• Mahnoor Shafi Student School of health sciences, University of Management and Technology
  • Dr. Saba Riaz Demonstrator Department of physical medicine and rehabilitation, School of Health sciences, University of Management and Technology, Lahore
  • Dr. Somia Sabeeh Student School of health sciences, University of Management and Technology.
  • Rohma Kiran Student School of health sciences, University of Management and Technology
  • Sidra Jamshed Student School of health sciences, University of Management and Technology
  • Nabia Shahzaad Student School of health sciences, University of Management and Technology


Musculoskeletal disorders, COVID-19, postural stress, ergonomics, backache, neck pain, muscular pain


Background and Aims: Due to COVID-19 pandemic, the mode of education changed to online with the help of laptops and mobiles. The aim of this was to find out the prevalence of musculoskeletal (MSK) pain and its severity in students during online learning and the effect of that pain on activities of daily living (ADLs). To find out which regions of the body were more prone to musculoskeletal overload and to spread awareness of ergonomic approaches in device usage.

Methodology: 249 Health Sciences students participated in the study. Informed consent was taken. The prevalence of MSK pain was found out with the help of the Nordic musculoskeletal questionnaire (NMQ) and the Visual analogue scale (VAS).

Result: In our study out of 249 health sciences students, 227 (91.2%) were suffering from musculoskeletal pain. The most affected areas were the neck, lower back, and shoulder. 87(34.9%) had no difficulty carrying out ADLs due to MSK pain. Mean VAS was 4.85±2.63. Neck area 140 (56.2%) was the most commonly affected, followed by lower back 126 (50.6%).

Conclusion: There was a high prevalence of musculoskeletal pain during online education, but a few students experienced difficulty in carrying out ADLs due to MSK pain.


Khasawneh MA. The effect of the spread of the new COVID-19 on the psychological and social adaptation of families of persons with disabilities in the Kingdom of Saudi Arabia. Health Psychology Report. 2021;9(3):264–75-–75.

Sahu P. Closure of universities due to coronavirus disease 2019 (COVID-19): impact on education and mental health of students and academic staff. Cureus. 2020;12(4).

Huang L-S, Li L, Dunn L, He M. Taking account of asymptomatic infections: A modeling study of the COVID-19 outbreak on the Diamond Princess cruise ship. PloS one. 2021;16(3):e0248273.

El-Tallawy SN, Nalamasu R, Salem GI, LeQuang JAK, Pergolizzi JV, Christo PJJP, et al. Management of Musculoskeletal Pain: An Update with Emphasis on Chronic Musculoskeletal Pain. 2021:1-29.

Karingada KT, Sony M. Demonstration of the relationship between MSD and online learning during the COVID-19 pandemic. Journal of Applied Research in Higher Education. 2021.

Credeur DP, Miller SM, Jones R, Stoner L, Dolbow DR, Fryer SM, et al. Impact of prolonged sitting on peripheral and central vascular health. The American journal of cardiology. 2019;123(2):260-6.

Iyengar K, Upadhyaya GK, Vaishya R, Jain V. COVID-19 and applications of smartphone technology in the current pandemic. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2020;14(5):733-7.

Toprak Celenay S, Karaaslan Y, Mete O, Ozer Kaya D. Coronaphobia, musculoskeletal pain, and sleep quality in stay-at home and continued-working persons during the 3-month Covid-19 pandemic lockdown in Turkey. Chronobiology International. 2020;37(12):1778-85.

Moretti A, Menna F, Aulicino M, Paoletta M, Liguori S, Iolascon G. Characterization of home working population during COVID-19 emergency: a cross-sectional analysis. International journal of environmental research and public health. 2020;17(17):6284.

Akulwar-Tajane I, Darvesh M, Ghule M, Deokule S, Deora B, Mhatre V. Effects of COVID-19 Pandemic Lock Down on Posture in Physiotherapy Students: A Cross-Sectional Study.

Choudhary MSB, Choudary AB, Jamal S, Kumar R, Jamal S. The impact of ergonomics on children studying online during COVID-19 lockdown. Journal of Advances in Sports and Physical Education. 2020;3(8):117-20.

12. Ogunlana MO, Govender P, Oyewole OO. Prevalence and patterns of musculoskeletal pain among undergraduate students of occupational therapy and physiotherapy in a South African university. Hong Kong Physiotherapy Journal. 2021;41(01):35-43.

