Repetitive Motion: Is A Risk Factor For Musculoskeletal Disorders Among Warehouse Workers?

Nima Eka Nur Rahmania; Ellyza Setya Maryiantari; Achmat  Kuncoro; Riza  Irianingtyas; Ratih  Damayanti

doi:10.54004/jikis.v14i1.523

Authors

Nima Eka Nur Rahmania Program Studi Keselamatan dan Kesehatan Kerja, Politeknik Kesehatan Kerta Cendekia, Sidoarjo, Indonesia
Ellyza Setya Maryiantari Program Studi Keselamatan dan Kesehatan Kerja, Politeknik Kesehatan Kerta Cendekia, Sidoarjo, Indonesia
Achmat Kuncoro Program Studi Keselamatan dan Kesehatan Kerja, Politeknik Kesehatan Kerta Cendekia, Sidoarjo, Indonesia
Riza Irianingtyas Program Studi Keselamatan dan Kesehatan Kerja, Politeknik Kesehatan Kerta Cendekia, Sidoarjo, Indonesia
Ratih Damayanti Program Studi Keselamatan dan Kesehatan Kerja, Universitas Airlangga, Surabaya, Indonesia

DOI:

https://doi.org/10.54004/jikis.v14i1.523

Keywords:

biomechanical exposure, manual handling, occupational ergonomics, physical workload

Abstract

Introduction: Musculoskeletal Disorders (MSDs) are frequently found among warehouse workers due to manual handling activities and physical workloads during work processes. Objective: This study aimed to analyze the relationship between repetitive motion, physical workload, Body Mass Index (BMI), and MSDs among warehouse workers in Sidoarjo. Methods: An observational analytic study with a cross-sectional design was conducted on 40 animal feed warehouse workers using a total sampling technique. Repetitive motion were assessed using the Threshold Limit Value method from the American Conference of Governmental Industrial Hygienists (ACGIH), physical workload was measured using the Cardiovascular Load method, and musculoskeletal complaints were measured using the Nordic Body Map questionnaire. Data analysis was performed using the Chi-square or Fisher’s Exact test, Spearman correlation, and binary logistic regression. Results: The results showed that repetitive motion (p=0.01) and physical workload (p=0.04) were significantly associated with MSDs. Repetitive motion were the most dominant factor associated with MSDs (OR=2.8; 95% CI=1.21-6.42; p=0.02). BMI showed a borderline association with MSDs (p=0.05), whereas age, tenure, and exercise habits were not significantly associated. Conclusion: Repetitive motion and physical workload were significantly associated with MSDs.

References

Andersen, L. L., Vinstrup, J., Sundstrup, E., Skovlund, S. V., Villadsen, E., & Thorsen, S. V. (2021). Combined ergonomic exposures and development of musculoskeletal pain in the general working population: A prospective cohort study. Scandinavian Journal of Work, Environment & Health, 47(4), 287–295. https://doi.org/10.5271/SJWEH.3954

Anwer, S., Li, H., Antwi-Afari, M. F., & Wong, A. Y. L. (2021). Associations between physical or psychosocial risk factors and work-related musculoskeletal disorders in construction workers based on literature in the last 20 years: A systematic review. International Journal of Industrial Ergonomics, 83, 103113. https://doi.org/10.1016/j.ergon.2021.103113

Arvidsson, I., Dahlqvist, C., Enquist, H., & Nordander, C. (2021). Action Levels for the Prevention of Work-Related Musculoskeletal Disorders in the Neck and Upper Extremities: A Proposal. Annals of Work Exposures and Health, 65(7), 741–747. https://doi.org/10.1093/ANNWEH/WXAB012

Boocock, M., Naudé, Y., Saywell, N., & Mawston, G. (2024). Obesity as a risk factor for musculoskeletal injury during manual handling tasks: A systematic review and meta-analysis. Safety Science, 176, 106548. https://doi.org/10.1016/J.SSCI.2024.106548

Cui, F., Sun, Y., Duan, Y., Wang, H., Xin, Y., Li, L., Chen, L., Niu, P., & Ma, J. (2026). Work-related Musculoskeletal Disorders Among Machinery Manufacturing Factory Workers in a Chinese Factory. Safety and Health at Work. https://doi.org/10.1016/J.SHAW.2026.03.004

