Correlation between Learning Comfort and the Risk of Musculoskeletal Disorder in Anatomy Laboratorium Activity Based on RULA Method

Leonardo Lubis, Jesslyn Christianningrum Putri, Mulya Nurmansyah Ardisasmita


Objective: To describe learning comfort in the anatomy class of the Faculty of Medicine, Universitas Padjadjaran as one of the learning facilities, to assess the risk of musculoskeletal disorders in students, and to observe correlation between learning comfort and the risk of musculoskeletal disorders in students. 

MethodA cross sectional research design conducted to the participants that were students from batch 2017 (second year), faculty of Medicine, Universitas Padjadjaran as the population sample. Data were taken using a Likert scale questionnaire (very uncomfortable–very comfortable) about the comfort aspects in the class, meanwhile the risk of musculoskeletal disorders were assessed by using Rapid Upper Limb Assessment (RULA). After data collection, there were 106 respondents with complete data, then the data were processed by using descriptive statistical analyses. The correlation between the two variables was analyzed using the Gamma correlation test.

Results: Majority of the students were very comfortable with the aspects of learning comfort (majority scale 5), except in aspects of furniture, work area, room aroma, personal storage area, maintenance and repair. A moderate risk level of musculoskeletal disorders (58.5%) was found in the majority of the students. There was a relative significant relationship  between learning comfort and the risk of musculoskeletal disorders in the aspect of colors (γ=0.445, p<0.01).

Conclusion: There is a significant relationship between learning comfort in the aspect of colors and the risk of musculoskeletal disorders. Other aspects do not indicate a significant relationship.

Keywords: Learning comfort, risk of musculoskeletal disorders, RULA


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Bazley C, Nugent R. Patterns of discomfort. J Ergonom. 2015;5(1):1–7.

Wilson A, Lichtwark G. The anatomical arrangement of muscle and tendon enhances limb versatility and locomotor performance. Philos Trans R Soc Lond B Biol Sci. 2011;366(1570):1540–53.

Helander M. A guide to human factors and ergonomics. 2th ed. London: Taylor & Francis; 2006.

Pîrvu C, Pătraşcu I, Pîrvu D, Ionescu C. The dentist’s operating posture – ergonomic aspects. J Med Life. 2014;7(2):177–82.

Shaik AR, Rao SBH, Husain A, D’sa J. Work-related musculoskeletal disorders among dental surgeons: a pilot study.Contemp Clin Dent. 2011;2(4):308–12.

Shiri R, Heliövaara M, Ahola K, Kaila-Kangas L, Haukka E, Kausto J, et al. A screening tool for the risk of disability retirement due to musculoskeletal disorders. Scand J Work Environ Heal. 2018;44(1):37–46.

Jain R, Meena ML, Dangayach GS, Bhardwaj AK. Risk factors for musculoskeletal disorders in manual harvesting farmers of Rajasthan. Ind Health. 2018;56(3):241–8.

Flegal KM, Kit BK, Graubard BI. Body mass index categories in observational studies of weight and risk of death. Am J Epidemiol. 2014;180(3):288–96.

Carera A, Prianto E. Karakter Kenyamanan Thermal pada bangunan Ibadah di Kawasan kota Lama, Semarang. Proceedings of the Seminar Nasional Sains dan Teknologi; 2016 August 3; Semarang. Indonesia: Universitas Wahid Hasyim; 2016.

Enrique Cometto-Muñiz J, Abraham MH. Dose-response functions for the olfactory, nasal trigeminal, and ocular trigeminal detectability of airborne chemicals by humans. Chem Senses. 2016;41(1):3–14.

Gunawan H, Aditanoyo T. Study of the Effect of Splaying Wall to Modify Acoustic Modes Distribution in Small Room. J Phys [serial on the internet]. 2018 April [cited 2018 Aug 20];2018(6):[about 6p.]. Available from:

Lusijarto TT, Subekti RA, Susanti V. Economic analysis and energy consumption approaches for lighting improvement of government building facilities. Proceeding of International Conference on Sustainable Energy Engineering and Application; October 23 2017; Jakarta. Continuous Improvement of Sustainable Energy for Eco-Mobility; 2018.

Azis M, Supriadi B, Lesmono A. Analisis Pengaruh Warna Dan Ukuran Dinding Ruangan Terhadap Intensitas Pencahayaan. J Pembelajaran Fis. 2017;5(1):35–40.

Apostolico A, Cappetti N, D’Oria C, Naddeo A, Sestri M. Postural comfort evaluation: Experimental identification of Range of Rest Posture for human articular joints. Int J Interact Des Manuf. 2014;8(2):109–20.

Mirbagheri SS, Rahmani-Rasa A, Farmani F, Amini P, Nikoo MR. Evaluating kyphosis and lordosis in students by using a flexible ruler and their relationship with severity and frequency of thoracic and lumbar pain. Asian Spine J. 2015;9(3):416–22.

Chinyere N I. Influence of workstation and work posture ergonomics on job satisfaction of librarians in the federal and state university libraries in Southern Nigeria. IOSR J Humanit Soc Sci. 2014;19(9):78–84.

Chiasson ME, Imbeau D, Major J, Aubry K, Delisle A. Influence of musculoskeletal pain on workers’ ergonomic risk-factor assessments. Appl Ergon. 2015;49(1):1–7.

Taifa IW, Desai DA. Anthropometric measurements for ergonomic design of students’ furniture in India. Eng Sci Technol Int J. 2017;20(1):232–9.

Collins JD, O’Sullivan LW. Musculoskeletal disorder prevalence and psychosocial risk exposures by age and gender in a cohort of office based employees in two academic institutions. Int J Ind Ergon. 2015;46(1):85–97.

Higgins DM, Fenton BT, Driscoll MA, Heapy AA, Kerns RD, Bair MJ, et al. Gender differences in demographic and clinical correlates among veterans with musculoskeletal disorders. Women’s Heal Issues. 2017;27(4):463–70.


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