Effect of workplace- versus home-based physical exercise on musculoskeletal pain among healthcare workers: a cluster randomized controlled trial

Scandinavian Journal of Work, Environment & Health

卷:41

Emil Sundstrup¹  Mikkel Brandt¹  Per Aagaard¹  Kenneth Jay¹  Lars L Andersen¹  Markus D Jakobsen² 

[1] ;

[2] National Research Centre for the Working Environment, Lersø Parkalle 105, Copenhagen, ­Denmark.;

关键词: strength training;    cluster randomized controlled trial;    musculoskeletal disorder;    neck pain;    back pain;    occupational health;    randomized controlled trial;    workplace;    musculoskeletal pain;    shoulder pain;    physical exercise;    occupational health;    msd;    healthcare worker;    healthcare;   

DOI  :  10.5271/sjweh.3479

来源: DOAJ

【 摘 要 】

OBJECTIVE: Numerous studies has shown that regular physical exercise can reduce musculoskeletal pain, but the optimal setting to achieve high adherence and effectiveness remains unknown. This study investigated the effect of workplace versus home-based physical exercise on musculoskeletal pain among healthcare workers. METHODS: The randomized controlled trial (RCT) comprised 200 female healthcare workers from 18 departments at 3 hospitals. Participants were randomly allocated at the cluster level to ten weeks of: (i) workplace physical exercise (WORK) performed during working hours for 5×10 minutes per week and up to 5 group-based coaching sessions on motivation for regular physical exercise, or (ii) home-based physical exercise (HOME) performed during leisure time for 5×10 minutes per week. Both groups received ergonomic counseling on patient handling and use of lifting aides. Average pain intensity (0–10 scale) in the low back and neck/shoulder was the primary outcome. RESULTS: Per week, 2.2 (SD 1.1) and 1.0 (SD 1.2) training sessions were performed in WORK and HOME groups, respectively. Pain intensity, back muscle strength and use of analgesics improved more following WORK than HOME (P<0.05). Between-group differences at follow-up (WORK versus HOME) was -0.7 points for pain intensity [95% confidence interval (95% CI) -1.0– -0.3], 5.5 Nm for back muscle strength (95% CI 2.0–9.0), and -0.4 days per week for use of analgesics (95% CI -0.7– -0.2). The effect size for between-group differences in pain intensity was small (Cohen’s d=0.31). CONCLUSIONS: Workplace physical exercise is more effective than home-based exercise in reducing musculoskeletal pain, increasing muscle strength and reducing the use of analgesics among healthcare workers.

【 授权许可】

Unknown