Effective Methods of Reducing Lower Back, Neck and Shoulder Pain Among Office Workers

Study Overview
=================
Brief Summary
-----------------
Background:Musculoskeletal discomforts (MSD), especially in the neck, lower back and shoulder areas, are some of the most common issues among office workers. The Social Security Organization (SOCSO) in Malaysia caps number of cases involving musculoskeletal injuries at a maximum of 10,000 per year. Objectives: The primary aims of this research were to: 1. Measure the prevalence of MSD in a sample of office workers; 2. Test effective methods of reducing lower back, neck and shoulder pain in this sample by training exercise, or ergonomics modification, or both of them; and 3. Assess discomfort scores and the range of motion of the lower back, neck and shoulder muscles among the office workers after undertaking the different methods for a period of 6 months. Methods: In a true experimental design, from 10,000 staff in Telecom Malaysia,onehundred and forty two office workers (of whom 50 were male), aged 20-50 y, were allocated randomly, from 3 different locations (Bangsar, Puchung, and Damansara), to one of three intervention groups (receiving training exercise, receiving modified ergonomics, receiving a combination of exercise and ergonomics modification) and a control group (receiving none of these interventions). The Cornell MSD Questionnaire was used to measure musculoskeletal discomforts, with focus on pain severity, before treatment and after 2, 4 and 6 months of the interventions. The range of motion (ROM) of the hip, neck, shoulder and knee were measured by a 12 inch goniometer, and the Borg CR10 scale was used to measure the perceived exertion of training exercises. The rapid office strain assessment (ROSA) questionnaire was used to assess the strain associated with office work. Height and weight were also measured to calculate the body mass index (BMI).

Detailed Description
-----------------
It is expected that, 6 months intervention including exercise training, ergonomic modification and mixture of these 2 intervention, maybe can decrease the severity of pain in lower back, neck and shoulder among office workers.

Official Title
-----------------
Effect of Exercise Training and Ergonomic Modification on Musculoskeletal Disorders Among Office Workers

Conditions
-----------------
Musculoskeletal Pain, Low Back Pain

Intervention / Treatment
-----------------
* Other: office exercise training
* Other: ergonomic modification
* Other: Exercise and ergonomic
* Other: Control


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Working in office Exclusion Criteria: Any physical or mental disease any surgery in background any limitation by Dr

Ages Eligible for Study
-----------------
Minimum Age: 20 Years
Maximum Age: 50 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Diagnostic
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Office exercise training<br>A package of exercise raining was defined by the researcher and one of the intervention group did it for 6 months. | Other: office exercise training<br>* The exercise group, did 6 months office exercise training.<br>|
| Experimental: Ergonomic modification<br>The ergonomic group, followed 6 months ergonomic modification. | Other: ergonomic modification<br>* The ergonomic modification group, followed 6 months modified office ergonomic modification.<br>|
| Experimental: Exercise and ergonomic<br>The mixture group, did 6 months exercise training and also followed 6 months ergonomic modification. | Other: Exercise and ergonomic<br>* The mixture group, did 6 months exercise training and also followed 6 months modified office ergonomic modification.<br>|
| Experimental: Control<br>Control group did not do any exercise and did not follow any ergonomic modification. | Other: Control<br>* Control group did not do any exercise and did not follow any ergonomic modification.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Measuring the prevalence of musculoskeletal disorder By Cornell questionniare | The Cornell MSD Questionnaire was used to measure musculoskeletal discomforts. | Baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Measure the effects of exercise training on decrease the musculoskeletal disorder by measuring the range of motion in neck, shoulder and lower back, and severity of pain will be measured by Cornell questionniare | range of motion was measured by Goniometer. | Change from Baseline musculoskeletal disorder at 6 months | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Exercise