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Soler-Font M. INTEVAL, an example of effective intervention for musculoskeletal pain in the workplace. Arch Prev Riesgos Labor 2023; 26:252-258. [PMID: 37859488 DOI: 10.12961/aprl.2023.26.04.01] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Accepted: 09/21/2023] [Indexed: 10/21/2023] Open
Abstract
The World Health Organization considers the workplace as one of the best contexts for the prevention and control of non-communicable diseases. Implementing combined and de-medicalised interventions in Occupational Health Services (OHS) in a sustainable way over time can facilitate access to early detection, and management of musculoskeletal pain at work and improve workers' health. However, developing and implementing such interventions is challenging. Therefore, it is necessary to share previous interventions that describe both implementation and evaluation, in order to be used as practical examples that can inspire different OHS to implement sustainable interventions….
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Affiliation(s)
- Merce Soler-Font
- Health Technology Assessment in Primary Care and Mental Health (PRISMA) Research Group, Institut de Recerca Sant Joan de Deu, Barcelona, Spain.
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Davies K, Weale V, Oakman J. A participatory ergonomics intervention to re-design work and improve the musculoskeletal health of paramedics: protocol for a cluster randomised controlled trial. BMC Musculoskelet Disord 2023; 24:716. [PMID: 37684666 PMCID: PMC10485987 DOI: 10.1186/s12891-023-06834-8] [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] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Accepted: 08/25/2023] [Indexed: 09/10/2023] Open
Abstract
BACKGROUND In this paper, we present the protocol for a cluster randomised controlled trial to evaluate the effectiveness and implementation of a participative risk management intervention to address work-related musculoskeletal disorders (WMSDs). The aims of the study include to evaluate the implementation process and the impact of the intervention on work related musculoskeletal pain and discomfort and exposure to physical and psychosocial hazards in paramedics over a 12-month period. METHODS The intervention in this study is to implement A Participative Hazard Identification and Risk Management (APHIRM) toolkit in an ambulance service. Eighteen work groups containing eligible participants (registered paramedics) will be randomised into the intervention or wait-list control arm in one of three rolling recruitment periods. The APHIRM toolkit survey will be offered at baseline and 12 months later, to all current eligible participants in each work group allocated to the trial. The intervention work groups will receive the remainder of the APHIRM toolkit procedures. Identifying data about individual participants will not be collected in the survey, to protect participant privacy and encourage participation. Changes in primary (musculoskeletal pain and discomfort) and secondary (exposure to physical and psychosocial hazards at work) outcomes measured in the survey will be analysed comparing the baseline and follow up response of the cluster. A process evaluation is included to analyse the implementation and associated barriers or facilitators. DISCUSSION This study is important in providing a comprehensive approach which focusses on both physical and psychosocial hazards using worker participation, to address WMSDs, a well-known and significant problem for ambulance services. The effectiveness of the intervention in work groups will be rigorously evaluated. If significant positive results are observed, the intervention may be adopted in ambulance services, both nationally and internationally. TRIAL REGISTRATION ISRCTN77150219. Registered 21 November 2021.
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Affiliation(s)
- Karen Davies
- Centre for Ergonomics and Human Factors, School of Psychology and Public Health, La Trobe University, Bundoora, VIC, Australia.
- Queensland Ambulance Service, Brisbane, QLD, Australia.
| | - Victoria Weale
- Centre for Ergonomics and Human Factors, School of Psychology and Public Health, La Trobe University, Bundoora, VIC, Australia
| | - Jodi Oakman
- Centre for Ergonomics and Human Factors, School of Psychology and Public Health, La Trobe University, Bundoora, VIC, Australia
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Beaudoin FL, Gaither R, DeLomba WC, McLean SA. Tolerability and efficacy of duloxetine for the prevention of persistent musculoskeletal pain after trauma and injury: a pilot three-group randomized controlled trial. Pain 2023; 164:855-863. [PMID: 36375173 PMCID: PMC10014491 DOI: 10.1097/j.pain.0000000000002782] [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] [Received: 06/27/2022] [Accepted: 08/30/2022] [Indexed: 11/15/2022]
Abstract
ABSTRACT This study investigated the tolerability and preliminary efficacy of duloxetine as an alternative nonopioid therapeutic option for the prevention of persistent musculoskeletal pain (MSP) among adults presenting to the emergency department with acute MSP after trauma or injury. In this randomized, double-blind, placebo-controlled study, eligible participants (n = 78) were randomized to 2 weeks of a daily dose of one of the following: placebo (n = 27), 30 mg duloxetine (n = 24), or 60 mg duloxetine (n = 27). Tolerability, the primary outcome, was measured by dropout rate and adverse effects. Secondary outcomes assessed drug efficacy as measured by (1) the proportion of participants with moderate to severe pain (numerical rating scale ≥ 4) at 6 weeks (pain persistence); and (2) average pain by group over the six-week study period. We also explored treatment effects by type of trauma (motor vehicle collision [MVC] vs non-MVC). In both intervention groups, duloxetine was well tolerated and there were no serious adverse events. There was a statistically significant difference in pain over time for the 60 mg vs placebo group ( P = 0.03) but not for the 30 mg vs placebo group ( P = 0.51). In both types of analyses, the size of the effect of duloxetine was larger in MVC vs non-MVC injury. Consistent with the role of stress systems in the development of chronic pain after traumatic stress, our data indicate duloxetine may be a treatment option for reducing the transition from acute to persistent MSP. Larger randomized controlled trials are needed to confirm these promising results.
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Affiliation(s)
- Francesca L. Beaudoin
- Department of Epidemiology, Brown University School of Public Health, Providence, RI, United States
- Department of Emergency Medicine, The Alpert Medical School of Brown University, Providence, RI, United States
| | - Rachel Gaither
- Department of Epidemiology, Brown University School of Public Health, Providence, RI, United States
| | - Weston C. DeLomba
- Department of Emergency Medicine, The Alpert Medical School of Brown University, Providence, RI, United States
| | - Samuel A. McLean
- Department of Psychiatry, University of North Carolina, Chapel Hill, NC, United States
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Lampe D, Deml B. Increasing physical activity in the vehicle with an interactive seating system in a male sample. Ergonomics 2023; 66:536-553. [PMID: 35876479 DOI: 10.1080/00140139.2022.2098384] [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] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Accepted: 06/29/2022] [Indexed: 06/15/2023]
Abstract
An interactive seating system (IASS) was compared to a state-of-the-art massage seating system (MS) regarding the potential of reducing health risks from prolonged sitting in the vehicle. The study investigated if the systems (1) increase heart rate, which is associated with reduced metabolic and cardiovascular risks; (2) activate muscles with the potential to reduce musculoskeletal pain; (3) influence seating comfort and discomfort. The systems were compared in a passenger scenario in a laboratory study (30 male subjects). Only the use of the IASS significantly elevated the heart rate. Muscle activity showed tendencies to increase in the lower back only while using the MS. In comparison, the IASS activated all six captured muscles. Significantly less discomfort was found for the IASS compared to the MS. In comparison to the MS, the IASS showed a substantially higher potential for reducing health risks from static sitting in the vehicle.Practitioner summary: This laboratory study compared the effects of a novel automotive interactive seating system with those of a state-of-the-art massage seating system. Muscle activity, heart rate and discomfort indicated that the IASS has a significantly higher potential to reduce health risks associated with static seating in a vehicle.Abbreviations: AB: air bladder; AC: active condition; ADSS: active dynamic seating system; CLBP: chronic lumbar back pain; ECG: electrocardiography; EMG: electromyography; IASS: interactive seating system; MS: massage seating system; PC: passive condition; PDSS: passive dynamic seating system; RMS: rootmean-square; TI: time interval.
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Affiliation(s)
- Dario Lampe
- Mercedes-Benz AG, Boeblingen, Germany
- Institute of Human and Industrial Engineering (IFAB), Karlsruhe Institute of Technology (KIT), Karlsruhe, Germany
| | - Barbara Deml
- Institute of Human and Industrial Engineering (IFAB), Karlsruhe Institute of Technology (KIT), Karlsruhe, Germany
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Kim E, Jo E, Han G. Effects of stretching intervention on musculoskeletal pain in dental professionals. J Occup Health 2023; 65:e12413. [PMID: 37347801 PMCID: PMC10287045 DOI: 10.1002/1348-9585.12413] [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: 03/06/2023] [Revised: 05/05/2023] [Accepted: 05/27/2023] [Indexed: 06/24/2023] Open
Abstract
OBJECTIVE This study aimed to quantitatively confirm the effects of dental specialists' work and stretching on musculoskeletal pain. METHODS The pain pressure threshold was divided into five parts (neck, shoulder, trunk, lower back, and hand/arm) of the upper body and measured at 15 muscle trigger points. The pain pressure threshold before and after work was measured, and 30 min of stretching and rest were stipulated as an intervention. RESULTS The pain pressure thresholds reduced significantly in all muscles after work (P < .05). In the stretching group, the pain pressure thresholds increased significantly in all muscles (P < .05). In particular, the iliocostalis lumborum (lower back), rhomboid (trunk), transverse carpal ligament (hand/arm), levator scapulae-superior angle (neck), and upper trapezius (shoulder) muscles showed the greatest decrease in pain pressure threshold after work and the greatest increase after stretching. CONCLUSIONS Stretching helps immediately relieve musculoskeletal pain in dental professionals and can prevent and manage work-related musculoskeletal disorders.
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Affiliation(s)
- Eun‐Sol Kim
- Department of Health ScienceGraduate School of Gachon UniversityIncheonRepublic of Korea
| | - Eun‐Deok Jo
- Department of Dental Hygiene, College of Health ScienceGachon UniversityIncheonRepublic of Korea
| | - Gyeong‐Soon Han
- Department of Health ScienceGraduate School of Gachon UniversityIncheonRepublic of Korea
- Department of Dental Hygiene, College of Health ScienceGachon UniversityIncheonRepublic of Korea
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Sabbagh HJ, Shagagi AM, Basheer HM, Mahmoud RA, Arafah AM. Effect of ergonomics awareness in controlling work-related musculoskeletal-pain among dental students: A cross-sectional study. Work 2023; 76:1125-1133. [PMID: 37182853 DOI: 10.3233/wor-220601] [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] [Indexed: 05/16/2023] Open
Abstract
BACKGROUND Dentistry is a profession that demands a high level of physical work and excessive repetitive movements in strained positions, both of which are risk factors for developing musculoskeletal pain (MS-P). OBJECTIVE This study aims to assess the awareness of ergonomics and physical activities in controlling MS-P among dental students. METHODS A cross-sectional study conducted at a university dental hospital in Saudi Arabia, through a validated self-administered questionnaire, distributed to undergraduates and postgraduate's dental students. RESULTS Out of 402 students responded to the questionnaire, 337(83.8%) reported suffering from MS-P with 67.7% of participants did not take any measures to alleviate their symptoms and the majority reported limited physical activity. Females reported significantly higher MS-P than males. Lower back (56.5%), neck (56.2%) and shoulder (50%) were the most frequently reported MS-P. Unexpectedly, undergraduate reporting significantly more pain than interns and postgraduate students (P = 0.009). The dental students' awareness of ergonomics and MSDs were insufficient. CONCLUSION Physical activity, student's awareness of MSD and ergonomics were the major factors for controlling MS-Ps. Therefore, this study highlights the importance of enhancing students' knowledge of the importance of controlling work-related MS-P, especially during their university educational hours.
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Affiliation(s)
- Heba Jafar Sabbagh
- Department of Pediatric Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Asma M Shagagi
- Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Hanin M Basheer
- Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Rawa A Mahmoud
- Rehabilitation Department, International Medical Center, Jeddah, Saudi Arabia
| | - Alaa Mohammad Arafah
- Department of Occupational Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah, Saudi Arabia
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Tjosvoll SO, Seeberg TM, Fimland MS, Wiggen Ø, Jahren SE. Classification of kneeling and squatting in workers wearing protective equipment: development and validation of a rule-based model using wireless triaxial accelerometers. Ergonomics 2022; 65:1410-1420. [PMID: 35133239 DOI: 10.1080/00140139.2022.2039410] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/23/2021] [Accepted: 02/01/2022] [Indexed: 06/14/2023]
Abstract
Several professions in industries, such as petroleum, manufacturing, construction, mining, and forestry require prolonged work tasks in awkward postures, increasing workers' risks for musculoskeletal pain and injury. Therefore, we developed and validated a rule-based model for classifying unilateral and bilateral kneeling and squatting based on 15 individuals wearing personal protective equipment and using three wireless triaxial accelerometers. The model provided both high sensitivity and specificity for classifying kneeling (0.98; 0.98) and squatting (0.96; 0.91). Hence, this model has the potential to contribute to increased knowledge of physical work demands and exposure thresholds in working populations with strict occupational safety regulations. Practitioner summary: Our results indicate that this rule-based model can be applied in a human-factors perspective enabling high-quality quantitative information in the classification of occupational kneeling and squatting, known risk factors for musculoskeletal pain, and sick leave. This study is adapted for working populations wearing personal protective equipment and aimed for long-term measurements in the workplace.
