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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Workplace interventions to improve sitting posture: A systematic review
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Workplace interventions to improve sitting posture: A systematic review

机译:工作场所干预改善休息姿势:系统审查

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Abstract Purpose Evaluate the effectiveness of workplace interventions to improve sitting posture of workers that spend long periods of time seated at a visual display terminal. Methods A systematic review of randomised controlled trials, non-randomised controlled trials and single-group intervention trials featuring workplace interventions with pre- and follow-up measurements of sitting posture was conducted (registered in PROSPERO, CRD#42015027648). Nine databases were searched for studies available between January 2005 and February 2016. Results 2519 articles were screened with 12 studies meeting the inclusion criteria. The included studies featured various ergonomic workplace interventions and comprised 4 randomised controlled trial (n = 457), 2 non-randomised controlled trials (n = 416) and 6 single-group intervention trials (n = 328). Due to clinical and methodological heterogeneity, pooling of data was not completed and a narrative summary of findings was developed using the Grading of Recommendations Assessment Development and Evaluation (GRADE) framework. The evidence for four review outcomes was assessed with medium to large positive improvements obtained for the majority of studies investigating changes to gross sitting posture, whereas mixed findings were obtained for more specific local segment assessments of sitting posture. The overall evidence quality for all review outcomes were identified as either ‘low’ or ‘very low’. Conclusion There is evidence which is limited in quality to indicate that ergonomic workplace interventions can improve gross sitting posture. More high quality research across a range of intervention types is required with longer follow-up durations and more advanced methods to assess sitting posture with greater frequency and less bias. Highlights ? First systematic review to investigate workplace interventions and sitting posture ? Low quality evidence for medium to large improvements in gross sitting posture ? More research required with longer follow-up and less biased assessment of posture ]]>
机译:摘要目的评估工作场所干预的有效性,提高花费长时间坐在视觉显示终端的工人姿势。方法对随机对照试验的系统审查,非随机对照试验和单组干预试验,采用与坐姿的前后测量的工作场所干预(在Prospero,CRD中注册#42015027648)。在2005年1月至2016年2月期间搜索了九个数据库。结果,筛选了2519篇文章,其中12项符合纳入标准。本发明的研究具有各种人体工程学工作场所干预,并包含4项随机对照试验(n = 457),2个非随机对照试验(n = 416)和6个单组干预试验(n = 328)。由于临床和方法的异质性,数据汇总未完成,并使用建议评估开发和评估(等级)框架的评分进行调查结果叙述。评估了四种审查结果的证据,以媒体为大多数研究调查休息姿势的变化而获得的大量积极改进,而有针对性的坐姿的更具体的当地分部评估获得混合调查结果。所有审查结果的总证据质量被确定为“低”或“非常低”。结论有证据质量有限,表示符合人体工程学的工作场所干预措施可以提高坐姿总姿势。需要更长的后续持续时间和更先进的方法来评估具有更高频率和更少偏差的姿势和更低的偏差,因此需要更高质量的研究。强调 ?第一次系统审查以调查工作场所干预和坐姿姿势?高质量证据是大休息姿势的大量改善吗?更多的研究需要更长的后续行动和对姿势的偏见评估更少]]>

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