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Cervical Spine Health of Surgeons

29 september 2015 uppdaterad av: University of British Columbia
There are currently no standardized programs addressing the well-documented neck pain in surgeons as a result of non-ergonomic positioning and the use of microsurgical equipment. The primary goal of this study is to introduce a brief neck strengthening exercise program to optimize surgeons' neck health. Instructional videos outlining the program along with surveys designed to assess attitude towards neck health will be distributed to first year general surgery residents at the University of British Columbia (UBC) through their required online curriculum webpage. A followup survey will be administered 10 weeks later to determine efficacy of the program through self-reported adherence and changes in attitude towards neck health.

Studieöversikt

Status

Indragen

Betingelser

Intervention / Behandling

Detaljerad beskrivning

  1. Purpose:

    To evaluate the efficacy of a pre-operative 2-minute exercise program in reducing surgical residents self-reported neck pain.

  2. Hypothesis:

    A 10 week 2-minute neck strengthening exercise program completed between cases will reduce self-reported chronic neck pain caused by the use of surgical instruments and increase musculoskeletal health awareness in a group of residents.

  3. Justification:

    Surgical residents will be asked to complete a baseline survey regarding their self-rated neck pain. Then they will be introduced to a 2-minute neck strengthening exercise to be performed in between surgical cases. They will be asked to evaluate their neck pain again 10 weeks later.

    Neck pain experience before and after the introduction of neck exercises will be compared.

  4. Objectives:

    1. Define the problem through prevalence data in a sample of surgeons.
    2. Understand qualitatively and quantitatively measures of pain and quality on residents.
    3. Evaluate the efficacy of a pre-operative 2-minute exercise program.
    4. Disseminate our results and change the cultural norms of practice.

  5. Research Method:

    All first year general surgery residents at the University of British Columbia will be invited to participate. They will be asked to complete a survey regarding neck pain experience and introduced to a 2-minute neck muscle exercise video which they will be advised to follow for the next 10 weeks. Another follow-up survey will be sent at the end of 10 weeks.

  6. Statistical analysis:

Percentage of residents showing >50% improvement using an alpha of 0.05 statistical significance will be the primary outcome measure using the appropriate validated pain questionnaire. The attitude of the residents towards their neck health before the intervention will be compared to their attitudes at the completion of the study using a Pearson's chi squared test as a measure of significant difference. The self-reported effectiveness and adherence of the program at the completion of the study will be used as a measure of efficacy. All statistical analysis will be conducted in SAS 9.3.

Studietyp

Interventionell

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

  • Kanada
    • British Columbia
      • Vancouver, British Columbia, Kanada, V5Z 1M9
        • Vancouver General Hospital

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Barn
  • Vuxen
  • Äldre vuxen

Tar emot friska volontärer

Ja

Kön som är behöriga för studier

Allt

Beskrivning

Inclusion Criteria:

  • All first year general surgery residents at the University of British Columbia

Exclusion Criteria:

  • Previous serious neck injury (e.g. herniated disc)
  • Chest pain during physical exercise
  • Heart failure
  • Spinal Stenosis
  • Radicular nerve pain
  • Neurological condition causing chronic pain
  • Currently involved directly with the study group

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Förebyggande
  • Tilldelning: N/A
  • Interventionsmodell: Enskild gruppuppgift
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: PGY1 General Surgery Residents
All first year general surgery residents at the University of British Columbia
Procedur: Neck strengthening exercise program
Study subjects will be introduced to a 2-minute neck strengthening exercise program and advised to follow for 10 weeks. The exercise program will include five different exercises that will strengthen the neck and stabilize the scapula. The exercises are: Chin retraction, cracking the egg, scapular clock, wall pushup and scapula retraction. Each will be completed as 3 isometric holds, 3 repetitions per set and 2 sets per exercise.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Neck pain and quality of life questionnaires
Tidsram: 10 weeks
The subjects will be asked to complete the Bournemouth Neck Disability index online once at the start of the study and again following a 10 week period where the subjects will be encouraged to follow our exercise routine in between surgical cases.
10 weeks

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Adherence and attitudes towards the exercise program
Tidsram: 10 weeks
A followup survey will be distributed 10 weeks following the exposure to the exercise program to determine self-reported adherence and attitudes to the program.
10 weeks

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

University of British Columbia

Utredare

  • Huvudutredare: York NH Hsiang, MB MHSc FRCSC, Professor of Surgery, Division of Vascular Surgery, Department of Surgery

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart

1 december 2015

Primärt slutförande (Förväntat)

1 juni 2016

Avslutad studie (Förväntat)

1 september 2016

Studieregistreringsdatum

Först inskickad

27 augusti 2013

Först inskickad som uppfyllde QC-kriterierna

27 augusti 2013

Första postat (Uppskatta)

30 augusti 2013

Uppdateringar av studier

Senaste uppdatering publicerad (Uppskatta)

1 oktober 2015

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

29 september 2015

Senast verifierad

1 september 2015

Mer information

Termer relaterade till denna studie

Nyckelord

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • H13-01151

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