Demissie, B., Bayih, E. T., & Demmelash, A. A. (2024). A systematic review of work-related musculoskeletal disorders and risk factors among computer users. Heliyon, 10(3), e25075. https://doi.org/10.1016/J.HELIYON.2024.E25075

Evadarianto, N., Dwiyanti, E., Keselamatan, D., Kerja, K., & Kesehatan, F. (2017). Postur Kerja Dengan Keluhan Musculoskeletal Disorders Pada Pekerja Manual Handlingbagian Rolling Mill. The Indonesian Journal of Occupational Safety and Health, 6(1), 97–106. https://doi.org/10.20473/IJOSH.V6I1.2017.97-106

Graziosi, F., Bonfiglioli, R., Decataldo, F., & Violante, F. S. (2025). Criteria for Assessing Exposure to Biomechanical Risk Factors: A Research-to-Practice Guide—Part 2: Upper Limbs. Life 2025, Vol. 15, Page 109, 15(1), 109. https://doi.org/10.3390/LIFE15010109

Greggi, C., Visconti, V. V., Albanese, M., Gasperini, B., Chiavoghilefu, A., Prezioso, C., Persechino, B., Iavicoli, S., Gasbarra, E., Iundusi, R., & Tarantino, U. (2024). Work-Related Musculoskeletal Disorders: A Systematic Review and Meta-Analysis. Journal of Clinical Medicine, 13(13), 3964. https://doi.org/10.3390/JCM13133964/S1

Jensen, R. C. (2024). Work-Related Musculoskeletal Problems: A Look at How Employers View Causes. International Journal of Environmental Research and Public Health 2024, Vol. 21, Page 1098, 21(8), 1098. https://doi.org/10.3390/IJERPH21081098

Kee, D. (2025). Comparison of six observational methods for repetitive shoulder movements based on discomfort: An experimental study. International Journal of Industrial Ergonomics, 105, 103696. https://doi.org/10.1016/J.ERGON.2025.103696

Lingkungan, J. K., Tanjung, R., Lestari Mahyuni, E., Sinaga, J., Syaputri, D., Marganda, S., Manalu, H., Teddy, T., Soedjadi, B., Lingkungan, D. K., Kementerian, K., Medan, K., Kabanjahe, S., Utara, I., Keselamatan, D., Kerja, K., & Masyarakat, K. (2023). Ergonomic Risk Factors and Their Effects on Musculoskeletal Disorders (MSDs) among Karo’s Uis Weavers. Jurnal Kesehatan Lingkungan Indonesia, 22(2), 195–201. https://doi.org/10.14710/JKLI.22.2.195-201

Liu, F., Duan, Y., Wang, Z., Ling, R., Xu, Q., Sun, J., Liu, Y., Yang, Y., Li, G., Zhang, H., Li, D., Wang, R., Liu, J., Li, T., Liu, J., Geng, X., Xiong, W., Li, Z., Jia, N., & Wu, C. (2025). Mixed adverse ergonomic factors exposure in relation to work-related musculoskeletal disorders: a multicenter cross-sectional study of Chinese medical personnel. Scientific Reports 2025 15:1, 15(1), 14705-. https://doi.org/10.1038/s41598-025-99477-9

Mgbemena, C. E., Tiwari, A., Xu, Y., Prabhu, V., & Hutabarat, W. (2020). Ergonomic evaluation on the manufacturing shop floor: A review of hardware and software technologies. CIRP Journal of Manufacturing Science and Technology, 30, 68–78. https://doi.org/10.1016/J.CIRPJ.2020.04.003

Nugraha, A., Widajati, N., Guan, N. Y., Febriyanto, E. C., & Oktavia, N. D. (2024). Risk Analysis of Work Posture and Body Mass Index to Musculoskeletal Disorders among Librarians at Universitas Airlangga. The Indonesian Journal of Occupational Safety and Health, 13(2), 144–154. https://doi.org/10.20473/IJOSH.V13I2.2024.144-154

Palmer, K. T., & Goodson, N. J. (2015). Ageing, musculoskeletal health and work. Best Practice & Research Clinical Rheumatology, 29(3), 391–404. https://doi.org/10.1016/j.berh.2015.03.004

