International Journal of Advance Research Publication and Reviews

International Journal of Advance Research Publication and Reviews
Peer-Reviewed | Multi-Disciplinary Journal

Ergonomic Workload, Musculoskeletal Symptoms, and Physiological Strain Among Juvenile Female Brickfield Workers: A Field-Based Analytical Cross-Sectional Study

Author

Arijit Chatterjee and Rituja Bain

Abstract

 Background: Juvenile (adolescent) girls from socio-economically disadvantaged households continue to perform heavy manual material-handling (MMH) tasks in India’s unorganized brick-manufacturing sector, despite legal protections against child labour. Evidence on their ergonomic exposures, physiological strain, and musculoskeletal health remains scarce.

Objective: To evaluate the physical workload, postural stress, thermal exposure, musculoskeletal symptom prevalence, and acute physiological responses of juvenile girls employed in manual brick manufacturing units in West Bengal, India. 

Methods: A cross-sectional study design was adopted involving 100 young females within the age group of 13 to 18 years who worked at brick manufacturing plants in Nadia and Howrah districts of West Bengal. Data collection included interviews using modified Nordic questionnaires, anthropometry, activity observations both direct and video recorded, postural analysis through the Ovako Working Posture Analysis System (OWAS), thermal environment assessment, and physiological parameters both pre and post tasks of brick carrying. A paired t-test was performed to assess the physiological parameters before and after brick carrying, while the chi-square test was used to determine any relationship between musculoskeletal symptoms and BMI or the number of bricks handled per day.  

Results: The mean age was 15.5±2.33 years, BMI was 18.90±1.52 kg/m² and the occupational experience was 1.3±0.6 years. In general, 91% of participants complained of job-related pain, including the head (72%), neck (72%), and leg (78%). Neck pain was statistically correlated with chronic energy deficiencies (BMI < 18.5 kg/m², χ² = 9.675, p = 0.0019). Lifting more than 2,000 bricks per day was statistically correlated with head pain (χ² = 6.722, p = 0.0095), neck pain (χ² = 4.228, p = 0.0397), shoulder pain (χ² = 4.396, p = 0.0360), and back pain (χ² = 10.306, p = 0.0013). Bricks lifting led to a significant increase in heart rate (from 80.33±3.67 to 112.45±2.13 beats/min, p < 0.05), systolic blood pressure (from 119.7±3.5 to 134.9±5.15 mmHg, p < 0.05), and perceived exertion level (from 13.2±1.5 to 18.6±0.45). Participants performed 45% of the tasks moderately and 25% heavily; unloading bricks from the kiln top was the most dangerous according to the OWAS scale.

Conclusion: Manual brick production entails heavy postural, thermal, and cardiovascular stress along with extremely high levels of musculoskeletal symptoms in female juveniles. There is an urgent need for intervention measures regarding ergonomics, nutrition, regulation, and education, including the abolition of hazardous juvenile labor, mechanization of load carrying, load restriction, rest breaks, hydration, safe postures, and schooling.

Keywords

juvenile workers, ergonomics, manual material handling, musculoskeletal disorders, brick kiln, occupational health.

