Rodrigues Elisângela Valevein, Gomes Anna Raquel Silveira, Tanhoffer Aldre Izabel Pchevozniki, Leite Neiva
Universidade Federal do Paraná, Curitiba, PR, Brazil, Physical Education, Universidade Federal do Paraná (UFPR), Curitiba, PR, Brazil ; Instituto Federal do Paraná, Curitiba, PR, Brasil, Instituto Federal do Paraná (IFPR), Curitiba, PR, Brasil.
Universidade Federal do Paraná, Curitiba, PR, Brazil, Physical Education, Universidade Federal do Paraná (UFPR), Curitiba, PR, Brazil.
Acta Ortop Bras. 2014;22(6):334-8. doi: 10.1590/1413-78522014220601004.
Work related musculoskeletal disorders are a major concern for public health and pain is the most important symptom. The aim of this study was to verify the effectiveness of workplace exercises to control musculoskeletal pain and its frequency, intensity, duration and type of exercises used. The search was conducted systematically in Medline, Pubmed, Embase, Bireme, Web of Knowledge and Pedro databases. The keywords "workplace", "exercise" and "musculoskeletal disorders" were used combined. Randomized control trials which performed worksite exercises were selected and the studies were assessed by their methodological soundness. Ten articles were selected which investigated the resistance training, cardio respiratory exercises, Pilates, stretching, postural orientation and exercises for relaxation. Workplace resistance training performed at 70-85% RM, three times a week for 20 minutes promotes reduction of the pain in shoulders, wrists, cervical, dorsal and lumbar spine. However, there is no consensus regarding the total duration of the intervention for the decrease of musculoskeletal pain in these regions. Level of Evidence I, Therapeutic Studies Investigating the Results of Treatment, Systematic Review of RCTs (Randomized and Controlled Clinical Studies).
与工作相关的肌肉骨骼疾病是公共卫生的主要关注点，疼痛是最重要的症状。本研究的目的是验证工作场所锻炼对控制肌肉骨骼疼痛及其频率、强度、持续时间和所用锻炼类型的有效性。在Medline、Pubmed、Embase、Bireme、Web of Knowledge和Pedro数据库中进行了系统检索。联合使用了关键词“工作场所”、“锻炼”和“肌肉骨骼疾病”。选择了进行工作场所锻炼的随机对照试验，并根据其方法的合理性对研究进行评估。选择了10篇文章，这些文章研究了阻力训练、心肺锻炼、普拉提、伸展、姿势定向和放松锻炼。以70-85%的重复最大值进行的工作场所阻力训练，每周三次，每次20分钟，可减轻肩部、手腕、颈椎、背部和腰椎的疼痛。然而，对于减少这些区域肌肉骨骼疼痛的干预总持续时间尚无共识。证据等级I，研究治疗结果的治疗性研究，随机对照试验的系统评价（随机和对照临床研究）。
