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Risk Stratification and Neck Pain Management in Office Workers Using Rapid Upper Limb Assessment.

Pragya Kumar¹, Mohammad Ahmad¹, Jasmine Kaur Chawla²

¹Department of Physiotherapy, Amity Institute of Health Allied Sciences, Amity University, Noida, Uttar Pradesh, India.

Musculoskeletal Care

|March 26, 2026

Summary

The Rapid Upper Limb Assessment (RULA) effectively identified ergonomic risks in office workers, leading to targeted interventions that significantly reduced neck pain and improved posture. This study highlights RULA

Keywords:

ergonomic intervention neck pain office workers rapid upper limb assessment (RULA)work‐related musculoskeletal disorders (WMSDs)

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Area of Science:

Occupational Health
Ergonomics
Musculoskeletal Disorders

Background:

Office workers frequently experience poor posture and musculoskeletal disorders (WMSDs).
Prolonged computer use, phone calls, and sedentary work increase ergonomic risks.
Neck pain and disability are common complaints among this demographic.

Purpose of the Study:

To evaluate the effectiveness of the Rapid Upper Limb Assessment (RULA) in assessing workplace ergonomics for office workers.
To determine RULA's efficacy in guiding targeted interventions for neck pain relief.
To stratify ergonomic risk levels and tailor interventions accordingly.

Main Methods:

Sixty-six office workers with neck disability were assessed using RULA.
Participants were categorized into low, moderate, and high ergonomic risk groups.
Interventions included ergonomic counseling, workplace modifications, and postural exercises, with assessments at baseline, 2, and 4 weeks.

Main Results:

Significant reductions in neck pain, disability, and postural risk were observed post-intervention.
The high-risk group (Group C) demonstrated the most substantial improvements in pain and postural risk.
RULA effectively stratified participants by risk, guiding differential intervention effectiveness.

Conclusions:

RULA is a valuable tool for assessing ergonomic risks and guiding targeted interventions to reduce neck pain in office workers.
Interventions based on RULA stratification significantly alleviate neck pain and improve posture.
Future research should explore AI-driven continuous ergonomic interventions for long-term benefits.