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Affiliation(s)
- Svein O Tjosvoll
- Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, NTNU Norwegian University of Science and Technology, Trondheim, Norway
| | - Trine M Seeberg
- Smart Sensor Systems, SINTEF Digital, SINTEF AS, Oslo, Norway
| | - Marius S Fimland
- Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, NTNU Norwegian University of Science and Technology, Trondheim, Norway
- Unicare Helsefort Rehabilitation Centre, Rissa, Norway
| | | | - Silje E Jahren
- Smart Sensor Systems, SINTEF Digital, SINTEF AS, Oslo, Norway
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Arippa F, Nguyen A, Pau M, Harris-Adamson C. Postural strategies among office workers during a prolonged sitting bout. Appl Ergon 2022; 102:103723. [PMID: 35245695 DOI: 10.1016/j.apergo.2022.103723] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Revised: 02/18/2022] [Accepted: 02/22/2022] [Indexed: 06/14/2023]
Abstract
Sedentary behavior has increased steadily over prior decades, primarily due to increased computer use at work and at home. The total sedentary time per day has been associated with increased risk of cardiometabolic diseases; increased sitting time at work has been associated with musculoskeletal discomfort particularly in the low back. Office workers spend many hours sitting, thus efforts to increase movement through changes of posture (sit to stand) or moving while sitting have been proposed as ways to mitigate the negative effects of prolonged sitting. Yet, few studies have investigated differences in the movement patterns of office workers while sitting performing their actual work. Therefore, the aim of this study was to characterize movement patterns during a prolonged sitting bout and to determine their association with musculoskeletal pain. Twenty-eight office workers participated in this field study that used a pressure sensitive mat to quantify seat pan pressure (4 regions) and trunk sway parameters over a 2-hour bout of computer work. Data were stratified by breakers who stood up at least once within the 2-hour test and prolongers who remained sitting throughout the test. Overall, there was a decreasing trend in trunk sway parameters (mean COP position, sway path, sway area, sway velocity, maximum displacement, and in-chair movements) over time (p < 0.05), with significant changes in sitting strategies. There were significant differences in trunk sway parameters and perceived musculoskeletal discomfort between breakers and prolongers with breakers having more consistent movement while sitting over the prolonged sitting bout (p < 0.05) and lower discomfort ratings. This may indicate that interrupting prolonged bouts of sitting with short periods of standing can maintain sitting movement patterns and reduce the development of musculoskeletal discomfort. Trunk sway monitoring and promoting periodic standing may be useful tools for maintaining in chair movements that may reduce or prevent the onset of musculoskeletal discomfort during prolonged sitting.
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Affiliation(s)
- Federico Arippa
- Department of Mechanical, Chemical and Materials Engineering, University of Cagliari, Italy.
| | - Athena Nguyen
- School of Public Health, University of California, Berkeley, CA, USA.
| | - Massimiliano Pau
- Department of Mechanical, Chemical and Materials Engineering, University of Cagliari, Italy.
| | - Carisa Harris-Adamson
- School of Public Health, University of California, Berkeley, CA, USA; Department of Medicine, University of California, San Francisco, CA, USA.
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Roberts KE, Adsett IT, Rickett K, Conroy SM, Chatfield MD, Woodward NE. Systemic therapies for preventing or treating aromatase inhibitor-induced musculoskeletal symptoms in early breast cancer. Cochrane Database Syst Rev 2022; 1:CD013167. [PMID: 35005781 PMCID: PMC8743877 DOI: 10.1002/14651858.cd013167.pub2] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
BACKGROUND Adjuvant aromatase inhibitors (AI) improve survival compared to tamoxifen in postmenopausal women with hormone receptor-positive stage I to III breast cancer. In approximately half of these women, AI are associated with aromatase inhibitor-induced musculoskeletal symptoms (AIMSS), often described as symmetrical pain and soreness in the joints, musculoskeletal pain and joint stiffness. AIMSS may have significant and prolonged impact on women's quality of life. AIMSS reduces adherence to AI therapy in up to a half of women, potentially compromising breast cancer outcomes. Differing systemic therapies have been investigated for the prevention and treatment of AIMSS, but the effectiveness of these therapies remains unclear. OBJECTIVES To assess the effects of systemic therapies on the prevention or management of AIMSS in women with stage I to III hormone receptor-positive breast cancer. SEARCH METHODS We searched CENTRAL, MEDLINE, Embase, WHO International Clinical Trials Registry Platform (ICTRP) and Clinicaltrials.gov registries to September 2020 and the Cochrane Breast Cancer Group (CBCG) Specialised Register to March 2021. SELECTION CRITERIA: We included all randomised controlled trials that compared systemic therapies to a comparator arm. Systemic therapy interventions included all pharmacological therapies, dietary supplements, and complementary and alternative medicines (CAM). All comparator arms were allowed including placebo or standard of care (or both) with analgesia alone. Published and non-peer-reviewed studies were eligible. DATA COLLECTION AND ANALYSIS Two review authors independently screened studies, extracted data, and assessed risk of bias and certainty of the evidence using the GRADE approach. Outcomes assessed were pain, stiffness, grip strength, safety data, discontinuation of AI, health-related quality of life (HRQoL), breast cancer-specific quality of life (BCS-QoL), incidence of AIMSS, breast cancer-specific survival (BCSS) and overall survival (OS). For continuous outcomes, we used vote-counting by reporting how many studies reported a clinically significant benefit within the confidence intervals (CI) of the mean difference (MD) between treatment arms, as determined by the minimal clinically importance difference (MCID) for that outcome scale. For dichotomous outcomes, we reported outcomes as a risk ratio (RR) with 95% CI. MAIN RESULTS We included 17 studies with 2034 randomised participants. Four studies assessed systemic therapies for the prevention of AIMSS and 13 studies investigated treatment of AIMSS. Due to the variation in systemic therapy studies, including pharmacological, and CAM, or unavailable data, meta-analysis was limited, and only two trials were combined for meta-analysis. The certainty of evidence for all outcomes was either low or very low certainty. Prevention studies The evidence is very uncertain about the effect of systemic therapies on pain (from baseline to the end of the intervention; 2 studies, 183 women). The two studies, investigating vitamin D and omega-3 fatty acids, showed a treatment effect with 95% CIs that did not include an MCID for pain. Systemic therapies may have little to no effect on grip strength (RR 1.08, 95% CI 0.37 to 3.17; 1 study, 137 women) or on women continuing to take their AI (RR 0.16, 95% 0.01 to 2.99; 1 study, 147 women). The evidence suggests little to no effect on HRQoL and BCS-QoL from baseline to the end of intervention (the same single study; 44 women, both quality of life outcomes showed a treatment effect with 95% CIs that did include an MCID). The evidence is very uncertain for outcomes assessing incidence of AIMSS (RR 0.82, 95% CI 0.63 to 1.06; 2 studies, 240 women) and the safety of systemic therapies (4 studies, 344 women; very low-certainty evidence). One study had a US Food and Drug Administration alert issued for the intervention (cyclo-oxygenase-2 inhibitor) during the study, but there were no serious adverse events in this or any study. There were no data on stiffness, BCSS or OS. Treatment studies The evidence is very uncertain about the effect of systemic therapies on pain from baseline to the end of intervention in the treatment of AIMSS (10 studies, 1099 women). Four studies showed an MCID in pain scores which fell within the 95% CI of the measured effect (vitamin D, bionic tiger bone, Yi Shen Jian Gu granules, calcitonin). Six studies showed a treatment effect with 95% CI that did not include an MCID (vitamin D, testosterone, omega-3 fatty acids, duloxetine, emu oil, cat's claw). The evidence was very uncertain for the outcomes of change in stiffness (4 studies, 295 women), HRQoL (3 studies, 208 women) and BCS-QoL (2 studies, 147 women) from baseline to the end of intervention. The evidence suggests systemic therapies may have little to no effect on grip strength (1 study, 107 women). The evidence is very uncertain about the safety of systemic therapies (10 studies, 1250 women). There were no grade four/five adverse events reported in any of the studies. The study of duloxetine reported more all-grade adverse events in this treatment group than comparator group. There were no data on the incidence of AIMSS, the number of women continuing to take AI, BCCS or OS from the treatment studies. AUTHORS' CONCLUSIONS AIMSS are chronic and complex symptoms with a significant impact on women with early breast cancer taking AI. To date, evidence for safe and effective systemic therapies for prevention or treatment of AIMSS has been minimal. Although this review identified 17 studies with 2034 randomised participants, the review was challenging due to the heterogeneous systemic therapy interventions and study methodologies, and the unavailability of certain trial data. Meta-analysis was thus limited and findings of the review were inconclusive. Further research is recommended into systemic therapy for AIMSS, including high-quality adequately powered RCT, comprehensive descriptions of the intervention/placebo, and robust definitions of the condition and the outcomes being studied.
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Affiliation(s)
- Kate E Roberts
- Department of Medical Oncology, Princess Alexandra Hospital, Woolloongabba, Australia
- School of Clinical Medicine, Mater Clinical Unit, Mater Hospital, University of Queensland, South Brisbane, Australia
| | | | - Kirsty Rickett
- The University of Queensland Library, UQ/Mater McAuley Library, Brisbane, Australia
| | | | - Mark D Chatfield
- Centre for Health Services Research, The University of Queensland, Woolloongabba, Australia
| | - Natasha E Woodward
- School of Clinical Medicine, Mater Clinical Unit, Mater Hospital, University of Queensland, South Brisbane, Australia
- Department of Medical Oncology, Mater Misericordiae Ltd, South Brisbane, Australia
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Schmidt KG, Holtermann A, Jørgensen MB, Svendsen MJ, Rasmussen CDN. Developing a practice and evidence-based guideline for occupational health and safety professionals to prevent and handle musculoskeletal pain in workplaces. Appl Ergon 2021; 97:103520. [PMID: 34246072 DOI: 10.1016/j.apergo.2021.103520] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/12/2021] [Revised: 05/21/2021] [Accepted: 06/22/2021] [Indexed: 06/13/2023]
Abstract
Practice guidelines can facilitate the translation of evidence-based knowledge into better occupational health and safety (OHS) prevention. This paper describes the development process, findings and content of a practice and evidence-based guideline for musculoskeletal pain (MSP) to OHS professionals in Denmark. We used a participatory process with involvement of more than 100 OHS professionals in the development of the guideline. The guideline contains three sections: 1) Rapid review of risk factors for MSP (Push/pull, Screen work, Lifting, Awkward postures and Psychosocial factors related to MSP) and single- and multi-stranded interventions targeting MSP. 2) Process recommendations for use of the guideline by a three-phase participatory process 3) Practical recommendations that contain advice and methods for the three-phase participatory process. This paper can promote future guideline development, as it provides specific insight into how OHS professionals can be included in the development of practice and evidence-based guideline through a participatory process.
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Affiliation(s)
- Kathrine Greby Schmidt
- National Research Centre for the Working Environment, Lersø Parkallé 105, 2100, Copenhagen Ø, Denmark.
| | - Andreas Holtermann
- National Research Centre for the Working Environment, Lersø Parkallé 105, 2100, Copenhagen Ø, Denmark; Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark
| | - Marie Birk Jørgensen
- Health and Safety, Municipality of Copenhagen, Enghavevej 82, 2450, Copenhagen, SV, Denmark
| | - Malene Jagd Svendsen
- National Research Centre for the Working Environment, Lersø Parkallé 105, 2100, Copenhagen Ø, Denmark; Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark
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Kwon S, Lee SJ, de Castro AB, Herting JR, Bao S, Johnson K. Identifying an Optimal Cut-Off Point for Musculoskeletal Pain in the Upper Extremities to Prevent Lowered Work Performance. J Occup Environ Med 2021; 63:985-991. [PMID: 34739442 DOI: 10.1097/jom.0000000000002292] [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: 10/21/2022]
Abstract
OBJECTIVE This study identified when musculoskeletal pain (MSP) in the upper extremities indicates lowered work performance to gauge when secondary prevention of musculoskeletal disorders is needed. METHODS Seven hundred thirty-three subjects from 12 manufacturing or healthcare facilities in Washington state participated. Work performance was measured by the Disabilities of the Arm, Shoulder and Hand work module (DASH-Work). Each DASH-Work score was compared to the mean among U.S. workers to determine if workers had lowered work performance. ROC curve analysis was conducted to find the cut-off in a composite MSP index (summing MSP intensities in shoulders, elbows/forearms, and hands/wrists; range 0 to 24) to detect lowered work performance. RESULTS The MSP index score of 2 achieved the best balance between sensitivity (0.79) and specificity (0.69) in detecting lowered work performance. CONCLUSIONS To prevent reduced work performance, moderate or multisite pain may require proper management.
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Affiliation(s)
- Suyoung Kwon
- University of Washington, Seattle, Washington (Dr Kwon, Dr de Castro, Dr Herting, and Dr Johnson); University of California San Francisco, San Francisco, California (Dr Lee); Safety and Health Assessment and Research for Prevention (SHARP) Program, Washington State Department of Labor and Industries, Olympia, Washington (Dr Bao)
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Bellosta-López P, Domenech-Garcia V, Palsson TS, Christensen SW, Silva PDB, Langella F, Berjano P, Jensen PS, Riis A, Baroncini A, Blasco-Abadía J, Jiménez-Sánchez C, Calvo S, Jaén-Carrillo D, Herrero P, Hoegh M. European knowledge alliance for innovative measures in prevention of work-related musculoskeletal pain disorders (Prevent4Work Project): protocol for an international mixed-methods longitudinal study. BMJ Open 2021; 11:e052602. [PMID: 34521678 PMCID: PMC8442076 DOI: 10.1136/bmjopen-2021-052602] [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] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
INTRODUCTION Work-related musculoskeletal (MSK) pain is a highly prevalent condition and one of the main contributors to disability and loss of work capacity. Current approaches to the management and prevention of work-related MSK pain do not consistently integrate current evidence-based knowledge and seem to be outdated. The Prevent4Work (P4W) Project aims to collect and spread evidence-based information to improve the management and prevention of work-related MSK pain. P4W will longitudinally investigate (1) risk factors associated with the prevalence of work-related MSK pain, (2) predictive factors for new events of work-related MSK pain in the short term and (3) the modification of pain beliefs after participating in evidence-based e-learning courses. METHODS AND ANALYSIS This project employs a mixed-methods design with international cohorts of workers from Spain, Italy and Denmark. All participants will be assessed using self-reported variables at baseline (ie, cross-sectional design) with follow-up after 3 and 6 months (ie, prospective-predictive design). Throughout the first phase (0-3 months), all participants will be offered to self-enrol in e-learning courses on work-related MSK pain. Changes in pain beliefs (if any) will be assessed. The dataset will include sociodemographic characteristics, physical and psychological job demands, lifestyle-related factors, MSK pain history and pain beliefs. At baseline, all participants will additionally complete the P4W questionnaire developed to detect populations at high risk of suffering work-related MSK pain.Descriptive statistics, binary logistic regression, and analysis of variance will be used to identify the significant factors that influence the history of work-related MSK pain, evaluate the short-term prediction capacity of the P4W questionnaire, and investigate whether workers' participation in e-learning courses will modify their pain beliefs. ETHICS AND DISSEMINATION The study received ethical approval from the Ethical Committee of San Jorge University (USJ011-19/20). The results will be made available via peer-reviewed publications, international conferences and P4W official channels.
