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Prevalence and severity of work-related musculoskeletal disorders among military firefighters in Manaus: a cross-sectional study.

Created on 06 Oct 2026

Authors

Clodoaldo da Silva Almeida, Ana Lúcia Siqueira Costa Calache, David Lopes Neto, Ednário Barbosa de Mendonça

Published in

Revista da Escola de Enfermagem da U S P. Volume 60. Pages e20250205. Epub Oct 05, 2026.

Abstract

To assess the prevalence and severity of work-related musculoskeletal disorders (WRMDs) among military firefighters in Manaus.
A cross-sectional study involving 272 active firefighters (79.3% of the workforce of the Capital Fire Department/CBMAM). A sociodemographic/occupational questionnaire and the Nordic Musculoskeletal Symptoms Questionnaire (NMQ, Brazilian version) were used. Data were collected via REDCap (March 2024). Analyses were conducted in RStudio using nonparametric tests (Mann-Whitney, Kruskal-Wallis, Spearman; α = 5%) and effect sizes (95% CI).
The sample was predominantly male (76.8%), with a mean age of 42.5 years; most participants were police officers (79.8%) and engaged in operational duties (84.2%). High occupational exposure was observed (shift work: 74.6%; overtime: 93.0%) as well as regular physical activity (87.9%). The lumbar region showed the highest prevalences of pain, work absenteeism, and seeking medical care. The severity of WRMDs varied across units (p = 0.010; η2 = 0.045), with higher values in COBOM and the 1st BI. Correlations between the severity index and pain over 12 months, pain over 7 days, work disability, and healthcare utilization reflected the instrument's internal consistency.
Military firefighters presented a high prevalence and severity of work-related musculoskeletal disorders (WRMDs), with variations across units. The findings support initiatives in health surveillance, ergonomics, and work organization, especially within the field of occupational nursing.

PMID:
42836693
Bibliographic data and abstract were imported from PubMed on 06 Oct 2026.

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