Videoconference-Supervised Group Exercise Reduces Low Back Pain in Eldercare Workers: Results from the ReViEEW Randomised Controlled Trial

IF 2.1 3区医学 Q1 REHABILITATION Journal of Occupational Rehabilitation Pub Date : 2024-04-17 DOI:10.1007/s10926-024-10182-2

Ander Espin, Jon Irazusta, Maialen Aiestaran, Unai Latorre Erezuma, Julia García-García, Ismene Arrinda, Karmele Acedo, Ana Rodriguez-Larrad

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Abstract

Purpose

To assess the effects of a group exercise intervention conducted by real-time videoconference on the low back pain of eldercare workers.

Methods

We randomly assigned 130 eldercare workers to an experimental group (EG: n = 65) or control group (CG: n = 65). Participants from both groups took part in routine prevention programs carried out in their workplace, and participants from the EG received an additional 12-week resistance-exercise intervention supervised by real-time videoconference. Assessments were conducted before and after the intervention, and the primary outcome was average low back pain intensity during the last 7 days, measured by the 0–10 numerical rating scale. Secondary outcomes included additional measures of low back, neck, shoulder and hand/wrist pain, as well as psycho-affective parameters, medication consumption and muscle performance. Both intention-to-treat and per-protocol analyses were applied with a group-by-time ANCOVA including baseline measurements as covariates.

Results

125 participants completed post-intervention assessments (EG: n = 63, CG: n = 62). The intention-to-treat analysis showed an effect favouring the EG on average low back pain intensity (p = 0.034). Improvements in additional low back and hand/wrist pain outcomes were also observed, as well as on upper limb muscle performance (p < 0.05). The per-protocol analysis demonstrated additional benefits in depression, quality of life, hypnotic/anxiolytic medication consumption and lower limb and trunk muscle performance in participants with ≥ 50% adherence (p < 0.05).

Conclusions

The intervention was effective for reducing the low back and hand/wrist pain of eldercare workers and increasing upper limb muscle performance. The per-protocol analysis showed additional benefits in psycho-affective parameters, medication consumption and muscle performance.

Trial registration: ClinicalTrials.gov, NCT05050526. Registered 20 September 2021—Prospectively registered, https://www.clinicaltrials.gov/study/NCT05050526

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视频会议监督下的集体锻炼可减轻老年护理工作者的腰痛：ReViEEW 随机对照试验的结果

方法我们将 130 名老年护理工作者随机分配到实验组（EG：n = 65）或对照组（CG：n = 65）。两组的参与者都参加了在工作场所开展的常规预防计划，而实验组的参与者则额外接受了为期 12 周的阻力运动干预，并通过实时视频会议进行监督。干预前后均进行了评估，主要结果是最近 7 天的平均腰背痛强度，采用 0-10 数字评分量表进行测量。次要结果包括腰背、颈部、肩部和手/腕部疼痛的其他测量指标，以及心理情感参数、药物消耗量和肌肉表现。结果125名参与者完成了干预后评估（EG：63人，CG：62人）。意向治疗分析表明，在平均腰背痛强度方面，EG 更受青睐（p = 0.034）。此外，还观察到其他腰背痛和手/腕部疼痛结果以及上肢肌肉表现均有所改善（p < 0.05）。按协议分析表明，在坚持率≥50%的参与者中，抑郁、生活质量、催眠/抗焦虑药物消耗以及下肢和躯干肌肉表现都有额外的改善（p < 0.05）。按协议分析表明，干预对心理情感参数、药物消耗和肌肉表现都有额外的益处：试验注册：ClinicalTrials.gov，NCT05050526。注册日期：2021 年 9 月 20 日-前瞻性注册，https://www.clinicaltrials.gov/study/NCT05050526

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来源期刊

Journal of Occupational Rehabilitation Multiple-

CiteScore

5.80

自引率

12.10%

发文量

期刊介绍： The Journal of Occupational Rehabilitation is an international forum for the publication of peer-reviewed original papers on the rehabilitation, reintegration, and prevention of disability in workers. The journal offers investigations involving original data collection and research synthesis (i.e., scoping reviews, systematic reviews, and meta-analyses). Papers derive from a broad array of fields including rehabilitation medicine, physical and occupational therapy, health psychology and psychiatry, orthopedics, oncology, occupational and insurance medicine, neurology, social work, ergonomics, biomedical engineering, health economics, rehabilitation engineering, business administration and management, and law. A single interdisciplinary source for information on work disability rehabilitation, the Journal of Occupational Rehabilitation helps to advance the scientific understanding, management, and prevention of work disability.