在线监督与工作场所矫正练习对上交叉综合征的比较：一项随机对照试验的方案。
Online supervised versus workplace corrective exercises for upper crossed syndrome: a protocol for a randomized controlled trial.
机构信息
Department of Health and Sports Rehabilitation, Faculty of Sports Science and Health, Shahid Beheshti University, Tehran, Iran.
Sport Sciences and Physical Education, Faculty of Humanities Science, University of Hormozgan, Bandar Abbas, Iran.
出版信息
Trials. 2021 Dec 11;22(1):907. doi: 10.1186/s13063-021-05875-5.
BACKGROUND AND OBJECTIVE
Musculoskeletal disorders (MSDs) including upper crossed syndrome (UCS) are considered as the leading cause of work-related issues worldwide among office workers. Therefore, the present study aims to evaluate the effect of workplace-based versus online-supervised home-based corrective exercises among office workers with UCS.
METHODS AND DESIGN
To this end, 45 subjects within the age range of 30-45 years are randomly assigned to three groups in the present parallel-group, randomized control trial using a pretest-posttest design. These groups include the subjects who receive online-supervised exercise and workplace exercise containing three sessions of intervention for 8 weeks and the control group receives no intervention while performing routine activities. The primary outcome variables are neck-shoulder pain (NSP) and consequent sick leave due to NSP, followed by alignment, workability, and the surface electromyography of upper, middle, and lower trapezius (UT, MT, and LT), sternocleidomastoid (SCM), and serratus anterior (SA) as the secondary variables.
DISCUSSION
The present study seeks to assess the effect of workplace versus online-supervised corrective exercise interventions among 45 office workers suffering from UCS. It is expected to improve and reduce the related symptoms including postural malalignment and imbalance muscles after 8 weeks of corrective exercises. If effective, the findings may lead to adherence and work performance among the office workers, and individuals subjected to UCS can use the benefits of an online-supervised intervention. In addition, the findings may be useful in different workplaces as the evidence for employers to benefit from the reduction in the related costs and side effects of work-related neck/shoulder disorders including work disability, productivity loss, time expense, social insurance, work absenteeism, and treatment costs. Finally, clinicians and corrective exercise therapists can consider it as a clinical based-evidence intervention for their further actions.
TRIAL REGISTRATION
Iranian Registry of Clinical Trials IRCT20200729048249N1. Registered on 5 October 2020 ( https://en.irct.ir/user/trial/49992/view ).
背景与目的
肌肉骨骼疾病（MSD），包括上交叉综合征（UCS），被认为是全世界办公室工作人员与工作相关的主要问题的主要原因。因此，本研究旨在评估基于工作场所与在线监督家庭为基础的矫正运动对患有 UCS 的办公室工作人员的影响。
方法和设计
为此，本平行组随机对照试验采用预测试后测试设计，将 45 名年龄在 30-45 岁之间的受试者随机分配到三组：接受在线监督的运动和工作场所运动，干预 8 周共 3 次；对照组在不进行干预的情况下进行日常活动。主要结局变量为颈肩部疼痛（NSP）和因 NSP 导致的病假，其次是姿势排列、工作能力以及上、中、下斜方肌（UT、MT 和 LT）、胸锁乳突肌（SCM）和前锯肌（SA）的表面肌电图作为次要变量。
讨论
本研究旨在评估 45 名患有 UCS 的办公室工作人员的工作场所与在线监督矫正运动干预的效果。预计在 8 周的矫正运动后，相关症状包括姿势不正和不平衡的肌肉会得到改善和减轻。如果有效，研究结果可能会提高办公室工作人员的依从性和工作绩效，患有 UCS 的个体可以利用在线监督干预的益处。此外，这些发现可能对不同的工作场所有用，为雇主提供从与工作相关的颈部/肩部疾病相关的成本和副作用中获益的证据，包括工作残疾、生产力损失、时间花费、社会保险、工作缺勤和治疗成本。最后，临床医生和矫正运动治疗师可以将其视为进一步行动的基于临床的证据干预。
试验注册
伊朗临床试验注册处 IRCT20200729048249N1。注册于 2020 年 10 月 5 日（https://en.irct.ir/user/trial/49992/view）。
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