Background: Musculoskeletal Disorders are one of the most common reasons patients seek 
medical care. Musculoskeletal diseases are still the main source of disability and lost working 
time. Understanding the reasons, especially work-related reasons, is still the key to primary 
prevention. Nordic Musculoskeletal Questionnaire (NMQ) can serve as an inexpensive 
instrument for the identification and assessment of musculoskeletal risks in workers. This 
study aimed to determine validity and reliability test of the Nordic Musculoskeletal 
questionnaire with formal and informal sector workers. 
Subjects and Method: This was a cross-sectional study. The subject of 2 groups of workers, 
namely formal and informal workers. The data were collected by in-depth interview and 
questionnaire. The stages of this study were: (1) the construct validity test was carried out by 
comparing the results of filling in the self-administered NMQ with the results of the interviews 
(2) the criteria validity test was carried out by comparing the effects of filling out the 
questionnaire with a physical examination. (3) The test and retest reliability test was done by 
calculating the correlation coefficient between the first and second filling which is seven days 
apart.  
Results: The results of the construct validity test showed a similarity (100%) between the 
self-administered NMQ and the interview results and the specificity value was obtained in the 
lower back, neck and shoulder region above (85%) with a specificity value reaching (100%). 
Reliability test results obtained Cronbach's Alpha value above (0.945) which means that the 
reliability is excellent. The Indonesian version of the NMQ questionnaire was declared valid 
and reliable for use on workers in Indonesia. 
Conclusion: The instrument that was invented can clarify workers who have real pain in the 
lower back, neck and shoulders.  
Keywords: cross cultural adaptation, musculoskeletal disorders, nordic musculoskeletal 
questionnaire, validity and reliability 
Correspondence:  
Aulia Chairani. Department of Public Health, Faculty of Medicine UPN "Veteran" Jakarta. Jl. 
RS Fatmawati, Pondok Labu, Jakarta Selatan 12450. Email: 
auliachairani@upnvj.ac.id/dr.aulia.chairani@gmail.com. Mobile: (021) 7656971.