HUBUNGAN POSTUR TUBUH DENGAN NYERI LEHER DAN BAHU PADA MAHASISWA KEDOKTERAN SELAMA PEMBELAJARAN DARING
Abstract
Situasi pandemi Corona Virus Disease (COVID-19) mengharuskan mahasiswa mengikuti pembelajaran secara daring dari rumah, termasuk fakultas kedokteran. Padatnya waktu belajar dan banyaknya tugas di fakultas kedokteran menyebabkan mahasiswa harus berada dalam kondisi yang lama di depan layar monitor. Kondisi tersebut dapat menyebabkan timbulnya gangguan pada berbagai area tubuh termasuk leher dan bahu. Terlebih lagi apabila postur tubuh saat belajar mahasiswa tidak ergonomis. Tujuan penelitian ini adalah mengetahui hubungan antara postur tubuh dengan nyeri leher dan bahu pada mahasiswa fakultas kedokteran selama pembelajaran secara daring. Penelitian bersifat kuantitatif, analitik observasional, dengan desain potong lintang. Responden penelitian adalah mahasiswa pada salah satu fakultas kedokteran di Jawa Barat dengan jumlah total 158 orang. Pengambilan data dilaksanakan pada bulan Desember tahun 2020. Penentuan postur tubuh berdasarkan penilaian terhadap posisi kepala dan siku dari foto saat belajar yang dikirimkan mahasiswa kepada peneliti, sedangkan nyeri pada leher dan bahu ditentukan berdasarkan pengisian mandiri pada kuesioner Nordic Body Map (NBM). Data yang didapat dianalisis dengan Chi Square dan Fisher Exact menggunakan software SPPS 20. Dari hasil penelitian didapatkan sebagian besar posisi kepala dan siku tidak ergonomis. Keluhan muskuloskeletal dirasakan lebih banyak pada leher leher atas (62%) dan leher bawah (58,2%). Terdapat hubungan yang bermakna antara posisi leher dengan nyeri leher bawah (p = 0,036) dan posisi siku dengan nyeri bahu kiri (p = 0,031). Diperlukan edukasi untuk meningkatkan pengetahuan dan praktik posisi tubuh yang ergonomis untuk menurunkan kemungkinan terjadinya nyeri pada berbagai area tubuh.
References
2. Rakhadani PB, Goon DT, Mandeya A. Musculoskeletal problems associated with university students computer users: a cross sectional study. Online Journal of Health and Allied Sciences, 2017; 16(2):1-7.
3. Dolen AP, Elias SM. Knowledge and practice of laptop ergonomics and prevalence of musculoskeletal symptoms among university students. Asia Pacific Environmental and Occupational Health Journal, 2016;2(1):8–18.
4. Kaur M, Singh S. Neck and Upper Extremity Discomfort and its relationship with extent of computer usage among university students. Indian Journal of Physiotherapy and Occupational Therapy, 2021;15(1):76-84.
5. OSHA Academy. Computer workstation-controlling risk factors. Introduction to Ergonomics, 2017:34-43.
6. 32. Stack T, Ostrom LT, Wilhelmsen CA. Occupational Ergonomics : A Practical Approach. 1st ed. New Jersey: John Wiley & Sons, Inc, 2016:77-109.
7. Yassierli, Irawan DAA, Pratiwi KK. Pengaruh keergonomisan stasiun komputer game net pada risiko gangguan otot rangka. J@ti Undip: Jurnal Teknik Industri, 2018;13(2):109-16.
8. Perhimpunan Ergonomi Indonesia. Posisi tubuh dan pengaturan komputer/laptop. Panduan Ergonomi “Learning from Home”, 2020:6-8.
9. Sobirin M. Identifikasi keluhan kesehatan mahasiswa selama perkuliahan daring pada masa pandemic Covid-19. Performa: Media Ilmiah Teknik Industri, 2020;19(1):49-54.
10. Khan R, Surti A, Rehman R, Ali U. Knowledge and practices of ergonomics in computer users. J Pak Med Assoc, 2012;62(3):213-7.
11. Hidayati RM, Bayhakki, Woferst R. Hubungan durasi penggunaan laptop dengan keluhan computer vision syndrome pada mahasiswa PSIK UR. Jurnal Ners Indonesia, 2017;8(1):33-41.
12. Darivemula SB, Goswami K, Gupta SK, Salve H, Singh U, Goswami AK. Work-related neck pain among desk job workers of tertiary care hospital in New Delhi, India: Burden and determinants. Indian Journal of Community Medicine, 2016;41(1):50-4.
13. Hough R, Nel M. Time and space dimensions of computer laptop use amongst third year students of the University of the Free State. South African Journal of Occupational Therapy, 2016;46(1):27-32.
14. Hough PA, Nel M. Postural risks and musculoskeletal discomfort of three preferred positions during laptop use amongst students. South African Journal of Occupational Therapy, 2017;47(1):3-8.
15. Chavda E, Parmar S, Parmar M. Current practice of laptop computer and related health problems: A survey based on ergonomic. International Journal of Medical Science and Public Health, 2013;2(4):1024-6.
16. Bisht D, Bakhshi R. Knowledge of computer ergonomics and incidence of musculoskeletal disorders among students of Punjab Agricultural University, Ludhiana, India. Journal of Applied and Natural Science, 2018;10(1):323-9.
17. Rodríguez RL, Nogueira OR, Carral AP, Álvarez MJA, Martín MAG, Cuadrado FM, et all. Musculoskeletal pain and non-classroom teaching in times of the COVID-19 pandemic: Analysis of the impact on students from two Spanish universities. J. Clin. Med, 2020;9:4053-64.
18. Sirajudeen MS, Alaidarous M, Waly M, Alqahtani M. Work-related musculoskeletal disorders among faculty members of college of Applied Medical Sciences, Majmaah University, Saudi Arabia: A cross-sectional study. International Journal of Health Sciences, 2018;12(4):18-25.
19. Arshad MA, Shamsudin MZ, Mustafa MJA. Laptop use and upper extremities musculoskeletal disorders among higher learning students. MAEH Journal of Environmental Health, 2020;01(1):1-4.
20. Khan SH, Mohan TRC, Al Abed AA, Swamy KB, Bhumik A. Posture related musculoskeletal disorders (MSDs) among computer users in higher education sectors of Malaysia. Mal J Med Health Sci, 2020;16(SUPP10):71-8.
21. Shing LP, Kholi D. Impact of prolonged sitting on well-being and productivity among computer workstation users: Ergonomic study. Ergonomics Int J, 2021;5(2):1-8.
22. Akodu A, Akinfeleye A, Atanda L, Giwa S. Work-related musculoskeletal disorders of the upper extremity with reference to working posture of secretaries. South African Journal of Occupational Therapy, 2015;45(3):16-22.
23. Fathi A. Prevalence rate of postural damages, disorders & anomalies among computer users. Physical Treatments, 2016;6(1):59-65.
24. Sirajudeen MS, Siddik SSM. Knowledge of computer ergonomics among computer science engineering and information technology students in Karnataka, India. Asian Journal of Pharmaceutical Research and Health Care, 2017;9(2):64-70.
25. Bhutto MA, Abdullah A, Arslan SA, Khan MS, Bugti MK, Rana ZR. Prevalence of Neck Pain in Relation to Gender, Posture and ergonomics in computer users. Acta Scientific Orthopaedics, 2019;2(10):2-6.
26. Bowman PJ, Braswell KD, Cohen JR, Funke JL, Landon HL, Martinez PI, et all. Benefits of laptop computer ergonomics education to graduate students. Open Journal of Therapy and Rehabilitation, 2014;2(1):25-32.