A tensão silenciosa: um estudo transversal sobre alterações biomecânicas posturais e saúde musculoesquelética em seguranças
DOI:
https://doi.org/10.17267/2238-2704rpf.2026.e6498Palavras-chave:
Estudos Transversais, Dor Musculoesquelética, Ergonomia, Saúde Ocupacional, PosturaResumo
INTRODUÇÃO: Os seguranças frequentemente permanecem em posições estáticas prolongadas em pé, o que os predispõe a desvios posturais sutis e dores musculoesqueléticas. Apesar desse risco ocupacional, poucas pesquisas examinaram essas associações de forma abrangente. OBJETIVO: Investigar os desvios posturais nos planos anterior, posterior e sagital usando fotogrametria e explorar sua correlação com a dor musculoesquelética entre seguranças do sexo masculino. MÉTODOS: Um estudo transversal foi conduzido ao longo de 12 meses, envolvendo 100 seguranças masculinos com idades entre 30 e 50 anos. As variáveis posturais foram avaliadas utilizando o software Advanced Postural and Environmental Correction System (APECS) através de fotogrametria digital, enquanto a dor e os sintomas foram avaliados utilizando o Questionário Nórdico de Sintomas Musculoesqueléticos (QNSM) e a Escala Numérica da Dor (END/NPRS). A análise estatística incluiu estatísticas descritivas e correlação de postos de Spearman com correção de Benjamini–Hochberg. RESULTADOS: Foram encontrados desvios posturais significativos, especialmente no alinhamento dos ombros e do corpo nos planos coronais anterior e posterior (r = 0,612, p < 0,001; r = 0,524, p < 0,001). Uma correlação moderada foi observada entre a inclinação da EIAS (espinha ilíaca anterossuperior) e a dor lombar (r = 0,442, p = 0,002), enquanto a inclinação da EIPS (espinha ilíaca posterossuperior) mostrou uma correlação fraca (r = 0,260, p = 0,072). Outras variáveis posturais apresentaram correlações fracas ou não significativas com a dor musculoesquelética. CONCLUSÃO: Apesar das assimetrias posturais evidentes, apenas associações fracas a moderadas com a dor musculoesquelética foram observadas. Os achados reforçam a natureza multifatorial da dor ocupacional e destacam a importância de modificações ergonômicas e da variabilidade de movimento na prevenção da dor.
Downloads
Referências
1. Kaur S, Sudhakar K, Gupta S. To study the prevalence of musculoskeletal disorders in security guards. Int J Physiother. 2015;2(6):905-10. https://doi.org/10.15621/ijphy/2015/v2i6/80747
2. Nelson-Wong E, Callaghan JP. The impact of a sloped surface on low back pain during prolonged standing work: a biomechanical analysis. Ergonomics. 2010;53(8):953-61. https://doi.org/10.1016/j.apergo.2010.01.005
3. Comper ML, Macedo AR, Padula RS. Musculoskeletal symptoms, postural disorders and occupational risk factors: correlation analysis. Work. 2012;41 Suppl 1:2445-8. https://doi.org/10.3233/wor-2012-0478-2445
4. Salahzadeh Z, Maroufi N, Ahmadi A, Behtash H, Razmjoo A, Parnianpour M. Assessment of forward head posture in females: observational and photogrammetric study. J Back Musculoskelet Rehabil. 2014;27(2):131-9. https://doi.org/10.3233/bmr-130426
5. Marinho MFS, Lucena LC. Postural changes and chronic lumbar pain in university students: original study. Coluna/Columna. 2022;21(4):2-7. https://doi.org/10.1590/S1808-185120222104261566
6. Saad KR, Colombo AS, Ribeiro AP, João SM. Reliability of photogrammetry in the evaluation of the postural aspects of individuals with structural scoliosis. J Bodyw Mov Ther. 2012;16(2):210-6. https://doi.org/10.1016/j.jbmt.2011.03.005
7. Furlanetto TS, Sedrez JA, Candotti CT, Loss JF. Photogrammetry for the evaluation of spinal posture: a systematic review. J Bodyw Mov Ther. 2016;20(4):820-6. https://doi.org/10.5312/wjo.v7.i2.136
8. Dickinson CE, Campion K, Foster AF, Newman SJ, O'Rourke AMT, Thomas PG. Questionnaire development: an examination of the Nordic Musculoskeletal Questionnaire. Appl Ergon. 1992;23(3):197-201. https://doi.org/10.1016/0003-6870(92)90225-k
9. Ferreira-Valente MA, Pais-Ribeiro JL, Jensen MP. Validity of four pain intensity rating scales. Pain. 2011;152(10):2399-404. https://doi.org/10.1016/j.pain.2011.07.005
