Assessment Of Musculoskeletal Pain Research Articles

Utilizing artificial intelligence for the detection of hemarthrosis in hemophilia using point-of-care ultrasonography

BackgroundRecurrent hemarthrosis and resultant hemophilic arthropathy are significant causes of morbidity in persons with hemophilia despite the marked evolution of hemophilia care. Prevention, timely diagnosis, and treatment of bleeding episodes are key. However, a physical examination or a patient’s assessment of musculoskeletal pain may not accurately identify a joint bleed. This difficulty is compounded as hemophilic arthropathy progresses. ObjectivesOur system aims to utilize artificial intelligence and ultrasonography (US; point-of-care and handheld) to enable providers, and ultimately patients, to detect joint bleeds at the bedside and at home. We aimed to develop and assess the reliability of artificial intelligence algorithms in detecting and segmenting synovial recess distension (SRD; an indicator of disease activity) on US images of adult and pediatric knee, elbow, and ankle joints. MethodsA total of 12,145 joint exams, comprising 61,501 US images from 7 international healthcare centers, were collected. The dataset included healthy participants and adult and pediatric persons with hemophilia, with and without SRD. Images were manually labeled by 2 experts and used to train binary convolutional neural network classifiers and segmentation models. Metrics to evaluate performance included accuracy, sensitivity, specificity, and area under the curve. ResultsThe algorithms exhibited high performance across all joints and all cohorts. Specifically, the knee model showed an accuracy of 97%, sensitivity of 96%, specificity of 97%, and an area under the curve of 0.97 in SRD. High Dice coefficients (80%-85%) were achieved in segmentation tasks across all joints. ConclusionThis technology could assist with the early detection and management of hemarthrosis in hemophilia.

Assessment of Musculoskeletal Pain Among Prolonged Motorcycle Riders

Assessment of Musculoskeletal Pain Among Prolonged Motorcycle Riders

Questionnaire for Orchestra Musicians: Validation of the Online Version of the Musculoskeletal Pain Intensity and Interference Questionnaire for Polish Musicians (MPIIQM-P).

Background: The only complete and validated tool for evaluating professional orchestra musicians is the English-language Musculoskeletal Pain Intensity and Interference Questionnaire for professional orchestra Musicians (MPIIQM) questionnaire, which, in recent years, has been translated, adapted, and validated in other languages. The aim of the study was to validate the online version of the Polish version of the Musculoskeletal Pain Intensity and Interference Questionnaire for Musicians (MPIIQM-P). Materials and Methods: The group included 182 professional musicians. The respondents were asked to complete the MPIIQM-P, BPI, and QuickDash questionnaires twice within an interval of 4 days. The questionnaires were created in the web form creator-Google Form. Results: The EFA analysis showed a two-factor structure of the questionnaire consisting of factor 1-pain intensity and factor 2-pain interference. The internal agreement of the factors identified in the EFA analysis was measured by the α Cronbach index reaching from 0.813 to 0.913. The intraclass correlation coefficient of both factors ranged from 0.276 to 0.583. The analysis of convergent and divergent validity between the subscales of the questionnaire value ranged from 0.414 to 0.925. Conclusions: The online version of the MPIIQM-P questionnaire is a valid and reliable tool for the assessment of musculoskeletal pain and interference. The online MPIIQM-P questionnaire maintains the psychometric properties previously defined for the paper version.

Assessment of musculoskeletal pain and surgical ergonomic parameters among members of the American Society of Pediatric Otolaryngology

ObjectivesTo assess rates of self-reported work-related pain and knowledge of ergonomic principles among fellowship trained pediatric otolaryngologists within the American Society of Pediatric Otolaryngology (ASPO). We hypothesized that pediatric otolaryngologists experience rates of musculoskeletal pain and injury similar to what has been reported among adult otolaryngologists and other surgical subspecialties. MethodsAn IRB-approved survey was distributed to members of ASPO through email listserv. Collected variables included surgeon demographic information, practice settings, surgical volume, procedure types, work-related musculoskeletal pain-related metrics, modifying factors, and knowledge/attitudes on surgical ergonomics. ResultsA total of 685 ASPO members were approached via email, of which 435 opened the survey email and 118 attending pediatric otolaryngologists completed the survey (response rate 27%). In all, 78% of respondents reported current or prior pain and/or injury attributed to performing surgery, 20% higher than that reported in the previous ergonomics survey of ASPO members in 2012. The most affected areas were neck/cervical spine (63%), shoulders/arms (44%), lower back/lumbar spine (36%), and hands/wrist (31%). Half of the respondents were diagnosed with musculoskeletal condition(s) attributed to performing surgery. Two-thirds required treatment (62% pharmacologic only, 9% pharmacologic and surgical intervention) for their work-related pain. Leveraging intermittent pauses during surgical procedures to adjust body position was the most reported method of addressing pain in the operating room. Only 21% report ever having received ergonomic training during their training or career. ConclusionMusculoskeletal pain associated with performing pediatric otolaryngology procedures is highly prevalent and has not attenuated despite increased awareness of surgical ergonomics. Results from this study underscore the need to develop standardized surgical ergonomics curricula for pediatric otolaryngologists and trainees.