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Affiliation(s)
| | | | | | - Steffan Wittrup Christensen
- Department of Health Science and Technology, Aalborg University, Aalborg, Denmark
- Department of Physiotherapy, University College of Northern Denmark, Aalborg, Denmark
| | | | - Francesco Langella
- Orthopedic and Traumatology, IRCCS Galeazzi Orthopedic Institute, Milan, Italy
| | - Pedro Berjano
- Orthopedic and Traumatology, IRCCS Galeazzi Orthopedic Institute, Milan, Italy
| | - Palle Schlott Jensen
- Department of Physiotherapy, University College of Northern Denmark, Aalborg, Denmark
| | - Allan Riis
- Department of Physiotherapy, University College of Northern Denmark, Aalborg, Denmark
| | - Alice Baroncini
- Orthopedic and Traumatology, IRCCS Galeazzi Orthopedic Institute, Milan, Italy
| | - Julia Blasco-Abadía
- Department of Physiotherapy, San Jorge University, Villanueva de Gallego, Spain
| | | | - Sandra Calvo
- Department of Physiotherapy, San Jorge University, Villanueva de Gallego, Spain
| | - Diego Jaén-Carrillo
- Department of Physiotherapy, San Jorge University, Villanueva de Gallego, Spain
| | - Pablo Herrero
- Physiatry and Nursing, Zaragoza University, Zaragoza, Spain
| | - Morten Hoegh
- Department of Health Science and Technology, Aalborg University, Aalborg, Denmark
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Hawk C, Amorin-Woods L, Evans MW, Whedon JM, Daniels CJ, Williams RD, Parkin-Smith G, Taylor DN, Anderson D, Farabaugh R, Walters SA, Schielke A, Minkalis AL, Crivelli LS, Alpers C, Hinkeldey N, Hoang J, Caraway D, Whalen W, Cook J, Redwood D. The Role of Chiropractic Care in Providing Health Promotion and Clinical Preventive Services for Adult Patients with Musculoskeletal Pain: A Clinical Practice Guideline. J Altern Complement Med 2021; 27:850-867. [PMID: 34314609 DOI: 10.1089/acm.2021.0184] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [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] [Indexed: 12/14/2022] Open
Abstract
Objective: To develop evidence-based recommendations on best practices for delivery of clinical preventive services by chiropractors and to offer practical resources to empower provider applications in practice. Design: Clinical practice guideline based on evidence-based recommendations of a panel of practitioners and experts on clinical preventive services. Methods: Synthesizing the results of a literature search for relevant clinical practice guidelines and systematic reviews, a multidisciplinary steering committee with training and experience in health promotion, clinical prevention, and/or evidence-based chiropractic practice drafted a set of recommendations. A Delphi panel of experienced practitioners and faculty, primarily but not exclusively chiropractors, rated the recommendations by using the formal consensus methodology established by the RAND Corporation/University of California. Results: The Delphi consensus process was conducted during January-February 2021. The 65-member Delphi panel reached a high level of consensus on appropriate application of clinical preventive services for screening and health promotion counseling within the chiropractic scope of practice. Interprofessional collaboration for the successful delivery of clinical preventive services was emphasized. Recommendations were made on primary, secondary, tertiary, and quaternary prevention of musculoskeletal pain. Conclusions: Application of this guideline in chiropractic practice may facilitate consistent and appropriate use of screening and preventive services and foster interprofessional collaboration to promote clinical preventive services and contribute to improved public health.
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Affiliation(s)
- Cheryl Hawk
- Texas Chiropractic College, Pasadena, Texas, USA
| | | | - Marion W Evans
- University of Southern Mississippi, Hattiesburg, Mississippi, USA
| | - James M Whedon
- Southern California University of Health Sciences, Whittier, California, USA
| | | | | | | | | | - Derek Anderson
- VA Puget Sound Health Care System American Lake Division, Tacoma, Washington, USA
| | | | | | | | | | | | | | | | | | | | | | - Jason Cook
- VA Tennessee Valley Healthcare System, Nashville, Tennessee, USA
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Aldhafian OR, Alsamari FA, Alshahrani NA, Alajmi MN, Alotaibi AM, Nwihadh NB, Saleh AK. Musculoskeletal pain among male faculty members of the College of Medicine and College of Dentistry. Medicine (Baltimore) 2021; 100:e26176. [PMID: 34032779 PMCID: PMC8154493 DOI: 10.1097/md.0000000000026176] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Accepted: 05/07/2021] [Indexed: 01/04/2023] Open
Abstract
We aimed to establish the local prevalence of musculoskeletal pain among faculty members in Saudi Arabia and describe the patient's risk factors and preventive measures that may reduce its burden.An observational, quantitative, cross-sectional study was carried out to evaluate the prevalence of musculoskeletal pain and its risk factors among male faculty members in the College of Medicine and Dentistry, using a designed questionnaire based on the Standardized Nordic Musculoskeletal Questionnaire. Chi-square testing at a significance level of P < .05, was used for comparative analysis. SPSS version 26 was used for all analyses.Ninety responders participated in the survey analysis. The prevalence of musculoskeletal pain among faculty members was 77.8%, and the most common site of musculoskeletal pain occurred at two different sites of the three (low back, neck, and shoulder), with a prevalence of 38.9%. As for risk factors of musculoskeletal pain, only age group showed a significant correlation with the site of musculoskeletal pain (P = .024), where patients in the younger age group (25-35 years old) were at higher risk of lower back pain, while participants in the older age group (36 to 44 years old and 45 years or older) were at higher risk of musculoskeletal pain in two different sites.Musculoskeletal pain affects more than two-thirds of faculty members. In particular, low back pain is a common problem among faculty members. Age is a significant risk factor for the occurrence of musculoskeletal pain, with more than one site involvement in older age.
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Affiliation(s)
- Osama R. Aldhafian
- Department of Surgery, College of Medicine, Prince Sattam Bin Abdulaziz University, Al-Kharj, Kingdom of Saudi Arabia
| | - Faisal A. Alsamari
- Department of Surgery, College of Medicine, Prince Sattam Bin Abdulaziz University, Al-Kharj, Kingdom of Saudi Arabia
| | - Naif A. Alshahrani
- Department of Surgery, College of Medicine, Prince Sattam Bin Abdulaziz University, Al-Kharj, Kingdom of Saudi Arabia
| | - Mohammed N. Alajmi
- Department of Surgery, College of Medicine, Prince Sattam Bin Abdulaziz University, Al-Kharj, Kingdom of Saudi Arabia
| | - Abdulelah M. Alotaibi
- Department of Surgery, College of Medicine, Prince Sattam Bin Abdulaziz University, Al-Kharj, Kingdom of Saudi Arabia
| | - Naif Bin Nwihadh
- Department of Surgery, College of Medicine, Prince Sattam Bin Abdulaziz University, Al-Kharj, Kingdom of Saudi Arabia
| | - Ayman K. Saleh
- Department of Surgery, College of Medicine, Prince Sattam Bin Abdulaziz University, Al-Kharj, Kingdom of Saudi Arabia
- Department of Orthopaedics, faculty of Medicine for girls, Alazhar university, Cairo, Egypt
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15
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Lee S, DE Barros FC, DE Castro CSM, DE Oliveira Sato T. Effect of an ergonomic intervention involving workstation adjustments on musculoskeletal pain in office workers-a randomized controlled clinical trial. Ind Health 2021; 59:78-85. [PMID: 33250456 PMCID: PMC8010160 DOI: 10.2486/indhealth.2020-0188] [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] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/10/2020] [Accepted: 11/24/2020] [Indexed: 06/07/2023]
Abstract
Office workers remain in a awkward position for long periods, which can lead to musculoskeletal symptoms. Ergonomic guidelines are recommended to avoid such problems. Evidence of the long-term effectiveness of ergonomic interventions is scarce. The aim of this randomised controlled trial was to compare pain intensity among office workers who received an ergonomic intervention and a control group before as well as 12, 24, and 36 wk after the intervention. Workers were randomly allocated to a control group (CG) and experimental group (EG). The EG received an ergonomic workstation intervention. Furniture measurements were related to individual anthropometric measurements to identify mismatches. The outcome was pain intensity, which was determined using a numerical pain scale and the Nordic Musculoskeletal Questionnaire. A linear mixed model was created with pain intensity as the dependent variable. Group and time were the independent variables. No significant interactions were found between group and time. Significant differences between groups were found for the pain intensity in the neck, shoulder, upper back, and wrist/hand (p<0.05), with lower intensity in the EG. The intervention reduced pain intensity in the neck, shoulder, upper back, and wrist/hand. However, no reduction in pain intensity was found for the lower back or elbow.
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Affiliation(s)
- Stefany Lee
- Department of Physical Therapy, Federal University of São Carlos, Brazil
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16
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Crockett S, Dellon ES, Biggers L, Ernst DA. Use of Patient Abdominal Compression Device Reduces Staff Musculoskeletal Pain Associated With Supporting Colonoscopy: Results From a Randomized Controlled Trial. Gastroenterol Nurs 2021; 44:136-145. [PMID: 33795622 PMCID: PMC8021235 DOI: 10.1097/sga.0000000000000550] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/31/2019] [Accepted: 06/22/2020] [Indexed: 11/25/2022] Open
Abstract
Work-related musculoskeletal disorders occur frequently among the endoscopy staff, and patient-handling duties involved with colonoscopy-applying manual pressure and repositioning patients-are particularly physically demanding. This study explored whether the use of a lower abdominal compression device (ColoWrap), previously shown to reduce the need for manual pressure and patient repositioning, would diminish the frequency of staff-reported musculoskeletal pain. A randomized, blinded, sham-controlled clinical trial was performed at the University of North Carolina Hospitals. Three hundred fifty patients had either ColoWrap or a sham device applied before colonoscopy. The primary outcome was the frequency of staff-reported musculoskeletal pain after assisting with colonoscopy. In the intention-to-treat analysis, which included procedures in which ColoWrap was removed, there was no statistical difference in the frequency of staff-reported pain in the control versus ColoWrap arm (4.6% vs. 3.4% of procedures, p = .59). However, when ColoWrap was used as directed (e.g., remained in place for the duration of the procedure), the frequency of staff-reported musculoskeletal pain was significantly reduced (4.6% vs. 0.7% of procedures, p = 0.04). Use of ColoWrap as directed was also found to be independently associated with reduced odds of staff-reported pain relative to the sham arm (OR = 0.12; 95% CI [0.02, 0.95]). When used as directed, ColoWrap reduced the frequency of musculoskeletal pain experienced related to assisting with colonoscopy and may reduce the risk of musculoskeletal disorders and injuries among the endoscopy staff.
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Affiliation(s)
- Seth Crockett
- Seth Crockett, MD, MPH, is Associate Professor of Medicine, Division of Gastroenterology and Hepatology, University of North Carolina School of Medicine, Chapel Hill
- Evan S. Dellon, MD, MPH, is Professor of Medicine, Division of Gastroenterology and Hepatology, University of North Carolina School of Medicine, Chapel Hill
- Larissa Biggers, MA, is Director of Learning, ColoWrap, LLC, Durham, North Carolina
- Donna A. Ernst, DNP, MSN, NEA-BC, CNL, CGRN, is Assistant Professor, Harris College of Nursing and Health Sciences, Texas Christian University, Fort Worth
| | - Evan S. Dellon
- Seth Crockett, MD, MPH, is Associate Professor of Medicine, Division of Gastroenterology and Hepatology, University of North Carolina School of Medicine, Chapel Hill
- Evan S. Dellon, MD, MPH, is Professor of Medicine, Division of Gastroenterology and Hepatology, University of North Carolina School of Medicine, Chapel Hill
- Larissa Biggers, MA, is Director of Learning, ColoWrap, LLC, Durham, North Carolina
- Donna A. Ernst, DNP, MSN, NEA-BC, CNL, CGRN, is Assistant Professor, Harris College of Nursing and Health Sciences, Texas Christian University, Fort Worth
| | - Larissa Biggers
- Correspondence to: Larissa Biggers, MA, ColoWrap, LLC, 3333 Durham-Chapel Hill Blvd, Ste A200, Durham, NC 27707 ()
| | - Donna A. Ernst
- Seth Crockett, MD, MPH, is Associate Professor of Medicine, Division of Gastroenterology and Hepatology, University of North Carolina School of Medicine, Chapel Hill
- Evan S. Dellon, MD, MPH, is Professor of Medicine, Division of Gastroenterology and Hepatology, University of North Carolina School of Medicine, Chapel Hill
- Larissa Biggers, MA, is Director of Learning, ColoWrap, LLC, Durham, North Carolina
- Donna A. Ernst, DNP, MSN, NEA-BC, CNL, CGRN, is Assistant Professor, Harris College of Nursing and Health Sciences, Texas Christian University, Fort Worth
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Nye WH, Partido BB, DeWitt J, Kearney RC. Prevention and Reduction of Musculoskeletal Pain Through Chair-Side Stretching among Dental Hygiene Students. J Dent Hyg 2021; 95:84-91. [PMID: 33627457] [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] [Subscribe] [Scholar Register] [Received: 10/17/2019] [Accepted: 07/09/2020] [Indexed: 06/12/2023]
Abstract
Purpose: Musculoskeletal disorders (MSD) are among the most commonly reported injuries in the workforce and there is a particularly high prevalence among dental hygienists. Research has shown that the incidence of MSD may begin during students' academic and clinical training. The purpose of this study was to determine the effectiveness of implementing chair-side stretching exercises on self-reported musculoskeletal (MSK) pain among currently enrolled dental hygiene students.Methods: A total of 31 senior dental hygiene students were divided into treatment and control groups during the fall semester. The treatment group completed a series of chair-side stretching exercises, prior to beginning each clinic session, for approximately 10.5 weeks. Participants completed a modified version of the Standardized Nordic Questionnaire at the beginning (week 0), midpoint (week 5), and end of the study (week 10.5). Descriptive statistics were used to analyze the data.Results: There were significant differences in the total MSK pain scores reported between the treatment and control groups (p=0.03) in addition to the hand and wrist pain severity scores (p=0.04). Hierarchical multiple regression revealed a model explaining the 38.2% variance in MSK pain between the groups (p=0.021). A majority of participants in the treatment group felt that chair-side stretching exercises neither improved nor worsened their MSK pain. However, more than one-half of the participants felt that the exercises helped increase their conscious level regarding ergonomic practices while delivering patient care.Conclusion: Findings from this study suggest that consistent chair-side stretching exercises may be beneficial in reducing and preventing MSK pain, particularly within the hand and wrist region. Future research is needed to determine effective interventions to reduce MSK pain, particularly for the neck, shoulders, and lower back during dental hygiene education.
