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Espin A, Irazusta J, Aiestaran M, Latorre Erezuma U, García-García J, Arrinda I, Acedo K, Rodriguez-Larrad A. Videoconference-Supervised Group Exercise Reduces Low Back Pain in Eldercare Workers: Results from the ReViEEW Randomised Controlled Trial. J Occup Rehabil 2024:10.1007/s10926-024-10182-2. [PMID: 38632115 DOI: 10.1007/s10926-024-10182-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 02/18/2024] [Indexed: 04/19/2024]
Abstract
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.
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Affiliation(s)
- Ander Espin
- Ageing On Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), Leioa, Spain.
- Biobizkaia Health Research Institute, Barakaldo, Spain.
| | - Jon Irazusta
- Ageing On Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), Leioa, Spain
- Biobizkaia Health Research Institute, Barakaldo, Spain
| | - Maialen Aiestaran
- Ageing On Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), Leioa, Spain
| | - Unai Latorre Erezuma
- Ageing On Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), Leioa, Spain
- Biobizkaia Health Research Institute, Barakaldo, Spain
| | - Julia García-García
- Ageing On Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), Leioa, Spain
- Biobizkaia Health Research Institute, Barakaldo, Spain
| | | | | | - Ana Rodriguez-Larrad
- Ageing On Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), Leioa, Spain
- Biobizkaia Health Research Institute, Barakaldo, Spain
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Núñez-Cortés R, Espin A, Pérez-Alenda S, López-Bueno R, Cruz-Montecinos C, Vincents-Seeberg KG, Püschel TA, Calatayud J, Andersen LL. Association Between Pain Coping and Symptoms of Anxiety and Depression, and Work Absenteeism in People With Upper Limb Musculoskeletal Disorders: A Systematic Review and Meta-analysis. Arch Phys Med Rehabil 2024; 105:781-791. [PMID: 37490961 DOI: 10.1016/j.apmr.2023.07.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2022] [Revised: 06/02/2023] [Accepted: 07/07/2023] [Indexed: 07/27/2023]
Abstract
OBJECTIVE To determine the prospective association of pain coping strategies and symptoms of anxiety and depression with work absenteeism in people with upper limb musculoskeletal disorders. DATA SOURCES A systematic search of PubMed, Web of Science, Embase, Cochrane Library, and Scopus databases was conducted from inception to September 23, 2022. STUDY SELECTION Prospective observational studies of adults with upper limb musculoskeletal disorders were included. Included studies had to provide data on the association of pain coping strategies (catastrophizing, kinesiophobia, self-efficacy or fear avoidance) or symptoms of anxiety and depression with work absenteeism. DATA EXTRACTION Study selection, data extraction, and assessment of methodological quality (Newcastle Ottawa Scale) were performed by 2 independent authors. Random-effects models were used for quantitative synthesis. DATA SYNTHESIS Eighteen studies (n=12,393 participants) were included. Most studies (77.8%) reported at least 1 significant association between 1 or more exposure factors (pain coping strategies or symptoms of anxiety and depression) and work absenteeism. Meta-analyses showed a statistically significant correlation between the exposure factors of catastrophizing (r=0.28, 95% confidence interval [CI]: 0.15 to 0.40; P<.0001) and symptoms of anxiety and depression (r=0.23, 95% CI: 0.10 to 0.34; P=.0003) with work absenteeism. The correlation between self-efficacy and work absenteeism was non-significant (r=0.24, 95% CI: -0.02 to 0.47; P=.0747). CONCLUSIONS Rehabilitation teams should consider assessing catastrophizing and symptoms of anxiety and depression to identify patients at risk for work absenteeism. Addressing these variables may also be considered in return-to-work programs for individuals with upper limb disorders.
