ArticleInternational journal of environmental research and public health2026
The Knowledge-to-Practice Gap in Safe Lifting and Biomechanical Risks as Determinants of Musculoskeletal Disorders in Manual Material Handling.
Article in International journal of environmental research and public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
This study investigated the complex interfaces between knowledge, attitude and practice (KAP); biomechanical risks; and musculoskeletal disorders (MSDs) among heavy manual handling workers. A cross-sectional study surveyed 99 industrial manual lifting workers within manufacturing factories (mean age: 33.4 ± 7.7 years; mean job experience: 7.95 ± 6.5 years) using a validated online questionnaire assessing demographics, occupational conditions, biomechanical risk, lifting KAP, and MSD prevalence via the Extended Nordic Musculoskeletal Questionnaire. Associations with 12-month and active 7-day MSD prevalence were analyzed using multinomial logistic regression. The 12-month prevalence of MSDs was 56.6%, predominantly affecting the lower back (51.0%). The MSD group reported significantly higher biomechanical risks. Chi-square analysis revealed significant differences in safety practices (
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