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Affiliation(s)
- Whitni H Nye
- Graduate of the Master of Dental Hygiene Program;
| | - Brian B Partido
- Former assistant professor in the Division of Dental Hygiene
| | - John DeWitt
- AT is an assistant clinical professor, Division of Physical Therapy
| | - Rachel C Kearney
- Associate professor and Chair of the Division of Dental Hygiene; all at The Ohio State University College of Dentistry, Columbus, Ohio, USA
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18
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Imai R, Konishi T, Mibu A, Tanaka K, Nishigami T. Effect of pain neuroscience education and exercise on presenteeism and pain intensity in health care workers: A randomized controlled trial. J Occup Health 2021; 63:e12277. [PMID: 34587662 PMCID: PMC8481006 DOI: 10.1002/1348-9585.12277] [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] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2021] [Revised: 08/03/2021] [Accepted: 08/21/2021] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES Decreased workforce productivity has a significant economic impact on healthcare systems. Presenteeism, the practice of working at reduced potential, is more harmful than absenteeism. Present workers most often experience musculoskeletal pain that is not mitigated by general exercise or stretching. We aimed to assess whether a regimen of pain neuroscience education (PNE) and exercise tailored to individual healthcare workers could reduce presenteeism and improve productivity. METHODS An independent investigator randomized 104 medical professionals into two groups (intervention and control). The control group received general feedback after answering a questionnaire, while the intervention group received a 6-month plan of exercises and PNE created by a physical therapist with 10 years of experience. Our primary outcome was the scores of the Japanese version of the World Health Organization Health and Work Performance Questionnaire (WHO-HPQ) to investigate presenteeism; and our secondary outcomes were pain intensity, widespread pain index (WPI), and EuroQol 5-dimension (EQ5D-5L). RESULTS In the intervention group, post intervention, we observed significant improvement in presenteeism, pain intensity, WPI, physical and psychological stress, and EQ5D-5L (P < .05). In the control group, we noted significant improvement only in the physical and psychological stress post intervention (P < .05). The results showed significant between-group differences in presenteeism post-intervention (P < .05). CONCLUSION We demonstrated that a combination of PNE and exercise decreases presenteeism of healthcare workers. Our findings will help healthcare facilities carry out better employee management and ensure optimal productivity.
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Affiliation(s)
- Ryota Imai
- School of RehabilitationOsaka Kawasaki Rehabilitation UniversityKaizukaOsakaJapan
| | | | - Akira Mibu
- Department of Physical TherapyKonan Women’s UniversityKobeHyogoJapan
| | | | - Tomohiko Nishigami
- Department of Physical TherapyFaculty of Health and WelfarePrefectural University of HiroshimaMiharaHiroshimaJapan
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19
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Sweeney K, Mackey M, Spurway J, Clarke J, Ginn K. The effectiveness of ergonomics interventions in reducing upper limb work-related musculoskeletal pain and dysfunction in sonographers, surgeons and dentists: a systematic review. Ergonomics 2021; 64:1-38. [PMID: 32866082 DOI: 10.1080/00140139.2020.1811401] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/15/2020] [Accepted: 08/10/2020] [Indexed: 06/11/2023]
Abstract
The aim of this systematic review was to summarise the effects of ergonomics interventions on work-related upper limb musculoskeletal pain and dysfunction, and on productivity in sonographers, surgeons and dentists. A total of 31 studies were included. All studies reported effects on upper limb pain. Nine studies reported effects on dysfunction and only two studies reported effects on productivity. Moderately strong evidence in reducing upper limb pain was found for instigation of microbreaks into long duration surgical procedures, and the use of wider, lighter handles in dental instruments. Moderate evidence was also found for use of prismatic glasses and favourable positioning in reducing upper limb pain. Weak, inconsistent or no evidence was found for all other ergonomics interventions in reducing upper limb pain and dysfunction and increasing productivity. The lack of high quality research, particularly in sonographers and in the outcome of productivity, should be addressed. Practitioner summary: This systematic review investigates the effectiveness of ergonomics interventions on upper limb pain, dysfunction and productivity in sonographers, dentists and surgeons. Instigation of microbreaks during long duration procedures and the use of wider, lighter instrument handles were most effective in reducing upper limb work-related pain. Abbreviations: ANOVA: analysis of variance; CLS: conventional laparoscopic surgery; DMAIC: define, measure, analyze, improve and control; GRADE: grading of recommendations, assessment, development and evaluations; HD: high definition; PRISMA: preferred reporting items for systematic reviews and meta-analyses; PROSPERO: The International Prospective Register of Systematic Reviews; RCT: randomised control trial; SILS: single incision laparoscopic surgery; VITOM: video telescopic operative microscope; WNSWLHD: Western New South Wales Local Health District; WMSD: work related musculoskeletal disorder.
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Affiliation(s)
- Kristie Sweeney
- School of Medical Sciences, University of Sydney, Camperdown, Australia
| | - Martin Mackey
- School of Medical Sciences, University of Sydney, Camperdown, Australia
| | | | - Jillian Clarke
- School of Medical Sciences, University of Sydney, Camperdown, Australia
| | - Karen Ginn
- School of Medical Sciences, University of Sydney, Camperdown, Australia
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20
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Lee HE, Choi M, Kim HR, Kawachi I. Impact of Decreased Night Work on Workers' Musculoskeletal Symptoms: A Quasi-Experimental Intervention Study. Int J Environ Res Public Health 2020; 17:ijerph17239092. [PMID: 33291446 PMCID: PMC7730522 DOI: 10.3390/ijerph17239092] [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] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/28/2020] [Revised: 12/02/2020] [Accepted: 12/04/2020] [Indexed: 11/16/2022]
Abstract
A possible association between night shift work and musculoskeletal disorder has been suggested. This study aimed to evaluate the impact of decreased night work on musculoskeletal pain. Difference-in-difference estimation was used to compare changes in musculoskeletal pain between shift workers (N = 122) and non-shift workers (N = 170) in a manufacturing company before and after the introduction of a new shift system eliminating overnight work. Musculoskeletal pain was measured by a questionnaire asking if workers had symptoms in specific body parts, including the neck, shoulder, arm/elbow, wrist/hand, back, and leg/foot, over the past year. Generalized estimating equation models were used to estimate changes in pre- versus post-intervention musculoskeletal pain rates between the treated and control group. In the difference-in-difference (DID) models, prevalence of musculoskeletal pain for shoulder (−10.3%), arm (−12.9%), all sites combined (−9.2%), and upper extremity combined (−14.8%) showed significant decreases from pre- to post-intervention among the treated group (shift workers) compared to the control group (non-shift workers) after controlling for age and weekly working hours. Decreasing night work was related to improvement in musculoskeletal pain in shift workers.
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Affiliation(s)
- Hye-Eun Lee
- Korea Institute of Labor Safety and Health, Seoul 07023, Korea;
- Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA;
- Correspondence: ; Tel.: +82-2-324-8633; Fax: +82-2-324-8632
| | - Min Choi
- Korea Institute of Labor Safety and Health, Seoul 07023, Korea;
| | - Hyoung-Ryoul Kim
- Department of Occupational and Environmental Medicine, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea;
| | - Ichiro Kawachi
- Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA;
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21
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Coltman CE, Steele JR, Spratford WA, Molloy RH. Are female soldiers satisfied with the fit and function of body armour? Appl Ergon 2020; 89:103197. [PMID: 32755739 DOI: 10.1016/j.apergo.2020.103197] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/18/2020] [Revised: 05/01/2020] [Accepted: 06/19/2020] [Indexed: 06/11/2023]
Abstract
Design and development of contemporary military body armour has traditionally focused primarily on male soldiers. As the anthropometric body dimensions of male and female soldiers differ, we aimed to determine whether current body armour was meeting fit and functional requirements of female soldiers. One-hundred and forty-seven female Australian Defence Force soldiers completed a 59-item questionnaire regarding the fit and function of current body armour. Most (68%) participants reported wearing ill-fitting body armour, which was associated with increased total musculoskeletal pain and discomfort, as well as pain at the shoulders, abdomen, and hips. Body armour that was too large was more likely to interfere with task performance when it was integrated with a combat belt, as well as when female soldiers performed operationally representative tasks. Modifying body armour design and sizing to cater to the anthropometric dimensions of female soldiers is recommended.
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Affiliation(s)
- Celeste E Coltman
- University of Canberra Research Institute for Sport and Exercise, Faculty of Health, University of Canberra, Canberra, Australia.
| | - Julie R Steele
- Biomechanics Research Laboratory, School of Medicine, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, Australia
| | - Wayne A Spratford
- University of Canberra Research Institute for Sport and Exercise, Faculty of Health, University of Canberra, Canberra, Australia
| | - Richard H Molloy
- Human Systems Integration, Land Division, Defence Science and Technology Group, Department of Defence, Melbourne, Australia
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Wurzelbacher SJ, Lampl MP, Bertke SJ, Tseng CY. The effectiveness of ergonomic interventions in material handling operations. Appl Ergon 2020; 87:103139. [PMID: 32501244 PMCID: PMC8669597 DOI: 10.1016/j.apergo.2020.103139] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/28/2019] [Revised: 01/31/2020] [Accepted: 04/22/2020] [Indexed: 05/30/2023]
Abstract
This study evaluated the effectiveness of ergonomic interventions in material handling operations involving 33 employers and 535 employees from 2012 to 2017. Outcomes included employee-reported low back/upper extremity pain and safety incidents at baseline, every three months, and annually for up to two years. A total of 32.5% of employees completed at least one survey, while 13.6% completed all nine surveys over two years. Among highly exposed employees (who reported handling >= 50 lbs. > 33% of the time), upper extremity pain frequency and severity were lower among those who reported using the intervention routinely versus those that reported using their body strength alone to handle objects >= 50 lbs. After excluding from analyses one employer that used anti-fatigue mats, low back pain frequency was also significantly lower among highly exposed intervention users. In conclusion, there was some evidence that the interventions were effective in reducing employee-reported pain for highly exposed employees.
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Affiliation(s)
- Steven J Wurzelbacher
- National Institute for Occupational Safety and Health, 1090 Tusculum Ave, MS R-14, Cincinnati, OH, 45226-1998, USA.
| | - Michael P Lampl
- Ohio Bureau of Workers' Compensation, Division of Safety & Hygiene, 13430 Yarmouth, Dr.Pickerington, OH, 43147, USA.
| | - Stephen J Bertke
- National Institute for Occupational Safety and Health, 1090 Tusculum Ave, MS R-13, Cincinnati, OH, 45226-1998, USA.
| | - Chih-Yu Tseng
- National Institute for Occupational Safety and Health, 1090 Tusculum Ave, MS R-13, Cincinnati, OH, 45226-1998, USA.
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Santos MCDS, Gabani FL, Dias DF, de Andrade SM, González AD, Loch MR, Mesas AE. Longitudinal associations of changes in physical activity and TV viewing with chronic musculoskeletal pain in Brazilian schoolteachers. PLoS One 2020; 15:e0234609. [PMID: 32555745 PMCID: PMC7299367 DOI: 10.1371/journal.pone.0234609] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2019] [Accepted: 05/29/2020] [Indexed: 11/22/2022] Open
Abstract
This study analyzed the longitudinal association of changes in leisure-time physical activity (LTPA) practice and television viewing (TV viewing) with chronic musculoskeletal pain (CMP). The data about LTPA, TV viewing, and CMP were obtained in 2012 and after 24 months through individual interviews with schoolteachers from elementary and secondary education public schools in a large city in the southern region of Brazil. The statistical analysis was performed using generalized estimating equation regression models adjusted for sex, age, body mass index and depression. A total of 527 schoolteachers were studied, among which 66.6% were women, and the median age was 42 years (interquartile range: 34 to 49). A total of 170 (32.3%) participants reported CMP at baseline and 130 (24.7%) at follow-up. Both LTPA and TV viewing were independently and significantly associated with CMP regardless of all adjustment variables. Concretely, increasing LTPA by 60 minutes/week was associated with a 6.2% lower likelihood of CMP, and increasing TV viewing by 30 minutes/day was associated with a 5.1% higher likelihood of having CMP among the participants. In summary, this study showed that LTPA and TV viewing have independent and opposite relationships with the longitudinal risk of CMP, which suggests that the potential benefits obtained from practicing more LTPA are insufficient to compensate for the potential detrimental effect of viewing TV for longer with respect to the CMP.