DOI : https://doi.org/10.5281/zenodo.23664281

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References

  1. International Labour Organization, United Nations Children’s Fund. Child labour: global estimates 2024, trends and the road forward. New York: ILO and UNICEF; 2025.
  2. Das B. Health hazards and risks for musculoskeletal problems among child labourers in the brickfield sector of West Bengal, India. Int Health. 2019;11(4):250-257.
  3. Sett M, Pal M, Majumdar D, Bhattacharyya D, Sahu S. Application of the predicted biomechanics approach in assessing work-related musculoskeletal discomfort among female brickfield workers in West Bengal, India. Work. 2022;72(1):149-155.
  4. Falk B, Dotan R. Children's thermoregulation during exercise in the heat—a revisit. Appl Physiol Nutr Metab. 2008;33(2):420-427.
  5. Notley SR, Akerman AP, Meade RD, McGarr GW, Kenny GP. Exercise thermoregulation in prepubertal children: a brief methodological review. Med Sci Sports Exerc. 2020;52(11):2412-2422.
  6. International Labour Organization. Child labour in Asia and the Pacific: Regional technical brief. Geneva: International Labour Organization; 2025.
  7. Sheth A, Viramgami A, Thakor M, Lohra G, Mohanan A, Bhati N, et al. Systematic review of health challenges experienced by Indian women engaged in informal labor. J Occup Med Toxicol. 2026;21:16.
  8. Vaidya VG, Mamulwar MS, Ray SB, Beena R, Bhathlawande PV, Ubale S. Occupational health hazards of women working in brick kiln and construction industry. J Krishna Inst Med Sci Univ. 2015;4(1):45-54.
  9. Sahu S, Sett M, Gangopadhyay S. An ergonomic study on teenage girls working in the manual brick manufacturing units in the unorganized sectors in West Bengal, India. J Hum Ergol (Tokyo). 2010;39(1):35-44.
  10. Indian Council of Medical Research. National ethical guidelines for biomedical and health research involving human participants. New Delhi: Indian Council of Medical Research; 2017.
  11. Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sørensen F, Andersson G, et al. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon. 1987;18(3):233-237.
  12. Dickinson CE, Campion K, Foster AF, Newman SJ, O'Rourke AM, Thomas PG. Questionnaire development: an examination of the Nordic Musculoskeletal questionnaire. Appl Ergon. 1992;23(3):197-201.
  13. James WPT, Ferro-Luzzi A, Waterlow JC. Definition of chronic energy deficiency in adults. Report of a working party of the International Dietary Energy Consultative Group. Eur J Clin Nutr. 1988;42(12):969-981.
  14. World Health Organization. Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. Geneva: World Health Organization; 1995. (WHO Technical Report Series; 854).
  15. Borg G. Borg's perceived exertion and pain scales. Champaign (IL): Human Kinetics; 1998.
  16. Karhu O, Kansi P, Kuorinka I. Correcting working postures in industry: a practical method for analysis. Appl Ergon. 1977;8(4):199-201.
  17. Epstein Y, Moran DS. Thermal comfort and the heat stress indices. Ind Health. 2006;44(3):388-398.
  18. Ou FS, Le-Rademacher JG, Ballman KV, Adjei AA, Mandrekar SJ. Guidelines for statistical reporting in medical journals. J Thorac Oncol. 2020;15(11):1722-1726.
  19. Mansournia MA, Collins GS, Nielsen RO, Nazemipour M, Jewell NP, Altman DG, et al. A CHecklist for statistical Assessment of Medical Papers (the CHAMP statement): explanation and elaboration. Br J Sports Med. 2021;55(18):1009-1017.
  20. Ledolter J, Gramlich OW, Kardon RH. Parametric statistical inference for comparing means and variances. Invest Ophthalmol Vis Sci. 2020;61(8):25.
  21. Pugh SL, Torres-Saavedra PA. Fundamental statistical concepts in clinical trials and diagnostic testing. J Nucl Med. 2021;62(6):757-764.
  22. Chicco D, Sichenze A, Jurman G. A simple guide to the use of Student's t-test, Mann-Whitney U test, Chi-squared test, and Kruskal-Wallis test in biostatistics. BioData Min. 2025;18:56.
  23. Neuhäuser M, Ruxton GD. The choice between Pearson's χ² test and Fisher's exact test for 2 × 2 tables. Pharm Stat. 2025;24(3):e70012.
