Prevalence of Musculoskeletal Pain and Discomfort and Its Association With Gender Among Clinical Physiotherapists of Lahore

Authors

  • Ansa Majeed School of Health Sciences, University of Management and Technology, Lahore, Pakistan Author
  • Mahnoor Shafi Lecturer, School of Health Sciences, University of Management and Technology, Lahore, Pakistan Author
  • Mamoona Anwar Lecturer, School of Health Sciences, University of Management and Technology, Lahore, Pakistan Author
  • Saddiqa Qamar Lecturer, School of Health Sciences, University of Management and Technology, Lahore, Pakistan Author
  • Tamknat Ilyas Assistant Professor, School of Health Sciences, University of Management and Technology, Lahore, Pakistan Author
  • Ambreen Safique School of Health Sciences, University of Management and Technology, Lahore, Pakistan Author

DOI:

https://doi.org/10.61919/f9fcz087

Keywords:

Musculoskeletal pain, physiotherapists, gender, lower back pain, neck pain, Nordic questionnaire, occupational health.

Abstract

Background: Musculoskeletal pain and discomfort are common occupational health concerns among clinical physiotherapists because their work involves prolonged standing, repetitive movements, manual therapy, patient handling, and sustained non-neutral postures. Objective: To determine the prevalence of musculoskeletal pain and discomfort among clinical physiotherapists in Lahore and assess its association with gender. Methods: A cross-sectional observational study was conducted among 140 clinical physiotherapists from hospitals and certified physiotherapy clinics in Lahore. Participants included 70 females and 70 males with at least two years of clinical experience and a minimum of six working hours per day. Musculoskeletal pain and discomfort were assessed across nine anatomical regions using the Standardized Nordic Musculoskeletal Questionnaire, while pain severity was measured using the Numeric Pain Rating Scale. Data were analyzed using SPSS version 24. Frequencies and percentages were calculated, and gender-wise associations were assessed using chi-square or Fisher’s exact test, with p < 0.05 considered statistically significant. Results: Lower back pain was the most prevalent complaint, affecting 55 participants (39.3%), followed by neck pain in 52 participants (37.1%). Female physiotherapists reported significantly higher neck pain than males (51.4% vs 22.9%; OR = 3.57, 95% CI: 1.72–7.41; p = 0.001) and lower back pain (51.4% vs 27.1%; OR = 2.84, 95% CI: 1.40–5.75; p = 0.005). Moderate-to-severe pain was also more frequent among females (71.4% vs 48.6%; OR = 2.65, 95% CI: 1.32–5.33; p = 0.009). Conclusion: Musculoskeletal pain and discomfort were common among clinical physiotherapists in Lahore, particularly in the lower back and neck regions. Female physiotherapists showed a higher burden of neck pain, lower back pain, and moderate-to-severe pain, highlighting the need for gender-sensitive ergonomic and preventive workplace strategies. 

References

1. Wassinger CA, Sole G. Agreement and screening accuracy between physical therapists ratings and the Ӧrebro Musculoskeletal Pain Questionnaire in screening for risk of chronic pain during Musculoskeletal evaluation. Physiother Theory Pract. 2022;38(13):2949-55.

2. Fernandez J, Lunkes LC, Meziat-Filho N. Biopsychosocial approaches to telerehabilitation for chronic primary musculoskeletal pain: A real possibility for physical therapists, that is here to stay. Braz J Phys Ther. 2022;26(1):100350.

3. Vancampfort D, McGrath RL, Dankaerts W, Van Assche D, Lambrechts M, Stubbs B, et al. Diagnostic and Clinical Utility of the 2-Item Patient Health Questionnaire (PHQ-2) for Screening Depressive Symptoms in Individuals With Persistent Musculoskeletal Pain Attending Physiotherapy. Musculoskeletal Care. 2025;23(2):e70113.

4. Fritz J, Overmeer T. Do Physical Therapists Practice a Behavioral Medicine Approach? A Comparison of Perceived and Observed Practice Behaviors. Phys Ther. 2023;103(5).

5. Lamper C, Huijnen I, de Mooij M, Köke A, Verbunt J, Kroese M. An eCoach-Pain for Patients with Chronic Musculoskeletal Pain in Interdisciplinary Primary Care: A Feasibility Study. Int J Environ Res Public Health. 2021;18(21).