Kuhfeld M, Soland J, Tarasawa B, Johnson A, Ruzek E, Liu J. Projecting the Potential Impacts of COVID-19 School Closures on Academic Achievement. EdWorkingPaper No. 20-226. Annenberg Institute for School Reform at Brown University. 2020.

Paudel P. Online education: Benefits, challenges and strategies during and after COVID-19 in higher education. International Journal on Studies in Education. 2021;3(2):70-85.

Vijay S, Ide M. Musculoskeletal neck and back pain in undergraduate dental students at a UK dental school—A cross-sectional study. British dental journal. 2016;221(5):241-5.

Taneja A. Effects of work-from-home use laptop or mobile phone causing Text neck syndrome during the quarantine period COVID-19.

Nauzeer S, Jaunky VCJA. Prevalence and Factors Associated with Musculoskeletal Pain among Secondary School Students. 2021;5(2):ep21008.

de Alwis MP, LoMartire R, Äng BO, Garme KJPotIoME, Part M: Journal of Engineering for the Maritime Environment. Exposure aboard high-performance Marine craft increases musculoskeletal pain and lowers contemporary work capacity of the occupants. 2021;235(3):750-62.

Kallings LV, Blom V, Ekblom B, Holmlund T, Eriksson JS, Andersson G, et al. Workplace sitting is associated with self-reported general health and back/neck pain: a cross-sectional analysis in 44,978 employees. 2021;21(1):1-9.

Chakraborty P, Mittal P, Gupta MS, Yadav S, Arora AJHB, Technologies E. Opinion of students on online education during the COVID‐19 pandemic. 2021;3(3):357-65.

Etana G, Ayele M, Abdissa D, Gerbi AJJoPR. Prevalence of Work Related Musculoskeletal Disorders and Associated Factors Among Bank Staff in Jimma City, Southwest Ethiopia, 2019: An Institution-Based Cross-Sectional Study. 2021;14:2071.

Susihono W, Adiatmika IPG. The effects of ergonomic intervention on the musculoskeletal complaints and fatigue experienced by workers in the traditional metal casting industry. Heliyon. 2021;7(2):e06171.

Davison C, Cotrim TP, Gonçalves S. Ergonomic assessment of musculoskeletal risk among a sample of Portuguese emergency medical technicians. International Journal of Industrial Ergonomics. 2021;82:103077.

Hasan MM, Yaqoob U, Ali SS, Siddiqui AA. Frequency of musculoskeletal pain and associated factors among undergraduate students. Case Reports in Clinical Medicine. 2018;7(2):131-45.

Hashim A, Mustafa I, Shahid S, Butt SS, Ali AJRMJ. Students’ satisfaction in online education programs among undergraduate physiotherapy students of Lahore during covid-19. 2020;45(3):507-9.

Leirós-Rodríguez R, Rodríguez-Nogueira Ó, Pinto-Carral A, Álvarez-Álvarez M, Galán-Martín MÁ, Montero-Cuadrado F, et al. Musculoskeletal Pain and Non-Classroom Teaching in Times of the COVID-19 Pandemic: Analysis of the Impact on Students from Two Spanish Universities. Journal of Clinical Medicine. 2020;9(12):4053.

Kalteh HO, Khoshakhlagh AH, Rahmani NJW. Prevalence of musculoskeletal pains and effect of work-related factors among employees on offshore oil and gas installations in Iran. 2018;61(3):347-55.

Kayabınar E, Kayabınar B, Önal B, Zengin HY, Köse N. The musculoskeletal problems and psychosocial status of teachers giving online education during the COVID-19 pandemic and preventive telerehabilitation for musculoskeletal

problems. Work. 2021 Jan 1;68(1):33-43.


Nauzeer S, Jaunky VC. Prevalence and Factors Associated with Musculoskeletal Pain among Secondary School Students. Aquademia. 2021 May 28;5(2):ep21008.



How to Cite

Shafi, M. ., Riaz, D. S., Sabeeh, D. S., Kiran, R., Jamshed, S., & Shahzaad, N. (2022). MUSCULOSKELETAL PAIN AMONG ALLIED HEALTH SCIENCES STUDENTS DURING ONLINE LEARNING IN COVID-19 PANDEMIC (CROSS-SECTIONAL STUDY). Pakistan Journal of Rehabilitation, 11(2), 59–68. Retrieved from

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