GENERAL ORTHOPAEDICS
Effectiveness of a questionnaire based intervention programme on the prevalence of arm, shoulder and neck symptoms, risk factors and sick leave in computer workers: a cluster randomized controlled trial in an occupational setting
This report has been verified
by one or more authors of the
original publication.
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2013;1(12):115 BMC Musculoskelet Disord. 2010 May 27;11:991184 Computer workers from 7 Dutch organizations partook a health questionnaire were randomized to two groups, one receiving the feedback on their scores and a preventive advice and the other group continuing with the usual care. The effectiveness of the RSI QuickScan intervention program was found to be small and limited to a decrease in some risk factors exposures only, with no difference in the prevalence of symptoms or sick leave between the groups.
Was the allocation sequence adequately generated?
Was allocation adequately concealed?
Blinding Treatment Providers: Was knowledge of the allocated interventions adequately prevented?
Blinding Outcome Assessors: Was knowledge of the allocated interventions adequately prevented?
Blinding Patients: Was knowledge of the allocated interventions adequately prevented?
Was loss to follow-up (missing outcome data) infrequent?
Are reports of the study free of suggestion of selective outcome reporting?
Were outcomes objective, patient-important and assessed in a manner to limit bias (ie. duplicate assessors, Independent assessors)?
Was the sample size sufficiently large to assure a balance of prognosis and sufficiently large number of outcome events?
Was investigator expertise/experience with both treatment and control techniques likely the same (ie.were criteria for surgeon participation/expertise provided)?
はい = 1
不確実＝0.5
無関係 = 0
いいえ = 0
報告基準評価では、著者が出版物内で試験の方法論的特徴や試験特性を報告する際の透明性を評価します。評価は以下の5つのカテゴリーに分類されます。
3/4
Randomization
2/4
Outcome Measurements
4/4
Inclusion / Exclusion
4/4
Therapy Description
5/5
Statistics
Detsky AS, Naylor CD, O'Rourke K, McGeer AJ, L'Abbé KA. J Clin Epidemiol. 1992;45:255-65
Fragility Indexは、重要な所見の解釈を助けるツールで、結果の強さの尺度を提供します。Fragility Indexは、その所見が有意でなくなるために、二項対立の結果に追加する必要がある連続した事象の数を表します。数値が小さいほど弱い所見を表し、数値が大きいほど強い所見を表します。
なぜ今この研究が必要なのですか？
In 15 European countries, 25% of the working population was found to have neck/shoulder and arm pain and were shown to have a 31% reduction in the quality of life score. Several preventive measures and exercise programs have been suggested along with frequent breaks. However, there is a lack of evidence regarding the effectiveness of a prevention program. This study specifically look into the efficacy of a preventive program and specific advice on reduction of repetitive strain injuries.
主な研究課題は何ですか？
For computer workers, is a questionnaire-based prevention program followed by preventive advice effective in reducing the prevalence of arm, shoulder and neck symptoms or Repetitive Strain Injury (RSI)?
重要な知見は？
- At 12 months follow-up, the intervention and usual care group were not significantly different in the reduction of the prevalence of arm, shoulder, and neck symptoms.
- The intervention group had a statistically significant improvement in terms of the scores, information, work posture and movement.
- The intervention and usual care group were not significantly different in changes in the number of sick leave days.
- Participants receiving the intervention were found to have increased awareness regarding prevention and hence were able to reduce exposure to adverse postures and movements (OR=0.478).
最も覚えておくべきことは？
The RSI QuickScan intervention program was not effective in reducing the prevalence of arm, shoulder, and neck symptoms. However, participants who received the intervention were certainly found to have increased awareness due to education regarding prevention and hence were able to reduce exposure to adverse postures and movements.
それが私の患者ケアにどのように影響するか？
A newly-developed intervention program in Netherlands has not proved to be significantly effective in reducing the prevalence of repetitive strain injury in computer workers.
免責事項
このページに記載されている内容は、情報提供のみを目的としたものであり、専門的な医療アドバイス、診断、治療の代わりとなるものではありません。治療が必要な場合は、必ず医師の診断を仰ぐか、最寄りの救急外来を受診してください。このページに記載されている内容に関して個人が表明した意見、信念、見解は、OrthoEvidenceの意見、信念、見解を反映するものではありません。
0の4 月間無料記事のロック解除