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Affiliation(s)
- Rodrigo Núñez-Cortés
- Department of Physiotherapy, Physiotherapy in Motion Multispeciality Research Group (PTinMOTION), University of Valencia, Valencia, Spain; National Research Centre for the Working Environment, Copenhagen, Denmark; Department of Physical Therapy, Faculty of Medicine, University of Chile, Santiago, Chile
| | - Ander Espin
- National Research Centre for the Working Environment, Copenhagen, Denmark; Ageing On Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), Leioa, Spain; Biocruces Bizkaia Health Research Institute, Barakaldo, Spain
| | - Sofía Pérez-Alenda
- Department of Physiotherapy, Physiotherapy in Motion Multispeciality Research Group (PTinMOTION), University of Valencia, Valencia, Spain
| | - Rubén López-Bueno
- National Research Centre for the Working Environment, Copenhagen, Denmark; Department of Physical Medicine and Nursing, University of Zaragoza, Zaragoza, Spain; Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, Valencia, Spain
| | - Carlos Cruz-Montecinos
- Department of Physiotherapy, Physiotherapy in Motion Multispeciality Research Group (PTinMOTION), University of Valencia, Valencia, Spain; Department of Physical Therapy, Faculty of Medicine, University of Chile, Santiago, Chile; Division of Research, Development and Innovation in Kinesiology, Kinesiology Unit, San José Hospital, Santiago, Chile
| | | | - Thomas A Püschel
- Ecology and Evolutionary Biology Division, School of Biological Sciences, University of Reading, Reading, United Kingdom
| | - Joaquín Calatayud
- National Research Centre for the Working Environment, Copenhagen, Denmark; Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, Valencia, Spain.
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Espin A, Núñez-Cortés R, Irazusta J, Rodriguez-Larrad A, Torres-Unda J, Vinstrup J, Jakobsen MD, Andersen LL. Mental health and vitality predict spinal pain in healthcare workers. Occup Med (Lond) 2023; 73:464-469. [PMID: 37665779 DOI: 10.1093/occmed/kqad096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/06/2023] Open
Abstract
BACKGROUND Despite extensive investigation of ergonomic risk factors for spinal pain in healthcare workers, limited knowledge of psychological risk factors exists. AIMS To assess the prospective association of mental health and vitality with development of spinal pain in healthcare workers. METHODS A prospective cohort study was carried out involving 1950 healthcare workers from 19 hospitals in Denmark. Assessments were done at baseline and at 1-year follow-up. Mental health and vitality were measured using the Short Form-36 Health Survey, while spinal pain intensity was measured using a 0-10 scale in the low-back, upper-back and neck, respectively. Cumulative logistic regressions adjusted for several confounding factors were applied, reporting risk estimates as odds ratios (ORs) and 95% confidence intervals (CIs). RESULTS Using good mental health as reference, moderate (but not poor) mental health at baseline was associated with increased pain intensity in the low-back (OR: 1.41 [95% CI: 1.21-1.77]), upper-back (OR: 1.63 [95% CI: 1.31-2.02]) and neck (OR: 1.31 [95% CI: 1.07-1.61]) at 1-year follow-up. Likewise, using high vitality as reference, both moderate and low vitality at baseline were associated with increased pain intensity in the low-back (OR: 1.54 [95% CI: 1.22-1.94] and OR: 2.34 [95% CI: 1.75-3.12], respectively), upper-back (OR: 1.72 [95% CI: 1.34-2.23] and OR: 2.46 [95% CI: 1.86-3.25], respectively) and neck (OR: 1.66 [95% CI: 1.34-2.06] and OR: 2.06 [95% CI: 1.61-2.63], respectively) at 1-year follow-up. CONCLUSIONS Compared to healthcare workers with good mental health and high vitality, those with moderate mental health and low/moderate vitality, respectively, were more likely to increase spinal pain intensity at 1-year follow-up. These components should also be considered in the prevention of spinal pain in healthcare workers.
