Alshehre Yousef M, Pakkir Mohamed Shahul Hameed, Nambi Gopal, Almutairi Sattam M, Alharazi Ahmed A
Department of Physical Therapy, Faculty of Applied Medical Sciences, University of Tabuk, Tabuk 47512, Saudi Arabia.
Department of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, Alkharj 11942, Saudi Arabia.
Healthcare (Basel). 2023 Aug 14;11(16):2286. doi: 10.3390/healthcare11162286.
Neck pain is a widespread medical condition among office workers worldwide. This study aimed to compare physical exercises, including basic body awareness, neck-specific training exercises and ergonomic modifications, and ergonomic modifications alone in the management of chronic non-specific neck pain (NSNP) among office workers. Sixty participants were randomly allocated to an experimental group (physical exercises and ergonomic modifications) or a control group (ergonomic modifications) and received the intervention two times a week for eight weeks. The Numerical Pain Rating Scale, Neck Disability Index, Health and Safety Stress Tool, and Short Form Health Survey-36 were used to measure pain, disability, job stress, and quality of life at baseline, and at weeks 4 and 8 of the study period. A repeated measure ANOVA was used to determine the within-group significant differences and an independent -test was utilized to compare group differences. The baseline data of the experimental and control groups showed no significant difference ( ≥ 0.05). The 2 × 3 mixed models ANOVA showed a significant difference in pain intensity ( = 0.001, = 0.042), functional disability ( = 0.001, = 0.052), work-related stress ( = 0.001, = 0.036), and QoL ( = 0.012, = 0.025). Four weeks post-intervention, the experimental group showed significant changes in primary (pain intensity and disability) (1.9; 95% confidence interval 1.65-2.14) and secondary (quality of life and work-related stress) outcomes ( < 0.001). The same gradual improvement in these variables was observed in the 8-week follow-up ( < 0.001). There was a significant improvement in clinical outcomes following the application of physical exercises with ergonomic modifications for chronic NSNP among office workers. This is significant for office workers because it suggests the importance of incorporating physical exercises into their daily routine and making ergonomic changes to their workspaces.
颈部疼痛是全球办公室职员中普遍存在的一种健康问题。本研究旨在比较体育锻炼（包括基本身体意识、颈部专项训练和人体工程学调整）与单纯人体工程学调整在办公室职员慢性非特异性颈部疼痛（NSNP）管理中的效果。60名参与者被随机分配到实验组（体育锻炼和人体工程学调整）或对照组（人体工程学调整），每周接受两次干预，为期八周。使用数字疼痛评分量表、颈部功能障碍指数、健康与安全压力工具以及简短健康调查问卷-36在基线时以及研究期的第4周和第8周测量疼痛、功能障碍、工作压力和生活质量。采用重复测量方差分析来确定组内的显著差异，并使用独立样本t检验来比较组间差异。实验组和对照组的基线数据无显著差异（P≥0.05）。2×3混合模型方差分析显示，在疼痛强度（F = 0.001，P = 0.042）、功能障碍（F = 0.001，P = 0.052）、工作相关压力（F = 0.001，P = 0.036）和生活质量（F = 0.012，P = 0.025）方面存在显著差异。干预四周后，实验组在主要结局（疼痛强度和功能障碍）（差异均值1.9；95%置信区间1.65 - 2.14）和次要结局（生活质量和工作相关压力）方面显示出显著变化（P < 0.001）。在8周随访中观察到这些变量有相同的逐渐改善（P < 0.001）。对于办公室职员慢性NSNP，采用体育锻炼与人体工程学调整相结合的方法后临床结局有显著改善。这对办公室职员很重要，因为这表明将体育锻炼纳入日常工作并对工作空间进行人体工程学改变的重要性。