Assessment of Work-related Musculoskeletal Disorders and Work Posture amongst the Hospital Workers in a Tertiary Care Hospital of Chennai

Abstract Background: The prevalence of work-related musculoskeletal disorders (WRMSDs) ranges from 10% to 60% in an organisation. This study was undertaken to estimate the prevalence pattern of WRMSDs and the relation of musculoskeletal (MSK) pain/discomfort complaints with posture amongst hospital workers. Materials and Methods: This is a cross-sectional study done amongst hospital housekeeping workers in a tertiary care hospital. Physical parameters, assessment of musculoskeletal pain by the Nordic MSK Questionnaire and Cornell MSK Questionnaire and analysis of posture using Ovako Working Posture Assessment System (OWAS) which identifies posture of back, arms, legs and weight of the load handled during work. Results: The prevalence of WRMSDs in the past 12 months was 198 (87.2%) and in the past 7 days was 155 (63.8%). Maximum MSK pain was reported in knee (136, 59.9%). Multiple sites of pain (3 or more) were also seen in 146 (64.3%) workers. The most common posture associated with pain was walking (100%). Pain did not prevent from doing the work and slightly interfered with their ability. Number of years of work experience had a significant relation to the pain score. Conclusion: Although the majority of the study population fell in the OWAS-second category which has no immediate concern at present, may progress to the third and fourth categories if proper posture correction is not done. If the preventive MSK rehabilitation measures are taken at the earliest, it can help prevent the progression to cumulative trauma disorders.

Assessment of Musculoskeletal Pain in Medical Rehabilitation of POST-COVID-19 patients

Background: Remaining phenomena presented by people who endured COVID -19 at various times after the acute pha-se of the disease, remain the objectives of the medical and social approaches. Musculoskeletal pain is increasingly re-ported by patients as one of the persistent symptoms in post-COVID-19 syndrome. The purpose of the study was the qualitative and quantitative assessment of musculoskeletal pain post _COVID 19 in the process of in-hospital medical rehabilitation. Methods: A group of 124 people who suffered SARS-Cov-2 infection were analyzed and underwent rehabilitation treat-ment with physiotherapy, halotherapy and electrotherapy sessions in the specialized “Post COVID rehabilitation” ward during a period of 14 days. For the analysis of the pain phenomenon, 103 people who presented musculoskeletal pain, before and after treatment were assessed by the Nordic Musculoskeletal Questionnaire, pain intensity by VAS scale and intensity of fatigue syndrome. Results. Musculoskeletal pain was present in 84.3% of cases among persons admitted for rehabilitation treatment. Re-habilitation programs applied under inpatient conditions increased the rate of people with moderate and mild pain by 6.8% and decreased the rate of those with severe pain by 13.6% (p< 0.05), assessed by the Nordic Musculoskeletal Ques-tionnaire. The proportion of patients with severe pain, assessed by the VAS scale, decreased by 13.8% at discharge from the hospital. Conclusion. In-hospital medical rehabilitation programs applied to people with musculoskeletal pain post -COVID 19 had a beneficial effect by decreasing the number of painful areas and pain intensity.

ASSESSMENT OF MUSCULOSKELETAL PAIN IN MEDICAL REHABILITATION OF POST-COVID-19 PATIENTS

ASSESSMENT OF MUSCULOSKELETAL PAIN IN MEDICAL REHABILITATION OF POST-COVID-19 PATIENTS

Lumbopelvic Muscle Mobility and Resistance and their Association with Musculoskeletal Pain in Ballet Dancers.

