Department of Health Science and Technology, Aalborg Universitet, Aalborg, Denmark
Aalborg University, Aalborg, Denmark.
BMJ Open. 2020 Feb 12;10(2):e032668. doi: 10.1136/bmjopen-2019-032668.
Musculoskeletal (MSK) pain is the primary contributor to disability worldwide. There is a growing consensus that MSK pain is a recurrent multifactorial condition underpinned by health and lifestyle factors. Studies suggest that education on work-related pain and individualised advice could be essential and effective for managing persistent MSK pain.
The objective of this scoping review was to map the existing educational resources for work-related MSK (WRMSK) pain, and the effects of implementing educational strategies in the workplace on managing WRMSK pain.
This scoping review assessed original studies that implemented and assessed education as a strategy to manage WMSK pain. Literature search strategies were developed using thesaurus headings (ie, MeSH and CINAHL headings) and free-text search including words related to MSK in an occupational setting. The search was carried out in PubMed, CINAHL, Cochrane Library and Web of Science in the period 12-14 February 2019.
A total of 19 peer-reviewed articles were included and the study design, aim and outcomes were summarised. Of the 19 peer-reviewed articles, 10 randomised controlled trial (RCT) studies assessed the influence of education on work-related MSK pain. Many studies provided a limited description of the education material and assessed/used different methods of delivery. A majority of studies concluded education positively influences work-related MSK pain. Further, some studies reported additive effects of physical activity or ergonomic adjustments.
There is a gap in knowledge regarding the best content and delivery of education of material in the workplace. Although beneficial outcomes were reported, more RCT studies are required to determine the effects of education material as compared with other interventions, such as exercise or behavioural therapy.
肌肉骨骼（MSK）疼痛是全球残疾的主要原因。越来越多的人认为，MSK 疼痛是一种反复发作的多因素疾病，其基础是健康和生活方式因素。研究表明，针对与工作相关的疼痛和个性化建议的教育可能对于管理持续的 MSK 疼痛至关重要且有效。
本综述旨在绘制现有的与工作相关的肌肉骨骼（WRMSK）疼痛教育资源图，并评估在工作场所实施教育策略对管理 WRMSK 疼痛的效果。
本综述评估了将教育作为管理 WMSK 疼痛策略实施和评估的原始研究。文献检索策略使用了主题词（即 MeSH 和 CINAHL 主题词）和包括职业环境中与 MSK 相关的自由文本搜索词进行开发。搜索于 2019 年 2 月 12 日至 14 日在 PubMed、CINAHL、Cochrane 图书馆和 Web of Science 中进行。
共纳入 19 篇同行评议文章，并对其研究设计、目的和结果进行了总结。在这 19 篇同行评议文章中，有 10 项随机对照试验（RCT）研究评估了教育对与工作相关的 MSK 疼痛的影响。许多研究对教育材料的描述有限，并评估/使用了不同的传递方法。大多数研究得出的结论是，教育对与工作相关的 MSK 疼痛有积极影响。此外，一些研究报告了身体活动或人体工程学调整的附加效果。
关于在工作场所中教育材料的最佳内容和传递方式，我们的知识还存在差距。尽管报告了有益的结果，但仍需要更多的 RCT 研究来确定教育材料的效果，与其他干预措施（如运动或行为疗法）相比。
