School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane 4072, Australia.
RECOVER Injury Research Centre, The University of Queensland, Brisbane 4006, Australia.
Int J Environ Res Public Health. 2019 Jul 24;16(15):2633. doi: 10.3390/ijerph16152633.
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.
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。