Objective The present study analyzes ankle mobility and lumbopelvic muscle mobility and resistance. In addition, it identifies factors associated with musculoskeletal pain in young ballet dancers. Methods This is a quantitative, descriptive, cross-sectional study evaluating 14 ballet dancers aged 12 to 16 years old. We used the following instruments: a) Nordic Musculoskeletal Symptom Questionnaire (NSQ) for musculoskeletal pain assessment; b) leg lateral reach test, lumbar lock, and rotation test (for trunk mobility analysis) and lunge test (for ankle mobility evaluation); c) front bridge, lumbar extensor, and lumbar flexor muscles tests to assess lumbopelvic complex resistance. Results The main complaints reported by ballet dancers were pain in the low back area and in the lower extremities, especially in the knee (57.1%). Those with low back pain had significantly lower lumbar mobility ( p = 0.05) and lower ankle mobility on both sides ( p ≤ 0.05). Dancers with knee pain presented significantly lower muscular trunk extensor muscle resistance ( p = 0.05). Conclusions Our study revealed significant associations between the lumbopelvic complex function and musculoskeletal symptoms, supporting the implementation of preventive strategies.

Assessment of Musculoskeletal Pain and Physical Demands Using a Wearable Smartwatch Heart Monitor among Precast Concrete Construction Workers: A Field Case Study

This study aimed to quantify musculoskeletal symptoms/pain and characterize the physical demands at work and outside of work among precast concrete workers. Direct heart rate (HR) measurements and self-reported activity levels were used to estimate the physical demands. A total of 27 precast construction workers participated in a survey, and 21 wore a HR monitor smart watch for seven days. The HR data were parsed in minutes associated with occupational and nonoccupational physical activity. Correlation analysis and multivariate regression models were conducted to assess the associations between direct measured physical activity with self-reported physical activity, body mass index (BMI), years of work, smoking, and Borg ratings of perceived exertion (RPE). Approximately half of the participants experienced musculoskeletal symptoms in the last seven days and moderate functional limitations in carrying out activities of daily living (ADLs). The regression model revealed a positive relationship between direct measured moderate occupational physical activity (OPA) and the Borg RPE. Furthermore, an inverse association was found with BMI, smoking status, and years of work. The workers accrued a median of 415 min of moderate OPA per week. The findings showed a high amount of moderate OPA minutes per week and musculoskeletal issues among the precast concrete workers.

English

Musculoskeletal disorders (MSD) are one of the main causes of occupational diseases. The sea port and maritime sectors seem to be among the most affected. The objective of this study is to determine the prevalence of MSDs among workers in this sector and the risk factors. A cross-sectional study was conducted among the 576 dockers and 38 boaters selected by non-probability sampling for convenience. A questionnaire was used to collect the sociodemographic, assessment of musculoskeletal pain and occupational stress data. The study population was exclusively male with an average age of 44.97±9.7 years and job tenure of 15.94±6.95 years. The prevalence of musculoskeletal pain over the last 12 months was 88.6% for the lower back; 39.4% for the upper back; 37.9% for the neck; 40.4 and 39.1 respectively for the right and left shoulders. 89.4% of the subjects were subjected to job strain. The main risk factors for MSDs were: age, seniority, perceived stress, high psychological demand and job strain. This study confirms that the sea port sector is a high-risk work environment for MSDs, especially low back pain. It also confirms the multifactorial risks of MSDs. In this high-risk environment, prevention strategies must be considered in order to act on all of these factors. Key words: Musculoskeletal disorders, stress, job strain, dockers, handlers.

Assessment of musculoskeletal pain, fatigue and grip strength in hospitalized patients with COVID-19.

