PHYSICAL THERAPY & REHAB
Workplace-Based Interventions for Neck Pain in Office Workers: Systematic Review and Meta-Analysis
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2018;6(9):11 Phys Ther. 2018 Jan 1;98(1):40-6227 randomized controlled trials were included in this systematic review and meta-analysis on workplace-based neck and shoulder strengthening intervention, general fitness training, and ergonomic approach interventions, and their effect on either reducing neck pain among symptomatic office workers, or preventing the development of neck pain in general among office workers. Among office workers with neck pain, there was moderate-quality evidence in support of either workplace-based neck and shoulder strengthening intervention or general fitness training for greater pain reduction than no training. A single study suggested a therapeutic effect of ergonomic adjustment for neck pain, though no significant preventative effect of ergonomic adjustment for neck pain among general office workers.
Were the search methods used to find evidence (original research) on the primary question or questions stated?
Was the search for evidence reasonably comprehensive?
Were the criteria used for deciding which studies to include in the overview reported?
Was the bias in the selection of studies avoided?
Were the criteria used for assessing the validity of the included studies reported?
Was the validity of all of the studies referred to in the text assessed with use of appropriate criteria (either in selecting the studies for inclusion or in analyzing the studies that were cited)?
Were the methods used to combine the findings of the relevant studies (to reach a conclusion) reported?
Were the findings of the relevant studies combined appropriately relative to the primary question that the overview addresses?
Were the conclusions made by the author or authors supported by the data and or analysis reported in the overview?
How would you rate the scientific quality of this evidence?
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。
4/4
Introduction
4/4
Accessing Data
3/4
Analysing Data
3/4
Results
4/4
Discussion
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？
While previous reviews have been performed on workplace-based interventions for neck pain, none have evaluated efficacy specifically among office workers.
主な研究課題は何ですか？
Among office workers with neck pain, what is the effect of workplace-based interventions on prevention of neck pain, and what is the efficacy of workplace-based interventions for treatment of neck pain?
重要な知見は？
- Workplace neck and shoulder strengthening exercises demonstrated significantly greater pain reduction compared to no training among office workers with symptomatic neck pain (5 studies; SMD 0.59 [95%CI 0.29-0.89]; GRADE: moderate).
- Group-based neck and shoulder strengthening exercises did not demonstrate a significant difference in pain reduction to physiotherapy in office workers with symptomatic neck pain (1 study; SMD 0.04 [95%CI -0.76, 0.84]; GRADE: moderate).
- General workplace fitness for 1 hour per week demonstrated significantly greater pain reduction compared to no training among office workers with symptomatic neck pain (2 studies; SMD 0.43 [95%CI 0.08-0.78]; GRADE: moderate).
- Multiple work station adjustments demonstrated significantly greater reduction in pain when compared to no intervention in office workers with symptomatic neck pain (1 study; p<0.0001; GRADE: very low).
- Intervention of an alternative mouse and arm support did not significantly reduce the incidence of neck pain compared to no intervention in a general office worker population (2 studies; RR 1.60 [95%CI 0.99-2.60]; GRADE: low).
最も覚えておくべきことは？
Among office workers with neck pain, there was moderate-quality evidence in support of either workplace-based neck and shoulder strengthening intervention or general fitness training for greater pain reduction than no training. Workplace-based neck and shoulder strengthening exercises also demonstrated similar pain reduction to individualized physiotherapy. One study suggested a therapeutic effect of ergonomic adjustment for neck pain, though statistically significant prevention of neck pain among office workers in general was not established in a pooled analysis.
それが私の患者ケアにどのように影響するか？
The results of this study appear to support workplace-based neck and shoulder strengthening intervention or general fitness training as effective interventions for reducing neck pain among office workers. The evidence on the effect of ergonomic alterations as either a therapeutic option or preventative option for neck pain was limited, and of generally low quality. Additional work in these areas should be considered.
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