Work-Related Musculoskeletal DisordersWRMSDsNCT07562126
WRMSDs Among Orthopedic Surgeons
An observational study of Work-Related Musculoskeletal Disorders, run by Cairo University at 1 site in Egypt.
Trial summary
The investigators investigated the prevalence of WRMSDs in Egyptian orthopaedic surgeons. Read more about this study
- Who is it for?
- Ages 25 years and olderHealthy volunteers can take part
- Conditions the study is for
- Work-Related Musculoskeletal Disorders
- How many people
- 285 participants
- Where
- 1 siteEgypt
- Study dates
- 1 Jan 2024to 31 Mar 2025
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 25 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Study population: Egyptian orthopedic surgeons
Who may be able to join
- Egyptian orthopedic surgeons and participants must have been working for at least 5 years.
Who cannot join
- any history of traumatic injuries of relevant regions within the past year such as whiplash injury, any history of surgical interventions of relevant regions within the past year, other medical conditions that may have a negative effect on the spine and upper extremities such as deformity, chronic diseases affecting the musculoskeletal system such as rheumatoid arthritis, osteoarthritis, and other connective tissue disorders (such as fibromyalgia), neurological and orthopedic disorders as well as sensory deficits and consumption of any sedative drug or alcohol within the past 48 hours.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Prevalence of Work-Related Musculoskeletal Disorders Among Orthopedic Surgeons: a Cross-Sectional Study
The investigators investigated the prevalence of WRMSDs in Egyptian orthopaedic surgeons.
Read the detailed description
Work-related musculoskeletal disorders (WRMSDs) are syndromes characterized by soft tissue pain, stiffness, swelling, fatigue, and lack of control. The National Institute for Occupational Safety and Health (NIOSH) defined Musculoskeletal Disorders (MSDs) as an injury that affects a part of the musculoskeletal system encompassing bones, nerves, tendons, ligaments, joints, cartilage, blood vessels, and spinal discs.
Studies have shown that 60 % to 90% of all specialty surgeons suffer from pain and stiffness in their neck, back, or shoulders.
Physical occupational hazards associated with orthopedic surgery have raised growing concerns. The orthopedic surgery field exposes surgeons to a range of serious risks and imposes tremendous physical and emotional strain.
The Nordic Musculoskeletal Questionnaire (NMQ) was developed by Kuorinka et al. 1987. It is an easy, well-structured questionnaire comprising the whole body by describing nine functional sites for both sides: upper and lower limbs, neck, and lower back. It integrates questions on individual symptoms and activity constraint levels in the previous 12 months.
Statement of the Problem: The study will answer the following research question: What is the prevalence of Work-related musculoskeletal disorders among Egyptian orthopedic surgeons? Purpose of the study: This study will assess the prevalence, characteristics, and impact of work-related musculoskeletal disorders among Egyptian orthopedic surgeons.
Significance of the study: After reviewing the available previous published studies, it was found that there is limited research for both prevalence \& ergonomic assessment considering Egyptian orthopedic surgeons. Ergonomic guidelines are often not followed in the operating theatre design and layout due to a lack of awareness. To the best of our knowledge, no study has evaluated the prevalence of MSDs among Egyptian orthopedic surgeons, although work-related injuries constitute more than 60% of all occupational illnesses.
Currently, there is a knowledge gap regarding the prevalence of WRMSDs among Egyptian orthopedic surgeons. Therefore, the current study aims to assess it, explore the types of WRMSDs, and identify the risk factors for developing WRMSDs among Egyptian orthopedic surgeons.
- Conditions
- Work-Related Musculoskeletal Disorders
- Keywords
- Prevalence, Work-Related Musculoskeletal Disorders (WRMSDs), Orthopedic Surgeons
What is being measured
The primary outcome is the main question the study is designed to answer.
Prevalence of WRMSDs
Measured: 12 months
Secondary outcomes (1)
Regression Analysis
relationship between age, BMI, working hours/week, No. of procedures/month and subspeciality (General, trauma, arthroplasty, spine, and upper extremity) as predictors, and surgeons having symptoms in the last 12 months as a response
Measured: 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 May 2026
- Study start1 Jan 2024
- Primary completion31 Jan 2025
- Study completion31 Mar 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (22)Papers the sponsor has linked to this study.
- Other trials for Work-Related Musculoskeletal DisordersStudies of the same condition, open and under way.