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Affiliation(s)
| | - Flávia Lopes Gabani
- Department of Public Health, State University of Londrina, Londrina, Parana, Brazil
| | | | | | | | - Mathias Roberto Loch
- Department of Public Health, State University of Londrina, Londrina, Parana, Brazil
| | - Arthur Eumann Mesas
- Department of Public Health, State University of Londrina, Londrina, Parana, Brazil
- Universidad de Castilla-La Mancha, Health and Social Research Centre, Cuenca, Spain
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Semen KO, Weseler AR, Janssen MJW, Drittij-Reijnders MJ, le Noble JLML, Bast A. Effects of Monomeric and Oligomeric Flavanols on Kidney Function, Inflammation and Oxidative Stress in Runners: A Randomized Double-Blind Pilot Study. Nutrients 2020; 12:E1634. [PMID: 32492913 PMCID: PMC7353060 DOI: 10.3390/nu12061634] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Revised: 05/15/2020] [Accepted: 05/28/2020] [Indexed: 12/11/2022] Open
Abstract
Nonsteroidal anti-inflammatory drugs are frequently used by athletes in order to prevent musculoskeletal pain and improve performance. In combination with strenuous exercise, they can contribute to a reduction of renal blood flow and promote development of kidney damage. We aimed to investigate whether monomeric and oligomeric flavanols (MOF) could reduce the severity of kidney injuries associated with the intake of 400-mg ibuprofen followed by the completion of a half-marathon in recreational athletes. In this double-blind, randomized study, the original MOF blend of extracts from grape seeds (Vitis vinifera L.) and pine bark (Pinus pinaster L.) or placebo were taken for 14 days preceding the ibuprofen/half-marathon. Urine samples were collected before and after the ibuprofen/half-marathon, and biomarkers of kidney injury, inflammation and oxidative stress were assessed. Intake of MOF significantly reduced the incidence of post-race hematuria (p = 0.0004) and lowered concentrations of interleukin (IL)-6 in the urine (p = 0.032). Urinary neutrophil-associated lipocalin, creatine, albumin, IL-8 and malondialdehyde tended to decrease. The supplementation with MOF in recreational runners appears to safely preserve kidney function, reduce inflammation and promote antioxidant defense during strenuous exercise and intake of a single dose of ibuprofen.
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Affiliation(s)
- Khrystyna O. Semen
- Campus Venlo, Faculty of Science and Engineering, Maastricht University, 5911 BV Venlo, The Netherlands;
| | - Antje R. Weseler
- Department of Pharmacology and Toxicology, Faculty of Health, Medicine, and Life Sciences, Maastricht University, 6200 MD Maastricht, The Netherlands; (A.R.W.); (M.-J.D.-R.); (J.L.M.L.l.N.)
| | - Marcel J. W. Janssen
- Department of Clinical Chemistry and Haematology, VieCuri Medical Center Noord Limburg, 5912 BL Venlo, The Netherlands;
| | - Marie-José Drittij-Reijnders
- Department of Pharmacology and Toxicology, Faculty of Health, Medicine, and Life Sciences, Maastricht University, 6200 MD Maastricht, The Netherlands; (A.R.W.); (M.-J.D.-R.); (J.L.M.L.l.N.)
| | - Jos L. M. L. le Noble
- Department of Pharmacology and Toxicology, Faculty of Health, Medicine, and Life Sciences, Maastricht University, 6200 MD Maastricht, The Netherlands; (A.R.W.); (M.-J.D.-R.); (J.L.M.L.l.N.)
- Department of Intensive Care, VieCuri Medical Center Noord Limburg, 5912 BL Venlo, The Netherlands
| | - Aalt Bast
- Campus Venlo, Faculty of Science and Engineering, Maastricht University, 5911 BV Venlo, The Netherlands;
- Department of Pharmacology and Toxicology, Faculty of Health, Medicine, and Life Sciences, Maastricht University, 6200 MD Maastricht, The Netherlands; (A.R.W.); (M.-J.D.-R.); (J.L.M.L.l.N.)
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Cha JS, Monfared S, Stefanidis D, Nussbaum MA, Yu D. Supporting Surgical Teams: Identifying Needs and Barriers for Exoskeleton Implementation in the Operating Room. Hum Factors 2020; 62:377-390. [PMID: 31593495 PMCID: PMC10027361 DOI: 10.1177/0018720819879271] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
OBJECTIVE The objective of this study was to identify potential needs and barriers related to using exoskeletons to decrease musculoskeletal (MS) symptoms for workers in the operating room (OR). BACKGROUND MS symptoms and injuries adversely impact worker health and performance in surgical environments. Half of the surgical team members (e.g., surgeons, nurses, trainees) report MS symptoms during and after surgery. Although the ergonomic risks in surgery are well recognized, little has been done to develop and sustain effective interventions. METHOD Surgical team members (n = 14) participated in focus groups, performed a 10-min simulated surgical task with a commercial upper-body exoskeleton, and then completed a usability questionnaire. Content analysis was conducted to determine relevant themes. RESULTS Four themes were identified: (1) characteristics of individuals, (2) perceived benefits, (3) environmental/societal factors, and (4) intervention characteristics. Participants noted that exoskeletons would benefit workers who stand in prolonged, static postures (e.g., holding instruments for visualization) and indicated that they could foresee a long-term decrease in MS symptoms with the intervention. Specifically, raising awareness of exoskeletons for early-career workers and obtaining buy-in from team members may increase future adoption of this technology. Mean participant responses from the System Usability Scale was 81.3 out of 100 (SD = 8.1), which was in the acceptable range of usability. CONCLUSION Adoption factors were identified to implement exoskeletons in the OR, such as the indicated need for exoskeletons and usability. Exoskeletons may be beneficial in the OR, but barriers such as maintenance and safety to adoption will need to be addressed. APPLICATION Findings from this work identify facilitators and barriers for sustained implementation of exoskeletons by surgical teams.
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Affiliation(s)
- Jackie S Cha
- 311308 Purdue University, West Lafayette, Indiana, USA
| | - Sara Monfared
- 12250 Indiana University School of Medicine, Indianapolis, USA
| | | | | | - Denny Yu
- 311308 Purdue University, West Lafayette, Indiana, USA
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Abstract
OBJECTIVE The aim of this study is to determine the effectiveness of using a leg support exoskeleton (legX) in different modes on simulated work tasks which emulate real-world job tasks. BACKGROUND Prolonged kneeling and squatting tasks increase the risk of work-related musculoskeletal disorders at the knee in industrial occupations. METHODS We evaluated legX capable of spring assistance throughout one's range of motion and/or locking support at a fixed angular position. Participants performed a dynamic panel task, alternating between hip and knee height, and a sustained floor level task with and without the exoskeleton. The exoskeleton was evaluated in spring mode, locking mode, and spring + locking mode for the panel task and only in locking mode for the floor task. The participants' (N = 15) muscle activity was recorded for the right lumbar erector spinae, thoracic erector spinae, tibialis anterior, rectus femoris, semitendinosus, and lateral gastrocnemius. RESULTS Significant reduction of the rectus femoris activity was observed with the exoskeleton (median reduction: 22%-56% and peak reduction: 12%-48% for the panel task and median reduction: 57% and peak reduction:34% during the floor task). CONCLUSION legX significantly reduces rectus femoris activity during squatted static (floor) and dynamic (panel) work and may reduce pain and discomfort associated with squatting and potentially reduce the risk of developing knee disorders. Dynamic tasks benefit from both locking modes and spring assistance, the greatest benefit occurring with a combination of the two. APPLICATION These results show that the legX can be beneficial to activities such as electrical panel work, grinding, sanding of larger surfaces, and concrete laying.
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Kox JHAM, Bakker EJM, Bierma-Zeinstra S, Runhaar J, Miedema HS, Roelofs PDDM. Effective interventions for preventing work related physical health complaints in nursing students and novice nurses: A systematic review. Nurse Educ Pract 2020; 44:102772. [PMID: 32222492 DOI: 10.1016/j.nepr.2020.102772] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [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: 06/29/2018] [Revised: 08/27/2019] [Accepted: 03/14/2020] [Indexed: 10/24/2022]
Abstract
From the start of their career, nursing students and novice nurses are at risk of developing physical health problems due to high physical workload, which may lead to early exit from nursing. To provide an overview of interventions preventing physical health problems in early career, a systematic review was performed. A comprehensive search of the literature was conducted up to December 2017. Primary outcome of interest was education/work dropout. Secondary outcomes were musculoskeletal symptoms. Independent authors selected studies, appraised quality and extracted data. After screening 7111 titles and abstracts, eleven studies were included. Seven studies evaluated interventions for moving/handling training. Four evaluated other interventions. None focused on our primary outcome education/work dropout. All studies reported on physical complaints among student nurses only. Overall, risk of bias was high and clinical heterogeneity prohibited pooling of data. Intervention effects were small and inconsistent. In conclusion, evidence for the effectiveness of interventions in the nursing curricula for the prevention/treatment of physical complaints is scarce and where available conflicting. We recommend high quality research on dropout due to physical health problems, as well as on the prevention/treatment of physical complaints.
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Affiliation(s)
- Jos H A M Kox
- Rotterdam University of Applied Sciences, Center of Expertise, Innovations in Care, P.O. Box 25035, 3001 HA, Rotterdam, the Netherlands; Erasmus University Medical Center Rotterdam, Department of General Practice, P.O. Box 2040, 3000 CA, Rotterdam, the Netherlands.
| | - Ellen J M Bakker
- Rotterdam University of Applied Sciences, Center of Expertise, Innovations in Care, P.O. Box 25035, 3001 HA, Rotterdam, the Netherlands; Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Van der Boechorststraat 7, 1081 BT, Amsterdam, the Netherlands.
| | - Sita Bierma-Zeinstra
- Erasmus University Medical Center Rotterdam, Department of General Practice, P.O. Box 2040, 3000 CA, Rotterdam, the Netherlands; Erasmus University Medical Center Rotterdam, Department of Orthopaedics, P.O. Box 2040, 3000 CA, Rotterdam, the Netherlands.
| | - Jos Runhaar
- Erasmus University Medical Center Rotterdam, Department of General Practice, P.O. Box 2040, 3000 CA, Rotterdam, the Netherlands.
| | - Harald S Miedema
- Rotterdam University of Applied Sciences, Center of Expertise, Innovations in Care, P.O. Box 25035, 3001 HA, Rotterdam, the Netherlands.
| | - Pepijn D D M Roelofs
- Rotterdam University of Applied Sciences, Center of Expertise, Innovations in Care, P.O. Box 25035, 3001 HA, Rotterdam, the Netherlands; Erasmus University Medical Center Rotterdam, Department of General Practice, P.O. Box 2040, 3000 CA, Rotterdam, the Netherlands.
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Palsson TS, Boudreau S, Høgh M, Herrero P, Bellosta-Lopez P, Domenech-Garcia V, Langella F, Gagni N, Christensen SW, Villumsen M. Education as a strategy for managing occupational-related musculoskeletal pain: a scoping review. BMJ Open 2020; 10:e032668. [PMID: 32051307 PMCID: PMC7045149 DOI: 10.1136/bmjopen-2019-032668] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/10/2023] Open
Abstract
BACKGROUND Musculoskeletal (MSK) pain is the primary contributor to disability worldwide. There is a growing consensus that MSK pain is a recurrent multifactorial condition underpinned by health and lifestyle factors. Studies suggest that education on work-related pain and individualised advice could be essential and effective for managing persistent MSK pain. OBJECTIVE The objective of this scoping review was to map the existing educational resources for work-related MSK (WRMSK) pain, and the effects of implementing educational strategies in the workplace on managing WRMSK pain. METHODS This scoping review assessed original studies that implemented and assessed education as a strategy to manage WMSK pain. Literature search strategies were developed using thesaurus headings (ie, MeSH and CINAHL headings) and free-text search including words related to MSK in an occupational setting. The search was carried out in PubMed, CINAHL, Cochrane Library and Web of Science in the period 12-14 February 2019. RESULTS A total of 19 peer-reviewed articles were included and the study design, aim and outcomes were summarised. Of the 19 peer-reviewed articles, 10 randomised controlled trial (RCT) studies assessed the influence of education on work-related MSK pain. Many studies provided a limited description of the education material and assessed/used different methods of delivery. A majority of studies concluded education positively influences work-related MSK pain. Further, some studies reported additive effects of physical activity or ergonomic adjustments. CONCLUSIONS There is a gap in knowledge regarding the best content and delivery of education of material in the workplace. Although beneficial outcomes were reported, more RCT studies are required to determine the effects of education material as compared with other interventions, such as exercise or behavioural therapy.
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Affiliation(s)
| | | | - Morten Høgh
- Department of Health Science and Technology, Aalborg Universitet, Aalborg, Denmark
| | - Pablo Herrero
- Physiotherapy, San Jorge University, Zaragoza, Spain
| | - Pablo Bellosta-Lopez
- Department of Physiotherapy, Faculty of Health Sciences, University of San Jorge, Villanueva de Gallego, Aragón, Spain
| | - Victor Domenech-Garcia
- Department of Physiotherapy, Faculty of Health Sciences, University of San Jorge, Villanueva de Gallego, Aragón, Spain
| | - Francesco Langella
- Orthopedic and Traumatology, IRCCS Istituto Ortopedico Galeazzi, Milano, Lombardia, Italy
| | - Nicolo Gagni
- Orthopedic and Traumatology, IRCCS Istituto Ortopedico Galeazzi, Milano, Lombardia, Italy
| | - Steffan Wittrup Christensen
- Department of Health Science and Technology, Aalborg Universitet, Aalborg, Denmark
- Department of Physiotherapy, University College of Northern Denmark, Aalborg, Denmark
| | - Morten Villumsen
- Department of Health Science and Technology, Aalborg Universitet, Aalborg, Denmark
- Aalborg Municipality, Aalborg, Denmark
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Vijendren A, Devereux G, Tietjen A, Duffield K, Van Rompaey V, Van de Heyning P, Yung M. The Ipswich Microbreak Technique to alleviate neck and shoulder discomfort during microscopic procedures. Appl Ergon 2020; 83:102679. [PMID: 29735161 DOI: 10.1016/j.apergo.2018.04.013] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/19/2017] [Revised: 03/19/2018] [Accepted: 04/27/2018] [Indexed: 06/08/2023]
Abstract
Neck and shoulder disorders are a considerable health problem amongst frequent microscope users. We aimed to investigate the neck and shoulder discomfort experienced during prolonged microscopic activity and to assess the benefits of minibreaks. A prospective crossover study was performed on 17 healthy volunteers sitting still while looking down a bench with and without the Ipswich Microbreak Technique (IMT). We used a subjective measure of time to fatigue and pain in the neck and shoulder regions as well as objective readings from a surface electromyogram (sEMG). The IMT delayed the sensation of pain in the neck and shoulder region while reducing the overall sEMG muscle activation. In conclusion, IMT is a useful strategy in reducing and delaying the pain in neck and shoulder from prolonged working under the microscope. This technique can be incorporated in other activities that involve a sustained stationary position.