Although there are some retrospective studies to present musculoskeletal findings of the COVID-19, still the muscle strength and fatigue has not been studied in detail. To reveal the symptoms of musculoskeletal system in COVID-19 patients, to evaluate myalgia, arthralgia and physical/mental fatigue, to assess handgrip muscle strength, and to examine the relations of these parameters with the severity and laboratory values of the disease. This study was designed as a cross-sectional, single-center case series. This study took place from May 15, 2020, to June 30, 2020 at the Istanbul University-Cerrahpasa, Cerrahpasa Pandemia Services. Hospitalized 150 adults with laboratory and radiological confirmation of severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) according to WHO interim guidance were included in the study. The disease severity 2007 IDSA/ATS guidelines for community acquired pneumonia was used. Myalgia severity was assessed by numerical rating scale (NRS). Visual analog scale and Chalder Fatigue Scale (CFS) were used for fatigue severity determination. Handgrip strength (HGS) was measured by Jamar hand dynamometer. One hundred three patients (68.7%) were non-severe, and 47 patients (31.3%) were severe. The most common musculoskeletal symptom was fatigue (133 [85.3%]), followed by myalgia (102 [68.0%]), arthralgia (65 [43.3%]) and back pain (33 [22.0%]). Arthralgia, which was mostly notable at wrist (25 [16.7%]), ankle (24 [16.0%]) and knee (23 [15.3%]) joints, was significantly higher among the severe group. Severe myalgia was prevalent among myalgia sufferers regardless of COVID-19 severity. The physical fatigue severity score was significantly higher in severe cases, whereas this difference was not significant in mental fatigue score. Female patients with severe infection had "lower" grip strength, whereas grip strength among males did not differ significantly between non-severe and severe COVID-19 cases. Nevertheless, the mean values in both genders and in age decades were below the specified normative values. CRP, ferritin, and LDH levels were significantly higher in women with "lower" grip strength compared to the "normal" group. Aside from other multisystemic symptoms, musculoskeletal symptoms are quite common in patients with COVID-19. Patients have severe ischemic myalgia regardless of disease activity. Although there is a muscle weakness in all patients, the loss of muscle function is more of a problem among women in connection with disease severity. Muscular involvement in Coronavirus disease is a triangle of myalgia, physical fatigue, and muscle weakness. Muscle involvement in COVID-19 patients does not mean only myalgia but also a combination of physical fatigue and muscle weakness, and this should be considered in planning the rehabilitation strategies of COVID-19 patients.

Assessment of musculoskeletal pain in rheumatoid arthritis patients and its relation to vitamin D levels

Vitamin D is associated with musculoskeletal function in our body, and its deficiency is a common health problem all over the world. The role of Vitamin D in rheumatoid arthritis (RA) is well established due to its immunomodulatory effect. The aim of this study was to assess the musculoskeletal pain in patients with RA in relation to Vitamin D levels. We found a negative correlation and found an increase in the pain intensity among RA patients with low levels of Vitamin D.

MUSCULOSKELETAL PAIN AMONG UNDERGRADUATE PHYSICAL THERAPY STUDENTS: SINGLE CENTERED SURVEY

Background: Musculoskeletal discomfort not related by a syndrome is very communal in juvenile and puberty getting lifetime prevalence as great as 40%. It affects student’s quality of life and their productivity in education. So, the main objective of current study was to access musculoskeletal pain among undergraduate physical therapy students. Methods: A Descriptive type of cross sectional survey was conducted at Lahore Medical and Dental College (LM&DC) for duration of almost six months from April 2018 to October 2018. Sample size recruited was 321 physical therapy students and they were included according to inclusion exclusion criteria. Assessment of Musculoskeletal pain was done using Nordic musculoskeletal questionnaire. An analysis was done using SPSS 21. Results: The findings showed that musculoskeletal pain among students was most commonly prevalent in lower back region constituting 65.4% (n = 210) followed by upper back 53.9% (n = 173) and neck region 48.6% (n = 156). Conclusion: Musculoskeletal pain was highly prevalent among medical students and most commonly found in lower back region.

Assessment of musculoskeletal pain in dance focusing on dance-style related differences

ABSTRACTObjectives: Pain in dance may be related to the high specific load on the musculoskeletal system caused by dance techniques. Up to the present, data on pain-relevant aspects considering the dance style as a contributing factor to pain occurrence in dance are still pending. The aim of this study was to analyze and compare dance-style specific pain with regard to prevalence, localization, subjective pain perception, duration, frequency, temporary dynamics and pain evaluation in dancers of the two popular dance styles (ballet and contemporary dance).Methods: The quantitative cross-sectional observation study with descriptive focus was carried out in n = 64 classical (ballet) dancers (B) and n = 81 jazz/modern/contemporary dancers (JMC). All participants were non-professional dancers. The data were collected by using an online questionnaire consisting of existing pain assessments adapted for dance.Results: Above all, differences were found in the comparison of the dancers’ body regions. While the lower extremity was particularly affected in ballet dancers (B) (right calf, p = 0.04; forefoot and toes, p < 0.01), dancers of the JMC were more frequently affected by pain in the head and trunk (neck, p < 0.01; upper back, p < 0.01) and the upper extremity (shoulders, p < 0.01; wrists, p < 0.01; left elbow, p = 0.03). More than 65% of the dancers (B and JMC) reported pain in the context of dancing within the recent 3 and 12 months. Further parallels in the two dance styles could be observed in the subjective sensation of pain, the temporal course and the evaluation of pain.Conclusion: In the overall view of pain aspects, the parallels between the investigated dance styles prevail, which dominate in the aspects of pain prevalence, subjective perception, temporal progression, and pain evaluation. This allows the careful conclusion that the dance style performed is of limited importance for the pain aspects mentioned. The differences must be taken into account in future prevention measures.