- More trials run by Cairo UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Retrospective
- Enrolment
- 285 participants (actual)
Sponsor and investigators
- Lead sponsor
- Cairo University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Radwa Hossameldin Mohammed Abdelmagid, Cairo University
- Investigators
- Tasneem EA Mohammad, PhD, Study director, Lecturer, Department of Musculoskeletal Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Giza, EgyptNasr Awad Abdelkader, PhD, Study chair, Assistant Professor, Department of Musculoskeletal Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07562126
- Sponsor's protocol ID
- WRMSDs in Ortho Surgeons
- Acronym
- WRMSDs
- Status last verified
- Apr 2026
- First submitted
- 28 Dec 2025
- Last updated
- 1 May 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Clar C, Koutp A, Leithner A, Leitner L, Puchwein P, Vielgut I, Sadoghi P. Occupational injuries in orthopedic and trauma surgeons in Austria. Arch Orthop Trauma Surg. 2024 Mar;144(3):1171-1178. doi: 10.1007/s00402-024-05200-0. Epub 2024 Jan 24.
PubMed 38265464Buddle V, Nugent R, Jack RA 2nd, DeLuca P. Orthopedists Report High Prevalence of Work-Related Pain and Low Ergonomic Awareness. Orthopedics. 2023 Sep-Oct;46(5):280-284. doi: 10.3928/01477447-20230224-05. Epub 2023 Mar 1.
PubMed 36853949Bonsch R, Seibt R, Kramer B, Rieger MA, Steinhilber B, Luger T. Influence of Intraoperative Active and Passive Breaks in Simulated Minimally Invasive Procedures on Surgeons' Perceived Discomfort, Performance, and Workload. Life (Basel). 2024 Mar 22;14(4):426. doi: 10.3390/life14040426.
PubMed 38672698Daher M, Covarrubias O, Parmar T, Boutros M, Yammine P, BouFadel P, Lopez R, Fares MY, Khan AZ, Abboud JA. Subspecialties and Characteristics of Leadership Position in Orthopaedic Surgery. Arch Bone Jt Surg. 2025;13(1):39-46. doi: 10.22038/ABJS.2024.80029.3654.
PubMed 39886348Imediegwu KU, Igwe OP, Onyebuchukwu CQ, Okonkwo KJ, Ngwu AO, Nduka AP, Okeke K, Anya JP, Onyesoro CS, Akunna JS, Oladiran AB. Factors Affecting Choice of Subspecialisation amongst Orthopaedic Surgery Residents in Southern Nigeria. J West Afr Coll Surg. 2025 Jan-Mar;15(1):27-30. doi: 10.4103/jwas.jwas_129_23. Epub 2024 Aug 2.
PubMed 39735800Xu AL, Covarrubias OG, Yakkanti RR, Sotsky RB, Aiyer AA. The Biomechanical Burden of Orthopaedic Procedures and Musculoskeletal Injuries Sustained by Orthopaedic Surgeons: A Systematic Review. JBJS Rev. 2023 Jan 13;11(1). doi: 10.2106/JBJS.RVW.22.00202. eCollection 2023 Jan 1.
PubMed 36722828Althoff FC, Wachtendorf LJ, Rostin P, Santer P, Schaefer MS, Xu X, Grabitz SD, Chitilian H, Houle TT, Brat GA, Akeju O, Eikermann M. Effects of night surgery on postoperative mortality and morbidity: a multicentre cohort study. BMJ Qual Saf. 2021 Aug;30(8):678-688. doi: 10.1136/bmjqs-2020-011684. Epub 2020 Oct 7.
PubMed 33028658Al Mulhim FA, AlSaif HE, Alatiyah MH, Alrashed MH, Balghunaim AA, Almajed AS. The Prevalence of Musculoskeletal Pain (MSP) Among Orthopedic Surgeons and Residents in Saudi Arabia's Eastern Area. Cureus. 2023 May 19;15(5):e39246. doi: 10.7759/cureus.39246. eCollection 2023 May.
PubMed 37342747Vajapey SP, Li M, Glassman AH. Occupational hazards of orthopaedic surgery and adult reconstruction: A cross-sectional study. J Orthop. 2021 Apr 2;25:23-30. doi: 10.1016/j.jor.2021.03.026. eCollection 2021 May-Jun.
