Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 47 11 2018 11 01 1756 1762 Ardalan SHARIAT Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran AND Dep. of Occupational Health, Faculty of Medicine and Health Sciences, University Putra Malaysia, Selangor, Malaysia Joshua A.CLELAND Dept. of Physical Therapy, Franklin Pierce University, Manchester, New Hampshire, USA Mahmoud DANAEE Academic Enhancement and Leadership Development Center (ADeC), High Impact Research Building, University of Malaya, Kuala Lumpur, Malaysia Mehdi KARGARFARD Dept. of Exercise Physiology, Faculty of Sport Sciences, University of Isfahan, Isfahan, Iran Vahide MORADI Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran AND Dept. of Orthotics and Prosthetics, Faculty of Rehabilitation, Iran University of Medical Sciences, Tehran, Iran Shamsul BAHRI MOHD TAMRIN Dep. of Occupational Health, Faculty of Medicine and Health Sciences, University Putra Malaysia, Selangor, Malaysia 2018 10 29 Background: The Rapid Office Strain Assessment (ROSA) is a tool employed online to screen office workstations, which may require modification to decrease musculoskeletal discomfort of workers. This study aimed to examine if the ROSA is able to evaluate pain severity in the lower back, shoulder and neck of office workers accurately. Methods: Overall, 142 participants (height: 1.80 ± 0.15 m, BMI: 26.08± 6.70, age: 35±15 yr) with at least a year of working experience completed both questionnaires, the online ROSA and the Cornell musculoskeletal discomfort, in 2016 in Malaysia.  Results: Relationship between the total scores of both questionnaires for lower back, shoulder and neck pain were significant but exhibited a weak to moderate relationship (range of r values from 0.012 (CI 95%, -0.153-0.176) to 0.503 (CI 95%, 0.369-0.616). Conclusion: The online ROSA does not appear to be a reasonable tool for evaluating the severity of lower back, shoulder and neck pain among office workers as the correlations were low. We suggest continued use of the musculoskeletal discomfort questionnaire. Additional studies are required to further examine the ROSA for other anatomical regions.   https://ijph.tums.ac.ir/index.php/ijph/article/view/15166 https://ijph.tums.ac.ir/index.php/ijph/article/download/15166/6206