Transcutaneous Electrical Nerve Stimulation Combined With Voice Therapy in Women With Muscle Tension Dysphonia

The purpose of the present study was to investigate the effect of Voice Therapy (VT) with and without Transcutaneous Electrical Nerve Stimulation (TENS) in women with Muscle Tension Dysphonia (MTD). A total of 20 women with MTD participated in the study. Participants underwent evaluation of auditory-perceptual assessment, acoustic voice analysis, Vocal Tract Discomfort (VTD), and musculoskeletal pain before and after the treatment. The participants were divided into two groups: (1) TENS + VT group (10 participants) and (2) VT group (10 participants). Both groups received 10 sessions of treatment, twice a week, each lasting 50 minutes. The statistical analysis was performed using Wilcoxon signed ranked and Mann-Whitney U tests (P < 0.05). After VT, significant improvements were observed in all auditory-perceptual parameters and all VTD items except for the tickling frequency and severity. The VT caused significant reduction in the frequency of pain in anterior neck, posterior neck, and the larynx. Also, VT resulted in a significant reduction in pain intensity only in the larynx. After VT + TENS, significant improvements were observed in all auditory-perceptual parameters, shimmer, and all VTD items. Moreover, the VT + TENS led to a significant decrease in the frequency and intensity of pain in anterior neck, posterior neck, the larynx, masseters, shoulders, and upper back. The findings of between-group comparison after treatment showed significantly more reduction in the frequency (dry and pain items) and severity (tight and pain items) of the VTD in VT + TENS group compared with VT group. Regarding the musculoskeletal pain, significantly more reduction in the frequency and intensity of pain in anterior neck and the larynx was observed in VT + TENS group compared with VT group. The VT and VT + TENS could lead to positive outcomes in auditory perceptual assessment, acoustic voice analysis, the VTD, and assessment of musculoskeletal pain. In some items of frequency and severity of VTD scale and assessment of musculoskeletal pain, VT + TENS also produced better results compared with VT. As a result, TENS was recommended as a complementary therapy for patients with MTD, especially when these patients had more complaints about VTD and musculoskeletal pain.

Assessment of musculoskeletal pain in autoimmune diseases

Correct diagnosis and right assessment are cornerstones of clinical success in the practice of pain management. Due to constant pressure on the clinician to prove his/ her efficiency, the core elements in assessment of pain are often overlooked. The pain has been considered as the ‘fifth vital sign’. A variety of pain assessment scales are available for evaluating the intensity of acute and chronic pain. Under or over-assessment of pain often lead to errors in pain management. This is mainly due to proceeding with the treatment plan without a proper clinical history collection and clinical examination. This compromises the patient’s opportunity to obtain optimum pain relief. The current review provides an overview on the pain assessment tools used in musculoskeletal pain assessment, and to assist clinicians and researchers in selecting the pain assessment methods best suited to serve their purposes.

Prevalence and risk factors associated with the occurrence of musculoskeletal pain in socioeducational agents

Objective: to verify the prevalence and associated factors of musculoskeletal pain in socio-educational agents. Methods: cross-sectional study with 381 socio-educational agents using a form addressing issues related to socio-demographic profile, work, habits and health, as well as musculoskeletal pain assessment. Data were analyzed using descriptive and analytical statistics, with a significance level of 5%. Results: socio-educational agents were predominantly female (55.8%) with mean age of 44.4 years (± 8.17). The mean pain intensity score was 5.03 (± 3.12); 43.0% participants reported low/moderate pain, and 39.9%, strong/unbearable pain. Conclusion: the prevalence of musculoskeletal pain was 82.9%. The associated factors were work leave of up to 24 days, psychological counseling and less than 8 daily sleeping hours.

Assessment of upper limb musculoskeletal pain and posture in workers of packaging units of pharmaceutical industries.

