. Rehabili. sci. [Internet]. 2026Mar.29 [cited 2026Apr.2];14(1). Available from: https://journals.riphah.edu.pk/index.php/jrcrs/article/view/2682

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Original Articles