Resistance Training Improves Physical Fitness and Reduces Pain Perception in Workers with Upper Limb Work-Related Musculoskeletal Disorders: A Pilot Study

V. Bullo, S. Gobbo, Salvatore Sciusco, L. Cugusi, A. di Blasio, D. Cruz-Díaz, Alessandro Bortoletto, G. Priolo, D. Bocalini, M. Bergamin
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Abstract

Work-related musculoskeletal disorders (WRMDs) are a cause of productivity loss and disability. Resistance training (RT) and stretching seems to relieve pain, reducing the relative workload via an improvement in range of motion. Sixteen women (age: 48.69 ± 5.88 years old, working career duration as a packager: 22.75 ± 2.18 years) were recruited to participate in a 14-week work-based RT and stretching program. Specific exercise training (SET) targeting all body areas affected by WRMDs was performed after week 6. Physical fitness was measured via the 2 min step test (2MST), the back scratch test and the handgrip test (HG). To evaluate the level of pain in the cervical spine, shoulder, elbow and wrist, the visual analogue scale (VAS) was used. Differences were verified with a t-test. The cervical spine (p = 0.02) and left wrist (p = 0.04) VAS decreased, whereas the HG for both right (p = 0.01) and left (p = 0.01) hands and the 2MST (p = 0.01) improved. Participants with WRMDs affecting the cervical spine reported a 3.72 higher VAS score for the neck at the beginning of the protocol (p = 0.03). The protocol improved the physical fitness of participants but showed a limited effect on WRMD pain. The mean adherence was 86.2%, which indicated that exercise performed in the workplace is well accepted and could be used for pain management.
抗阻训练改善上肢与工作相关的肌肉骨骼疾病工人的身体健康和减少疼痛感知:一项试点研究
与工作相关的肌肉骨骼疾病(WRMD)是生产力下降和残疾的原因之一。阻力训练(RT)和拉伸似乎可以缓解疼痛,通过提高运动范围来减少相对工作量。招募了16名女性(年龄:48.69±5.88岁,包装工职业生涯持续时间:22.75±2.18年)参加为期14周的基于工作的RT和拉伸计划。针对受WRMD影响的所有身体区域的专项运动训练(SET)在第6周后进行。通过2分钟步进测试(2MST)、背部抓挠测试和抓握测试(HG)测量身体素质。为了评估颈椎、肩、肘和手腕的疼痛程度,使用视觉模拟量表(VAS)。差异用t检验进行验证。颈椎(p=0.02)和左手腕(p=0.04)VAS降低,而右手(p=0.01)和左手(p=0.01%)的HG以及2MST(p=0.01。在方案开始时,患有影响颈椎的WRMD的参与者报告颈部VAS评分高3.72(p=0.03)。该方案改善了参与者的身体素质,但对WRMD疼痛的影响有限。平均依从性为86.2%,这表明在工作场所进行的锻炼是公认的,可以用于疼痛管理。
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