视频会议监督下的团体锻炼可减轻老年护理工作者的腰痛：ReViEEW随机对照试验的结果
Videoconference-Supervised Group Exercise Reduces Low Back Pain in Eldercare Workers: Results from the ReViEEW Randomised Controlled Trial.
作者信息
Espin Ander, Irazusta Jon, Aiestaran Maialen, Latorre Erezuma Unai, García-García Julia, Arrinda Ismene, Acedo Karmele, Rodriguez-Larrad Ana
机构信息
Ageing On Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), Leioa, Spain.
Biobizkaia Health Research Institute, Barakaldo, Spain.
出版信息
J Occup Rehabil. 2025 Mar;35(1):66-77. doi: 10.1007/s10926-024-10182-2. Epub 2024 Apr 17.
PURPOSE
To assess the effects of a group exercise intervention conducted by real-time videoconference on the low back pain of eldercare workers.
METHODS
We randomly assigned 130 eldercare workers to an experimental group (EG: n = 65) or control group (CG: n = 65). Participants from both groups took part in routine prevention programs carried out in their workplace, and participants from the EG received an additional 12-week resistance-exercise intervention supervised by real-time videoconference. Assessments were conducted before and after the intervention, and the primary outcome was average low back pain intensity during the last 7 days, measured by the 0-10 numerical rating scale. Secondary outcomes included additional measures of low back, neck, shoulder and hand/wrist pain, as well as psycho-affective parameters, medication consumption and muscle performance. Both intention-to-treat and per-protocol analyses were applied with a group-by-time ANCOVA including baseline measurements as covariates.
RESULTS
125 participants completed post-intervention assessments (EG: n = 63, CG: n = 62). The intention-to-treat analysis showed an effect favouring the EG on average low back pain intensity (p = 0.034). Improvements in additional low back and hand/wrist pain outcomes were also observed, as well as on upper limb muscle performance (p < 0.05). The per-protocol analysis demonstrated additional benefits in depression, quality of life, hypnotic/anxiolytic medication consumption and lower limb and trunk muscle performance in participants with ≥ 50% adherence (p < 0.05).
CONCLUSIONS
The intervention was effective for reducing the low back and hand/wrist pain of eldercare workers and increasing upper limb muscle performance. The per-protocol analysis showed additional benefits in psycho-affective parameters, medication consumption and muscle performance.
TRIAL REGISTRATION
ClinicalTrials.gov, NCT05050526. Registered 20 September 2021-Prospectively registered, https://www.
CLINICALTRIALS
gov/study/NCT05050526.
目的
评估通过实时视频会议进行的团体运动干预对老年护理工作者腰痛的影响。
方法
我们将130名老年护理工作者随机分为实验组（EG：n = 65）或对照组（CG：n = 65）。两组参与者都参加了在其工作场所开展的常规预防项目，实验组的参与者还通过实时视频会议接受了为期12周的抗阻运动干预。在干预前后进行评估，主要结局是过去7天的平均腰痛强度，采用0至10数字评分量表进行测量。次要结局包括腰痛、颈部、肩部和手/腕部疼痛的其他测量指标，以及心理情感参数、药物消耗和肌肉性能。采用意向性分析和符合方案分析，进行组间时间协方差分析，将基线测量作为协变量。
结果
125名参与者完成了干预后评估（EG：n = 63，CG：n = 62）。意向性分析显示，实验组在平均腰痛强度方面有显著效果（p = 0.034）。还观察到腰痛和手/腕部疼痛的其他结局有所改善，以及上肢肌肉性能也有所改善（p < 0.05）。符合方案分析表明，依从性≥50%的参与者在抑郁、生活质量、催眠/抗焦虑药物消耗以及下肢和躯干肌肉性能方面有额外益处（p < 0.05）。
结论
该干预措施在减轻老年护理工作者的腰痛和手/腕部疼痛以及提高上肢肌肉性能方面有效。符合方案分析显示，在心理情感参数、药物消耗和肌肉性能方面有额外益处。
试验注册
ClinicalTrials.gov，NCT05050526。2021年9月20日注册——前瞻性注册，https://www.CLINICALTRIALS.gov/study/NCT05050526。
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