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Affiliation(s)
- A Espin
- Department of Musculoskeletal Disorders, National Research Centre for the Working Environment, 2100 Copenhagen, Denmark
- Ageing on Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), 48940 Leioa, Spain
- Clinical Nursing and Community Health Research Group, Biocruces Bizkaia Health Research Institute, 48903 Barakaldo, Spain
| | - R Núñez-Cortés
- Department of Musculoskeletal Disorders, National Research Centre for the Working Environment, 2100 Copenhagen, Denmark
- Physiotherapy in Motion Multispeciality Research Group (PTinMOTION), Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain
- Department of Physical Therapy, Faculty of Medicine, University of Chile, 8380000 Santiago, Chile
| | - J Irazusta
- Ageing on Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), 48940 Leioa, Spain
- Clinical Nursing and Community Health Research Group, Biocruces Bizkaia Health Research Institute, 48903 Barakaldo, Spain
| | - A Rodriguez-Larrad
- Ageing on Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), 48940 Leioa, Spain
- Clinical Nursing and Community Health Research Group, Biocruces Bizkaia Health Research Institute, 48903 Barakaldo, Spain
| | - J Torres-Unda
- Ageing on Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), 48940 Leioa, Spain
| | - J Vinstrup
- Department of Musculoskeletal Disorders, National Research Centre for the Working Environment, 2100 Copenhagen, Denmark
| | - M D Jakobsen
- Department of Musculoskeletal Disorders, National Research Centre for the Working Environment, 2100 Copenhagen, Denmark
| | - L L Andersen
- Department of Musculoskeletal Disorders, National Research Centre for the Working Environment, 2100 Copenhagen, Denmark
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Núñez-Cortés R, Espin A, Calatayud J, Pérez-Alenda S, Cruz-Montecinos C, López-Bueno R, Vinstrup J, Jakobsen MD, Andersen LL. Can Vitality and Mental Health Influence Upper Extremity Pain? A Prospective Cohort Study of 1185 Female Hospital Nurses. Eur J Investig Health Psychol Educ 2023; 13:2192-2201. [PMID: 37887155 PMCID: PMC10606458 DOI: 10.3390/ejihpe13100154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2023] [Revised: 10/03/2023] [Accepted: 10/06/2023] [Indexed: 10/28/2023] Open
Abstract
Musculoskeletal disorders of the upper extremity are among the most common occupational problems affecting nurses. The aim of this study was to analyze the prospective association between vitality and mental health and increased upper extremity pain intensity in female hospital nurses during a 1-year follow-up. A prospective cohort of 1185 female nurses from 19 hospitals in Denmark was conducted using baseline and 12-month follow-up questionnaires to identify potential associations between levels of vitality and mental health (SF-36 subscales) with pain intensity (0-10 scale) in the shoulder, elbow and hand/wrist regions. Associations were modeled using cumulative logistic regression. The fully adjusted model included the variables of age, baseline pain, body mass index, smoking status, years of occupation, leisure time physical activity level, number of daily patient transfers/handlings, as well as recognition and influence at work. The mean age was 48.3 (SD: 10.4) years. In the fully adjusted model, significant associations between low vitality levels and the odds of shoulder pain (OR = 1.96; 95%CI: 1.43-2.68) and hand/wrist pain (OR = 2.32; 95%CI: 1.58-3.42) were observed. Likewise, moderate levels of mental health was associated with increased odds of shoulder pain at follow-up (OR = 1.50; 95%CI: 1.16-1.93). These results provide an important incentive for nursing managers to assess vitality and mental health among hospital nurses and to consider this factor in prevention strategies to ensure good worker health and, by extension, high-quality care.
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Affiliation(s)
- Rodrigo Núñez-Cortés
- National Research Centre for the Working Environment, 2100 Copenhagen, Denmark; (R.N.-C.); (A.E.); (R.L.-B.); (J.V.); (M.D.J.); (L.L.A.)
- Physiotherapy in Motion Multispeciality Research Group (PTinMOTION), Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain;
- Department of Physical Therapy, Faculty of Medicine, University of Chile, Santiago 8370000, Chile;
| | - Ander Espin
- National Research Centre for the Working Environment, 2100 Copenhagen, Denmark; (R.N.-C.); (A.E.); (R.L.-B.); (J.V.); (M.D.J.); (L.L.A.)
- Ageing on Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), 48940 Leioa, Spain
- Biocruces Bizkaia Health Research Institute, 48903 Barakaldo, Spain
| | - Joaquín Calatayud
- National Research Centre for the Working Environment, 2100 Copenhagen, Denmark; (R.N.-C.); (A.E.); (R.L.-B.); (J.V.); (M.D.J.); (L.L.A.)
- Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, 46011 Valencia, Spain
| | - Sofía Pérez-Alenda
- Physiotherapy in Motion Multispeciality Research Group (PTinMOTION), Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain;
| | - Carlos Cruz-Montecinos
- Department of Physical Therapy, Faculty of Medicine, University of Chile, Santiago 8370000, Chile;
- Division of Research, Development and Innovation in Kinesiology, Kinesiology Unit, San José Hospital, Santiago 8370000, Chile
| | - Rubén López-Bueno
- National Research Centre for the Working Environment, 2100 Copenhagen, Denmark; (R.N.-C.); (A.E.); (R.L.-B.); (J.V.); (M.D.J.); (L.L.A.)
