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监督式与远程医疗在消防员腰痛预防中的工作场所运动干预比较:一项集群随机试验。

Comparison of Supervised and Telehealth Delivery of Worksite Exercise for Prevention of Low Back Pain in Firefighters: A Cluster Randomized Trial.

机构信息

US Spine & Sport Foundation, San Diego, California (Dr Mayer, Ms Lane, Dr Johnson), Tampa, Florida (Dr Brady), University of South Florida, Tampa, Florida (Dr Chen, Ms Lu), Spine Research LLC, Winchester, Massachusetts (Dr Dagenais).

出版信息

J Occup Environ Med. 2020 Oct;62(10):e586-e592. doi: 10.1097/JOM.0000000000001993.

DOI:10.1097/JOM.0000000000001993
PMID:32796259
Abstract

OBJECTIVE

This study assessed worksite exercise delivered by on-site supervision (supervised) or telehealth to reduce lost work time (LWT) related to low back pain (LBP) in firefighters.

METHODS

A cluster randomized controlled trial assigned 264 career firefighters to supervised (n = 86) or telehealth (n = 95) back and core exercises 2×/week for 12 months, or control (n = 83).

RESULTS

58.0% (153/264) of participants reported LBP and 7.6% (20/264) reported LWT related to LBP (control n = 10, supervised n = 5, telehealth n = 5). Participants in the control group experienced 1.15 times as many hours of LWT as the supervised group, and 5.51 times as many hours of LWT as the telehealth group.

CONCLUSIONS

Worksite exercise, delivered by on-site supervision or telehealth, can reduce LWT related to LBP in career firefighters.

摘要

目的

本研究评估了由现场监督(监督)或远程医疗提供的工作场所运动,以减少与消防员腰痛(LBP)相关的工作时间损失(LWT)。

方法

一项群组随机对照试验将 264 名职业消防员分配至监督组(n=86)或远程医疗组(n=95),每周进行 2 次背部和核心锻炼,持续 12 个月,或对照组(n=83)。

结果

58.0%(264 名参与者中的 153 名)报告腰痛,7.6%(264 名参与者中的 20 名)报告与腰痛相关的工作时间损失(对照组 n=10,监督组 n=5,远程医疗组 n=5)。对照组参与者的工作时间损失比监督组多 1.15 倍,比远程医疗组多 5.51 倍。

结论

工作场所运动,通过现场监督或远程医疗提供,可以减少职业消防员与腰痛相关的工作时间损失。

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