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Workplace-Based Interventions for Neck Pain in Office Workers

CHEN X; COOMBES BK; SJOGAARD G; JUN D; O'LEARY S; JOHNSTON V
PHYS THER , 2018, vol. 98, n° 1, p. 40-62
Doc n°: 186354
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1093/ptj/pzx101
Descripteurs : CC5 - PATHOLOGIE/ RACHIS CERVICAL

At present, there is no consolidated evidence for workplace-based
interventions for the prevention and reduction of neck pain in office workers.
Purpose: The purpose of this review was to investigate the effectiveness of
workplace-based interventions for neck pain in office workers. Data Sources:
MEDLINE, PEDro, CINAHL, and CENTRAL were searched for trials published since
inception and before May 31, 2016. Study Selection: Randomized controlled trials
(RCTs) were considered when they met the following criteria: population consisted
of office workers, intervention(s) was performed at the workplace, outcome
measures included neck and/or neck/shoulder pain intensity and
incidence/prevalence, and comparator groups included no/other intervention. Data
Extraction: Data were extracted by 1 reviewer using predefined data fields and
checked by a second reviewer. Risk of bias was assessed by 2 independent
reviewers using the 2015 Cochrane Back and Neck Group guidelines. Evidence
quality was evaluated using the Grading of Recommendations Assessment,
Development, and Evaluation system. Data Synthesis: Twenty-seven RCTs were
included. There was moderate-quality evidence that neck/shoulder strengthening
exercises and general fitness training were effective in reducing neck pain in
office workers who were symptomatic, although the effect size was larger for
strengthening exercises. Greater effects were observed with greater participation
in exercise. Ergonomic interventions were supported by low-quality evidence.
Limitations: Data could not be obtained from some studies for meta-analysis and
assessment of risk of bias. Reporting bias might have been present because only
studies in the English language were included. Conclusions: Workplace-based
strengthening exercises were effective in reducing neck pain in office workers
who were symptomatic, and the effect size was larger when the exercises were
targeted to the neck/shoulder. Future RCTs of ergonomic interventions targeted at
office workers who are symptomatic are required. More research on neck pain
prevention is warranted.
CI - (c) 2017 American Physical Therapy Association

Langue : ANGLAIS

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