دورية أكاديمية
أعرض في EDS

Effects of workplace upper extremity resistance exercises on function and symptoms of workers at a tertiary hospital: a randomized controlled trial protocol.

التفاصيل البيبلوغرافية
العنوان: Effects of workplace upper extremity resistance exercises on function and symptoms of workers at a tertiary hospital: a randomized controlled trial protocol.
المؤلفون: da Silva NC; Rehabilitation and Performance Program, University of São Paulo, Ribeirão Preto, Brazil., Ricci FPFM; Rehabilitation and Performance Program, University of São Paulo, Ribeirão Preto, Brazil., de Castro VR; Rehabilitation and Performance Program, University of São Paulo, Ribeirão Preto, Brazil., de Lima ACR; Paulista University, Ribeirão Preto, Brazil., do Carmo Lopes ER; Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil., de Salvo Mauad LD; Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil., Kawano Suzuki KA; Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil., de Oliveira Medeiros ME; Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil., de Santana JS; Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil., Rocha FLR; Department of General and Specialized Nursing, Ribeirao Preto College of Nursing, University of São Paulo, Ribeirão Preto, SP, Brazil., de Cássia Registro Fonseca M; Department of Health Sciences, Rehabilitation and Performance Program, Ribeirao Preto Medical School, University of São Paulo, Av 3900, Ribeirao Preto -, Bandeirantes, SP, 14049-900, Brazil. marisa@fmrp.usp.br.
المصدر: BMC musculoskeletal disorders [BMC Musculoskelet Disord] 2022 Feb 05; Vol. 23 (1), pp. 119. Date of Electronic Publication: 2022 Feb 05.
نوع المنشور: Clinical Trial Protocol; Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968565 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2474 (Electronic) Linking ISSN: 14712474 NLM ISO Abbreviation: BMC Musculoskelet Disord Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2000-
مواضيع طبية MeSH: Occupational Diseases*/diagnosis , Occupational Diseases*/epidemiology , Occupational Diseases*/etiology , Resistance Training*, Ergonomics ; Exercise Therapy ; Hand Strength ; Humans ; Randomized Controlled Trials as Topic ; Tertiary Care Centers ; Upper Extremity ; Workplace
مستخلص: Background: Work-related musculoskeletal disorders (WRMDs) are often caused by inadequate use of the musculoskeletal system during work. Evidence suggests that multimodal intervention through exercises, massage, education, and ergonomic guidelines reduces pain and symptoms in the neck and upper extremities and help to prevent musculoskeletal disorders. The purpose of this study will be to assess the additive effectiveness of a specific and individualized workplace strengthening exercise program to an ergonomic guidance in reducing fatigue, pain and discomfort in the upper extremities and neck perceived by workers.
Methods: This trial was designed according to the Consolidated Standards of Reporting Trials - CONSORT guidelines. Participants will be employees of a tertiary hospital, with any complaints of pain or discomfort in the upper extremities during the past 12 months, without clinical musculoskeletal diagnosis. 166 participants will be randomized into parallels groups as control and workplace exercises. The primary outcomes will be Numerical Pain Scale, isokinetic muscle strength of abduction and isometric handgrip strength. Secondary outcomes on discomfort, fatigue, work capacity and dysfunction will be assessed by QuickDASH, Patient Specific Functional Scale, Neck Disability Index, Need for recovery, Work Ability Index self-report questionnaires and FIT-HANSA performance test. The Ergonomic Work Analysis will be done by Quick Expose Check, RULA, REBA, RARME, ROSA and HARM risk assessment ergonomic tools. We will analyze the difference between baseline and 12 weeks of intervention by T test of independent samples (95% confidence interval, p < 0.05). Clinical significance will be analyzed by the minimum clinically important difference and effect size by Cohen index. The association between the variables will be analyzed by construct validity with the hypothesis of correlations between pain and muscle strength, strength and functionality and strength and fatigue.
Discussion: Although studies have shown promise outcomes for workplace exercises as an available therapeutic resource used to minimize complaints of pain and discomfort related to work, the results of this study aim to bring evidence about the benefit of a specific resistance exercise as an effective modality to facilitate mechanisms of neuromuscular adaptations, with gradual and posterior hypertrophy in the later phases.
Trial Registration: (NCT04047056, https://clinicaltrials.gov/ct2/show/NCT04047056?term=NCT04047056&draw=2&rank=1 ) on Dec 03, 2020.
(© 2022. The Author(s).)