PubMed 33897136Sers R, Forrester S, Zecca M, Ward S, Moss E. The ergonomic impact of patient body mass index on surgeon posture during simulated laparoscopy. Appl Ergon. 2021 Nov;97:103501. doi: 10.1016/j.apergo.2021.103501. Epub 2021 Jun 22.
PubMed 34167015Viester L, Verhagen EA, Oude Hengel KM, Koppes LL, van der Beek AJ, Bongers PM. The relation between body mass index and musculoskeletal symptoms in the working population. BMC Musculoskelet Disord. 2013 Aug 12;14:238. doi: 10.1186/1471-2474-14-238.
PubMed 23937768Vasireddi N, Vasireddi N, Shah AK, Moyal AJ, Gausden EB, Mclawhorn AS, Poelstra KA, Gould HP, Voos JE, Calcei JG. High Prevalence of Work-related Musculoskeletal Disorders and Limited Evidence-based Ergonomics in Orthopaedic Surgery: A Systematic Review. Clin Orthop Relat Res. 2024 Apr 1;482(4):659-671. doi: 10.1097/CORR.0000000000002904. Epub 2023 Nov 21.
PubMed 37987688Ho-A-Tham N, Ting-A-Kee B, Struyf N, de Almeida Mello J, Dankaerts W, Vanlandewijck Y. Prevalence of musculoskeletal complaints and health-related quality of life in a Maroon and Kalinya Indigenous rural village in Suriname. Qual Life Res. 2023 Jul;32(7):1955-1970. doi: 10.1007/s11136-023-03363-8. Epub 2023 Feb 24.
PubMed 36823327Asiri FA, Alqhtani AA, Assiri AH, Alqahtani MH, Motlag DS, Tedla JS, Alwadai SA. Shoulder Pain and Disability Scores and the Factors Influencing Them among Orthopedic Surgeons Working in the Kingdom of Saudi Arabia: A Cross-Sectional Study. J Pers Med. 2023 Dec 30;14(1):55. doi: 10.3390/jpm14010055.
PubMed 38248756Bokhary OA, Alsolami MA, Alkindy AK, Numan MS, Jumah MA, Mirza AA. Prevalence of Work-Related Musculoskeletal Disorders Among Orthopedic Surgeons in Saudi Arabia: A Systematic Literature Review. Cureus. 2024 Oct 29;16(10):e72634. doi: 10.7759/cureus.72634. eCollection 2024 Oct.
PubMed 39610613
Study at a glance
From the registry record, last updated by the sponsor on 1 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Prevalence of Work-Related Musculoskeletal Disorders Among Orthopedic Surgeons: a Cross-Sectional Study
- ClinicalTrials.gov ID
- NCT07562126
- Acronym / sponsor ID
- WRMSDs / WRMSDs in Ortho Surgeons
- Conditions
- Work-Related Musculoskeletal Disorders
- Keywords
- Prevalence, Work-Related Musculoskeletal Disorders (WRMSDs), Orthopedic Surgeons
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 285 participants (actual)
- Lead sponsor
- Cairo UniversityUniversity, hospital or other
- Study start
- 1 Jan 2024 (actual)
- Primary completion
- 31 Jan 2025 (actual)
- Study completion
- 31 Mar 2025 (actual)
- First posted
- 1 May 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The investigators investigated the prevalence of WRMSDs in Egyptian orthopaedic surgeons.
Detailed description
Work-related musculoskeletal disorders (WRMSDs) are syndromes characterized by soft tissue pain, stiffness, swelling, fatigue, and lack of control. The National Institute for Occupational Safety and Health (NIOSH) defined Musculoskeletal Disorders (MSDs) as an injury that affects a part of the musculoskeletal system encompassing bones, nerves, tendons, ligaments, joints, cartilage, blood vessels, and spinal discs.
Studies have shown that 60 % to 90% of all specialty surgeons suffer from pain and stiffness in their neck, back, or shoulders.
Physical occupational hazards associated with orthopedic surgery have raised growing concerns. The orthopedic surgery field exposes surgeons to a range of serious risks and imposes tremendous physical and emotional strain.
The Nordic Musculoskeletal Questionnaire (NMQ) was developed by Kuorinka et al. 1987. It is an easy, well-structured questionnaire comprising the whole body by describing nine functional sites for both sides: upper and lower limbs, neck, and lower back. It integrates questions on individual symptoms and activity constraint levels in the previous 12 months.