- Biocruces Bizkaia Health Research Institute, 48903 Barakaldo, Spain
- Department of Physical Medicine and Nursing, University of Zaragoza, 50009 Zaragoza, Spain
| | - Jonas Vinstrup
- National Research Centre for the Working Environment, 2100 Copenhagen, Denmark; (R.N.-C.); (A.E.); (R.L.-B.); (J.V.); (M.D.J.); (L.L.A.)
| | - Markus D. Jakobsen
- National Research Centre for the Working Environment, 2100 Copenhagen, Denmark; (R.N.-C.); (A.E.); (R.L.-B.); (J.V.); (M.D.J.); (L.L.A.)
| | - Lars Louis Andersen
- National Research Centre for the Working Environment, 2100 Copenhagen, Denmark; (R.N.-C.); (A.E.); (R.L.-B.); (J.V.); (M.D.J.); (L.L.A.)
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García-García J, Mañas A, González-Gross M, Espin A, Ara I, Ruiz JR, Ortega FB, Casajús JA, Rodriguez-Larrad A, Irazusta J. Physical activity, sleep, and mental health during the COVID-19 pandemic: A one-year longitudinal study of Spanish university students. Heliyon 2023; 9:e19338. [PMID: 37809454 PMCID: PMC10558350 DOI: 10.1016/j.heliyon.2023.e19338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Revised: 08/16/2023] [Accepted: 08/18/2023] [Indexed: 10/10/2023] Open
Abstract
The objective of this longitudinal study was to analyze changes in physical activity, sedentary time, sleep, anxiety, mood, and perceived health as a result of COVID-19 pandemic in a cohort of Spanish university students, both during the home confinement and one year after. Additionally, we analyzed the associations between physical activity, sedentary time, and other measured parameters. Data were collected through two online questionnaires that included the International Physical Activity Questionnaire-Short Form, the Pittsburgh Sleep Quality Index, and self-reported anxiety, mood, and perceived health levels before, during and one year after home confinement. Participants reported decreased physical activity, increased sedentary time, and deterioration in sleep quality and perceived health during confinement. Most parameters had improved one year later; however, the participants still reported less physical activity, more sedentary time, and deterioration in sleep quality and perceived health compared to before confinement. Men reported greater reduction of physical activity during home confinement than women. In contrast, women reported reduced physical activity one year after confinement, whereas men reported increased activity. Participants reported higher anxiety and worse mood both during and one year post-confinement compared to pre-confinement, with women reporting higher levels of anxiety than men. Sports science students were closer to regaining pre-pandemic levels of physical activity one year post-confinement than students in other disciplines. Sleep, anxiety, and mood were worse among students with obesity compared to students in other BMI categories. Overall, increased physical activity and decreased sedentary time were associated with less anxiety and better sleep, mood, and perceived health during and one year post-confinement. In conclusion, our results demonstrate that physical activity, sedentary behavior, sleep, anxiety, mood, and perceived health were disrupted one year after home confinement. Higher levels of physical activity and lower sedentary time were associated with preserved sleep and mental health during the pandemic.