References: Appl Ergon. 1987 Sep;18(3):233-7. (PMID: 15676628)
BMC Musculoskelet Disord. 2019 Apr 1;20(1):139. (PMID: 30935374)
Cochrane Database Syst Rev. 2019 Jul 23;7:CD012886. (PMID: 31334564)
Int J Occup Med Environ Health. 2019 Nov 15;32(6):825-839. (PMID: 31700193)
Scand J Work Environ Health. 2014 May 1;40(3):244-51. (PMID: 24535014)
Rev Saude Publica. 2004 Apr;38(2):149-56. (PMID: 15122368)
Sports Med. 2005;35(10):841-51. (PMID: 16180944)
J Orthop Sports Phys Ther. 2020 Jan;50(1):45-46. (PMID: 31892291)
Man Ther. 2011 Dec;16(6):563-72. (PMID: 21658987)
Braz J Phys Ther. 2014 May-Jun;18(3):211-7. (PMID: 25003273)
Scand J Work Environ Health. 2018 Mar 1;44(2):134-146. (PMID: 29493713)
BMC Musculoskelet Disord. 2019 Dec 26;20(1):622. (PMID: 31878915)
Pain Pract. 2003 Dec;3(4):310-6. (PMID: 17166126)
Musculoskelet Sci Pract. 2020 Aug;48:102163. (PMID: 32560867)
Am J Ind Med. 2010 Mar;53(3):285-323. (PMID: 19753591)
JAMA. 2018 Feb 6;319(5):483-494. (PMID: 29411037)
J Orthop Sports Phys Ther. 2021 Jun;51(6):314-315. (PMID: 34058836)
Work. 2012;41 Suppl 1:2056-9. (PMID: 22317019)
Man Ther. 2016 Dec;26:132-140. (PMID: 27598552)
Physiother Res Int. 2018 Oct;23(4):e1738. (PMID: 30126016)
J Sci Med Sport. 2013 Mar;16(2):162-5. (PMID: 22749937)
Occup Environ Med. 2016 Jan;73(1):62-70. (PMID: 26552695)
Braz J Phys Ther. 2018 May - Jun;22(3):198-204. (PMID: 29246454)
BMC Musculoskelet Disord. 2013 Oct 09;14:287. (PMID: 24106771)
J Rehabil Med. 2001 Jan;33(1):36-41. (PMID: 11480468)
BMJ. 2015 May 27;350:h2445. (PMID: 26016488)
J Occup Rehabil. 2019 Mar;29(1):175-193. (PMID: 29796982)
Braz J Phys Ther. 2018 Mar - Apr;22(2):144-153. (PMID: 28939263)
BMC Musculoskelet Disord. 2011 Sep 21;12:205. (PMID: 21936939)
Man Ther. 2015 Feb;20(1):56-62. (PMID: 25027479)
Man Ther. 2010 Feb;15(1):100-4. (PMID: 19716742)
Braz J Phys Ther. 2017 May - Jun;21(3):175-183. (PMID: 28473285)
Spine (Phila Pa 1976). 2006 Jun 15;31(14):1621-7. (PMID: 16778699)
Braz J Phys Ther. 2017 Jul - Aug;21(4):274-280. (PMID: 28602744)
Braz J Phys Ther. 2014 Jul-Aug;18(4):323-33. (PMID: 25054385)
Rev Bras Fisioter. 2011 Mar-Apr;15(2):154-9. (PMID: 21789366)
Sports Med. 2019 Dec;49(12):1903-1921. (PMID: 31494864)
BMC Public Health. 2011 Jan 28;11:60. (PMID: 21276217)
J Clin Epidemiol. 2007 Feb;60(2):110-7. (PMID: 17208116)
Appl Ergon. 2012 Jan;43(1):98-108. (PMID: 21529772)
معلومات مُعتمدة: 2019/04078-0 Fundação de Amparo à Pesquisa do Estado de São Paulo
فهرسة مساهمة: Keywords: Clinical trial; Ergonomics; Health promotion; Musculoskeletal pain; Prevention; Strengthening exercise; Upper extremity
سلسلة جزيئية: ClinicalTrials.gov NCT04047056
تواريخ الأحداث: Date Created: 20220206 Date Completed: 20220208 Latest Revision: 20240822
رمز التحديث: 20240822
مُعرف محوري في PubMed: PMC8818236
DOI: 10.1186/s12891-022-05059-5
PMID: 35123476
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2474
DOI:10.1186/s12891-022-05059-5