Background:
Musculoskeletal pain (MSP) is a common health problem among university students, often associated with poor ergonomic practices. However, limited research has explored the relationship between cognitive ergonomics, pain, and academic performance in this population.
Objectives:
This study aimed to assess: (1) the prevalence of musculoskeletal pain among students, (2) the association between cognitive ergonomics and MSP, and (3) the association between cognitive ergonomics and academic performance.
Methods:
A cross-sectional online survey was distributed between March and April 2025 to 80 fifth-year physiotherapy students at Benha University, Egypt. The questionnaire collected data on demographics, study habits, discomfort, and cognitive ergonomics domains (stress, time pressure, breaks, visual aids, and study setup). Analysis was performed using SPSS version 27.
Results:
The majority of participants (96.5%) reported experiencing musculoskeletal pain during studying, most commonly in the neck (69.5%) and lower back (50%). Pain intensity was moderate (mean NPRS = 4.6 ± 1.7). A significant moderate positive correlation was found between stress and pain (r = 0.414, p < 0.05). No significant correlations were observed between other cognitive ergonomic factors and MSP or academic performance (GPA).
Conclusion:
This study reveals a high prevalence of MSP among physiotherapy students, with neck and lower back being the most affected regions. While stress was correlated with pain, no significant associations were found between cognitive ergonomics and academic performance. These findings highlight the need for ergonomic awareness and stress management strategies in contexts where stress and physical discomfort coexist. However, the cross-sectional design precludes determining whether stress reduction would directly lessen musculoskeletal pain.