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Affiliation(s)
- Julia García-García
- AgeingOn Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), Leioa, 48940, Spain
- Clinical Nursing and Community Health Research Group, Biocruces Bizkaia Health Research Institute, Barakaldo, 48903, Spain
| | - Asier Mañas
- GENUD Toledo Research Group, Department of Physical Activity and Sport Sciences, Universidad de Castilla-La Mancha, Toledo, 45071, Spain
- CIBER of Frailty and Healthy Aging (CIBERFES), Instituto de Salud Carlos III, Madrid, 28029, Spain
- Instituto de Investigación Sanitaria de Castilla- La Mancha (IDISCAM), Junta de Comunidades de Castilla- La Mancha (JCCM), Castilla- La Mancha, 45004, Spain
- Center UCM- ISCIII for Human Evolution and Behavior, Madrid, 28029, Spain
- Didactics of Languages, Arts and Physical Education Department, Faculty of Education, Complutense University of Madrid, Madrid, 28040, Spain
| | - Marcela González-Gross
- ImFINE Research Group, Department of Health and Human Performance, Universidad Politécnica de Madrid, Madrid, 28040, Spain
- CIBEROBN Physiopathology of Obesity and Nutrition, Instituto de Salud Carlos III, Madrid, 28029, Spain
| | - Ander Espin
- AgeingOn Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), Leioa, 48940, Spain
- Clinical Nursing and Community Health Research Group, Biocruces Bizkaia Health Research Institute, Barakaldo, 48903, Spain
| | - Ignacio Ara
- GENUD Toledo Research Group, Department of Physical Activity and Sport Sciences, Universidad de Castilla-La Mancha, Toledo, 45071, Spain
- CIBER of Frailty and Healthy Aging (CIBERFES), Instituto de Salud Carlos III, Madrid, 28029, Spain
- Instituto de Investigación Sanitaria de Castilla- La Mancha (IDISCAM), Junta de Comunidades de Castilla- La Mancha (JCCM), Castilla- La Mancha, 45004, Spain
| | - Jonatan R. Ruiz
- Department of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health University Research Institute (iMUDS), University of Granada, Granada, 18071, Spain
- CIBEROBN Physiopathology of Obesity and Nutrition, Instituto de Salud Carlos III, Madrid, 28029, Spain
- Instituto de Investigación Biosanitaria, ibs.Granada, Granada, Spain
| | - Francisco B. Ortega
- Department of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health University Research Institute (iMUDS), University of Granada, Granada, 18071, Spain
- CIBEROBN Physiopathology of Obesity and Nutrition, Instituto de Salud Carlos III, Madrid, 28029, Spain
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - José Antonio Casajús
- CIBEROBN Physiopathology of Obesity and Nutrition, Instituto de Salud Carlos III, Madrid, 28029, Spain
- Department of Physiatry and Nursing, University of Zaragoza, Zaragoza, 50009, Spain
| | - Ana Rodriguez-Larrad
- AgeingOn Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), Leioa, 48940, Spain
- Clinical Nursing and Community Health Research Group, Biocruces Bizkaia Health Research Institute, Barakaldo, 48903, Spain
| | - Jon Irazusta
- AgeingOn Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), Leioa, 48940, Spain
- Clinical Nursing and Community Health Research Group, Biocruces Bizkaia Health Research Institute, Barakaldo, 48903, Spain
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Espin A, Irazusta J, Segovia Celaya I, Mosquera Lajas Á, González-Templado V, Rodriguez-Larrad A. Effects of a videoconference-based therapeutic exercise intervention on the musculoskeletal pain of eldercare workers: protocol for the ReViEEW randomized controlled trial. BMC Musculoskelet Disord 2023; 24:463. [PMID: 37280584 DOI: 10.1186/s12891-023-06584-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Accepted: 05/31/2023] [Indexed: 06/08/2023] Open
Abstract
BACKGROUND Prevalence of musculoskeletal pain is high among eldercare workers, and therapeutic exercise has shown to be effective for its management. Although telerehabilitation is an increasingly used alternative for delivering therapeutic exercise, no studies have assessed synchronous group telerehabilitation interventions for the management of musculoskeletal disorders. Thus, the aim of this article is to describe the protocol of a randomized controlled trial that will assess the effects of a videoconference-based group therapeutic exercise intervention on the musculoskeletal pain of eldercare workers. METHODS This multicenter trial will randomly assign 130 eldercare workers to either a control or experimental group. Participants in the control group will not receive any intervention, and participants in the experimental group will take part in a 12-week remote supervised videoconference-based intervention, consisting of 2 weekly 45-min group sessions. Each session will include 4 sets of 6 progressive resistance exercises for the lower limbs, upper limbs and trunk, performed with bodyweight and elastic bands at moderate-high intensity. Following the 12 weeks, participants in the experimental group will be provided with material for autonomously carry on the therapeutic exercises and advised to continue performing 2 weekly sessions on their own until a 48-week follow-up. Assessments will be performed at baseline, 12 and 48 weeks. Primary outcome will be average pain intensity in the low back during the last 7 days, measured by the 0-10 Numerical Rating Scale. Secondary outcomes will include additional measures of musculoskeletal pain, psycho-affective state, work-related variables, and physical fitness. DISCUSSION This will be the first trial, to our knowledge, assessing whether a remote delivery of a group therapeutic exercise intervention via videoconference is effective for reducing the musculoskeletal pain, improving the psycho-affective state and physical fitness, and enhancing the work-related parameters in eldercare workers. If successful, this study will provide innovative tools for implementing effective, scalable and affordable interventions to tackle musculoskeletal disorders in the workplace. It will also highlight the utility of telehealth, and address the importance of therapeutic exercise to manage musculoskeletal pain in a critical population for the future of the aging societies as it is the eldercare workers. TRIAL REGISTRATION The study protocol was prospectively registered at ClinicalTrials.gov (registration number: NCT05050526) on September 20, 2021.
