{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T12:22:28Z","timestamp":1774614148053,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T00:00:00Z","timestamp":1774483200000},"content-version":"vor","delay-in-days":25,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2026,3]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n The present study aimed to identify the role Rapid Upper Limb Assessment (RULA) for the assessment of office worker's ergonomics in the workplace and its efficacy in designing targeted interventions with a specific focus on neck pain.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Sixty six office workers (Mean Age\u00a0=\u00a033.04\u00a0\u00b1\u00a09.98\u00a0years; Mean BMI\u00a0=\u00a021.45\u00a0\u00b1\u00a02.1\u00a0kg\/m\n 2<\/jats:sup>\n ; Females\u201025; Males\u201041) with mild to moderate neck disability were after giving their informed consent. Based on RULA scores and ergonomic risk levels, participants were divided into three groups \u2010 low risk (Group A;\n n<\/jats:italic>\n \u00a0=\u00a022), moderate risk (Group B;\n n<\/jats:italic>\n \u00a0=\u00a022) and high risk (Group C;\n n<\/jats:italic>\n \u00a0=\u00a022). Targeted interventions including ergonomic counselling, brochures, practical workplace modification sessions, and postural correction exercises were administered. Pre\u2010 and post\u2010intervention assessments (at 0, 2 & 4\u00a0weeks) for improvements in neck pain, discomfort and ergonomic risk were compared using mixed model ANOVA (\n p<\/jats:italic>\n \u00a0<\u00a00.05).\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Findings revealed widespread poor posture among office workers, with tasks involving prolonged computer work, phone usage, and extended sitting periods posing elevated risks of WMSDs. Significant improvements were seen from baseline to weeks 2 & 4 for pain (\n F<\/jats:italic>\n \u00a0=\u00a0182.26;\n p<\/jats:italic>\n \u00a0<\u00a00.05), neck disability (\n F<\/jats:italic>\n \u00a0=\u00a0667.47,\n p<\/jats:italic>\n \u00a0<\u00a00.05) and postural risk (\n F<\/jats:italic>\n \u00a0=\u00a0393.69,\n p<\/jats:italic>\n \u00a0<\u00a00.05). Significant improvements in pain (\n F<\/jats:italic>\n \u00a0=\u00a038.35,\n p<\/jats:italic>\n \u00a0<\u00a00.05) and postural risk (\n F<\/jats:italic>\n \u00a0=\u00a0159.27,\n p<\/jats:italic>\n \u00a0<\u00a00.05) were observed between group comparisons. Significant group\u00a0\u00d7\u00a0time interactions were seen for Neck Disability (\n F<\/jats:italic>\n \u00a0=\u00a08.71,\n p<\/jats:italic>\n \u00a0<\u00a00.05) and postural risk (\n F<\/jats:italic>\n \u00a0=\u00a012.95,\n p<\/jats:italic>\n \u00a0<\u00a00.05) indicating differential gains by risk category. Tukey's post hoc comparison confirmed Group C showed maximum changes (\n p<\/jats:italic>\n \u00a0<\u00a00.05) in pain & postural risk followed by Groups B & A, whereas neck disability did not differ between groups (\n p<\/jats:italic>\n \u00a0>\u00a00.05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The findings indicate that RULA helped in facilitating postural risk stratification,\u00a0guiding targeted ergonomic interventions to alleviate neck pain and disability among office workers. Further research is recommended to explore the long\u2010term benefits of follow\u2010up\u2010based on continuous ergonomic interventions using artificial intelligence.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/msc.70208","type":"journal-article","created":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T23:37:46Z","timestamp":1774568266000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Risk Stratification and Neck Pain Management in Office Workers Using Rapid Upper Limb Assessment"],"prefix":"10.1002","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0781-1626","authenticated-orcid":false,"given":"Pragya","family":"Kumar","sequence":"first","affiliation":[{"name":"Department of Physiotherapy Amity Institute of Health Allied Sciences Amity University Noida Uttar Pradesh India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy Amity Institute of Health Allied Sciences Amity University Noida Uttar Pradesh India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8281-6166","authenticated-orcid":false,"given":"Jasmine Kaur","family":"Chawla","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy School of Allied Health Sciences Manav Rachna International Institute of Research and Studies Manav Rachna University Faridabad Haryana India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,26]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/10803548.2025.2457186"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/oem.60.9.649"},{"key":"e_1_2_12_4_1","doi-asserted-by":"crossref","first-page":"943","DOI":"10.1007\/978-981-19-0244-4_87","volume-title":"Recent Advances in Materials and Modern Manufacturing","author":"Aruna R.","year":"2022"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00420\u2010025\u201002160\u20109"},{"key":"e_1_2_12_6_1","volume-title":"Adult BMI Categories","author":"CDC","year":"2024"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.20750"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00420\u2010025\u201002185\u20100"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/10803548.2024.2446107"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD008570.pub3"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.envint.2020.106349"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891\u2010016\u20101281\u20107"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.17267\/2238\u20102704rpf.v9i2.2320"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11042\u2010015\u20103189\u2010x"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2009.2930"},{"key":"e_1_2_12_16_1","volume-title":"Pain: Clinical Manual for Nursing Practice","author":"McCaffery M.","year":"1989"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.3233\/WOR\u2010230663"},{"key":"e_1_2_12_18_1","unstructured":"Rapid Upper Limb Assessment Software (RULA) | Osmond Ergonomics. n.d. 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