Effectiveness of intervention for low back pain in female caregivers in nursing homes: a pilot trial based on multicenter randomization

Effectiveness of intervention for low back pain in female caregivers in nursing homes: a pilot trial based on multicenter randomization
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疗养院女性护理人员腰痛干预的有效性:基于多中心随机化的试点试验

DOI:
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发表时间:
2011
影响因子:
4.7
通讯作者:
Y. Mutoh
Y. Mutoh
中科院分区:
医学3区
文献类型:
--
作者:
H. Kamioka;H. Okuizumi;S. Okada;Ryosuke Takahashi;Shuichi Handa;J. Kitayuguchi;Y. Mutoh

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虽然伸展运动对缓解疼痛和患者教育的重要性在慢性腰痛患者中得到了很好的证明,但目前还不确定在职培训(OJT)对疗养院女性护理人员的有效性。在目前的试点试验的基础上,多中心随机,我们评估的干预效果的讲座和伸展运动护理人员在nursings.MethodsEighteen的女性护理人员(四个养老院)自愿参加这项研究,他们被随机分为两组。对于干预组,由骨科医生和运动教练的指导作为一个OJT提供,并建议护理人员每天仅进行6 min的伸展运动以预防腰痛。腰痛视觉模拟量表(VAS),体能,心理和身体健康进行了比较,在基线和立即intervention.ResultsA后,共有29(33%)的参与者退出了12周。关于退出原因,28名参与者辞职,1名参与者因腰痛加重而请假。坚持拉伸运动的次数为每周2.3 ± 1.3(平均值±标准差)次。任何结果测量均未观察到显著差异。高依从性组(每周103次)没有显示出VAS的变化,但低依从性组(每周<3次)和对照组显示出得分增加的趋势(p = 0.068)。ConclusionsEven with the conduct of one OJT,and exercises of only 6 min every day,the adherence of carefulter was low,and there appeared to be a few effects of the OJT.
ObjectivesAlthough the importance of stretching exercise for pain-relieving and patient education is well documented for chronic lumbago patients, it is uncertain how effective on-the-job training (OJT) is for female caregivers in nursing homes. In the present pilot trial based on multicenter randomization, we evaluated the intervention effect of a lecture and stretching exercise on caregivers in nursing homes.MethodsEighty-eight female caregivers (four nursing homes) volunteered to participate in this study, and they were separated into two groups randomly. For the intervention group, guidance by an orthopedist and an exercise instructor were provided as one OJT, and stretching exercises for only 6 min every day were recommended for low back pain prevention to the caregivers. Low back pain visual analogue scale (VAS), physical fitness, and mental and physical health were compared at baseline and immediately after the intervention.ResultsA total of 29 (33%) participants withdrew by 12 weeks. Regarding the reasons for withdrawal, 28 participants resigned, and one took a leave of absence due to exacerbation of lumbago. Adherence to the stretching exercises was 2.3 ± 1.3 (mean ± SD) times per week. No significant differences were seen for any outcome measurements. The high adherence group (≧3 times per week) did not show a change in the VAS, but the low adherence group (<3 times per week) and control group showed a tendency towards an increased score (p = 0.068).ConclusionsEven with the conduct of one OJT, and exercises of only 6 min every day, the adherence of caregivers was low, and there appeared to be few effects of the OJT.
身体力学训练对重复举重表现的影响。
DOI: 10.5014/ajot.54.2.166
发表时间: 2000
期刊: The American journal of occupational therapy : official publication of the American Occupational Therapy Association
影响因子: --
作者:
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通讯作者: Boston,JR
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发表时间: 2009-05
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发表时间: 2003-02-01
影响因子: 5.5
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通讯作者: Kawachi, I