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Affiliation(s)
| | - Gavin Devereux
- Department of Science and Technology, University of Suffolk, IP4 1QJ, UK
| | - Aaron Tietjen
- Department of Science and Technology, University of Suffolk, IP4 1QJ, UK
| | | | - Vincent Van Rompaey
- Faculty of Medicine and Health Sciences, University of Antwerp, Belgium; Department of Otorhinolaryngology & Head and Neck Surgery, Antwerp University Hospital, Wilrijkstraat 10, 2650 Edegem, Antwerp, Belgium
| | - Paul Van de Heyning
- Faculty of Medicine and Health Sciences, University of Antwerp, Belgium; Department of Otorhinolaryngology & Head and Neck Surgery, Antwerp University Hospital, Wilrijkstraat 10, 2650 Edegem, Antwerp, Belgium
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Roberts KE, Rickett K, Feng S, Vagenas D, Woodward NE. Exercise therapies for preventing or treating aromatase inhibitor-induced musculoskeletal symptoms in early breast cancer. Cochrane Database Syst Rev 2020; 1:CD012988. [PMID: 31994181 PMCID: PMC6987034 DOI: 10.1002/14651858.cd012988.pub2] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
BACKGROUND Survival for stage I to III, hormone receptor-positive, breast cancer has substantially improved over time due to advances in screening, surgery and adjuvant therapy. However many adjuvant therapies have significant treatment-related toxicities, which worsen quality of life for breast cancer survivors. Postmenopausal women with hormone receptor-positive breast cancer are now prescribed aromatase inhibitors (AI) as standard, with longer durations of therapy, up to 10 years, being considered for certain women. AI treatment is associated with a high incidence of AI-induced musculoskeletal symptoms (AIMSS), often described as symmetrical pain and soreness in the joints, musculoskeletal pain and joint stiffness. AIMSS reduces compliance with AI therapy in up to one half of women undergoing adjuvant AI therapy, potentially compromising breast cancer outcomes. Exercise has been investigated for the prevention and treatment of AIMSS but the effect of this intervention remains unclear. OBJECTIVES To assess the effects of exercise therapies on the prevention or management of aromatase inhibitor-induced musculoskeletal symptoms (AIMSS) in women with stage I to III hormone receptor-positive breast cancer. SEARCH METHODS We searched Cochrane Breast Cancer's Specialised Register, CENTRAL, MEDLINE, Embase and CINAHL databases up to 13 December 2018. We also searched two conference proceedings portals and two clinical trials registries for ongoing studies or unpublished trials, or both, in August 2019. We also reviewed reference lists of the included studies. SELECTION CRITERIA We included randomised controlled trials that compared exercise versus a comparator arm. We did not impose any restriction on the comparator arm, which could include an alternative type of exercise, no exercise or a waiting list control. Both published and non-peer-reviewed studies were eligible. DATA COLLECTION AND ANALYSIS Two review authors independently extracted data, assessed risk of bias and certainty of the evidence using the GRADE approach. The outcomes investigated were pain, joint stiffness, grip strength, health-related quality of life, cancer-specific quality of life, adherence to AI therapy, adverse events, incidence of AIMSS, breast cancer-specific survival and overall survival. For continuous outcomes that were assessed with the same instrument, we used the mean difference (MD); for those outcomes that used different instruments, we used the standardised mean difference (SMD) for the analysis. For dichotomous outcomes, we reported outcomes as an odds ratio (OR). MAIN RESULTS We included seven studies with 400 randomised participants; one study assessed exercise for preventing AIMSS and six studies assessed treating AIMSS. For preventing AIMSS, the single study reported no difference in pain scores, grip strength or compliance to taking AI medication between groups. Data values were not provided in the study and no other outcomes were reported. For managing AIMSS, we found that the evidence for the effect of exercise therapies on overall change in worst pain scores was very uncertain (SMD -0.23, 95% confidence interval (CI) -0.78 to 0.32; 4 studies, 284 women; very low-certainty evidence). The evidence suggested that exercise therapies result in little to no difference in overall change in stiffness scores (Western Ontario McMasters Universities Osteoarthritis Index (WOMAC) stiffness score MD -0.76, 95% CI -1.67 to 0.15 and Visual Analogues Scale (VAS) stiffness score MD -0.42, 95% CI -2.10 to 1.26; 1 study, 53 women; low-certainty evidence). The evidence was very uncertain for the outcomes of overall change in grip strength (MD 0.30, 95% CI -0.55 to 1.15; 1 study, 83 women; very low-certainty evidence); overall change in health-related quality of life (subscales of SF-36 tool ranged from least benefit of MD 1.88, 95% CI -2.69 to 6.45 to most benefit of MD 9.70, 95% CI 1.67 to 17.73; 2 studies, 123 women, very low-certainty evidence); overall change in cancer-specific quality of life (MD 4.58, 95% CI -0.61 to 9.78; 2 studies, 136 women; very low-certainty evidence); and adherence to aromatase inhibitors (OR 2.43, 95% CI 0.41 to 14.63; 2 studies, 224 women; very low-certainty evidence). There were no adverse events identified across four studies in either arm (0 events reported; 4 studies; 331 participants; low-certainty evidence). There were no data reported on incidence of AIMSS, breast cancer-specific survival or overall survival. AUTHORS' CONCLUSIONS Given the wide-ranging benefits of exercise for people affected by cancer, it was surprising that this review provided no clear evidence of benefit for exercise therapies in women with early breast cancer with AIMSS. This review only yielded seven eligible studies with 400 participants, which is likely to have underpowered the findings. The meta-analysis was challenging due to the considerable heterogeneity amongst the trials, with a wide range of exercise regimens and follow-up periods. Despite these inconclusive findings, exercise needs to be part of routine care for women with breast cancer due to its wide-ranging benefits. Future research in this area would be enhanced with further understanding of the mechanism of AIMSS, a single clear definition of the condition, and phase III randomised controlled trials that are adequately powered to test targeted exercise interventions on the key clinical outcomes in this condition.
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Affiliation(s)
- Kate E Roberts
- Princess Alexandra HospitalDepartment of Medical OncologyIpswich RoadWoolloongabbaQueenslandAustralia
- Mater Hospital, University of QueenslandSchool of Clinical Medicine, Mater Clinical UnitSouth BrisbaneAustralia4101
| | - Kirsty Rickett
- UQ/Mater McAuley LibraryThe University of Queensland LibraryRaymond TerraceBrisbaneQueenslandAustralia4101
| | - Sophie Feng
- Mater Misericordiae LtdDepartment of Medical Oncology1 Raymond TceSouth BrisbaneQueenslandAustralia4101
| | - Dimitrios Vagenas
- Queensland University of TechnologyInstitute of Health and Biomedical Innovation60 Musk AvenueKelvin GroveBrisbaneQueenslandAustralia4059
| | - Natasha E Woodward
- Mater Hospital, University of QueenslandSchool of Clinical Medicine, Mater Clinical UnitSouth BrisbaneAustralia4101
- Mater Misericordiae LtdDepartment of Medical Oncology1 Raymond TceSouth BrisbaneQueenslandAustralia4101
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Muñoz-Poblete C, Bascour-Sandoval C, Inostroza-Quiroz J, Solano-López R, Soto-Rodríguez F. Effectiveness of Workplace-Based Muscle Resistance Training Exercise Program in Preventing Musculoskeletal Dysfunction of the Upper Limbs in Manufacturing Workers. J Occup Rehabil 2019; 29:810-821. [PMID: 31183588 DOI: 10.1007/s10926-019-09840-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Aims Given the high levels of absenteeism due to musculoskeletal disorders of the upper limbs, there is a need for preventive strategies to protect workers exposed to high risk levels. The purpose of this study was to determine the effect of a workplace-based muscle resistance training exercise program in the presence of pain and musculoskeletal dysfunction of the upper extremities in manufacturing workers exposed to repetitive movements and excessive effort in the workplace. Method Randomized controlled trial in manufacturing workers. A sample of 120 healthy workers was allocated at random to an experimental group, which received a resistance-based exercise program, and a control group, which performed stretching exercises. Results The muscle resistance training exercise had a protective effect on the intensity of pain perceived by workers in their upper limbs (RR: 0.62 95% CI 0.44-0.87) compared with the group of workers who performed stretching exercises. Conclusion A workplace-based muscle resistance training exercise program is an effective preventive strategy in factory workers exposed to risk; however, it is necessary for companies initially to adopt mechanisms to minimize exposure as a prevention strategy.
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Affiliation(s)
- C Muñoz-Poblete
- Depto. Salud Pública, Universidad de La Frontera, Temuco, Chile.
| | | | | | - R Solano-López
- Depto. Especialidades Médicas, Universidad de La Frontera, Temuco, Chile
| | - F Soto-Rodríguez
- Depto. Medicina Interna, Universidad de La Frontera, Temuco, Chile
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Soler-Font M, Ramada JM, van Zon SKR, Almansa J, Bültmann U, Serra C. Multifaceted intervention for the prevention and management of musculoskeletal pain in nursing staff: Results of a cluster randomized controlled trial. PLoS One 2019; 14:e0225198. [PMID: 31738798 PMCID: PMC6860418 DOI: 10.1371/journal.pone.0225198] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2019] [Accepted: 10/28/2019] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Nurses and nursing aides are at high risk of developing musculoskeletal pain (MSP). This study aimed to evaluate a multifaceted intervention to prevent and manage MSP in two hospitals. MATERIAL AND METHODS We performed a two-armed cluster randomized controlled trial, with a late intervention control group. Clusters were independent hospital units with nursing staff as participants. The intervention comprised three evidence-based components: participatory ergonomics, health promotion activities and case management. Both the intervention and the control group received usual occupational health care. The intervention lasted one year. MSP and work functioning data was collected at baseline, six and 12-month follow-up. Odds ratios (OR) and their 95% confidence intervals (95%CI) were calculated for MSP risk in the intervention group compared to the control group using logistic regression through GEE. Differences in work functioning between the intervention and control group were analyzed using linear regression through GEE. The incidence of sickness absence was calculated through logistic regression and Cox proportional hazard modeling was used to analyze the effect of the intervention on sickness absence duration. RESULTS Eight clusters were randomized including 473 nurses and nursing aides. At 12 months, the intervention group showed a statistically significant decrease of the risk in neck, shoulders and upper back pain, compared to the control group (OR = 0.37; 95%CI = 0.14-0.96). A reduction of low back pain was also observed, though non statistically significant. We found no differences regarding work functioning and the incidence and duration of sickness absence. CONCLUSIONS The intervention was effective to reduce neck, shoulder and upper back pain. Our results, though modest, suggests that interventions to prevent and manage MSP need a multifactorial approach including the three levels of prevention, and framed within the biopsychosocial model.
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Affiliation(s)
- Mercè Soler-Font
- Center for Research in Occupational Health, University Pompeu Fabra/ IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain
- CIBER of Epidemiology and Public Health, Madrid, Spain
| | - José Maria Ramada
- Center for Research in Occupational Health, University Pompeu Fabra/ IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain
- CIBER of Epidemiology and Public Health, Madrid, Spain
- Occupational Health Service, Parc de Salut Mar, Barcelona, Spain
| | - Sander K. R. van Zon
- Department of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Josué Almansa
- Department of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Ute Bültmann
- Department of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Consol Serra
- Center for Research in Occupational Health, University Pompeu Fabra/ IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain
- CIBER of Epidemiology and Public Health, Madrid, Spain
- Occupational Health Service, Parc de Salut Mar, Barcelona, Spain
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de Oliveira NTB, dos Santos I, Miyamoto GC, Cabral CMN. Effects of aerobic exercise in the treatment of older adults with chronic musculoskeletal pain: a protocol of a systematic review. Syst Rev 2019; 8:250. [PMID: 31666138 PMCID: PMC6820912 DOI: 10.1186/s13643-019-1165-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/15/2019] [Accepted: 09/21/2019] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND Chronic musculoskeletal pain affects the quality of life of older adults by interfering in their ability to perform activities of daily living. Aerobic exercise programs have been used in the treatment of various health conditions, including musculoskeletal disorders. However, there is still little evidence on the effects of aerobic exercise for the treatment of older adults with chronic musculoskeletal pain. Thus, the objective of this study is to assess the effects of aerobic exercise in improving pain and function of older adults with chronic pain as a consequence of different chronic musculoskeletal conditions. METHODS The databases to be used in the search are PubMed, EMBASE, CINAHL, PEDro, and Cochrane Central Register of Controlled Trials (CENTRAL). Randomized controlled trials that used aerobic exercise in the treatment of older adults with chronic musculoskeletal pain will be included. Primary outcomes will be pain and function. We will use the PEDro scale to evaluate the methodological quality and statistical description of each included study, and the strength of the recommendations will be summarized using GRADE. DISCUSSION The results of this systematic review will provide a synthesis of the current evidence on the effects of aerobic exercise in the treatment of older adults with chronic musculoskeletal pain. In addition, this information can help health professionals in decision-making about the use of aerobic exercise in the treatment of older adults with chronic musculoskeletal pain. ETHICS AND DISSEMINATION This systematic review was recorded prospectively, and the results will be part of a doctoral thesis to be published in a peer-reviewed international journal and possibly presented at international conferences. SYSTEMATIC REVIEW REGISTRATION PROSPERO, CRD42019118903.
