J Back Musculoskelet Rehabil. 2021;34(2):251-259. doi: 10.3233/BMR-191716.
Musculoskeletal disorders are of multi-factorial origin, including individual, physical, and psychosocial factors. An effective education program for musculoskeletal disorders should include predisposing factors.
This study aimed to examine the effect of risk factor education on pain intensity and disability levels compared to a home-based exercise program in office workers with nonspecific neck or low back pain.
A pilot cluster randomized clinical trial was conducted in 46 workers with neck or low back pain. The education group received checklists of risk factors and handbooks providing information on how to manage them. The exercise group received a home-based exercise program to manage their neck or low back pain. The primary outcome measures were pain intensity and disability levels.
There was no significant difference in pain intensity or disability level between groups at baseline and follow-ups. However, neck and low back pain intensity, but not disability level, at the 3-month and 6-month follow-ups was significantly lower than those at baseline in both groups.
Risk factor education was not more effective than the home-based exercise program in terms of pain intensity or disability reduction in workers with nonspecific neck or low back pain.
肌肉骨骼疾病多由多种因素引起，包括个体因素、身体因素和心理社会因素。针对肌肉骨骼疾病的有效教育计划应包括致病因素。
本研究旨在比较针对非特异性颈痛或腰痛患者的危险因素教育与家庭锻炼计划，探讨危险因素教育对疼痛强度和残疾程度的影响。
在 46 名颈痛或腰痛患者中开展了一项试点性集群随机临床试验。教育组收到了危险因素检查表和手册，其中提供了有关如何管理这些因素的信息。锻炼组则接受了家庭锻炼计划，以管理其颈痛或腰痛。主要结局指标为疼痛强度和残疾程度。
两组在基线和随访时的疼痛强度或残疾程度均无显著差异。然而，两组在 3 个月和 6 个月随访时的颈痛和腰痛强度均显著低于基线水平，但残疾程度无显著变化。
针对非特异性颈痛或腰痛患者，危险因素教育在减轻疼痛强度或残疾程度方面并不优于家庭锻炼计划。
