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Updated: Jun 5, 2026

Quantifying Pain Location and Intensity with Multimodal Pain Body Diagrams
Published on: July 7, 2023
Upper body quadrant pain in bus drivers.
Deborah Alperovitch-Najenson1, Michal Katz-Leurer, Yoav Santo
1Department of Physical Therapy at The Stanley Steyer School of Health Professions, Tel Aviv University, Tel Aviv, Israel. deboraha@post.tau.ac.il
Neck pain is common in Israeli bus drivers, affecting 21.2%. Uncomfortable seats and steering wheels are significant risk factors, highlighting the need for ergonomic improvements in driver workplaces.
Area of Science:
- Occupational Health
- Ergonomics
- Epidemiology
Background:
- Urban bus drivers face unique occupational health challenges.
- Upper body pain is a prevalent issue in physically demanding professions.
Purpose of the Study:
- To determine the prevalence of upper body pain among Israeli professional urban bus drivers.
- To investigate associations between ergonomic, individual, and psychosocial factors and neck pain.
Main Methods:
- A cross-sectional study involving 384 male urban bus drivers.
- Data collection on ergonomic factors, psychosocial stress, and pain prevalence.
- Statistical analysis using odds ratios (OR) and 95% confidence intervals (CI).
Main Results:
- The 12-month prevalence of neck pain was 21.2%, followed by shoulder (14.7%) and upper back (8.3%) pain.
- Neck pain was significantly associated with uncomfortable seats (OR: 2.2), poor back support (OR: 2.3), and steering wheel design (OR: 2.2).
- Drivers with neck pain reported higher prevalence of upper back (OR: 5.9), shoulder (OR: 8.1), and wrist pain (OR: 7.0).
Conclusions:
- Ergonomic factors, particularly related to seating and steering, are strongly associated with neck pain in bus drivers.
- Neck pain is linked to a higher incidence of pain in other upper body regions.
- Organizational stress factors did not show a significant association with neck pain prevalence in this cohort.
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