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基于工作场所的锻炼干预可提高上班族的工作能力:一项群组随机对照试验。

Workplace-Based Exercise Intervention Improves Work Ability in Office Workers: A Cluster Randomised Controlled Trial.

机构信息

School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane 4072, Australia.

RECOVER Injury Research Centre, The University of Queensland, Brisbane 4006, Australia.

出版信息

Int J Environ Res Public Health. 2019 Jul 24;16(15):2633. doi: 10.3390/ijerph16152633.

Abstract

Neck pain is a burden to employers and employees amenable to improvement with neck/shoulder strengthening exercises. However, the benefits of such interventions on office workers' work ability remains unknown. This study evaluated the effects of a 12-week combined ergonomics and neck/shoulder strengthening exercise intervention (EET, = 177, mean age 41.7 years, 26% female), versus a 12-week combined ergonomics and health promotion intervention (EHP, = 173, mean age 43 years, 29% female) on work ability among office workers. Work ability was measured by a single question. Differences in the work ability score were analyzed using the intention-to-treat (ITT) and per-protocol (i.e., adherence ≥70%) analyses for between- and within-group differences at baseline, 12 weeks, and 12 months. A sub-group analysis was performed for neck cases, defined as reporting neck pain as ≥3 (out of 10). No significant between-group differences for work ability were observed in the general population, and subgroup of neck cases. A significant group-by-time interaction effect at 12 weeks and the trend for significance at 12 months favored the EET group in the per-protocol analysis of the neck cases. EET was effective in increasing work ability post-intervention and potentially, in the long-term, in symptomatic participants with ≥70% adherence to the intervention. However, EET was not superior to EHP.

摘要

颈部疼痛给雇主和员工带来负担,可以通过颈部/肩部强化锻炼来改善。然而,这种干预措施对办公室工作人员工作能力的益处尚不清楚。本研究评估了 12 周联合人体工程学和颈部/肩部强化锻炼干预(EET,n = 177,平均年龄 41.7 岁,26%为女性)与 12 周联合人体工程学和健康促进干预(EHP,n = 173,平均年龄 43 岁,29%为女性)对办公室工作人员工作能力的影响。工作能力通过一个问题进行测量。使用意向治疗(ITT)和方案依从性(即,≥70%)分析,在基线、12 周和 12 个月时,分析两组之间和组内的工作能力评分差异。对于报告颈部疼痛≥3(满分 10 分)的颈部病例,进行了亚组分析。在一般人群和颈部病例亚组中,未观察到工作能力的显著组间差异。在方案依从性分析中,颈部病例的组间时间交互作用在 12 周时具有显著意义,并且在 12 个月时有显著趋势,表明 EET 组更有优势。EET 在干预后能有效提高工作能力,在长期来看,对≥70%依从性的有症状参与者可能更有效。然而,EET 并不优于 EHP。

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