Prasetya, T. A. E., Samad, N. I. A., Rahmania, A., Arifah, D. A., Rahma, R. A. A., & Al Mamun, A. (2024). Workstation Risk Factors for Work-related Musculoskeletal Disorders Among IT Professionals in Indonesia. Journal of Preventive Medicine and Public Health, 57(5), 451–460. https://doi.org/10.3961/JPMPH.24.214

Punnett, L., & Wegman, D. H. (2004). Work-related musculoskeletal disorders: the epidemiologic evidence and the debate. Journal of Electromyography and Kinesiology, 14(1), 13–23. https://doi.org/10.1016/J.JELEKIN.2003.09.015

Putri, A. R., Ashar, Y. K., & Agustina, D. (2024). Hubungan Beban Kerja dengan Keluhan Musculoskeletal Disorders pada Petugas Pengangkut Sampah di Kecamatan Medan Selayang. Jurnal Kesehatan Komunitas (Journal of Community Health), 10(3), 524–533. https://doi.org/10.25311/KESKOM.VOL10.ISS3.1952

Rahmania, N. E. N., Kuncoro, A., Irianingtyas, R., & Nuwa, G. N. (2024). Ergonomic Risk Assessment Of Gadung Peelers Using Nordic Body Map (Nbm) And Ovako Work Posture Analysis (Owas) Methods. Nurse and Health: Jurnal Keperawatan, 13(2), 374–381. https://doi.org/10.36720/NHJK.V13I2.746

Santos, W., Rojas, C., Isidoro, R., Lorente, A., Dias, A., Mariscal, G., Benlloch, M., & Lorente, R. (2025). Efficacy of Ergonomic Interventions on Work-Related Musculoskeletal Pain: A Systematic Review and Meta-Analysis. Journal of Clinical Medicine, 14(9), 3034. https://doi.org/10.3390/JCM14093034/S1

Sundstrup, E., Seeberg, K. G. V., Bengtsen, E., & Andersen, L. L. (2020). A systematic review of workplace interventions to rehabilitate musculoskeletal disorders among employees with physical demanding work. Journal of Occupational Rehabilitation, 30(4), 588–612. https://doi.org/10.1007/s10926-020-09879-x

Tarwaka. (2014). Ergonomi Industri : Dasar-Dasar Ergonomi dan Aplikasi di Tempat Kerja (Edisi ke-2). Surakarta: Harapan Press

Tjahayuningtyas Brantas Abipraya Jl DI Panjaitan Kav, A. P. (2019a). Faktor Yang Mempengaruhi Keluhan Musculoskeletal Disorders (MSDs) Pada Pekerja Informal. The Indonesian Journal of Occupational Safety and Health, 8(1), 1–10. https://doi.org/10.20473/IJOSH.V8I1.2019.1-10

Tjahayuningtyas Brantas Abipraya Jl DI Panjaitan Kav, A. P. (2019b). Faktor Yang Mempengaruhi Keluhan Musculoskeletal Disorders (MSDs) Pada Pekerja Informal. The Indonesian Journal of Occupational Safety and Health, 8(1), 1–10. https://doi.org/10.20473/IJOSH.V8I1.2019.1-10

Trimala, A., Damayanti, R., Lutfiya, I., & Rahmania, N. E. N. (2023). Hubungan Shift Kerja Dan Faktor Individu Dengan Kelelahan Kerja Pada Pekerja Area Produksi Industri Manufaktur. Journal of Industrial Hygiene and Occupational Health, 8(1), 36–49. https://doi.org/10.21111/JIHOH.V8I1.9247

Viester, L., Verhagen, E. A. L. M., Oude Hengel, K. M., Koppes, L. L. J., van der Beek, A. J., & Bongers, P. M. (2013). The relation between body mass index and musculoskeletal symptoms in the working population. BMC Musculoskeletal Disorders, 14, 238. https://doi.org/10.1186/1471-2474-14-238

Zadoń, H., Michnik, R., & Nowakowska-Lipiec, K. (2024). Assessment of Musculoskeletal Loads among Office Workers Due to Predicted BMI Increase. Applied Sciences (Switzerland), 14(19), 8928. https://doi.org/10.3390/APP14198928/S1