Protocol for work place adjusted intelligent physical exercise reducing musculoskeletal pain in shoulder and neck (VIMS): a cluster randomized controlled trial

Lars L Andersen, Mette K Zebis, Mogens T Pedersen, Kirsten K Roessler, Christoffer H Andersen, Mette M Pedersen, Helene Feveile, Ole S Mortensen, Gisela Sjøgaard, Lars L Andersen, Mette K Zebis, Mogens T Pedersen, Kirsten K Roessler, Christoffer H Andersen, Mette M Pedersen, Helene Feveile, Ole S Mortensen, Gisela Sjøgaard

Abstract

Background: Neck and shoulder complaints are common among employees in sedentary occupations characterized by intensive computer use. Specific strength training is a promising type of physical exercise for relieving neck and shoulder pain in office workers. However, the optimal combination of frequency and exercise duration, as well as the importance of exercise supervision, is unknown. The VIMS study investigates in a cluster randomized controlled design the effectiveness of different time wise combinations of specific strength training with identical accumulated volume, and the relevance of training supervision for safe and effective training.

Methods/design: A cluster randomized controlled trial of 20 weeks duration where employed office workers are randomized to 1 x 60 min, 3 x 20 min, 9 x 7 min per week of specific strength training with training supervision, to 3 x 20 min per week of specific strength training with a minimal amount of training supervision, or to a reference group without training. A questionnaire will be sent to 2000 employees in jobs characterized by intensive computer work. Employees with cardiovascular disease, trauma, hypertension, or serious chronic disease will be excluded. The main outcome measure is pain in the neck and shoulders at week 20.

Trial registration: The trial is registered at ClinicalTrials.gov, number NCT01027390.

Figures

Figure 1
Figure 1
Flow-chart. 1WS: one weekly session with supervision, 3WS: 3 weekly sessions with supervision, 9WS: 9 weekly sessions with supervision, 3MS: 3 weekly sessions with minimal supervision. Reference: reference group without training
Figure 2
Figure 2
Illustration of the five training exercises; A) Front raise, B) lateral raise, C) reverse flies, D) shrugs, and E) wrist extension.
Figure 3
Figure 3
Schematic illustration of the four training groups. Using this design we can compare the effectiveness of both time-wise combinations of training and the influence of training supervision.