  24. Ruppar T. Minding your P values. West J Nurs Res. 2024;46(6):403.
  25. Ray D, Muñoz A, Zhang M, Li X, Chatterjee N, Jacobson LP, et al. Meta-analysis under imbalance in measurement of confounders in cohort studies using only summary-level data. BMC Med Res Methodol. 2022;22:143.
  26. Paira M, Das B. Prevalence and risk factors of musculoskeletal disorders among South Asian brick kiln workers: a systematic review and meta-analysis. Indian J Occup Environ Med. 2025;29(1):4-14.
  27. Nath A, Mandi S, Biswas A, Sahu S, Kjellstrom T. Effect of occupational heat exposure on brick kiln workers in Eastern India. Indian J Physiol Allied Sci. 2025;77(2).
  28. Motaung TG, Ellapen TJ, Paul Y. The consequence of head-loading on the neuro-musculoskeletal health of the ILembe District youth of KwaZulu-Natal. Afr J Disabil. 2022;11:1039.
  29. Jahn A, Andersen JH, Christiansen DH, Seidler A, Dalbøge A. Occupational mechanical exposures as risk factor for chronic low-back pain: a systematic review and meta-analysis. Scand J Work Environ Health. 2023;49(7):453-465.
  30. Park S, Lee J, Lee JH. Insufficient rest breaks at workplace and musculoskeletal disorders among Korean kitchen workers. Saf Health Work. 2021;12(2):225-229.
  31. Norris SA, Frongillo EA, Black MM, Dong Y, Fall C, Lampl M, et al. Nutrition in juvenile growth and development. Lancet. 2022;399(10320):172-184.
  32. Ferozi S, Taneja AG, Bakshi N. Assessment of nutritional status, physical fitness and physical activity of school going juveniles (12-15 years) in Delhi. BMC Pediatr. 2024;24:331.
  33. Wang X, Cheng Z. Cross-sectional studies: strengths, weaknesses, and recommendations. Chest. 2020;158(1 Suppl):S65-S71.
  34. Huang Z, Li X, Liu X, Xu Y, Feng H, Ren L. Exercise blood pressure, cardiorespiratory fitness, fatness and cardiovascular risk in children and juveniles. Front Public Health. 2024;12:1298612.
  35. Baumann M, Poulsen MM, Mortensen OS, Olsen MH, Korshøj M. How does occupational lifting affect ambulatory blood pressure, relative aerobic workload and level of physical activity? Ann Work Expo Health. 2023;67(5):559-571.
  36. Pandit AS. Physiological workload assessment with the help of heart rate and perceived exertion rating on handcart pullers of wholesale trade markets of Delhi. Natl Med J India. 2023;36(2):89-92.
  37. Ioannou LG, Foster J, Morris NB, Piil JF, Havenith G, Mekjavic IB, et al. Occupational heat strain in outdoor workers: a comprehensive review and meta-analysis. Temperature (Austin). 2022;9(1):67-102.
  38. Venugopal V, Latha PK, Shanmugam R. Quantifying the impact of heat stress on labour productivity in outdoor workplaces in Southern India amid a changing climate. Sci Rep. 2026;16:14228.
  39. Nath A, Chakraborty D, Sahu S. Physiological responses to occupational heat exposure among male agricultural and brick-field workers in Eastern India: a biochemical perspective. Am J Hum Biol. 2026;38(6):e70285.
  40. Ioannou LG, Foster J, Morris NB, Piil JF, Havenith G, Mekjavic IB, et al. Occupational heat strain in outdoor workers: a comprehensive review and meta-analysis. Temperature (Austin). 2022;9(1):67-102.
  41. Morrissey MC, Brewer GJ, Williams WJ, Quinn T, Casa DJ. Impact of occupational heat stress on worker productivity and economic cost. Am J Ind Med. 2021;64(12):981-988.
  42. Sheth A, Viramgami A, Thakor M, Lohra G, Mohanan A, Bhati N, et al. Systematic review of health challenges experienced by Indian women engaged in informal labor. J Occup Med Toxicol. 2026;21:16.
  43. Sahu D. Gendered division of paid, unpaid, and total work in India: who bears more burden? Contemp South Asia. 2024;32(2):151-166.
  44. Dhar Chowdhuri P, Kundu K, Meyur S. Change in women's work burden and gender norms of unpaid care work after the second wave of the COVID-19 pandemic in India. Work. 2023;76(3):897-905.
  45. Sinha A, Sedai AK, Rahut DB, Sonobe T. Well-being costs of unpaid care: gendered evidence from a contextualized time-use survey in India. World Dev. 2024;173:106419.

 

 

 

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