6. Fakontis C, Iakovidis P, Lytras D, Kasimis K, Koutras G, Ntinou SR, et al. Efficacy of percutaneous needle electrolysis versus dry needling in musculoskeletal pain: A systematic review and meta-analysis. J Back Musculoskelet Rehabil. 2023;36(5):1033-46.

7. Kuligowski T, Kowalewska K, Skrzek A, Kiper P, Cieślik B. Health behaviours and work-related musculoskeletal pain among Polish physiotherapists and nurses. Work. 2025;80(1):375-82.

8. Yona T, Weisman A, Gottlieb U, Masharawi Y. High Levels of Self-Reported Depressive Symptoms Among Physical Therapists and Physical Therapist Students Are Associated With Musculoskeletal Pain: A Cross-Sectional Study. Phys Ther. 2022;102(3).

9. Grasser P, Neto FR, Veloso J, Gomes Costa RR, Dorneles JR. Mechanical diagnosis and therapy in musculoskeletal pain of individuals with spinal cord injury. J Spinal Cord Med. 2024;47(5):744-52.

10. Bimali I, Awal K, Acharya RS. Pain-related Beliefs, Coping Strategies and Pain Catastrophization in Older People with Chronic Musculoskeletal Pain. Kathmandu Univ Med J (KUMJ). 2024;22(88):453-8.

11. Prétat T, Hügle T, Mettler J, Suter M, Jean Scherb S, Taily RL, et al. Patients with refractory musculoskeletal pain syndromes undergoing a multimodal assessment and therapy programme: a cross-sectional study. Swiss Med Wkly. 2024;154:3466.

12. Jayaseelan DJ, Scalzitti DA, Courtney CA. Physical therapist perceptions and use of clinical pain mechanism assessment in the musculoskeletal setting: a survey analysis. BMC Musculoskelet Disord. 2023;24(1):509.

13. Trulsson Schouenborg A, Rivano Fischer M, Bondesson E, Jöud A. Physiotherapist-led rehabilitation for patients with chronic musculoskeletal pain: interventions and promising long-term outcomes. BMC Musculoskelet Disord. 2021;22(1):910.

14. van Dijk H, Köke AJA, Elbers S, Mollema J, Smeets R, Wittink H. Physiotherapists Using the Biopsychosocial Model for Chronic Pain: Barriers and Facilitators-A Scoping Review. Int J Environ Res Public Health. 2023;20(2).

15. Chapman CR, Woo NT, Maluf KS. Preferred Communication Strategies Used by Physical Therapists in Chronic Pain Rehabilitation: A Qualitative Systematic Review and Meta-Synthesis. Phys Ther. 2022;102(9).

16. Barlow S, Dove L, Jaggi A, Keen R, Bubbear J. The prevalence of musculoskeletal pain and therapy needs in adults with Osteogenesis Imperfecta (OI) a cross-sectional analysis. BMC Musculoskelet Disord. 2022;23(1):485.

17. de Oliveira Lima L, Saragiotto BT, Costa LOP, Nogueira LC, Meziat-Filho N, Reis FJJ. Self-Guided Web-Based Pain Education for People With Musculoskeletal Pain: A Systematic Review and Meta-Analysis. Phys Ther. 2021;101(10).

18. Simpson P, Holopainen R, Schütze R, O'Sullivan P, Smith A, Linton SJ, et al. Training of Physical Therapists to Deliver Individualized Biopsychosocial Interventions to Treat Musculoskeletal Pain Conditions: A Scoping Review. Phys Ther. 2021;101(10).

19. Tsuji S, Kitahara T, Tsujimura H, Shirahoshi SI, Iwakura H, Tomitagawa S, et al. Work-related musculoskeletal pain among physical therapists: a cross-sectional study in Kyoto and Shiga prefectures, Japan. J Occup Health. 2024;66(1).

Downloads

Published

2025-12-31

Issue

Section

Articles

How to Cite

Prevalence of Musculoskeletal Pain and Discomfort and Its Association With Gender Among Clinical Physiotherapists of Lahore. (2025). Link Medical Journal, 3(2), 1-10. https://doi.org/10.61919/f9fcz087

Most read articles by the same author(s)

Similar Articles

11-20 of 90

You may also start an advanced similarity search for this article.