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Telework tied to high neck, shoulder, and low back symptom prevalenceTeleworking Linked to High Rates of Musculoskeletal Pain Symptoms

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Key Takeaway
Interpret these prevalence estimates cautiously given very low-certainty evidence and heterogeneity.

This meta-analysis synthesized observational data on musculoskeletal symptoms and ergonomic risk among teleworkers. The prevalence analysis included 2,215 participants, and the ergonomic risk analysis included 1,086 participants.

Pooled prevalence estimates were 54.9% for neck symptoms (95% CI 20.8 to 85.0%), 52.8% for shoulder symptoms (95% CI 34.1 to 70.7%), and 49.0% for low back symptoms (95% CI 25.4 to 73.1%).

Ergonomic risk was assessed using ROSA scores. The total ROSA score was 4.27 (prediction interval 2.58 to 5.95). Section scores were 4.07 for chair (95% CI 2.98 to 5.16), 3.04 for monitor and telephone (95% CI 2.69 to 3.40), and 2.18 for keyboard and mouse (95% CI 1.80 to 2.56).

The authors report substantial between-study heterogeneity and very low-certainty evidence. The analysis is limited to observational studies, and no comparator or follow-up duration was reported. Safety outcomes were not reported.

The findings suggest a need for preventive ergonomic strategies and standardized assessment methods in teleworking populations. Given the very low certainty and wide confidence intervals, these estimates should be interpreted cautiously and do not establish causality.

A large review of data involving over 2,000 teleworkers found high rates of physical discomfort. The study specifically looked at musculoskeletal issues, which are problems affecting muscles and joints. Results showed that 54.9% of teleworkers experienced neck symptoms and 52.8% reported shoulder symptoms. Additionally, nearly half of the participants reported low back pain.

The researchers also measured ergonomic risks using a tool called ROSA. These scores looked at different parts of the workspace, including the chair, the monitor, and the keyboard. The findings suggest that the physical setup of a home office can contribute to these common aches and pains.

It is important to note that this study had very low certainty because it combined many different types of reports. The results show a link between teleworking and physical discomfort, but they do not prove that working from home is the only cause. Because the evidence is limited, these findings should be used to encourage better workspace habits rather than as a definitive rule for every worker.

What this means for you:
Many teleworkers experience neck, shoulder, and back pain, suggesting a need for better home office ergonomics.

Common questions

How common is neck and shoulder pain for people working from home?

The study found that 54.9% of teleworkers reported neck symptoms and 52.8% reported shoulder symptoms. These high percentages suggest that many people working remotely experience discomfort in these specific areas of the body.

What did the study find regarding back pain in teleworkers?

The data showed that 49.0% of teleworkers reported symptoms related to their lower back. This indicates that nearly half of the people surveyed experienced some form of back discomfort while working from home.

How reliable is this information about teleworking and pain?

The evidence for these findings is considered to be of very low certainty. Because the study combined many different reports with a lot of variation between them, the results should be viewed as a starting point for looking into better ergonomic habits.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedSep 2026
View Original Abstract ↓
BackgroundWork-related musculoskeletal disorders are common in teleworkers, but reported prevalence rates are inconsistent. This study aimed to estimate the pooled prevalence of musculoskeletal symptoms and to quantify ergonomic risk in teleworkers through single-arm meta-analysis.MethodsTwo reviewers searched PubMed, Scopus, Web of Science, and EBSCO from database inception to March 19, 2026 for observational studies reporting musculoskeletal symptoms or ergonomic risk in teleworkers assessed using validated instruments. A random-effects single-arm meta-analysis was performed to calculate pooled prevalence estimates and pooled mean scores with 95% confidence intervals (CI) and prediction intervals (PI).ResultsTwenty-one studies were included. Nordic-based questionnaires (n = 13) were the most frequently used instruments for assessing musculoskeletal symptoms, while the Rapid Office Strain Assessment (ROSA; n = 6) and Maastricht Upper Extremity Questionnaire (n = 4) were the most commonly used ergonomic assessment tools. Most studies were rated as moderate quality based on the Newcastle–Ottawa Scale. Pooled prevalence analysis (5 studies, n = 2,215 teleworkers) showed the highest prevalence for neck symptoms (54.9%; 95%CI 20.8–85.0%), followed by shoulder symptoms (52.8%; 95%CI 34.1–70.7%) and low back symptoms (49.0%; 95%CI 25.4–73.1%), with substantial between-study heterogeneity. Pooled ROSA total scores (6 studies, n = 1,086 teleworkers) indicated moderate-to-high ergonomic risk (mean score, 4.27; PI 2.58–5.95). Regarding ROSA components (5 studies, A–C), section A (chair) yielded the highest mean score (4.07; 95% CI 2.98–5.16), followed by section C (monitor and telephone: 3.04; 95% CI 2.69–3.40) and section B (keyboard and mouse: 2.18; 95% CI 1.80–2.56).ConclusionVery low-certainty evidence suggests that neck, shoulder, and low back symptoms are prevalent among teleworkers. Pooled ROSA estimates indicated moderate ergonomic risk, supporting the need for preventive ergonomic strategies and standardized assessment methods in teleworking populations.Systematic review registrationhttps://doi.org/10.17605/OSF.IO/EMVYG
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