Statement of the Problem: The study will answer the following research question: What is the prevalence of Work-related musculoskeletal disorders among Egyptian orthopedic surgeons? Purpose of the study: This study will assess the prevalence, characteristics, and impact of work-related musculoskeletal disorders among Egyptian orthopedic surgeons.
Significance of the study: After reviewing the available previous published studies, it was found that there is limited research for both prevalence \& ergonomic assessment considering Egyptian orthopedic surgeons. Ergonomic guidelines are often not followed in the operating theatre design and layout due to a lack of awareness. To the best of our knowledge, no study has evaluated the prevalence of MSDs among Egyptian orthopedic surgeons, although work-related injuries constitute more than 60% of all occupational illnesses.
Currently, there is a knowledge gap regarding the prevalence of WRMSDs among Egyptian orthopedic surgeons. Therefore, the current study aims to assess it, explore the types of WRMSDs, and identify the risk factors for developing WRMSDs among Egyptian orthopedic surgeons.
Study design
- Observational model
- Cohort
- Time perspective
- Retrospective
Who may qualify
- Ages
- 25 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
- Study population
- Egyptian orthopedic surgeons
Key inclusion criteria (1 listed)
- Egyptian orthopedic surgeons and participants must have been working for at least 5 years.
Key exclusion criteria (1 listed)
- any history of traumatic injuries of relevant regions within the past year such as whiplash injury, any history of surgical interventions of relevant regions within the past year, other medical conditions that may have a negative effect on the spine and upper extremities such as deformity, chronic diseases affecting the musculoskeletal system such as rheumatoid arthritis, osteoarthritis, and other connective tissue disorders (such as fibromyalgia), neurological and orthopedic disorders as well as sensory deficits and consumption of any sedative drug or alcohol within the past 48 hours.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Prevalence of WRMSDs
Time frame: 12 months
1 secondary outcome
Regression Analysis
Time frame: 12 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 May 2026.
- Background: PubMed 38265464Clar C, Koutp A, Leithner A, Leitner L, Puchwein P, Vielgut I, Sadoghi P. Occupational injuries in orthopedic and trauma surgeons in Austria. Arch Orthop Trauma Surg. 2024 Mar;144(3):1171-1178. doi: 10.1007/s00402-024-05200-0. Epub 2024 Jan 24.
- Background: PubMed 36853949Buddle V, Nugent R, Jack RA 2nd, DeLuca P. Orthopedists Report High Prevalence of Work-Related Pain and Low Ergonomic Awareness. Orthopedics. 2023 Sep-Oct;46(5):280-284. doi: 10.3928/01477447-20230224-05. Epub 2023 Mar 1.
- Background: PubMed 38672698Bonsch R, Seibt R, Kramer B, Rieger MA, Steinhilber B, Luger T. Influence of Intraoperative Active and Passive Breaks in Simulated Minimally Invasive Procedures on Surgeons' Perceived Discomfort, Performance, and Workload. Life (Basel). 2024 Mar 22;14(4):426. doi: 10.3390/life14040426.
- Background: PubMed 39886348Daher M, Covarrubias O, Parmar T, Boutros M, Yammine P, BouFadel P, Lopez R, Fares MY, Khan AZ, Abboud JA. Subspecialties and Characteristics of Leadership Position in Orthopaedic Surgery. Arch Bone Jt Surg. 2025;13(1):39-46. doi: 10.22038/ABJS.2024.80029.3654.
- Background: PubMed 39735800Imediegwu KU, Igwe OP, Onyebuchukwu CQ, Okonkwo KJ, Ngwu AO, Nduka AP, Okeke K, Anya JP, Onyesoro CS, Akunna JS, Oladiran AB. Factors Affecting Choice of Subspecialisation amongst Orthopaedic Surgery Residents in Southern Nigeria. J West Afr Coll Surg. 2025 Jan-Mar;15(1):27-30. doi: 10.4103/jwas.jwas_129_23. Epub 2024 Aug 2.
- Background: PubMed 36722828Xu AL, Covarrubias OG, Yakkanti RR, Sotsky RB, Aiyer AA. The Biomechanical Burden of Orthopaedic Procedures and Musculoskeletal Injuries Sustained by Orthopaedic Surgeons: A Systematic Review. JBJS Rev. 2023 Jan 13;11(1). doi: 10.2106/JBJS.RVW.22.00202. eCollection 2023 Jan 1.