Work-related musculoskeletal disorders are defined as the disabling or painful injury to the muscles, nerves or tendons that are caused by work or aggravated by it. Some studies confirm the association between working in packaging units in various industries and the pain in the upper limb, but also there are controversies about the possible risk factors among different working populations. The present study aims to define the potential ergonomic risk factors for musculoskeletal pain in the upper limb. The Nordic Musculoskeletal Questionnaire was used for assessment of the musculoskeletal pain. Some other questions about the possible risk factors were included in the questionnaire. In order to assess posture, rapid upper limb assessment (RULA) test was performed by trained ergonomists. The findings of the study reveals that shoulder pain is associated with work history (P-value = 0.01), smoking (P-value = 0.02), the level of education (P-value = 0.04) and age more than 40 years old (P-value = 0.01). Wrist pain was associated with shiftwork (P-value = 0.04) and especially fixed shiftwork (P-value = 0.04) and also age more than 40(P-value = 0.03) and missed days from work with a cut point of 7 days (P-value = 0.03). After regression, only the work history (OR = 14.4 for 10 to 20 years and OR = 32.2 for more than 20 years) and shiftwork (OR = 2.35) remained statistically significant. In this study, RULA was not associated with symptoms in the upper limb in non-heavy working industries so we do not recommend it for screening purposes. The use of decades of working history and shiftwork can be considered for this purpose in the shoulder and wrist pain respectively.

Validity and reliability of a Turkish Brief Pain Inventory Short Form when used to evaluate musculoskeletal pain.

The Brief Pain Inventory (BPI) is both a questionnaire and an outcome measure that is used widely in clinical trials to assess pain associated with many conditions. The BPI Short Form has been extensively translated into foreign languages. The aim of this study was to assess the validity and reliability of a Turkish Brief Pain Inventory Short Form (BPI-TR) to evaluate musculoskeletal pain. In total, 297 patients with musculoskeletal pain participated in the study. Demographic characteristics and brief medical histories were recorded. Pain intensity was assessed using a visual analogue scale (VAS) and quality-of-life was assessed using the Short Form 36 (SF-36). Pain was evaluated using the BPI-TR in all patients. Internal consistency and test-retest analysis were used to assess reliability. The internal consistency of the scale items was assessed by calculating Cronbach's α value, which was expected to be > 0.7. The criterion validity of the BPI-TR was assessed by correlation with VAS scores. Pain intensity, pain interference, and other components of the Turkish version were consistent with validity thereof. Cronbach's α was 0.84 for pain intensity and 0.89 for pain interference. The extent of BPI-TR and VAS correlation was statistically significant. The BPI-TR may be used for assessment of musculoskeletal pain.

The Concept of "Chair Massage" in the Workplace as Prevention of Musculoskeletal Overload and Pain.

Accumulation of musculoskeletal overload experienced daily over a long period, for months or even years may lead to serious health problems. Simple, quick and easy-to-administer prophylactic and therapeutic interventions not involving complicated medical procedures can bring tangible benefits for sufferers. The aim of the study was to evaluate the efficacy and effects of a massage programme performed during breaks at work among persons exposed to long-term overload of the spinal column and areas around the spine. We studied 50 office workers (20 women and 30 men, mean age 34.04 years). The subjects were randomly divided into an experimental group (massage, 25 people) and a control group (25 people). The study was completed in four weeks, during which 8 massage sessions took place (twice a week for 15 minutes). Subjective assessment tools were used, namely the IPAQ-short version for evaluation of physical activity, Cornell Musculoskeletal Discomfort Questionnaire (CMDQ) for assessment of musculoskeletal pain and a survey to assess the participants' satisfaction with the massage programme. An objective assessment tool was an algometric evaluation of the pain threshold (kg/cm2) in selected muscle trigger points. Statistical significance of differences was set at p <0.05. The level of physical activity was comparable between the groups, with 42% of the experimental group and 40% in the control group declaring a high level of physical activity. According to the CMDQ, the biggest differences after massage were noted with regard to the reduction of pain in the lower and upper spine and the right arm (p <0.001), while slightly smaller improvements were noted in the right shoulder and left forearm (p <0.05). In other parts of the body and in the control group, the changes were not statistically significant. The pain threshold assessed by algometry increased at all points examined in the experimental group, with pain sensitivity decreasing the most in the trapezius and supraspinous muscles on the left side of the spine (p <0.001). In the control group, the changes were not significant. 1. The proposed programme of chair massage in the workplace proved to be effective in relieving musculoskeletal overload and discomfort of the spine and upper limbs. 2. The advantages of this method include its accessibility, cost-effectiveness, ease of administration in different places and short treatment time. It seems advisable to popularise it and increase its use in practice in the prevention of physical and mental work-related overload.