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Affiliation(s)
- Naiane Teixeira Bastos de Oliveira
- Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, Rua Cesário Galeno, 448/475, Tatuapé, São Paulo, SP 03071-000 Brazil
| | - Irlei dos Santos
- Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, Rua Cesário Galeno, 448/475, Tatuapé, São Paulo, SP 03071-000 Brazil
| | - Gisela Cristiane Miyamoto
- Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, Rua Cesário Galeno, 448/475, Tatuapé, São Paulo, SP 03071-000 Brazil
| | - Cristina Maria Nunes Cabral
- Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, Rua Cesário Galeno, 448/475, Tatuapé, São Paulo, SP 03071-000 Brazil
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Jensen TM, Eriksen SBM, Larsen JS, Aadahl M, Rasmussen SS, Olesen LB, Rehling T, Molsted S. Exercise training is associated with reduced pains from the musculoskeletal system in patients with type 2 diabetes. Diabetes Res Clin Pract 2019; 154:124-129. [PMID: 31299196 DOI: 10.1016/j.diabres.2019.07.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/24/2019] [Revised: 05/29/2019] [Accepted: 07/01/2019] [Indexed: 02/02/2023]
Abstract
AIMS To investigate the effect of exercise training on musculoskeletal pain in patients with type 2 diabetes. METHODS The intervention was exercise twice weekly for 12 weeks. The primary outcome was musculoskeletal pain assessed using a 0-10 Numeric Rating Scale (NRS) in 11 body sites. Secondary outcomes were use of analgesics, glycaemic control and body weight. RESULTS The participants (n = 69) were 66 ± 10 years old, 38 were men and 50 completed the intervention. Pain in the limbs was more frequently reported by the participants compared to a matched general population (80.9% vs 65.3%, p = 0.007). The participants who had any pain at baseline (NRS > 0) and severe pain (NRS > 3) reported significantly decreased pain in the feet, calf muscles, knees, thighs, hips, lower back and arms after the training period. Use of analgesics was unchanged, HbA1c (mmol/mol) decreased from 60 ± 15 to 54 ± 11, p < 0.001 and body weight (kg) decreased from 100.5 ± 19.1 to 98.6 ± 17.7, p = 0.005. CONCLUSIONS The participants with type 2 diabetes reported more frequent pain than a matched general population. The training intervention was associated with reduced musculoskeletal pain. Reduced pain may together with a positive impact on glycaemic control be an important motivational factor in patients with type 2 diabetes to perform exercise training.
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Affiliation(s)
- Trine Munk Jensen
- Department of Clinical Research, Nordsjællands Hospital, Denmark; Faculty of Health and Medical Sciences, University of Copenhagen, Denmark
| | | | | | - Mette Aadahl
- Centre for Clinical Research and Prevention, Frederiksberg-Bispebjerg Hospital, Copenhagen, Denmark; Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark
| | | | | | - Thomas Rehling
- Department of Physiotherapy, Nordsjællands Hospital, Denmark
| | - Stig Molsted
- Department of Clinical Research, Nordsjællands Hospital, Denmark.
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Bazaldúa-Treviño A, Rivera-Silva G, Treviño-Alanís MG. [Prevention of musculoskeletal pain in schoolchildren by use of school bags]. Rev Med Inst Mex Seguro Soc 2019; 57:62-63. [PMID: 31617990] [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] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Lower back pain is quite harmful to a person’s quality of life. It is mainly associated to skeletal-muscle injury and intervertebral disc displacement. Actions directed to avoid the burden of excessive weight, acquire exercise habits, preserve an ideal body weight, and procure postural hygiene, should be encouraged in children and adolescents.
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Affiliation(s)
| | | | - Ma. Guadalupe Treviño-Alanís
- Universidad de Monterrey, Escuela de Medicina de la Vicerrectoría de Ciencias de la Salud, Departamento de Ciencias Básicas. San Pedro Garza García, Nuevo León, México
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Chambers AJ, Robertson MM, Baker NA. The effect of sit-stand desks on office worker behavioral and health outcomes: A scoping review. Appl Ergon 2019; 78:37-53. [PMID: 31046958 DOI: 10.1016/j.apergo.2019.01.015] [Citation(s) in RCA: 40] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/13/2018] [Revised: 01/29/2019] [Accepted: 01/31/2019] [Indexed: 06/09/2023]
Abstract
This scoping review examines the effects of sit-stand desks (SSDs) on six domains: behavior (e.g. time sitting and standing), physiological, work performance, psychological, discomfort, and posture. Fifty-three articles met criteria. We determined the percentage of significant results for each domain. Forty-seven studies were experimental trials. Sample sizes ranged from six to 231 participants. Follow-up time-frames ranged from one day to one year. Sixty-one percent of behavioral (24 studies), 37% of physiological (28 studies), 7% of work performance (23 studies), 31% of psychological (11 studies), 43% of discomfort (22 studies), and 18% of posture domain results (4 studies) were significant. We conclude that SSDs effectively change behaviors, but these changes only mildly effect health outcomes. SSDs seem most effective for discomfort and least for productivity. Further study is needed to examine long-term effects, and to determine clinically appropriate dosage and workstation setup.
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Affiliation(s)
- April J Chambers
- Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA, 15261, USA.
| | - Michelle M Robertson
- Department of Psychological Sciences, Center for the Promotion of Health in the New England Workplace, University of Connecticut, Storrs, CT, 06103, USA; Office Ergonomics Research Committee, Framingham, MA, 01702, USA
| | - Nancy A Baker
- Department of Occupational Therapy, Tufts University, Medford, MA, 02155, USA
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Barman A, Mukherjee S, Sahoo J, Maiti R, Rao PB, Sinha MK, Sahoo D, Tripathy SK, Patro BK, Bag ND. Single Intra-articular Platelet-Rich Plasma Versus Corticosteroid Injections in the Treatment of Adhesive Capsulitis of the Shoulder: A Cohort Study. Am J Phys Med Rehabil 2019; 98:549-557. [PMID: 30676339 DOI: 10.1097/phm.0000000000001144] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
OBJECTIVE The aim of the study was to compare the effects of single intra-articular platelet-rich plasma (PRP) and corticosteroid (CS) injections in patients with adhesive capsulitis of the shoulder. DESIGN Patients aged 18-70 yrs of either sex, diagnosed with adhesive capsulitis of shoulder, with less than 6-mo duration, were included. In intra-articular corticosteroid (IA-CS, control) group, 30 patients received a single injection (4 ml) of IA-CS and in IA-PRP (test) group, 30 patients received single IA-PRP injection (4 ml) into the glenohumeral joint under ultrasound guidance. All patients were prospectively followed for 12 wks. RESULTS Twenty-eight patients in IA-PRP group and 27 in IA-CS group finished the entire 12-wk study period. At 12 wks, decrements in visual analog scale and total shoulder pain and disability index scores, in IA-PRP group, were 58.4 and 55.1, compared with 48.7 and 45.8 in IA-CS group. In range of movement, IA-PRP group showed significant improvement in passive abduction (-50.4 vs. -39.4), internal (-36.8 vs. -25.8), and external rotations (-35.4 vs. -25.9) compared with IA-CS group, respectively. No major complications were observed in any patients. CONCLUSIONS At 12-wk follow-up, a single dose of IA-PRP injection was found to be more effective than an IA-CS injection, in terms of improving pain, disability, and shoulder range of movement in patients with adhesive capsulitis of the shoulder.
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Affiliation(s)
- Apurba Barman
- From the Departments of Physical Medicine and Rehabilitation (AB, JS), Transfusion Medicine (SM, DS), Pharmacology (RM), Anesthesia and Intensive Care (PBR), General Surgery (MKS), Orthopaedics (SKT), Community and Family Medicine (BKP), and Radiodiagnosis (NDB), All India Institute of Medical Sciences, Bhubaneswar, India
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Abstract
BACKGROUND Computer users are at risk in terms of musculoskeletal disorders. It is known that ergonomics training prevents short-term injuries to the musculoskeletal system, but its long-term effect is unknown. OBJECTIVE The aim of our study was to investigate the effect of receiving ergonomics training in undergraduate instruction on posture during computer usage. METHODS The present study included 27 individuals who had received training previously and 58 individuals who had not received any training. Their posture was evaluated with Rapid Upper Limb Assessment (RULA) and Musculoskeletal Diseases in Computer Users Frequency and Risk Factors Screening Form (MCFRF). RESULTS The percentage of pain experienced at least once in four weeks was much higher in the untrained than the trained group. The RULA scores were 3.7 ± 2.1 and 3.3 ± 0.8 points for the lower body and upper extremity for the trained group, and 4.2 ± 2.2 and 3.9 ± 0.9 points for the lower body and upper extremity, respectively, for the untrained group. The MCFRF scores were 1.9 ± 1.0 and 1.7 ± 1.0 points for the lower body and upper extremity, respectively, for the trained group, and 1.6 ± 1.3 and 1.6 ± 0.8 points for the lower body and upper extremity for the untrained group. CONCLUSIONS According to RULA scores, training on ergonomics was effective in reducing the risk level of musculoskeletal disorders. MCFRF scores showed that ergonomics training had no effect on posture during computer usage. Nevertheless, MCFRF evaluates only posture and does not calculate approximate forces that body parts were exposed to. Thus, these areas of MCFRF required improvement. Our study emphasized the importance of the long-term effects of ergonomics training for preventive purposes before musculoskeletal problems manifest.
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Bazazan A, Dianat I, Feizollahi N, Mombeini Z, Shirazi AM, Castellucci HI. Effect of a posture correction-based intervention on musculoskeletal symptoms and fatigue among control room operators. Appl Ergon 2019; 76:12-19. [PMID: 30642516 DOI: 10.1016/j.apergo.2018.11.008] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/11/2017] [Revised: 07/07/2018] [Accepted: 11/26/2018] [Indexed: 06/09/2023]
Abstract
This study was conducted to examine the effect of a posture correction-based intervention (with a biofeedback device) on the occurrence of musculoskeletal symptoms (MSS) and fatigue among control room operators in a petrochemical plant in Iran. A total of 188 office workers (91 in the case group and 97 in the control group) participated at baseline as well as at 6- and 12-month follow-up. A questionnaire survey (including the Nordic Musculoskeletal Questionnaire and Multidimensional Fatigue Inventory) and direct observations of working postures by using the Rapid Upper Limb Assessment (RULA) method were used. The occurrence of MSS in the shoulders, upper back, neck, and low back areas, as well as the mental and physical dimensions of fatigue were found to be the most common problems. The results showed considerable improvements in working postures (in the neck, trunk, and RULA grand scores) and the occurrence of MSS (particularly in the neck, shoulders, and upper back and low back areas) and fatigue (in particular the mental and physical aspects) after the intervention. The overall mean RULA grand score for the case group was significantly decreased after the intervention (mean scores of 5.1, 4.4, and 4.6 at pre-intervention, post-intervention 1, and post-intervention 2, respectively). A total of 81 operators (89.0%) reported some kind of MSS at baseline, which were reduced to 75 operators (82.4%) and 77 operators (84.6%) at post-interventions 1 and 2, respectively. Significant differences were also found between the pre- and post-intervention scores for the physical fatigue (mean of 12.19, 10.16, and 9.99 at pre-intervention, post-intervention 1, and post-intervention 2, respectively) and mental fatigue (mean of 14.03, 12.05, and 12.16 at pre-intervention, post-intervention 1, and post-intervention 2, respectively) dimensions. The findings confirm the effectiveness of this low-cost, simple, and easy-to-use ergonomic intervention.
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Affiliation(s)
- Ahmad Bazazan
- Department of Occupational Health and Ergonomics, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran.
| | - Iman Dianat
- Department of Occupational Health and Ergonomics, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran.
| | - Nafiseh Feizollahi
- Department of Electronic, Faculty of Electrical Engineering, Islamic Azad University, Tehran South Branch, Tehran, Iran.
| | - Zohreh Mombeini
- Department of Health Safety and Environment (HSE), Razi Petrochemical Complex, Mahshahr, Iran.
| | - Alireza Mohammad Shirazi
- Department of Orthotics and Prosthetics, Faculty of Rehabilitation, Iran University of Medical Science, Tehran, Iran.
| | - Héctor Ignacio Castellucci
- Centro de Estudio del Trabajo y Factores Humanos, Escuela de Kinesiología, Facultad de Medicina, Universidad de Valparaíso, Valparaíso, Chile.
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Tirloni AS, Reis DCD, Borgatto AF, Moro ARP. Association between perception of bodily discomfort and individual and work organisational factors in Brazilian slaughterhouse workers: a cross-sectional study. BMJ Open 2019; 9:e022824. [PMID: 30826788 PMCID: PMC6398803 DOI: 10.1136/bmjopen-2018-022824] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
OBJECTIVE Brazil is the world's second largest poultry meat producer and leading exporter. Many poultry processing tasks are physically demanding and involve factors that increase the risk of developing a work-related musculoskeletal disorder (WMSD). However, little is known about the assessment of bodily discomfort in these workers. The aim of this study was to evaluate the association between perception of bodily discomfort and individual and work organisational factors in poultry slaughterhouse workers. DESIGN Descriptive, cross-sectional study. SETTING Three poultry slaughterhouses in the South of Brazil. PARTICIPANTS This paper included 925 workers of 3 poultry slaughterhouses, 575 women and 350 men. The selection of the participants was random. MAIN OUTCOME MEASURE Workers were asked about individual factors, work organiation, perception of bodily discomfort and cold, as well as ingestion of pain medication. Crude and adjusted ORs were estimated and 95% CIs were derived from binary logistic regression analysis for perception of bodily discomfort. RESULTS There was a significant association (p<0.05) between perception of bodily discomfort and female gender (OR=1.77; 95% CI 1.30 to 2.41), performance of repetitive tasks (OR=1.81; 95% CI 1.12 to 2.91) and perception of cold (OR=2.05; 95% CI 1.44 to 2.91). CONCLUSIONS The findings of this research demonstrated that the sector of occupational safety and health management in poultry slaughterhouses should monitor the symptoms of WMSD among their workers, especially female workers, workers who perform repetitive tasks, as well as those who perform tasks in cold environments because these groups are more likely to experience bodily discomfort.
