Logo

Determining Factors in Shoulder Pain in Housewives

10.22579/27448592.1267
Published 2025-09-17
Artículos de investigación

Abstract

Introduction: Housework has traditionally been attributed to women in their role as homemakers, leading to both physical and mental overload that negatively impacts their well-being. This strain frequently manifests as pain in highly sensitive anatomical structures such as the glenohumeral
joint. Objective: To identify and describe the primary factors associated with shoulder pain in homemakers. Materials and methods: An exploratory study was conducted in two phases: (1) an integrative literature review based on the Whittemore and Knafl methodology, and (2) the design and implementation of a survey instrument incorporating variables derived from the review. A total of 521 women participated, and the data were analyzed using descriptive and correlational statistical techniques. Results: The literature review included 24 studies, from which three thematic categories emerged as relevant to the development of shoulder pain: sociodemographic variables, the nature of housework, and perceived workload. The survey findings revealed statistically significant correlations between shoulder pain and both the
duration and frequency of domestic tasks (R ≥ 0.658, p < 0.001). Conclusion: Evidence consistently suggests that prolonged and frequent engagement in housework is directly associated with shoulder pain, often indicating early signs of musculoskeletal injury. Additional influential factors include the woman’s economic conditions and household size. The findings underscore the need to promote collaborative domestic practices, self-care strategies, and efficient task planning as part of targeted interventions aimed at improving women’s health and quality of life.

Keywords

Similar Articles

1-10 of 83

Most read articles by the same author(s)

Authors

References

Magaña I, Martínez P, Loyola M. Resultados de salud de los trabajadores de cuidados no remunerados en países de ingresos bajos y medios: un protocolo para una revisión sistemática. BMJ Open. 2018;8:e018643. https://doi.org/10.1136/bmjopen-2017-018643

Cerrato J, Cifre E. Desigualdad de género en las tareas domésticas y conflicto trabajo-familia. Frontiers in Psychology. 2018;9:1330. https://doi.org/10.3389/fpsyg.2018.01330

Nanko G, Frank T. Unpaid Care Work and its Effect on Gender Equality in Northern Ghana: Evidence from the Jirapa Municipality. Ghana Journal of Development Studies. 2022;19(1):119-147. https://doi.org/10.4314/gjds.v19i1.6

Goossen M. The gender gap in welfare state attitudes in Europe: The role of unpaid labour and family policy. Journal of European Social Policy. 2020;30(4):452-466. https://doi.org/10.1177/0958928719899337

McMunn A, Bird L, Webb E, Sacker A. Gender Divisions of Paid and Unpaid Work in Contemporary UK Couples. Work, Employment and Society. 2019;34(2):155-173. https://doi.org/10.1177/0950017019862153

Kumagai N. Valuation of health losses of women with multiple roles using a well-being valuation approach: Evidence from Japan. PLoS ONE. 2021;16(5):e0251468. https://doi.org/10.1371/journal.pone.0251468

Delshad M, Pourhaji F, Tall A. A Participatory Ergonomic Technique to Enhance the High-quality Lifestyles of Housewives with Musculoskeletal Disorders. International Journal of Musculoskeletal Pain Prevention. 2022;7(3):728-729. https://doi.org/10.52547/ijmpp.7.3.728

Molen H, Foresti C, Daams J, Frings-Dresen M, Kuijer P. Work-related risk factors for specific shoulder disorders: a systematic review and meta-analysis. Occupational and Environmental Medicine. 2017;74:745-755. https://doi.org/10.1136/oemed-2017-104339

Seidler A, Starke K, Freiberg A, Hegewald J, Nienhaus A, Bolm‐Audorff U. Dose–Response Relationship between Physical Workload and Specific Shoulder Diseases - A Systematic Review with Meta-Analysis. International Journal of Environmental Research and Public Health. 2020;17(4):1243. https://doi.org/10.3390/ijerph17041243

Cieza A, Causey K, Kamenov K, Hanson SW, Chatterji S, Vos T. Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2021;396(10267):2006–2017. https://doi.org/10.1016/S0140-6736(20)32340-0

Contreras-del Toro L, González-Damián J, Cruz-Medina E, Macías-Hernández SI. Lesiones de manguito rotador: estado actual de la literatura con enfoque en rehabilitación. Investigación En Discapacidad. 2023;9(1):13–23. https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=109508

