Active Prevention of Upper Limb Musculoskeletal Disorders in Thermal Environment (MUSKA).

Study Overview
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Brief Summary
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The main objective of this work is to demonstrate superiority to three months of a standardized short course of SPA Therapy of 6 days associated with personalized health education program compared to conventional therapy in the management of MSDs on the functional capabilities of the employees in their daily lives (personal or professional)

Detailed Description
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Musculoskeletal disorders are the leading occupational disease in industrialized countries. The symptoms are varied, their multiple risk factors, work organization may be involved. Musculoskeletal disorders affect the muscles, tendons and nerves of the mainly upper limbs (neck, shoulder, elbow, wrist and hand). Pain or functional impairment are common to all these disorders.The proposed study is part of an active preventive approach in addressing current employees with latent or symptomatic upper extremity MSD linked to a hyper solicitation. This study provide them 6 days SPA therapy (before or after work) combined with a health education program to help improve their lives over time.

Official Title
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Evaluation of the Effectiveness of Personalized Short and Intensive Educational SPA Therapy Prevention of Upper Limb Musculoskeletal Disorders (MSDs).

Conditions
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Musculoskeletal Disorders

Intervention / Treatment
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* Other: SPA Therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: TMS latent or symptomatic of the upper limbs according to the European Consensus SALTSA / Q score with INRS Nordic > 2 With or without a history of work stoppage and occupation at the time of inclusion Age: > 18 years < 65 years Patient affiliated to a social security scheme ( beneficiary entitled ) Patient has given its consent in writing to participate in the study Exclusion Criteria: Contraindication to the spa therapy Spa achieved in the last 12 months Trouble behavior or understanding making it impossible to assess

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Immediate SPA Therapy<br>6 day immediate SPA treatment (soon after randomization) and written information with physical exercises adapted to their pathology and also a program of healthcare at the USB key | Other: SPA Therapy<br>* Immersion bath and shower ( 1 treatment ) Underwater shower with localized massage on the painful area ( 1 treatment ) or equivalent underwater massage Illutations ( 1 treatment ) or equivalent ( poultice ) Mobilization Pool ( 1 care) Education to exercise<br>* Other names: Non pharmacological intervention;|
| Active Comparator: Late SPA Therapy<br>Written information with physical exercises adapted to their pathology and a program of healthcare at the USB key and late 6 day SPA treatment | Other: SPA Therapy<br>* Immersion bath and shower ( 1 treatment ) Underwater shower with localized massage on the painful area ( 1 treatment ) or equivalent underwater massage Illutations ( 1 treatment ) or equivalent ( poultice ) Mobilization Pool ( 1 care) Education to exercise<br>* Other names: Non pharmacological intervention;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The score from the scale Quick DASH | Change from baseline in measure physical function and symptoms in people with any or multiple musculoskeletal disorders of the upper limb by Quick DASH measure | Month 03 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change of Quick DASH | Average change from baseline in measure physical function and symptoms in people with any or multiple musculoskeletal disorders of the upper limb by Quick DASH measure | Day 06, Month 01, Month 02, Month 03, Month 04, Month 05, Month 06 | 
| Pain intensity | Pain intensity measured on a Visual Analogical Scale (VAS) | Day 06, Month 01, Month 02, Month 03, Month 04, Month 05, Month 06 | 
| Life quality | Life quality measured by SF36 (36-item Medical Outcomes Study Short-Form Health Survey - SF-36) Survey - SF-36) | Day 06, Month 01, Month 02, Month 03, Month 04, Month 05, Month 06 | 
| Stopping time of work | Stopping time of work by self-administered questionnaire. | Month 06 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Upper limb musculoskeletal disorders, Spa treatment, Randomized controlled trials, Education, Self- management, Self-care, Exercise, Non pharmacological treatment