Effect of non-surgical interventions on pain relief and symptom improvement in farmers with diseases of the musculoskeletal system or connective tissue: an exploratory systematic review based on randomized controlled trials.
Effect of non-surgical interventions on pain relief and symptom improvement in farmers with diseases of the musculoskeletal system or connective tissue: an exploratory systematic review based on randomized controlled trials.
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DOI：
10.2185/jrm.2021-038
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发表时间：
2022-01
期刊：
影响因子：
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通讯作者：
Machida R
中科院分区：
文献类型：
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作者：
Kamioka H;Okuizumi H;Handa S;Kitayuguchi J;Machida R
目的：有许多关于农民疼痛治疗的观察和临床研究；然而，仅基于随机对照试验 (RCT) 的干预措施对肌肉骨骼系统或结缔组织 (D-MSCT) 疾病的影响知之甚少。本综述旨在总结非手术干预措施对接受 D-MSCT 的农民疼痛缓解和症状改善效果的证据。材我们重点关注 1) 疼痛缓解和症状改善，2) 生活质量和身体素质改善。结果：四项研究（三项关于腰痛，一项关于膝骨关节炎）符合所有纳入标准。总体而言，偏倚风险较高，且由于异质性而无法进行荟萃分析。然而，至少在短期内，参与式人体工程学方法、以跨理论模型的力量训练为中心的运动和/或两者的结合可以纳入有效的教育计划中，至少在短期内，以预防和/或减少农民 D-MSCT 的恶化。基于内部和外部有效性，我们可以提出未来的研究议程和概念教育模型，以预防农民的 D-MSCT。结论：参与式人体工程学干预、以力量训练为中心的运动和/或两者的结合可以纳入有效的教育计划中，以预防和减少农民 D-MSCT 的恶化。在 COVID-19 大流行期间，将对全球各地（特别是发展中国家和地区）的许多农业工作类型实施偏差风险较小的高质量随机对照试验。
Objective: There are many observational and clinical studies on pain treatment in farmers; however, little is known about the effects of interventions based only on randomized controlled trials (RCTs) on diseases of the musculoskeletal system or connective tissue (D-MSCT). This review aimed to summarize evidence on the effects of non-surgical interventions for pain relief and symptom improvement in farmers with D-MSCT. Materials and Methods: We searched seven databases, including MEDLINE, and three clinical trial registries, including the International Clinical Trials Registry Platform, from inception up to February 15, 2021, to identify studies that included at least one treatment group wherein nonsurgical interventions were applied. We focused on 1) pain relief and symptom improvement and 2) quality of life and improvement in physical fitness. Results: Four studies (three on low back pain and one on knee osteoarthritis) met all the inclusion criteria. Overall, the risk of bias was high, and meta-analysis could not be performed due to heterogeneity. However, a participatory ergonomic approach, exercise centered on strength training with a transtheoretical model, and/or a combination of both could be included in effective educational programs, at least in the short term, to prevent and/or reduce exacerbation of D-MSCT in farmers. Based on internal and external validity, we could postulate a future research agenda and a conceptual education model to prevent D-MSCT in farmers. Conclusion: Participatory ergonomic intervention, exercise centered on strength training, and/or a combination of both could be included for effective educational programs to prevent and reduce exacerbation of D-MSCT in farmers. High-quality RCTs with a less risk of bias will be implemented for many agricultural work types in various parts worldwide (especially developing countries and regions) during the COVID-19 pandemic.