10. Daly RM, Rosengren BE, Alwis G, Ahlborg HG, Sernbo I, Karlsson MK. Gender-specific age-related changes in bone density, muscle strength and functional performance in the elderly: a 10-year prospective population-based study. BMC Geriatr. 2013;13:71. https://doi.org/10.1186/1471-2318-13-71
11. Karimi Z, Mazloumi A, Sharifnezhad A, Jafari AH, Kazemi Z, Keihani A. Nonlinear analysis of postural changes related to movement interventions during prolonged standing tasks. Ergonomics. 2023;66(7):939-53. https://doi.org/10.1080/00140139.2023.2188732
12. Slater D, Korakakis V, O'Sullivan P, Nolan D, O'Sullivan K. "Sit Up Straight": Time to Re-evaluate. J Orthop Sports Phys Ther. 2019;49(8):562-4. https://doi.org/10.2519/jospt.2019.0610
13. O’Sullivan P. It’s time for change with the management of non-specific chronic low back pain. Br J Sports Med. 2012;46(4):224-7. https://doi.org/10.1136/bjsm.2010.081638
14. Mallapiang F, Azriful, Nildawati, Syarfaini, Muis M, Adriansyah. The relationship of posture working with musculoskeletal disorders (MSDs) in the weaver West Sulawesi Indonesia. Gac Sanit. 2021;35 Suppl 1:S15-8. https://doi.org/10.1016/j.gaceta.2020.12.005
15. Singla D, Veqar Z, Hussain ME. Photogrammetric Assessment of Upper Body Posture Using Postural Angles: A Literature Review. J Chiropr Med. 2017;16(2):131-8. https://doi.org/10.1016/j.jcm.2017.01.005
16. Çankaya M, Takı FN. Comparison of postural assessment and awareness in individuals receiving posture training using the digital AI posture assessment and correction system. Int J Occup Saf Ergon. 2024;30(4):1311-7. https://doi.org/10.1080/10803548.2024.2397836
17. Welling A, Gurudut P, Shirodkar G, Shetye N, Khan S. Validation of non-radiographic APECS software in comparison with standard radiographic measurement of full-length lower limb hip-knee-ankle angle in elderly obese women. Physiother Q. 2023;31(1):90-4. https://doi.org/10.5114/pq.2023.124567
18. Trovato B, Roggio F, Sortino M, Zanghì M, Petrigna L, Giuffrida R, et al. Postural evaluation in young healthy adults through a digital and reproducible method. J Funct Morphol Kinesiol. 2022;7(4):98. https://doi.org/10.3390/jfmk7040098
19. Kuorinka I, Jonsson B, Kilbom Å, Vinterberg H, Biering-Sørensen F, Andersson G, et al. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon. 1987;18(3):233-7. https://doi.org/10.1016/0003-6870(87)90010-X
20. Jensen MP, Karoly P. Self-report scales and procedures for assessing pain in adults. In: Turk DC, Melzack R, editors. Handbook of pain assessment. 2nd ed. New York: Guilford Press; 2001. p. 15-34.
21. Farrar JT, Young Jr JP, LaMoreaux L, Werth JL, Poole MR. Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale. Pain. 2001;94(2):149-58. https://doi.org/10.1016/S0304-3959(01)00349-9
22. McGill SM. Low back disorders: evidence-based prevention and rehabilitation. 2nd ed. Champaign: Human Kinetics; 2007.
23. van Dieën JH, Reeves NP, Kawchuk G, van Dillen LR, Hodges PW. Motor control changes in low back pain: divergence in presentations and mechanisms. J Orthop Sports Phys Ther. 2019;49(6):370-9. https://doi.org/10.2519/jospt.2019.7917
24. O’Sullivan P. Diagnosis and classification of chronic low back pain disorders: maladaptive movement and motor control impairments as underlying mechanism. Man Ther. 2005;10(4):242-55. https://doi.org/10.1016/j.math.2005.07.001
25. Robertson MM, Ciriello VM, Garabet AM. Office ergonomics training and a sit-stand workstation: effects on musculoskeletal and visual symptoms and performance of office workers. Appl Ergon. 2013;44(1):73-85. https://doi.org/10.1016/j.apergo.2012.05.001
26. Coenen P, Willenberg L, Parry S, Shi JW, Romero L, Blackwood DM, et al. Associations of occupational standing with musculoskeletal symptoms: a systematic review with meta-analysis. Br J Sports Med. 2018;52(3):176-83. https://doi.org/10.1136/bjsports-2016-096795
27. Pehlevan E, Şevgin Ö. Effect of exercise given to factory workers with ergonomics training on pain and functionality: a randomized controlled trial. Work. 2024;78(1):195-205. https://doi.org/10.3233/wor-230663
Downloads
Publicado
Edição
Seção
Licença
Copyright (c) 2026 Nidhi Sharma, Anamika Kundu, Simranjeet Kaur

Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Esta obra está licenciada com uma Licença Creative Commons Atribuição 4.0 Internacional.