- Background: PubMed 33028658Althoff FC, Wachtendorf LJ, Rostin P, Santer P, Schaefer MS, Xu X, Grabitz SD, Chitilian H, Houle TT, Brat GA, Akeju O, Eikermann M. Effects of night surgery on postoperative mortality and morbidity: a multicentre cohort study. BMJ Qual Saf. 2021 Aug;30(8):678-688. doi: 10.1136/bmjqs-2020-011684. Epub 2020 Oct 7.
- Background: PubMed 37342747Al Mulhim FA, AlSaif HE, Alatiyah MH, Alrashed MH, Balghunaim AA, Almajed AS. The Prevalence of Musculoskeletal Pain (MSP) Among Orthopedic Surgeons and Residents in Saudi Arabia's Eastern Area. Cureus. 2023 May 19;15(5):e39246. doi: 10.7759/cureus.39246. eCollection 2023 May.
- Background: PubMed 33897136Vajapey SP, Li M, Glassman AH. Occupational hazards of orthopaedic surgery and adult reconstruction: A cross-sectional study. J Orthop. 2021 Apr 2;25:23-30. doi: 10.1016/j.jor.2021.03.026. eCollection 2021 May-Jun.
- Background: PubMed 34167015Sers R, Forrester S, Zecca M, Ward S, Moss E. The ergonomic impact of patient body mass index on surgeon posture during simulated laparoscopy. Appl Ergon. 2021 Nov;97:103501. doi: 10.1016/j.apergo.2021.103501. Epub 2021 Jun 22.
- Background: PubMed 23937768Viester L, Verhagen EA, Oude Hengel KM, Koppes LL, van der Beek AJ, Bongers PM. The relation between body mass index and musculoskeletal symptoms in the working population. BMC Musculoskelet Disord. 2013 Aug 12;14:238. doi: 10.1186/1471-2474-14-238.
- Background: PubMed 37987688Vasireddi N, Vasireddi N, Shah AK, Moyal AJ, Gausden EB, Mclawhorn AS, Poelstra KA, Gould HP, Voos JE, Calcei JG. High Prevalence of Work-related Musculoskeletal Disorders and Limited Evidence-based Ergonomics in Orthopaedic Surgery: A Systematic Review. Clin Orthop Relat Res. 2024 Apr 1;482(4):659-671. doi: 10.1097/CORR.0000000000002904. Epub 2023 Nov 21.
- Shah, A., Hahamyan, H., Gould, H., Calcei, J., Gausden, E., \& Vasireddi, N. (2023). Poster 389: Operating Through the Pain: Systematic Review of Musculoskeletal Pain and Injury Epidemiology Among Orthopedic Surgeons and Trainees. Orthopaedic Journal of SLink provided by the sponsor.
- Malik-Tabassum, K., Ahmed, M., Jones, H. W., Gill, K., Board, T., \& Gambhir, A. (2023, June). The prevalence of musculoskeletal conditions among hip surgeons in the United Kingdom: A cross-sectional study. Orthopaedic Proceedings, 105(Suppl 11), 47.Link provided by the sponsor.
- Khan, Z., \& Khan, M. A. (2021). EMERGENCE OF SUBSPECIALTIES IN ORTHOPAEDICS: THE ROAD FORWARD IN KHYBER PAKHTUNKHWA-PAKISTAN. Journal of Postgraduate Medical Institute, 35(1), 1-2.Link provided by the sponsor.
- Aljohani, L. Z., Batayyib, S. S., Ghabban, K. M., Koshok, M. Y., \& Alshammari, A. N. (2020). Prevalence of musculoskeletal pain among orthopedic surgeons in north-west region of Saudi Arabia: A cross-sectional study. Journal of Orthopedic Research \& PhysLink provided by the sponsor.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Tasneem EA Mohammad, PhD study director
Lecturer, Department of Musculoskeletal Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt
Nasr Awad Abdelkader, PhD study chair
Assistant Professor, Department of Musculoskeletal Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Work-Related Musculoskeletal Disorders, run by Cairo University at 1 site in Egypt.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 1 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Prevalence of WRMSDs (time frame: 12 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07562126, which also lists 22 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 May 2026.