Videoconference-Supervised Exercise for Low Back Pain in Eldercare Workers: One-Year Follow-up of the ReViEEW Randomized Controlled Trial.

IF 1.4
Ander Espin, Jon Irazusta, Miriam Urquiza, Aida Ruiz-Fernández, Unai Latorre Erezuma, Laura Collado Torres, Lars Louis Andersen, Ana Rodriguez-Larrad
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Abstract

Objective: To examine the 1-year impact of a 12-week videoconference-supervised exercise program followed by exercise advice on low back pain (LBP) among eldercare workers.

Methods: One hundred thirty participants were randomized to control or intervention arms. Both received standard workplace prevention. The intervention group also completed the 12-week program and was encouraged to continue exercising until 1-year follow-up.

Results: Eleven participants dropped out. Intention-to-treat analysis showed no significant group-by-time effect on average LBP intensity ( P = 0.140). However, significant effects favored the intervention group in work interference from LBP and neck pain and reduced use of hypnotic/anxiolytic medications, whereas a negative effect appeared in work-related personal accomplishment ( P < 0.05). Per-protocol analysis showed gains in trunk muscle endurance and depressive symptoms ( P < 0.05).

Conclusions: The intervention did not lower average LBP intensity but positively influenced several secondary outcomes, including work interference from pain and medication use.

视频会议监督下的运动对老年人腰痛的治疗:回顾随机对照试验的一年随访。
目的:研究一项为期12周的视频会议指导下的运动计划以及运动建议对老年人腰痛(LBP)的影响。方法:130名受试者随机分为对照组和干预组。他们都接受了标准的工作场所预防。干预组也完成了为期12周的计划,并被鼓励继续锻炼直到一年的随访。结果:11名参与者退出。意向治疗分析显示,各组平均腰痛强度无显著时间效应(p = 0.140)。干预组在腰痛、颈部疼痛对工作的干扰、催眠/抗焦虑药物的使用等方面均有显著影响,而在工作相关的个人成就感方面则出现负向影响(p < 0.05)。按方案分析显示躯干肌肉耐力和抑郁症状有所增加(p < 0.05)。结论:干预没有降低平均腰痛强度,但对几个次要结局有积极影响,包括疼痛和药物使用对工作的干扰。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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