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12 周工作场所咨询计划对身体活动和腰痛的影响:一项初步随机对照研究。

Effects of a 12-week workplace counseling program on physical activity and low back pain: A pilot randomized controlled study.

机构信息

Institute of Physical Fitness, Sports Medicine and Rehabilitation, Aichi Medical University, Yazako, Nagakute, Aichi, Japan.

Multidisciplinary Pain Center, Aichi Medical University, Yazako, Nagakute, Aichi, Japan.

出版信息

J Back Musculoskelet Rehabil. 2021;34(5):845-852. doi: 10.3233/BMR-200178.

Abstract

BACKGROUND

Physical activity (PA) is essential in the management and rehabilitation of low back pain (LBP). However, it is not clear that PA interventions in the workplace can improve LBP.

OBJECTIVE

This study aimed to investigate the effects of workplace counseling on PA and LBP among workers.

METHODS

We recruited 37 people with 12 weeks of LBP who worked in a manufacturing company in Aichi, Japan. Participants were randomly assigned to the intervention (n= 20) or control group (n= 17). All participants of both groups were affixed with waist-worn accelerometers to monitor PA. The intervention group also received a program of face-to-face counseling with a physical therapist or nurse once a week for 12 weeks to reassure and encourage participants to maintain a high level of PA. PA and LBP severity were assessed at baseline, 3 and 6 months.

RESULTS

PA was significantly higher in the intervention group than in the control group at 3 and 6 months. In the intervention group, PA significantly increased at 3 and 6 months from baseline, and LBP severity at 6 months improved significantly from baseline.

CONCLUSIONS

Our data suggest that workplace PA intervention can increase PA and improve LBP among workers.

摘要

背景

体力活动(PA)对于管理和康复下腰痛(LBP)至关重要。然而,目前尚不清楚工作场所的 PA 干预是否可以改善 LBP。

目的

本研究旨在探讨工作场所咨询对工人 PA 和 LBP 的影响。

方法

我们招募了 37 名在日本爱知县一家制造公司工作、患有 12 周 LBP 的人员。参与者被随机分配到干预组(n=20)或对照组(n=17)。所有参与者均佩戴腰部佩戴的加速度计来监测 PA。干预组还接受了为期 12 周、每周一次的与物理治疗师或护士的面对面咨询计划,以安慰和鼓励参与者保持高水平的 PA。在基线、3 个月和 6 个月时评估 PA 和 LBP 严重程度。

结果

在 3 个月和 6 个月时,干预组的 PA 明显高于对照组。在干预组中,PA 在 3 个月和 6 个月时从基线显著增加,6 个月时 LBP 严重程度从基线显著改善。

结论

我们的数据表明,工作场所 PA 干预可以增加工人的 PA 并改善 LBP。

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