- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05571124
Workplace Exercise Intervention in Administrative Personnel to Reduce Spinal Pain
The Implementation of a Web-based Workplace Exercise Intervention in the Reduction of Spinal Pain in Sedentary Administrative Personnel: Protocol of a Mixed Methodology Study.
The goal of this Clinical trial is to compare treatments in sedentary administrative personnel with back pain. The main question it aims to answer:
The benefits of a workplace intervention with therapeutic exercise and pain education compared with only therapeutic exercise intervention
Participants will perform active pauses in their workplace with a web-based program that consists of videos or images of exercises and pain education information.
Researchers will compare a group Therapeutic exercise and pain education intervention with a group therapeutic exercise only to see if pain education plus exercise is a more beneficial intervention in reducing back pain in symptomatic administrative personnel.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Introduction: Musculoskeletal pathologies are one of the leading causes of disability for the population worldwide, with office workers being one of the most affected groups. This study aims to design and implement a programme of therapeutic exercise and pain education in the workplace to reduce musculoskeletal pathology. The use of therapeutic exercise interventions at work is an economical and feasible option in which it is essential to consider biopsychosocial aspects when designing a successful treatment.
Methods: Mixed methodology study. Phase 1: A qualitative study with a phenomenological approach using semi-structured interviews to determine factors related to office workers' expectations about pain, maintaining static postures at work and implementing active breaks. Phase 2: Implementation of a Randomised Controlled Trial considering current scientific evidence and the results of the first phase with two intervention groups. A group in which therapeutic exercise will be performed at work with pain education, compared to a group implementing only exercise at the workplace.
Discussion: This study is a comprehensive and pragmatic intervention to implement therapeutic exercise in the workplace, considering workers' expectations regarding their pain and the implementation of active breaks. The use of digitalisation in the implementation of therapeutic exercise and pain education in office workers is a feasible and low-cost option. It can improve office workers' quality of life by increasing motivation and adherence to such interventions.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Carlos Tersa Miralles, PhD student
- Phone Number: 676201743
- Email: carles.tersa@udl.cat
Study Locations
-
-
Catalunya
-
Lleida, Catalunya, Spain, 25008
- Recruiting
- Universitat de Lleida
-
Contact:
- Francesc Rubí, PhD
- Phone Number: 973 702 446
- Email: dif.secretaria@udl.cat
-
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- More than 80% of the working day is in a seated position.
- Workers who have a computer or mobile device with an internet connection.
- Workers with more than three months of pain in the back area due to a non-specific cause.
Exclusion Criteria:-
- Part-time workers.
- Pathologies that cause chronic pain.
- Radiculopathies or symptomatic disc herniations/protrusions.
- Inability to perform low-moderate intensity exercise.
- People who are active in their daily lives outside of work willing to report that they meet the minimum stipulated by the WHO (a minimum of 10,000 steps per day and 75-150 minutes of vigorous-moderate physical activity per week).
- Undergoing physiotherapy treatment through public health or a private company.
- Workers on sick leave or during pregnancy.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Therapeutic exercise
It consists of implementing active breaks at the workstation through the use of the open source Learning Management System Sakai [33], It will be easy to use by the participants due to the platform is used by them in their daily work.
Also, an administrative worker from the university will be involved in creating the modules where the content will be allocated to ensure that the navigation in the platform is user-friendly for them.musculoskeletal
pathologies with sedentary lifestyles and maintained postures.
The type of online application will depend on the results obtained in the qualitative phase, as we will adapt to the workers' preferences to facilitate accessibility to the content and make the experience as satisfactory as possible for them.
|
Participants will perform stretching and mobility exercises in short bouts of time.
Other Names:
|
|
No Intervention: No intervention
Participants of the control group will be on a waiting list, encouraging them to maintain the same as usual in their daily activities and working hours.
Once the intervention is finished, they will have access to the platform with the same content as the intervention group.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Reduction of Back Pain
Time Frame: Change from baseline back pain at six weeks
|
The primary outcome to be analysed is back pain using the Visual Analogue Scale, a subjective assessment scale of intensity from 0 to 10, with 0 being "no pain" and 10 being "the worst possible pain".
|
Change from baseline back pain at six weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Back pain dysfunction
Time Frame: Change from baseline back pain dysfunction at six weeks
|
Will be analysed using the Spanish version of the Spine Functional Index, a self-administered questionnaire in which the patient reports the state of his or her back concerning disability and dysfunction in daily activities.
|
Change from baseline back pain dysfunction at six weeks
|
|
Health related quality of life
Time Frame: Change from baseline quality of life at six weeks
|
Will be analysed using the Spanish version of the EQ-5D-5L quality of life questionnaire which consists of 5 dimensions: mobility, self-care, activities of daily living, pain/discomfort and anxiety/depression.