Whittemore R, Knafl K. The integrative review: Updated methodology. J Adv Nurs. 2005;52(5):546-53. https://doi.org/10.1111/j.1365-2648.2005.03621.x

Burkhalter N. Instrument evaluation of Borg's perceived exertion scale in cardiac rehabilitation. Rev. Latino-Am. Enfermagem. 1996;4(3):63-65. https://doi.org/10.1590/S0104-11691996000300006

Vicente Herrero MT, Delgado Bueno S, Bandrés Moyá F, Ramírez Iñiguez de la Torre MV y Capdevila García L. Valoración del dolor. revisión comparativa de escalas y cuestionarios. Rev Soc Esp Dolor. 2018;25(4):228-236. https://dx.doi.org/10.20986/resed.2018.3632/2017

Ministerio de Salud-Colombia. Resolución 8430 de 1993: Por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud. Disponible en: https://www.minsalud.gov.co/sites/rid/lists/bibliotecadigital/ride/de/dij/resolucion-8430-de-1993.pdf

Muhafara GJ, Villarruel M, Cura A, Tozzi W, Vicente A, Esperón LF, et al. Estudio epidemiológico de afecciones musculoesqueléticas de hombro en la Ciudad de Buenos Aires. AJRPT. 2021;3(2):13-21. https://doi.org/10.58172/ajrpt.v3i2.157

Osinuga A, Fethke NB, Story WT, Ibitoye SE, Baker KK. Assessing the relationship between domestic work experience and musculoskeletal health among rural Nigerian women. PLoS ONE. 2022;17(12):e0276380. https://doi.org/10.1371/journal.pone.0276380

Dhone, S, Khare T. Evaluation of Musculoskeletal Disorders among the House Wives in Nagpur City, Maharashtra. IJRISS. 2017;1(1):39-40. Disponible en: https://rsisinternational.org/virtual-library/papers/evaluation-musculoskeletal-disorders-among-house-wives-nagpur-city-maharashtra/

Mondal J, Bhattacharjee T. Prevalence of Work-related Musculoskeletal Disorders among Rural Housewives in Central India. APJHS. 2022;9(2):183-7. https://doi.org/10.21276/apjhs.2022.9.2.37

Norouzi S, Tavafian SS, Cousins R, Mokarami H. Understanding risk factors for musculoskeletal disorders in Iranian housewives: Development of a comprehensive health promotion behavior model. BMC Public Health. 2023;23(1):617. https://doi.org/10.1186/s12889-023-15518-w

Rincón-Hurtado ÁM, Rocha-Buelvas A, López-Cardona A, Martínez JW. Calidad de vida relacionada con la salud de pacientes con lesiones de manguito rotador, Eje Cafetero, Colombia, 2013. Revista Brasileira de ortopedia. 2018;53(3):364-372. https://doi.org/10.1016/j.rboe.2018.03.018

Saat NZM, Hanawi SA, Farah NMF, Hanafiah H, Zuha AA. Relationship between physical activity and musculoskeletal disorders among low income housewives in Kuala Lumpur: A cross sectional study. PLoS ONE. 2022;17(10):e0274305. https://doi.org/10.1371/journal.pone.0274305

Khosravi F, Amiri Z, Masouleh NA, Kashfi P, Panjizadeh F, Hajilo Z, et al. Shoulder pain prevalence and risk factors in middle-aged women: A cross-sectional study. Journal of Bodywork and Movement Therapies. 2019;23(4):752-757. https://doi.org/10.1016/j.jbmt.2019.05.007

Nazish N, Charles MJ, Kumar V. Prevalence of musculoskeletal disorder among house wives and working women. IJHSR. 2020;10(2):215-22. Disponible en: https://www.ijhsr.org/IJHSR_Vol.10_Issue.2_Feb2020/33.pdf

Elkhair R, Abdelgadir E, Ali O, Idriss M, Abdelaal E. Detection of the Rotator Cuff Tendons Tears by Ultrasound in Sudanese Housewives with Chronic Shoulder Pain. IJSR. 2020;9(1):283. Disponible en: https://www.ijsr.net/getabstract.php?paperid=ART20203883

