Exercise therapy and work-related musculoskeletal disorders in sedentary workers

Kelly, Debbie; Shorthouse, Faye; Roffi, V; Tack, Christopher

doi:10.1093/occmed/kqy054

Cited by 27 publications

(24 citation statements)

References 31 publications

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“…Our findings demonstrated that participants performing regular physical exercises had a lower likelihood of experiencing disabling musculoskeletal symptoms, especially neck and shoulder pain, which is consistent with previous findings [ 28 – 30 ]. For example, a prospective study by Sitthipornvorakul et al involving 387 workers revealed a negative association between the number of steps per day and the onset of neck pain.…”

Section: Discussionsupporting

confidence: 93%

“…This study showed that for every 1000 extra steps walked in a day, the risk of neck pain decreased by 14% [ 29 ]. Moreover, in 2018, a systematic review of 11 studies conducted by Kelly et al showed that exercise therapy is effective in reducing symptoms and improving function among sedentary workers with work-related upper limb disorders [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

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Physical exercise among radiologists in Saudi Arabia: a cross-sectional study

et al. 2020

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Background The practice of clinical radiology has become more sedentary in the era of the Picture Archiving and Communication System. Physical inactivity is a well-known risk factor for various chronic diseases. This study aimed to determine the frequency and pattern of physical exercises among radiologists in the Eastern Province of Saudi Arabia and the association between physical exercises and the prevalence of work-related musculoskeletal symptoms. Methods An online survey was sent to radiologists in all hospitals (academic, public, and private) in the major cities of the Eastern Province of Saudi Arabia. It covered information about demographic characteristics and the frequency and pattern of physical exercises. It also included an evaluation of work-related musculoskeletal symptoms using the Nordic Musculoskeletal Questionnaire. This survey of 263 radiologists was conducted in April 2019. The study outcome was the presence of disabling musculoskeletal symptoms in any body region which restricted the performance of normal activities within the last 12 months. The study results were analyzed descriptively using the Chi-square test. Results The survey was completed by 198 participants (111 men and 87 women) with a response rate of 75.3%. Most participants (71.2%) were less than 40 years. Eighty-three men (74.8%) did a physical exercise at least weekly, compared to 45 (51.7%) women. Men were more likely to engage in various physical exercises than women. Overall, 60.9% of participants who did not do any physical exercise regularly (less than monthly) reported having disabling neck pain. This figure was found lower among participants who did physical exercises monthly (45.8%) or at least weekly (32.8%). A similar pattern was observed with shoulder pain, with 45.7% found in participants who did not exercise and only 25.8% in those engaging in physical activities at least weekly. Conclusions Physical inactivity is common among radiologists, especially female ones, in the Eastern Province of Saudi Arabia. The physical inactivity was significantly associated with work-related musculoskeletal symptoms. Gender-specific health promotion programs are needed to mitigate the negative health outcomes due to the sedentary nature of the radiology current practice.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Physical exercise among radiologists in Saudi Arabia: a cross-sectional study

et al. 2020

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“…Overall, 12 SRs reported on different interventions for the prevention of musculoskeletal disorders. They included mixed interventions with several different components,21–25 physical exercises at the workplace,26 work organisation and psychosocial working environment,27 educational interventions for the prevention of musculoskeletal disorders,28 ergonomic interventions29 and interventions in the area of manual handling of loads 30–32…”

Section: Resultsmentioning

confidence: 99%

“…Strengthening exercises or fitness training had a positive effect on musculoskeletal disorders in general as well as in the shoulder and neck area and on back pain in various occupational groups 22 24 26. The QoE varied widely between outcomes.…”

