The Role of Physical Exercise in the Prevention of Musculoskeletal Disorders in Manual Workers: A Systematic Review and Meta-Analysis
Contenuto principale dell'articolo
Keywords
Abstract
Work-related musculoskeletal disorders (WMSDs) are the most common occupational health problem in the European Union. Physical exercise interventions have been investigated in the prevention of WMSDs in many sectors. Therefore, our aim was to assess the effect of physical exercise in manual workers for the primary and secondary prevention of WMSDs. We conducted a systematic search of the literature and papers were included if: the participants were adult employees exclusively engaged in manual labor tasks; non-acute physical exercise intervention; pain, disability, physical functioning, or health-related quality of life outcome, with pre-post intervention measurements. We retrieved 10419 unique records and included 23 studies. A random effect meta-analysis was conducted on the studies with a control group design, using a three level model to estimate the pooled effect for pain outcomes (g = 0.4339, 95% CI : 0.1267 – 0.7412, p < 0.01), and a two-level model for disability outcomes (g = 0.6279, 95% CI : 0.3983 – 0.8575, p < 0.0001). Subset analysis revealed a moderate-to-large effect on the VAS outcome (g = 0.5866, 95% CI: 0.3102 – 0.8630, p < 0.0001). Meta-regression on pain outcomes revealed a significant effect for sex, age, study quality, and body segments tested. The analyses on all outcomes except VAS showed substantial heterogeneity (I2pain = 93%, of which 72% at the study level, I2disability = 78%, and I2vas = 56%, of which 44% at the study level). Physical exercise programs seem to have a positive effect on pain and disability stemming from WRMSDs in manual workers.
Riferimenti bibliografici
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13. Martinez VML. The importance of workplace exercise. Revista Brasileira de Medicina do Trabalho. 2021;19(04):523-528. doi:10.47626/1679-4435-2021-666
14. Andersen LL, Mortensen OS, Hansen J V., Burr H. A prospective cohort study on severe pain as a risk factor for long-term sickness absence in blue- and white-collar workers. Occup Environ Med. 2011;68(8):590-592. doi:10.1136/oem.2010.056259
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17. Gram B, Holtermann A, Bültmann U, Sjøgaard G, Søgaard K. Does an exercise intervention improving aerobic capacity among construction workers also improve musculoskeletal pain, work ability, productivity, per-ceived physical exertion, and sick leave?: A randomized controlled trial. J Occup Environ Med. 2012;54(12):1520-1526. doi:10.1097/JOM.0b013e318266484a
18. Schardt C, Adams MB, Owens T, Keitz S, Fontelo P. Utilization of the PICO framework to improve searching PubMed for clinical questions. BMC Med Inform Decis Mak. 2007;7(1):16. doi:10.1186/1472-6947-7-16
19. Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. Syst Rev. 2016;5(1):210. doi:10.1186/s13643-016-0384-4
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21. Wan X, Wang W, Liu J, Tong T. Estimating the sample mean and standard deviation from the sample size, me-dian, range and/or interquartile range. BMC Med Res Methodol. 2014;14(1):135. doi:10.1186/1471-2288-14-135
22. Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ WV. Cochrane Handbook for Systematic Reviews of Interventions version 6.0 (updated July 2019). Cochrane, 2019. Handbook. 2019;(Who 2017):649. https://training.cochrane.org/handbook/current%0Ahttps://training.cochrane.org/handbook/current%0Ahttps://training.cochrane.org/handbook
23. Morris SB. Estimating Effect Sizes From Pretest-Posttest-Control Group Designs. Organ Res Methods. 2008;11(2):364-386. doi:10.1177/1094428106291059
24. R Core Team. R: A Language and Environment for Statistical Computing. Published online 2023. https://www.R-project.org/
25. Viechtbauer W. Conducting Meta-Analyses in R with the metafor Package. J Stat Softw. 2010;36(3). doi:10.18637/jss.v036.i03
26. Sundstrup E, Jakobsen MD, Andersen CH, et al. Effect of two contrasting interventions on upper limb chronic pain and disability: a randomized controlled trial. Pain Physician. 2014;17(2):145-154.
27. Gobbo S, Bullo V, Roma E, et al. Effects of tailored resistance exercise training in a group of metalworkers with ergonomic or manual handlings loads prescription by the occupational physician: A pilot study. Muscles Liga-ments Tendons J. 2021;11(1):186-192. doi:10.32098/mltj.01.2021.19
28. Muñoz-Poblete C, Bascour-Sandoval C, Inostroza-Quiroz J, Solano-López R, Soto-Rodríguez F. Effectiveness of Workplace-Based Muscle Resistance Training Exercise Program in Preventing Musculoskeletal Dysfunction of the Upper Limbs in Manufacturing Workers. J Occup Rehabil. 2019;29(4):810-821. doi:10.1007/s10926-019-09840-7
29. Lowe BD, Shaw PB, Wilson SR, et al. Evaluation of a Workplace Exercise Program for Control of Shoulder Dis-orders in Overhead Assembly Work. J Occup Environ Med. 2017;59(6):563-570. doi:10.1097/JOM.0000000000001030
30. Krüger K, Petermann C, Pilat C, Schubert E, Pons-Kühnemann J, Mooren FC. Preventive strength training im-proves working ergonomics during welding. International Journal of Occupational Safety and Ergonomics. 2015;21(2):150-157. doi:10.1080/10803548.2015.1029290
31. Rasotto C, Bergamin M, Simonetti A, et al. Tailored exercise program reduces symptoms of upper limb work-related musculoskeletal disorders in a group of metalworkers: A randomized controlled trial. Man Ther. 2015;20(1):56-62. doi:10.1016/j.math.2014.06.007
32. Theisen Pedersen M, Andersen CH, Zebis MK, Sjøgaard G, Andersen LL. Implementation of Specific Strength Training among Industrial Laboratory Technicians: Long-Term Effects on Back, Neck and Upper Extremity Pain.; 2013. http://clinicaltrials.gov
33. Zebis MK, Andersen LL, Pedersen MT, et al. Implementation of neck/shoulder exercises for pain relief among industrial workers: A randomized controlled trial. BMC Musculoskelet Disord. 2011;12(1):205. doi:10.1186/1471-2474-12-205
34. Mesquita CC, Ribeiro JC, Moreira P. Effect of a specific exercise program on the strength and resistance levels of lumbar muscles in warehouse workers. Int J Occup Med Environ Health. 2012;25(1):80-88. doi:10.2478/s13382-012-0011-0
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Bullo V, Favro F, Pavan D, Bortoletto A, Gobbo S, De Palma G, et al. The Role of Physical Exercise in the Prevention of Musculoskeletal Disorders in Manual Workers: A Systematic Review and Meta-Analysis. Med Lav [Internet]. 2024 Feb. 22 [cited 2024 Jul. 18];115(1):e2024008. Available from: https://mattioli1885journals.com/index.php/lamedicinadellavoro/article/view/15404
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Come citare
1.
Bullo V, Favro F, Pavan D, Bortoletto A, Gobbo S, De Palma G, et al. The Role of Physical Exercise in the Prevention of Musculoskeletal Disorders in Manual Workers: A Systematic Review and Meta-Analysis. Med Lav [Internet]. 2024 Feb. 22 [cited 2024 Jul. 18];115(1):e2024008. Available from: https://mattioli1885journals.com/index.php/lamedicinadellavoro/article/view/15404
