Department of Occupational Health, Faculty of Medicine and Health Sciences, University Putra Malaysia, Serdang, Malaysia; Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
Franklin Pierce University, Manchester, NH, USA.
Braz J Phys Ther. 2018 Mar-Apr;22(2):144-153. doi: 10.1016/j.bjpt.2017.09.003. Epub 2017 Sep 6.
To evaluate the effectiveness of exercise, ergonomic modification, and a combination of training exercise and ergonomic modification on the scores of pain in office workers with neck, shoulders, and lower back pain.
Participants (N=142) in this randomized controlled trial were office workers aged 20-50 years old with neck, shoulders, and lower back pain. They were randomly assigned to either the ergonomic modification group, the exercise group, the combined exercise and ergonomic modification group, or the control group (no-treatment). The exercise training group performed a series of stretching exercises, while the ergonomic group received some modification in the working place. Outcome measures were assessed by the Cornell Musculoskeletal Disorders Questionnaire at baseline, after 2, 4, and 6 months of intervention.
There was significant differences in pain scores for neck (MD -10.55; 95%CI -14.36 to -6.74), right shoulder (MD -12.17; 95%CI -16.87 to -7.47), left shoulder (MD -11.1; 95%CI -15.1 to -7.09) and lower back (MD -7.8; 95%CI -11.08 to -4.53) between the exercise and control groups. Also, significant differences were seen in pain scores for neck (MD -9.99; 95%CI -13.63 to -6.36), right shoulder (MD -11.12; 95%CI -15.59 to -6.65), left shoulder (MD -10.67; 95%CI -14.49 to -6.85) and lower back (MD -6.87; 95%CI -10 to -3.74) between the combined exercise and ergonomic modification and control groups. The significant improvement from month 4 to 6, was only seen in exercise group (p<0.05).
To have a long term effective on MSDs, physical therapists and occupational therapists should use stretching exercises in their treatment programs rather than solely rely on ergonomic modification.
NCT02874950 - https://www.clinicaltrials.gov/ct2/show/NCT02874950.
评估运动、工效学改良以及培训运动和工效学改良相结合对患有颈、肩和下背痛的上班族疼痛评分的效果。
本随机对照试验的参与者（N=142）为年龄在 20-50 岁之间患有颈、肩和下背痛的上班族。他们被随机分配到工效学改良组、运动组、运动和工效学改良联合组或对照组（无治疗）。运动训练组进行了一系列伸展运动，而工效学组则对工作场所进行了一些改良。在基线、干预后 2、4 和 6 个月，使用康奈尔肌肉骨骼疾病问卷评估结局测量。
运动组和对照组之间颈痛（MD -10.55；95%CI -14.36 至 -6.74）、右肩痛（MD -12.17；95%CI -16.87 至 -7.47）、左肩痛（MD -11.1；95%CI -15.1 至 -7.09）和腰痛（MD -7.8；95%CI -11.08 至 -4.53）的疼痛评分存在显著差异。此外，运动组和对照组之间颈痛（MD -9.99；95%CI -13.63 至 -6.36）、右肩痛（MD -11.12；95%CI -15.59 至 -6.65）、左肩痛（MD -10.67；95%CI -14.49 至 -6.85）和腰痛（MD -6.87；95%CI -10 至 -3.74）的疼痛评分也存在显著差异。仅在运动组中，从第 4 个月到第 6 个月观察到显著改善（p<0.05）。
为了对 MSDs 产生长期有效的效果，物理治疗师和职业治疗师应在其治疗方案中使用伸展运动，而不仅仅依赖工效学改良。
NCT02874950 - https://www.clinicaltrials.gov/ct2/show/NCT02874950。