Tschon M, Contartese D, Pagani S, Borsari V, Fini M. Gender and Sex Are Key Determinants in Osteoarthritis Not Only Confounding Variables. A Systematic Review of Clinical Data. Journal of Clinical Medicine. 2021;10(14):3178. https://doi.org/10.3390/jcm10143178

Fazli B, Ansari H, Noorani M, Jafari SM, Sharifpoor Z, Ansari S. The prevalence of musculoskeletal disorders and its predictors among Iranians’ Housewives. Epidemiology and Health System Journal. 2016;3(1):53-62. Disponible en: https://core.ac.uk/download/143844425.pdf

Sheikhmozafari MJ, Salimi F, Ahmadi O. Risk Assessment of MusculoSkeletal Disorders among workers of a housekeeping service company in Kerman, Iran. International Journal of Musculoskeletal Pain Prevention. 2020;5(4):402-409. Disponible en: http://ijmpp.modares.ac.ir/article-32-48137-en.html

Jebaraj P, Vellaiputhiyavan K, Mohan V, Alex RG. Prevalence and risk factors for work-related musculoskeletal disorder among female domestic workers employed in private homes in South India: A cross-sectional study. Indian J Med Sci. 2022;74(2):72-78. https://doi:10.25259/IJMS_376_2021

Habib MM, Rahman SU. Musculoskeletal symptoms (MSS) and their associations with ergonomic physical risk factors of the women engaging in regular rural household activities: A picture from a rural village in Bangladesh. Work. 2015;50(3):347–356. https://doi.org/10.3233/WOR-151990

Norouzi S, Tavafian SS, Cousins R, Mokarami H. Study protocol for a randomized controlled trial to improve the quality of life of housewives with musculoskeletal disorders: a health promotion intervention based on a participatory ergonomic approach-the Housewives Ergonomic Intervention (HEI) trial. Trials. 2021;22(1):490. https://doi.org/10.1186/s13063-021-05436-w

Chowdhury OS, Dhar SS, Sikder M, Hossain A, Khatun R. Prevalence of Joint Pain is Higher Among Housewives of Urban than Rural Housewives in Bangladesh. American Journal of Medical Science and Innovation. 2023;2(1):26–31. https://doi.org/10.54536/ajmsi.v2i1.1239

Guerrero-Gaviria D, Carreño SP, Chaparro-Diaz OL. Sobrecarga del cuidador familiar en Colombia: revisión sistemática exploratoria. Revista Colombiana De Enfermería. 2023;22(1):e053. https://doi.org/10.18270/rce.v22i1.3754

Ervin J, Taouk Y, Hewitt B, King T. The association between unpaid labour and mental health in working-age adults in Australia from 2002 to 2020: a longitudinal population-based cohort study. The Lancet Public health. 2023;8(4):e276–e285. https://doi.org/10.1016/S2468-2667(23)00030-0

Chovatiya NK, Solanki M. Prevalence of musculoskeletal disorders among the house wives following kitchen work. International Journal Of Community Medicine And Public Health. 2022;9(7):2923–2926. https://doi.org/10.18203/2394-6040.ijcmph20221760

MacDonald M, Phipps S, Lethbridge L. Taking its toll: The influence of paid and unpaid work on women's well-being. Feminist Economics. 2005;11(1):63-94. https://doi.org/10.1080/1354570042000332597

Preeti, Mehta M. Work related musculoskeletal disorder of housewives at home. IJAS. 2022;18(2):843-846. Disponible en: http://researchjournal.co.in/online/IJAS/IJAS-18(2)/18_843-846_A.pdf

Singhal P, Chauhan V. Nature and pattern of neck and shoulder pain in home economist at Jhansi (U.P.). Paripex - Indian Journal of Research. 2021;10(5):52-61. https://www.doi.org/10.36106/paripex/0502124

Puspitosari, A. Program Edukasi Joint Protection Technique Pada Aktivitas Ibu Rumah Tangga. Jurnal Empathy. 2021;2(1):49-56. Disponible en: https://jurnalempathy.com/index.php/jurnalempathy/article/download/43/31/439

Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd ed. New York: Lawrence Erlbaum Associates Publishers; 1988. p. 109-139

Statistics

Abstract
0
PDF accesses
0

Dimensions

PlumX

Downloads

Download data is not yet available.