Andersen Lotte Nygaard, Juul-Kristensen Birgit, Roessler Kirsten Kaya, Herborg Lene Gram, Sørensen Thomas Lund, Søgaard Karen
Institute of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark; Department of Psychology, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark.
Institute of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark; Institute of Occupational Therapy, Physiotherapy and Radiography, Bergen University College, Bergen, Norway.
Man Ther. 2015 Oct;20(5):666-71. doi: 10.1016/j.math.2015.04.017. Epub 2015 May 2.
The aim was to evaluate efficacy of "Tailored Physical Activity" (TPA) versus a reference group (REF) in reducing the number of self-reported days of sickness absence for health care workers in the Sonderborg Municipality.
In this randomised controlled trial, all participants (n = 54) received health guidance for 1.5 h and were randomised to TPA or REF. The primary aim was to make a comparison of participants' self-reported sickness absence due to musculoskeletal troubles measured three months after baseline. Secondary outcomes included anthropometric, health-related and physical capacity measures.
A TPA intervention was not significantly more effective than REF in reducing sickness absence caused by musculoskeletal troubles. However, there were significant improvements for TPA participants compared to REF in reducing pain intensity from 47.9 mm to 21.8 mm (p < .01), increasing work ability from 7.3 to 8.1 (p = .04) and decreasing kinesiophobia from 26.7 to 22.5 (p < .01). A trend towards a significant improvement was seen for aerobic capacity while no effect of the intervention was found on productivity, BMI or grip strength.
This physical activity intervention is a promising initiative for health care workers since participants achieved a substantial effect on their experience of pain, on their work ability and on their fear of physical movement relating to pain. Moreover, a difference in aerobic capacity was apparent between the sample groups. TPA however, had no significant effect in reducing sickness absence days.
本研究旨在评估“量身定制的体育活动”（TPA）与对照组（REF）相比，对丹麦南丹麦大区桑德堡市医护人员自我报告的病假天数的减少效果。
在这项随机对照试验中，所有参与者（n = 54）均接受了1.5小时的健康指导，并被随机分为TPA组或REF组。主要目的是比较参与者在基线后三个月自我报告的因肌肉骨骼问题导致的病假情况。次要结果包括人体测量、健康相关和身体能力指标。
TPA干预在减少因肌肉骨骼问题导致的病假方面并不比REF组更有效。然而，与REF组相比，TPA组参与者在减轻疼痛强度方面有显著改善，从47.9毫米降至21.8毫米（p <.01），工作能力从7.3提高到8.1（p =.04），运动恐惧从26.7降至22.5（p <.01）。有氧能力有显著改善的趋势，而干预对生产力、体重指数或握力没有影响。
这项体育活动干预对医护人员来说是一项有前景的举措，因为参与者在疼痛体验、工作能力以及与疼痛相关的身体运动恐惧方面都取得了显著效果。此外，样本组之间有氧能力存在明显差异。然而，TPA在减少病假天数方面没有显著效果。
