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首页> 外文期刊>Occupational and environmental medicine >Effects of an exercise programme on preventing neck pain among office workers: A 12-month cluster-randomised controlled trial
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Effects of an exercise programme on preventing neck pain among office workers: A 12-month cluster-randomised controlled trial

机译：运动计划对预防上班族颈部疼痛的效果：一项为期12个月的整群随机对照试验

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Objectives: This study aimed to evaluate the effects of an exercise programme focusing on muscle stretching and endurance training on the 12-month incidence of neck pain in office workers. Methods: A 12-month prospective cluster-randomised controlled trial was conducted in healthy office workers with lower-than-normal neck flexion movement or neck flexor endurance. Participants were recruited from 12 large-scale enterprises. A total of 567 healthy office workers were randomly assigned at the cluster level into either intervention (n=285) or control (n=282) groups. Participants in the intervention group received an exercise programme that included daily stretching exercise and twice-a-week muscle endurance training. Those in the control group received no intervention. The primary outcome measure was the 12-month incidence of neck pain, and the secondary outcome measures were pain intensity, disability level, and quality of life and health status. Analyses were performed using the Cox proportional hazard models. Results: Over the 12-month follow-up, 12.1% of participants in the intervention group and 26.7% in the control group developed incident neck pain. Hazard rate ratios showed a protective effect of the exercise programme for neck pain (HR=0.45, 95% CI 0.28 to 0.71) after adjusting for biopsychosocial factors. There was no significant difference in pain intensity, disability and quality of life and health status between those who reported incident neck pain in the intervention and control groups. Conclusions: The exercise programme reduced incident neck pain and increased neck flexion movement for office workers with lower-than-normal neck flexion movement.
机译：目的：本研究旨在评估一项针对肌肉拉伸和耐力训练的锻炼计划对上班族12个月颈部疼痛发生率的影响。方法：在健康的上班族中进行了为期12个月的前瞻性整群随机对照试验，这些患者的颈背屈伸运动或颈屈肌耐力低于正常水平。从12家大型企业中招募了参与者。总共567名健康的上班族在集群级别被随机分为干预组（n = 285）或对照组（n = 282）。干预组的参与者接受了一项运动计划，其中包括每天的拉伸运动和每周两次的肌肉耐力训练。对照组中未接受干预。主要结局指标为12个月的颈部疼痛发生率，次要结局指标为疼痛强度，残疾水平以及生活质量和健康状况。使用Cox比例风险模型进行分析。结果：在12个月的随访中，干预组的参与者为12.1％，对照组的参与者为26.7％，发生了颈部事件。调整生物心理社会因素后，危险比率显示出锻炼计划对颈部疼痛的保护作用（HR = 0.45，95％CI 0.28至0.71）。在干预组和对照组中，报告颈痛的患者之间在疼痛强度，残疾以及生活质量和健康状况方面无显着差异。结论：该锻炼程序可减轻上班族颈部屈曲运动低于正常水平的上班族的意外颈部疼痛并增加其颈部屈曲运动。

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