Section: Resultsmentioning

confidence: 99%

Evidence-based occupational health and safety interventions: a comprehensive overview of reviews

et al. 2019

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ObjectivesOccupational injuries and diseases are a huge public health problem and cause extensive suffering and loss of productivity. Nevertheless, many occupational health and safety (OHS) guidelines are still not based on the best available evidence. In the last decade, numerous systematic reviews on behavioural, relational and mixed interventions to reduce occupational injuries and diseases have been carried out, but a comprehensive synopsis is yet missing. The aim of this overview of reviews is to provide a comprehensive basis to inform evidence-based decision-making about interventions in the field of OHS.MethodsWe conducted an overview of reviews. We searched MEDLINE (Ovid), the Cochrane Library (Wiley), epistemonikos.org and Scopus (Elsevier) for relevant systematic reviews published between January 2008 and June 2018. Two authors independently screened abstracts and full-text publications and determined the risk of bias of the included systematic reviews with the ROBIS (Risk of Bias in Systematic Reviews) tool.ResultsWe screened 2287 abstracts and 200 full-texts for eligibility. Finally, we included 25 systematic reviews with a low risk of bias for data synthesis and analysis. We identified systematic reviews on the prevention of occupational injuries, musculoskeletal, skin and lung diseases, occupational hearing impairment and interventions without specific target diseases. Several interventions led to consistently positive results on individual diseases; other interventions did not show any effects, or the studies are contradictory. We provide detailed results on all included interventions.DiscussionTo our knowledge, this is the first comprehensive overview of behavioural, relational and mixed interventions and their effectiveness in preventing occupational injuries and diseases. It provides policymakers with an important basis for making evidence-based decisions on interventions in this field.PROSPERO registration numberCRD42018100341

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“…Trainees and young neurosurgeons must be aware of the significant risk of suffering from WMSDs and learn good practice early, as well as develop an awareness of the risk they are exposed to (for instance, the long-term use of the Kerrison rongeurs or loupes). Exercise also seems to reduce the risk of developing WMSDs in other standing and manual professions [7,18,32]. For example, some companies have set up workplace fitness programs, consisting of stretching and warm-up exercises for over-taxed joints.…”

Section: Future Directionsmentioning

confidence: 99%

Ergonomics and musculoskeletal disorders in neurosurgery: a systematic review

et al. 2020

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Background Work-related musculoskeletal disorders (WMSDs) are a growing and probably undervalued concern for neurosurgeons and spine surgeons, as they can impact their quality of life and career length. This systematic review aims to ascertain this association and to search for preventive measures. Methods We conducted a PRISMA-P-based review on ergonomics and WMSDs in neurosurgery over the last 15 years. Twelve original articles were included, of which 6 focused on spine surgery ergonomics, 5 cranio-facial surgery (mainly endoscopic), and one on both domains. Results We found a huge methodological and content diversity among studies with 5 surveys, 3 cross-sectional studies, 2 retrospective cohorts, and 2 technical notes. Spine surgeons have sustained neck flexion and neglect their posture during surgery. In a survey, low back pain was found in 62% of surgeons, 31% of them with a diagnosed lumbar disc herniation, and 23% of surgery rate. Pain in the neck (59%), shoulder (49%), finger (31%), and wrist (25%) are more frequent than in the general population. Carpal tunnel syndrome showed a linear relationship with increasing cumulative hours of spine surgery practice. Among cranial procedures, endoscopy was also significantly related to shoulder pain while pineal region surgery received some attempts to optimize ergonomics. Conclusions Ergonomics in neurosurgery remains underreported and lack attention from surgeons and authorities. Improvements shall target postural ergonomics, equipment design, weekly schedule adaptation, and exercise.

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Exercise therapy and work-related musculoskeletal disorders in sedentary workers

Abstract: The results were comparable to recent systematic reviews, which have found evidence to support the use of exercise therapy, in mixed populations of workers. There is a need for further research to highlight the most effective form of exercise, optimal dosage and delivery method.

Cited by 27 publications

References 31 publications

Physical exercise among radiologists in Saudi Arabia: a cross-sectional study

Physical exercise among radiologists in Saudi Arabia: a cross-sectional study

Evidence-based occupational health and safety interventions: a comprehensive overview of reviews

Ergonomics and musculoskeletal disorders in neurosurgery: a systematic review

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