|
Change from baseline quality of life at six weeks
|
|
Motivation of performing therapeutic exercise
Time Frame: Change from baseline motivation of performing therapeutic exercise at six weeks
|
Motivation when performing the therapeutic exercise intervention will be analysed using the Spanish version of the questionnaire: Behavioural Regulation in Exercise Questionnaire-2.
|
Change from baseline motivation of performing therapeutic exercise at six weeks
|
|
Adherence to therapeutic exercise
Time Frame: Through study completion, an average of six weeks
|
The percentage of open sessions and total video played of the participant will be analysed by the web analytics.
|
Through study completion, an average of six weeks
|
Collaborators and Investigators
Sponsor
Investigators
- Study Director: Esther Rubinat Arnaldo, PhD, Universitat de Lleida
- Study Director: Francesc Rubi Carnacea, PhD, Universitat de Lleida
Publications and helpful links
General Publications
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- Tersa-Miralles C, Bravo C, Bellon F, Pastells-Peiro R, Rubinat Arnaldo E, Rubi-Carnacea F. Effectiveness of workplace exercise interventions in the treatment of musculoskeletal disorders in office workers: a systematic review. BMJ Open. 2022 Jan 31;12(1):e054288. doi: 10.1136/bmjopen-2021-054288.
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- Coggon D, Ntani G, Palmer KT, Felli VE, Harari R, Barrero LH, Felknor SA, Gimeno D, Cattrell A, Serra C, Bonzini M, Solidaki E, Merisalu E, Habib RR, Sadeghian F, Masood Kadir M, Warnakulasuriya SS, Matsudaira K, Nyantumbu B, Sim MR, Harcombe H, Cox K, Marziale MH, Sarquis LM, Harari F, Freire R, Harari N, Monroy MV, Quintana LA, Rojas M, Salazar Vega EJ, Harris EC, Vargas-Prada S, Martinez JM, Delclos G, Benavides FG, Carugno M, Ferrario MM, Pesatori AC, Chatzi L, Bitsios P, Kogevinas M, Oha K, Sirk T, Sadeghian A, Peiris-John RJ, Sathiakumar N, Wickremasinghe AR, Yoshimura N, Kelsall HL, Hoe VC, Urquhart DM, Derrett S, McBride D, Herbison P, Gray A. Disabling musculoskeletal pain in working populations: is it the job, the person, or the culture? Pain. 2013 Jun;154(6):856-63. doi: 10.1016/j.pain.2013.02.008.
- Miles CL, Pincus T, Carnes D, Homer KE, Taylor SJ, Bremner SA, Rahman A, Underwood M. Can we identify how programmes aimed at promoting self-management in musculoskeletal pain work and who benefits? A systematic review of sub-group analysis within RCTs. Eur J Pain. 2011 Sep;15(8):775.e1-11. doi: 10.1016/j.ejpain.2011.01.016. Epub 2011 Feb 26.
- Smith J, Faux SG, Gardner T, Hobbs MJ, James MA, Joubert AE, Kladnitski N, Newby JM, Schultz R, Shiner CT, Andrews G. Reboot Online: A Randomized Controlled Trial Comparing an Online Multidisciplinary Pain Management Program with Usual Care for Chronic Pain. Pain Med. 2019 Dec 1;20(12):2385-2396. doi: 10.1093/pm/pnz208.
- Toelle TR, Utpadel-Fischler DA, Haas KK, Priebe JA. App-based multidisciplinary back pain treatment versus combined physiotherapy plus online education: a randomized controlled trial. NPJ Digit Med. 2019 May 3;2:34. doi: 10.1038/s41746-019-0109-x. eCollection 2019.
- Palsson TS, Boudreau S, Hogh M, Herrero P, Bellosta-Lopez P, Domenech-Garcia V, Langella F, Gagni N, Christensen SW, Villumsen M. Education as a strategy for managing occupational-related musculoskeletal pain: a scoping review. BMJ Open. 2020 Feb 12;10(2):e032668. doi: 10.1136/bmjopen-2019-032668.
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- Slade SC, Patel S, Underwood M, Keating JL. What are patient beliefs and perceptions about exercise for nonspecific chronic low back pain? A systematic review of qualitative studies. Clin J Pain. 2014 Nov;30(11):995-1005. doi: 10.1097/AJP.0000000000000044.
- Cuesta-Vargas AI, Gabel CP. Validation of a Spanish version of the Spine Functional Index. Health Qual Life Outcomes. 2014 Jun 27;12:96. doi: 10.1186/1477-7525-12-96.
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Study record dates
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First Submitted That Met QC Criteria
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More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- WEI
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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