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Affiliation(s)
- Ander Espin
- Ageing On Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), Leioa, Spain.
- Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.
| | - Jon Irazusta
- Ageing On Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), Leioa, Spain
- Biocruces Bizkaia Health Research Institute, Barakaldo, Spain
| | | | | | | | - Ana Rodriguez-Larrad
- Ageing On Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), Leioa, Spain
- Biocruces Bizkaia Health Research Institute, Barakaldo, Spain
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Espin A, García-García J, Latorre Erezuma U, Aiestaran M, Irazusta J, Rodriguez-Larrad A. Videoconference-Based Physical Performance Tests: Reliability and Feasibility Study. Int J Environ Res Public Health 2022; 19:ijerph19127109. [PMID: 35742358 PMCID: PMC9223237 DOI: 10.3390/ijerph19127109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Revised: 06/03/2022] [Accepted: 06/08/2022] [Indexed: 02/04/2023]
Abstract
Validated tools to evaluate physical performance remotely with real-time supervision are lacking. We assessed test−retest and inter-rater reliability, as well as the feasibility of carrying out the five-repetition sit-to-stand (5RSTS), kneeling push-up (KPU) and Shirado−Ito trunk flexor endurance (SIF) tests by 1:1 real-time videoconference. We also evaluated the correlation of these tests with measures of self-reported physical fitness, physical activity, health state and pain. A total of 96 healthy adults participated in the study (18−65 years). Relative and absolute reliabilities were assessed with the intraclass correlation coefficient (ICC) and standard error of measurement (SEM), respectively. Feasibility outcomes included testing duration, participant acceptability (1−5 Likert scale) and presence of adverse events. Self-reported measures were obtained with validated online questionnaires, and correlations were analyzed with Pearson’s partial correlation coefficients controlling for age. ICCs were excellent (>0.9), and SEMs were generally low (2.43−16.21%). The mean duration of all tests was <5 min, mean acceptability was ≥4.5, and adverse events were few. The KPU showed statistically significant correlations with various self-reported measures (p < 0.05). In conclusion, the 5RSTS, KPU and SIF were reliable and feasible when conducted by 1:1 real-time videoconference. This study provides a tool that could be logistically and economically advantageous.
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Affiliation(s)
- Ander Espin
- Ageing on Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), 48940 Leioa, Spain; (A.E.); (J.G.-G.); (U.L.E.); (M.A.); (A.R.-L.)
- Clinical Nursing and Community Health Research Group, Biocruces Bizkaia Health Research Institute, 48903 Barakaldo, Spain
| | - Julia García-García
- Ageing on Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), 48940 Leioa, Spain; (A.E.); (J.G.-G.); (U.L.E.); (M.A.); (A.R.-L.)
| | - Unai Latorre Erezuma
- Ageing on Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), 48940 Leioa, Spain; (A.E.); (J.G.-G.); (U.L.E.); (M.A.); (A.R.-L.)
- Clinical Nursing and Community Health Research Group, Biocruces Bizkaia Health Research Institute, 48903 Barakaldo, Spain
| | - Maialen Aiestaran
- Ageing on Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), 48940 Leioa, Spain; (A.E.); (J.G.-G.); (U.L.E.); (M.A.); (A.R.-L.)
| | - Jon Irazusta
- Ageing on Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), 48940 Leioa, Spain; (A.E.); (J.G.-G.); (U.L.E.); (M.A.); (A.R.-L.)
- Clinical Nursing and Community Health Research Group, Biocruces Bizkaia Health Research Institute, 48903 Barakaldo, Spain
- Correspondence:
| | - Ana Rodriguez-Larrad
- Ageing on Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), 48940 Leioa, Spain; (A.E.); (J.G.-G.); (U.L.E.); (M.A.); (A.R.-L.)