References

    1. Hansson T, Jensen I. Swedish Council on Technology Assessment in Health Care (SBU). Chapter 6. Sickness absence due to back and neck disorders. Scand J Public Health Suppl. 2004;11:109–151. doi: 10.1080/14034950410021862.
    1. Punnett L, Wegman DH. Work-related musculoskeletal disorders: the epidemiologic evidence and the debate. J Electromyogr Kinesiol. 2004;11:13–23. doi: 10.1016/j.jelekin.2003.09.015.
    1. Baldwin ML. Reducing the costs of work-related musculoskeletal disorders: targeting strategies to chronic disability cases. J Electromyogr Kinesiol. 2004;11:33–41. doi: 10.1016/j.jelekin.2003.09.013.
    1. Hansson EK, Hansson TH. The costs for persons sick-listed more than one month because of low back or neck problems. A two-year prospective study of Swedish patients. Eur Spine J. 2005;11:337–345. doi: 10.1007/s00586-004-0731-3.
    1. Eltayeb S, Staal JB, Hassan A, de Bie RA. Work related risk factors for neck, shoulder and arms complaints: a cohort study among Dutch computer office workers. J Occup Rehabil. 2009;11:315–322. doi: 10.1007/s10926-009-9196-x.
    1. Jensen C. Development of neck and hand-wrist symptoms in relation to duration of computer use at work. Scand J Work Environ Health. 2003;11:197–205.
    1. Kryger AI, Andersen JH, Lassen CF, Brandt LP, Vilstrup I, Overgaard E, Thomsen JF, Mikkelsen S. Does computer use pose an occupational hazard for forearm pain; from the NUDATA study. Occup Environ Med. 2003;11:e14. doi: 10.1136/oem.60.11.e14.
    1. Pedersen BK, Saltin B. Evidence for prescribing exercise as therapy in chronic disease. Scand J Med Sci Sports. 2006;11(Suppl 1):3–63. doi: 10.1111/j.1600-0838.2006.00520.x.
    1. Proper KI, Koning M, van der Beek AJ, Hildebrandt VH, Bosscher RJ, van Mechelen W. The effectiveness of worksite physical activity programs on physical activity, physical fitness, and health. Clin J Sport Med. 2003;11:106–117. doi: 10.1097/00042752-200303000-00008.
    1. Coury HJ, Moreira RF, Dias NB. Evaluation of the effectiveness of workplace exercise in controlling neck, shoulder and low back pain: a systematic review. Rev Bras Fisioter. 2009;11:461–479.
    1. Mior S. Exercise in the treatment of chronic pain. Clin J Pain. 2001;11:S77–S85. doi: 10.1097/00002508-200112001-00016.
    1. Verhagen AP, Karels C, Bierma-Zeinstra SM, Feleus A, Dahaghin S, Burdorf A, Koes BW. Exercise proves effective in a systematic review of work-related complaints of the arm, neck, or shoulder. J Clin Epidemiol. 2007;11:110–117. doi: 10.1016/j.jclinepi.2006.05.006.
    1. Blangsted AK, Sogaard K, Hansen EA, Hannerz H, Sjogaard G. One-year randomized controlled trial with different physical-activity programs to reduce musculoskeletal symptoms in the neck and shoulders among office workers. Scand J Work Environ Health. 2008;11:55–65.
    1. Ylinen J, Takala EP, Nykanen M, Hakkinen A, Malkia E, Pohjolainen T, Karppi SL, Kautiainen H, Airaksinen O. Active neck muscle training in the treatment of chronic neck pain in women: a randomized controlled trial. JAMA. 2003;11:2509–2516. doi: 10.1001/jama.289.19.2509.
    1. Waling K, Sundelin G, Ahlgren C, Jarvholm B. Perceived pain before and after three exercise programs--a controlled clinical trial of women with work-related trapezius myalgia. Pain. 2000;11:201–207. doi: 10.1016/S0304-3959(99)00265-1.
    1. Andersen LL, Kjaer M, Sogaard K, Hansen L, Kryger AI, Sjogaard G. Effect of two contrasting types of physical exercise on chronic neck muscle pain. Arthritis Rheum. 2008;11:84–91. doi: 10.1002/art.23256.
    1. Ludewig PM, Borstad JD. Effects of a home exercise programme on shoulder pain and functional status in construction workers. Occup Environ Med. 2003;11:841–849. doi: 10.1136/oem.60.11.841.
    1. Physical activity guidelines advisory commitee. Physical activity guidelines advisory commitee report. Washington, DC; 2008.
    1. Ratamees NA, Alvar BA, Evetoch TK, Housh TJ, Kibler B, Kraemer WJ, Triplett NT. American College of Sports Medicine position stand. Progression models in resistance training for healthy adults. Med Sci Sports Exerc. 2009;11:687–708. doi: 10.1249/MSS.0b013e3181915670.
    1. Candow DG, Burke DG. Effect of short-term equal-volume resistance training with different workout frequency on muscle mass and strength in untrained men and women. J Strength Cond Res. 2007;11:204–207. doi: 10.1519/00124278-200702000-00037.
    1. Peterson MD, Rhea MR, Alvar BA. Applications of the dose-response for muscular strength development: a review of meta-analytic efficacy and reliability for designing training prescription. J Strength Cond Res. 2005;11:950–958. doi: 10.1519/R-16874.1.
    1. Jakicic JM, Wing RR, Butler BA, Robertson RJ. Prescribing exercise in multiple short bouts versus one continuous bout: effects on adherence, cardiorespiratory fitness, and weight loss in overweight women. Int J Obes Relat Metab Disord. 1995;11:893–901.
    1. Viljanen M, Malmivaara A, Uitti J, Rinne M, Palmroos P, Laippala P. Effectiveness of dynamic muscle training, relaxation training, or ordinary activity for chronic neck pain: randomised controlled trial. BMJ. 2003;11:475. doi: 10.1136/bmj.327.7413.475.
    1. Andersen LL, Jorgensen MB, Blangsted AK, Pedersen MT, Hansen EA, Sjogaard G. A Randomized Controlled Intervention Trial to Relieve and Prevent Neck/Shoulder Pain. Med Sci Sports Exerc. 2008;11:983–90. doi: 10.1249/MSS.0b013e3181676640.
    1. Kuorinka I, Jonsson B, Kilbom Å, Vinterberg H, Biering-Sørensen F, Andersson G, Jørgensen K. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergo. 1987;11:233–237. doi: 10.1016/0003-6870(87)90010-X.
    1. Hagstromer M, Oja P, Sjostrom M. The International Physical Activity Questionnaire (IPAQ): a study of concurrent and construct validity. Public Health Nutr. 2006;11:755–762. doi: 10.1079/PHN2005898.
    1. Marcus BH, Selby VC, Niaura RS, Rossi JS. Self-efficacy and the stages of exercise behavior change. Res Q Exerc Sport. 1992;11:60–66.
    1. Benisovich SV, Rossi JS, Norman GJ, Nigg CR. Development of a multidimensional measure of exercise self-efficacy. New Orleans, LA, Society of Behavioral Medicine (SBM); 1998.
    1. Reed GR, Velicer WF, Prochaska JO, Rossi JS, Marcus BH. What makes a good staging algorithm: examples from regular exercise. Am J Health Promot. 1997;11:57–66.
    1. Nigg CR, Rossi JS, Norman GJ, Benisovich SV. Structure of decisional balance for exercise adoption. 19th annual meeting of the Society of Behavioral Medicine.
    1. Norman GJ, Benisovich SV, Nigg CR, Rossi JS. Examining three exercise staging algorithms in two samples. 19th annual meeting of the Society of Behavioral Medicine.
    1. Nigg CR. In: Physical Activity Assessments for Health-Related Research. Welk GJ, editor. Human Kinetics; 2002. Physical Activity Assessment Issues in Population Based Interventions: A Stage Approach; pp. 227–239.
    1. Pronk NP, Martinson B, Kessler RC, Beck AL, Simon GE, Wang P. The association between work performance and physical activity, cardiorespiratory fitness, and obesity. J Occup Environ Med. 2004;11:19–25. doi: 10.1097/01.jom.0000105910.69449.b7.

Source: PubMed

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