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Affiliation(s)
- Adriana Seára Tirloni
- Applied Ergonomics Laboratory, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - Diogo Cunha Dos Reis
- Applied Ergonomics Laboratory, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - Adriano Ferreti Borgatto
- Department of Informatics and Statistics, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil
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Affiliation(s)
- William B Grant
- Sunlight, Nutrition, and Health Research Center, San Francisco, CA 94164-1603, USA.
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Affiliation(s)
- Roger Bouillon
- Clinical and Experimental Endocrinology, Department of Chronic Diseases, Metabolism and Ageing, KU Leuven, Belgium.
| | - Paul Lips
- Department of Internal Medicine, Endocrine Section, VU University Medical Center, Amsterdam, Netherlands
| | - John P Bilezikian
- Division of Endocrinology, Columbia University College of Physicians and Surgeons, New York, NY, USA
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Affiliation(s)
- Adrian R Martineau
- Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London E1 2AB, UK.
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Kwok AK, O’Hara NN, Pollak AN, O’Hara LM, Herman A, Welsh CJ, Slobogean GP. Are injured workers with higher rehabilitation service utilization less likely to be persistent opioid users? A cross-sectional study. BMC Health Serv Res 2019; 19:32. [PMID: 30642319 PMCID: PMC6332665 DOI: 10.1186/s12913-019-3879-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2018] [Accepted: 01/04/2019] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND Given its role in treating musculoskeletal conditions, rehabilitation medicine may be an important factor in decreasing the use of opioids among injured workers. The primary objective was to determine if increased utilization of rehabilitation services was associated with decreased persistent opioid use among workers' compensation claimants. The secondary objective was to determine the combined association of rehabilitation service utilization and persistent opioid use with days of work lost due to injury. METHODS Using Chesapeake Employers' Insurance Company claims data from 2008 to 2016, claimants with at least one filled opioid prescription within 90 days of injury were eligible for inclusion. The primary outcome was persistent opioid use, defined as at least one filled opioid prescription more than 90 days from injury. The secondary outcome was days lost due to injury. The primary variable of interest, rehabilitation service utilization, was quantified based on the number of rehabilitation service claims and grouped into five levels (no utilization, and four quartiles - low, medium, high, very high). RESULTS Of the 9596 claimants included, 29% were persistent opioid users. Compared to claimants that did not utilize rehabilitation services, patients with very high rehabilitation utilization were nearly three times more likely (OR: 2.71, 95% CI: 2.28-3.23, p < 0.001) to be persistent opioid users and claimants with low and medium levels of rehabilitation utilization were less likely to be persistent opioid users (low OR: 0.20, 95%: 0.14-0.27, p < 0.001) (medium OR: 0.26, 95% CI: 0.21-0.32, p < 0.001). Compared to claimants that did not utilize rehabilitation services, very high rehabilitation utilization was associated with a 27% increase in days lost due to the injury (95% CI: 21.9-32.3, p < 0.001), while low (- 16.4, 95% CI: -21.3 - -11.5, p < 0.001) and medium (- 11.5, 95% CI: -21.6 - -13.8, p < 0.001) levels of rehabilitation utilization were associated with a decrease in days lost due to injury, adjusting for persistent opioid use. CONCLUSION Our analysis of insurance claims data revealed that low to moderate levels of rehabilitation was associated with reduced persistent opioid use and days lost to injury. Very high rehabilitation utilization was associated with increased persistent opioid use and increased time from work.
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Ando H, Ikegami K, Sugano R, Nozawa H, Michii S, Shirasaka T, Kondo M, Imoto H, Shima A, Kawatsu Y, Ogami A. Relationships Between Chronic Musculoskeletal Pain and Working Hours and Sleeping Hours: A Cross-sectional Study. J UOEH 2019; 41:25-33. [PMID: 30867397 DOI: 10.7888/juoeh.41.25] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [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] [Indexed: 06/09/2023]
Abstract
Ten to twenty percent of the population of Japan has chronic pain. Although studies have confirmed a relationship between sleeping hours and chronic pain, it remains unclear whether there is an association between working hours and chronic pain, especially chronic musculoskeletal pain (CMP), in workers. A self-administered questionnaire that sought information regarding background characteristics and work-related factors was sent to 118 enterprises; finally, 1,747 participants were included in the analysis and were classified into CMP (n = 448) and non-CMP (n = 1299) groups. Logistic regression analysis revealed that age (odds ratio [OR] = 1.02, 95% confidence interval [CI]: 1.01-1.03), sex (reference: female, OR = 0.68, 95% CI: 0.52-0.88), working hours (OR = 1.11, 95% CI: 1.03-1.20), and sleeping hours (OR = 0.84, 95% CI: 0.75-0.95) were significantly associated with CMP. Participants were categorized into four groups according to working hours (long: ≥ 9 hours/day [long-work], short: < 9 hours/day [short-work]) and sleeping hours (long: ≥ 7 hours/day [long-sleep], short: < 7 hours/day [short-sleep]). Furthermore, logistic regression analysis showed that the CMP OR was 2.02 (95% CI: 1.46-2.78) times higher in 'long-work plus short-sleep workers' and 1.47 (95% CI: 0.94-2.30) times higher in 'long-work plus long-sleep workers' than in 'short-work plus long-sleep workers'. Thus, working hours are associated with CMP frequency, but sleeping sufficiently may prevent CMP in workers even if they work for long hours. In conclusion, adequate instructions on sleeping hours should be provided by occupational health staff, as this may be effective in preventing CMP.
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Affiliation(s)
- Hajime Ando
- Department of Work Systems and Health, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan
| | - Kazunori Ikegami
- Department of Work Systems and Health, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan
| | - Ryosuke Sugano
- Department of Work Systems and Health, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan
| | - Hiroki Nozawa
- Department of Work Systems and Health, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan
- Stanley Electric Co., Ltd. Hatano Factory
| | - Satoshi Michii
- Department of Work Systems and Health, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan
| | - Taiki Shirasaka
- Department of Work Systems and Health, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan
| | - Miho Kondo
- Stanley Electric Co., Ltd. Hatano Factory
| | | | - Azusa Shima
- Occupational Health Care Office, Heiwado Co., Ltd
| | | | - Akira Ogami
- Department of Work Systems and Health, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan
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Syamala KR, Ailneni RC, Kim JH, Hwang J. Armrests and back support reduced biomechanical loading in the neck and upper extremities during mobile phone use. Appl Ergon 2018; 73:48-54. [PMID: 30098642 DOI: 10.1016/j.apergo.2018.06.003] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/07/2018] [Revised: 06/11/2018] [Accepted: 06/12/2018] [Indexed: 06/08/2023]
Abstract
Mobile phone use is known to be associated with musculoskeletal pain in the neck and upper extremities because of related physical risk factors, including awkward postures. A chair that provides adequate support (armrests and back support) may reduce biomechanical loading in the neck and shoulder regions. Therefore, we conducted a repeated-measures laboratory study with 20 participants (23 ± 1.9 years; 10 males) to determine whether armrests and back support during mobile phone use reduced head/neck flexion, gravitational moment, and muscle activity in the neck and shoulder regions. The results showed that the chair support (armrests and back support) reduced head/neck flexion (p < 0.001), gravitational moment (p < 0.001), and muscle activity (p < 0.01) in the neck and shoulder regions significantly compared to no chair support. These results indicate that a chair with adequate support can be an effective intervention to reduce the biomechanical exposures and associated muscular pain in the neck and shoulders during mobile phone use.
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Affiliation(s)
- Kartheek Reddy Syamala
- Department of Industrial and Systems Engineering, Northern Illinois University, DeKalb, IL, USA
| | - Ravi Charan Ailneni
- Department of Industrial and Systems Engineering, Northern Illinois University, DeKalb, IL, USA
| | - Jeong Ho Kim
- School of Biological and Population Health Sciences, Oregon State University, Corvallis, OR, USA
| | - Jaejin Hwang
- Department of Industrial and Systems Engineering, Northern Illinois University, DeKalb, IL, USA.
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Boute B, Veldeman L, Speleers B, Van Greveling A, Van Hoof T, Van de Velde J, Vercauteren T, De Neve W, Detand J. The relation between patient discomfort and uncompensated forces of a patient support device for breast and regional lymph node radiotherapy. Appl Ergon 2018; 72:48-57. [PMID: 29885727 DOI: 10.1016/j.apergo.2018.05.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/17/2017] [Revised: 04/12/2018] [Accepted: 05/04/2018] [Indexed: 06/08/2023]
Abstract
Although many authors stated that a user-centred design approach in medical device development has added values, the most common research approach within healthcare is evidence-based medicine, which tend to focus on functional data rather than patient wellbeing and comfort. End user comfort is well addressed in literature for commercial products such as seats and hand tools but no data was found for medical devices. A commercial patient support device for breast radiotherapy was analysed and a relation was found between discomfort and uncompensated internal body forces. Derived from CT-images, simplified patient free-body diagrams were analysed and pain and comfort evaluated. Subsequently, a new patient position was established and prototypes were developed. Patient comfort- and prototype optimization was done through iterative prototyping. With this approach, we were able to compensate all internal body forces and establish a force neutral patient free-body diagram. This resulted in comfortable patient positioning and favourable medical results.
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Affiliation(s)
- Bert Boute
- Department of Radiotherapy and Experimental Cancer Research, Faculty of Medicine and Health Sciences, Ghent University, Belgium; Industrial Design Centre, Faculty of Engineering and Architecture, Ghent University, Belgium.
| | - Liv Veldeman
- Department of Radiotherapy and Experimental Cancer Research, Faculty of Medicine and Health Sciences, Ghent University, Belgium; Department of Radiation Oncology, University Hospital Ghent, Belgium
| | - Bruno Speleers
- Department of Radiotherapy and Experimental Cancer Research, Faculty of Medicine and Health Sciences, Ghent University, Belgium
| | | | - Tom Van Hoof
- Department of Anatomy, Faculty of Medicine and Health Sciences, Ghent University, Belgium
| | - Joris Van de Velde
- Department of Anatomy, Faculty of Medicine and Health Sciences, Ghent University, Belgium
| | - Tom Vercauteren
- Department of Radiotherapy and Experimental Cancer Research, Faculty of Medicine and Health Sciences, Ghent University, Belgium; Department of Radiation Oncology, University Hospital Ghent, Belgium
| | - Wilfried De Neve
- Department of Radiotherapy and Experimental Cancer Research, Faculty of Medicine and Health Sciences, Ghent University, Belgium; Department of Radiation Oncology, University Hospital Ghent, Belgium
| | - Jan Detand
- Industrial Design Centre, Faculty of Engineering and Architecture, Ghent University, Belgium
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Abstract
There is a growing body of evidence to suggest that surgeon posture while operating contributes to cervical musculoskeletal strain, discomfort, and chronic pain. Microsurgeons may be particularly susceptible to this risk due to persistent neck flexion, long periods of static posture, and the use of heavy, high-power loupe magnification. Several techniques are thus presented that may help in obviating the cervicospinal repercussions of performing microsurgery.
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Affiliation(s)
| | - Sean M Fisher
- Section of Plastic and Reconstructive Surgery, University of Washington Medicine, Seattle, Washington, DC
| | - David E Janhofer
- Department of Plastic Surgery, MedStar Georgetown University Hospital, Washington, DC
| | - David H Song
- Department of Plastic Surgery, MedStar Georgetown University Hospital, Washington, DC
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49
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Easy upper-body boosters: Arm, shoulder, and chest strength are crucial to maintaining independence and warding off injury. Harv Health Lett 2018; 43:1, 7. [PMID: 30160427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
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50
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Speed G, Harris K, Keegel T. The effect of cushioning materials on musculoskeletal discomfort and fatigue during prolonged standing at work: A systematic review. Appl Ergon 2018; 70:300-314. [PMID: 29866322 DOI: 10.1016/j.apergo.2018.02.021] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/15/2016] [Revised: 02/18/2018] [Accepted: 02/20/2018] [Indexed: 06/08/2023]
Abstract
This systematic review updates the current state of evidence on the effectiveness of softer flooring and cushioned shoe insoles on reducing musculoskeletal discomfort amongst workers who are required to stand for prolonged periods to work and the impact of factors such as age and gender on the outcomes. A systematic search identified 10 unique studies that met the eligibility criteria. The heterogeneity of study designs impacted on the strength of evidence. A moderate level of evidence was found in support of using cushioned materials in reducing discomfort/fatigue among standing workers. A limited level of evidence exists in favour of using insoles over anti-fatigue mats. Insufficient information exists for the impact of gender or age. Larger, good quality prospective intervention trials based in real workplaces that consider the impact of psychosocial and organisational factors on musculoskeletal discomfort whilst standing at work are required to inform industry recommendations.
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Affiliation(s)
- Gosia Speed
- Centre for Ergonomics and Human Factors, School of Psychology and Public Health, Latrobe University, Australia
| | | | - Tessa Keegel
- Centre for Ergonomics and Human Factors, School of Psychology and Public Health, Latrobe University, Australia; Monash Centre for Occupational and Environmental Health, School of Public Health and Preventative Medicine, Australia.
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