- Clinical Nursing and Community Health Research Group, Biocruces Bizkaia Health Research Institute, 48903 Barakaldo, Spain
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8
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Erezuma UL, Espin A, Torres-Unda J, Esain I, Irazusta J, Rodriguez-Larrad A. Use of a passive lumbar back exoskeleton during a repetitive lifting task: effects on physiologic parameters and intersubject variability. Int J Occup Saf Ergon 2021; 28:2377-2384. [PMID: 34608854 DOI: 10.1080/10803548.2021.1989179] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
Objectives. This study evaluated the effects of wearing the Laevo v2.56 exoskeleton (Laevo, The Netherlands) on physiological parameters related to working load and metabolic cost (MC) during a lifting task, explored the variability in exoskeleton performance among users and determined whether perceived discomfort negatively correlates with a reduction in MC. Methods. Twenty participants completed a 4-min repetitive lifting task with/without the exoskeleton. Respiratory gases, heart rate, blood lactate and ratings of perceived exertion and experienced discomfort were collected, and MC was calculated. Results. Wearing the exoskeleton significantly reduced MC and oxygen uptake during the lifting task by 4.8 and 3.8%, respectively. Workload reduction occurred in 65% of the participants. Conclusion. The Laevo v2.56 exoskeleton reduced MC and workload in a repetitive lifting task in a subject-dependent manner. Future studies should focus on identifying factors that could cause performance variability such as user-robot interaction forces.
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Affiliation(s)
- Unai Latorre Erezuma
- Department of Physiology, University of the Basque Country (UPV/EHU), Spain.,Biocruces Bizkaia Health Research Institute, Spain
| | - Ander Espin
- Department of Physiology, University of the Basque Country (UPV/EHU), Spain.,Biocruces Bizkaia Health Research Institute, Spain
| | - Jon Torres-Unda
- Department of Physiology, University of the Basque Country (UPV/EHU), Spain
| | - Izaro Esain
- Department of Physiology, University of the Basque Country (UPV/EHU), Spain
| | - Jon Irazusta
- Department of Physiology, University of the Basque Country (UPV/EHU), Spain.,Biocruces Bizkaia Health Research Institute, Spain
| | - Ana Rodriguez-Larrad
- Department of Physiology, University of the Basque Country (UPV/EHU), Spain.,Biocruces Bizkaia Health Research Institute, Spain
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9
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Rodríguez-Larrad A, Mañas A, Labayen I, González-Gross M, Espin A, Aznar S, Serrano-Sánchez JA, Vera-Garcia FJ, González-Lamuño D, Ara I, Carrasco-Páez L, Castro-Piñero J, Gómez-Cabrera MC, Márquez S, Tur JA, Gusi N, Benito PJ, Moliner-Urdiales D, Ruiz JR, Ortega FB, Jiménez-Pavón D, Casajús JA, Irazusta J. Impact of COVID-19 Confinement on Physical Activity and Sedentary Behaviour in Spanish University Students: Role of Gender. Int J Environ Res Public Health 2021; 18:E369. [PMID: 33418907 PMCID: PMC7825050 DOI: 10.3390/ijerph18020369] [Citation(s) in RCA: 74] [Impact Index Per Article: 24.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/01/2020] [Revised: 12/31/2020] [Accepted: 01/02/2021] [Indexed: 12/28/2022]
Abstract
During the COVID-19 pandemic, entire populations were instructed to live in home-confinement to prevent the expansion of the disease. Spain was one of the countries with the strictest conditions, as outdoor physical activity was banned for nearly two months. This study aimed to analyse the changes in physical activity and sedentary behaviours in Spanish university students before and during the confinement by COVID-19 with special focus on gender. We also analysed enjoyment, the tools used and motivation and impediments for doing physical activity. An online questionnaire, which included the International Physical Activity Questionnaire Short Form and certain "ad hoc" questions, was designed. Students were recruited by distributing an invitation through the administrative channels of 16 universities and a total of 13,754 valid surveys were collected. Overall, university students reduced moderate (-29.5%) and vigorous (-18.3%) physical activity during the confinement and increased sedentary time (+52.7%). However, they spent more time on high intensity interval training (HIIT) (+18.2%) and mind-body activities (e.g., yoga) (+80.0%). Adaptation to the confinement, in terms of physical activity, was handled better by women than by men. These results will help design strategies for each gender to promote physical activity and reduce sedentary behaviour during confinement periods.
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Affiliation(s)
- Ana Rodríguez-Larrad
- AgeingOn Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), 48940 Leioa, Spain; (A.R.-L.); (A.E.)
| | - Asier Mañas
- GENUD Toledo Research Group, Department of Physical Activity and Sport Sciences, Universidad de Castilla-La Mancha, 45071 Toledo, Spain; (A.M.); (I.A.)
