Psychosocial effects of workplace physical exercise among workers with chronic pain Randomized controlled trial
Psychosocial effects of workplace physical exercise among workers with chronic pain Randomized controlled trial
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DOI：
10.1097/md.0000000000005709
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发表时间：
2017-01-01
期刊：
影响因子：
1.6
通讯作者：
Sundstrup, Emil
中科院分区：
文献类型：
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作者：
Andersen, Lars L.;Persson, Roger;Sundstrup, Emil
虽然工作场所的体育锻炼可以帮助管理肌肉骨骼疾病，但对这种干预措施的心理社会影响知之甚少。本研究旨在探讨工作场所体育锻炼对慢性肌肉骨骼疼痛工人心理社会因素的影响，试验设计为两组平行随机对照试验，分配隐藏。共有66名患有上肢慢性肌肉骨骼疼痛的屠宰场工人（51名男性和15名女性，平均年龄45岁[标准差（SD）10]）被随机分配到基于组的力量训练（体育锻炼组）或个人工效学培训和教育（参考组），为期10周。社会气候进行了评估，一般北欧问卷的心理和社会因素在工作中，和活力和心理健康进行了评估，与36项简表健康调查。所有量表均转换为0至100（分数越高越好）。从基线到随访的组间差异采用线性混合模型确定，调整了工作场所，年龄，性别和基线结果值，社会气候，心理健康和活力的平均基线评分分别为52.2（SD 14.9），79.5（SD 13.7）和53.9（SD 19.7）。分别从体育锻炼组和参考组的30名和31名患者中获得完整的基线和随访数据。从基线到随访，体育锻炼组和参考组之间的社会气候、心理健康和活力组间差异分别为7.6（95% CI 0.3至14.9）、-2.3（95% CI-10.3至5.8）和10.1（95% CI 0.6至19.5）。对于社会气候和活力，这对应于有利于体育锻炼的中等效应大小（科恩d = 0.51）。没有不良事件的报道。总之，与同事一起进行的工作场所体育锻炼可以改善慢性肌肉骨骼疼痛工人的社会氛围和活力。心理健康没有变化。
While workplace physical exercise can help manage musculoskeletal disorders, less is known about psychosocial effects of such interventions. This aim of this study was to investigate the effect of workplace physical exercise on psychosocial factors among workers with chronic musculoskeletal pain.The trial design was a 2-armed parallel-group randomized controlled trial with allocation concealment. A total of 66 slaughterhouse workers (51 men and 15 women, mean age 45 years [standard deviation (SD) 10]) with upper limb chronic musculoskeletal pain were randomly allocated to group-based strength training (physical exercise group) or individual ergonomic training and education (reference group) for 10 weeks. Social climate was assessed with the General Nordic Questionnaire for Psychological and Social Factors at Work, and vitality and mental health were assessed with the 36-item Short Form Health Survey. All scales were converted to 0 to 100 (higher scores are better). Between-group differences from baseline to follow-up were determined using linear mixed models adjusted for workplace, age, gender, and baseline values of the outcome.Mean baseline scores of social climate, mental health, and vitality were 52.2 (SD 14.9), 79.5 (SD 13.7), and 53.9 (SD 19.7), respectively. Complete baseline and follow-up data were obtained from 30 and 31 from the physical exercise and reference groups, respectively. The between-group differences from baseline to follow-up between physical exercise and reference were 7.6 (95% CI 0.3 to 14.9), -2.3 (95% CI -10.3 to 5.8), and 10.1 (95% CI 0.6 to 19.5) for social climate, mental health, and vitality, respectively. For social climate and vitality, this corresponded to moderate effect sizes (Cohen d=0.51 for both) in favor of physical exercise. There were no reported adverse events.In conclusion, workplace physical exercise performed together with colleagues improves social climate and vitality among workers with chronic musculoskeletal pain. Mental health remained unchanged.