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Ergonomic Risk Assessment and Work-Related Factors Associated with Musculoskeletal Disorders Among Thai Traditional
Napaporn Houngsuksakul1, Kukiat Tudpor1, Chalermsiri Theppitak2
1Faculty of Public Health, Mahasarakham University, Maha Sarakham, Thailand.
Studies in Health Technology and Informatics
|July 3, 2026
Summary
Work-related musculoskeletal disorders (WMSDs) affect 81% of Thai traditional massage practitioners. A new digital health informatics framework aims to improve injury prevention through real-time monitoring and assistive devices.
Area of Science:
- Occupational Health
- Ergonomics
- Health Informatics
Background:
- Work-related musculoskeletal disorders (WMSDs) are a significant occupational health issue in professions requiring high force and repetition, like Thai traditional massage.
- Traditional assessment methods for WMSDs lack real-time data, necessitating advanced informatics approaches for prevention.
Purpose of the Study:
- To determine the prevalence and predictors of WMSDs among Thai traditional massage practitioners.
- To develop a data-driven occupational health informatics framework for integrated ergonomic risk profiling and digital monitoring.
Main Methods:
- A cross-sectional study involved 396 certified Thai traditional massage practitioners in northeastern Thailand.
- Data collected using the Perceived Stress Scale (PSS-10), Modified Nordic Musculoskeletal Questionnaire, and Body Discomfort Scale.
- Binary logistic regression analyzed predictors of WMSDs.
Main Results:
- The 12-month prevalence of WMSDs was 81.31%.
- Predictors included years of experience, low-level force exertion, neck/trunk hyperextension, repetitive head movements, lifting clients, assistive device use, and adverse environmental conditions.
- A digital occupational health informatics framework integrating ergonomic risk stratification with wearable-based posture analytics was proposed.
Conclusions:
- High WMSD prevalence necessitates innovative, data-driven solutions for Thai traditional massage practitioners.
- The proposed digital framework and assistive devices can enhance injury prevention and occupational health sustainability.
- Continuous ergonomic surveillance and real-time feedback are crucial for managing WMSDs in physically demanding professions.