- CIBER of Frailty and Healthy Aging (CIBERFES), 28029 Madrid, Spain
| | - Idoia Labayen
- Department of Health Sciences, Institute for Innovation & Sustainable Development in Food Chain (IS-FOOD), Navarra Institute for Health Research (IdisNA), Public University of Navarra, Campus de Arrosadía, 31006 Pamplona, Spain;
| | - Marcela González-Gross
- Department of Health and Human Performance, Universidad Politécnica de Madrid, 28040 Madrid, Spain; (M.G.-G.); (P.J.B.)
| | - Ander Espin
- AgeingOn Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), 48940 Leioa, Spain; (A.R.-L.); (A.E.)
| | - Susana Aznar
- PAFS Research Group, Faculty of Sports Sciences, University of Castilla-La Mancha, 45071 Toledo, Spain;
| | - José Antonio Serrano-Sánchez
- Department of Physical Education, University of Las Palmas de Gran Canaria, 35017 Las Palmas de Gran Canaria, Spain;
- Research Institute of Biomedical and Health Sciences (IUIBS), 35016 Las Palmas de Gran Canaria, Spain
| | - Francisco J. Vera-Garcia
- Sports Research Centre, Department of Sport Sciences, Miguel Hernández University of Elche, 03202 Elche, Spain;
| | - Domingo González-Lamuño
- Department of Medical and Surgical Sciences, University of Cantabria, 39011 Santander, Spain;
| | - Ignacio Ara
- GENUD Toledo Research Group, Department of Physical Activity and Sport Sciences, Universidad de Castilla-La Mancha, 45071 Toledo, Spain; (A.M.); (I.A.)
- CIBER of Frailty and Healthy Aging (CIBERFES), 28029 Madrid, Spain
| | - Luis Carrasco-Páez
- Department of Physical Education and Sports, University of Seville, 41013 Sevilla, Spain;
| | - José Castro-Piñero
- GALENO Research Group, Department of Physical Education, Faculty of Education Sciences, University of Cadiz, 11519 Puerto Real, Spain;
- Biomedical Research and Innovation Institute of Cadiz (INiBICA) Research Unit, 11009 Cádiz, Spain;
| | - Mari Carmen Gómez-Cabrera
- Freshage Research Group, Department of Physiology, Faculty of Medicine, University of Valencia, 46010 Valencia, Spain;
- CIBERFES, Fundación Investigación Hospital Clínico Universitario/INCLIVA, 46010 Valencia, Spain
| | - Sara Márquez
- Institute of Biomedicine (IBIOMED), University of León, 24071 León, Spain;
| | - Josep A. Tur
- Research Group on Community Nutrition and Oxidative Stress, Fundamental Biology and Health Sciences, University of the Balearic Islands, IDISBA & CIBEROBN, 07122 Palma, Spain;
| | - Narcis Gusi
- Department of Didactics of Musical, Plastic and Body Expression, Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain;
| | - Pedro J. Benito
- Department of Health and Human Performance, Universidad Politécnica de Madrid, 28040 Madrid, Spain; (M.G.-G.); (P.J.B.)
| | - Diego Moliner-Urdiales
- LIFE Research Group, Department of Education and Specific Didactics, University Jaume I, 12071 Castelló de la Plana, Spain;
| | - Jonatan R. Ruiz
- PROFITH “PROmoting FITness and Health through Physical Activity” Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, 18071 Granada, Spain; (J.R.R.); (F.B.O.)
| | - Francisco B. Ortega
- PROFITH “PROmoting FITness and Health through Physical Activity” Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, 18071 Granada, Spain; (J.R.R.); (F.B.O.)
| | - David Jiménez-Pavón
- Biomedical Research and Innovation Institute of Cadiz (INiBICA) Research Unit, 11009 Cádiz, Spain;
- MOVE-IT Research Group, Department of Physical Education, Faculty of Education Sciences, University of Cádiz, 11519 Puerto Real, Spain
| | - José Antonio Casajús
- Department of Physiatry and Nursing, University of Zaragoza, 50009 Zaragoza, Spain;
| | - Jon Irazusta
- AgeingOn Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), 48940 Leioa, Spain; (A.R.-L.); (A.E.)
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