Preventive Program for Work-Related Musculoskeletal Disorders

Quality of Life Clinical Trial

Official title:

Influence of a Preventive Program (Educational and Gymnastics) for Work-Related Musculoskeletal Disorders in Surgeons

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02552680
• Other study ID #: GPPG100432
• Status: Completed
• Phase: N/A
• First received: August 18, 2015
• Last updated: July 8, 2016
• Start date: October 2010
• Est. completion date: August 2015

Study information

• Verified date: July 2016
• Source: Hospital de Clinicas de Porto Alegre
• Contact: n/a
• Is FDA regulated: No
• Health authority: Brazil: National Committee of Ethics in Research
• Study type: Interventional

Clinical Trial Summary

Introduction: Work-Related Musculoskeletal Disorders (WMSDs) are characterized by inflammation of muscles, tendons, fascia and nerves of upper limbs, shoulder girdle and neck. Its incidence is increasing and there is evidence of its association with the pace of work. As WMSDs, another major public health problem is back pain, which also negatively influence the quality of life of patients. These diseases affect many workers, among them, workers in the health area, including surgeons. Studies show that many surgeons are suffering from fatigue and musculoskeletal pain after undergoing surgery, especially laparoscopy. Regarding the quality of life of doctors, a study indicates that surgeons have commitment of domains "Vitality" and "Pain". For these reasons it is important to develop strategies for prevention of occupational risks (WMSDs) in this class of workers.

Objectives: To evaluate the influence of a Preventive Program (educational and gymnastics) for prevention of WMSDs, in the quality of life, in limitation of the work, in intensity and frequency of musculoskeletal pain in surgeons of the Hospital de Clínicas de Porto Alegre. There will also be evaluated the effects of the program on muscular strength and flexibility of medics participating in the Preventive Program.

Methodology: Randomized clinical trial with a sample of 54 surgeons, divided into two groups: A ("Intervention": will participate in eight meetings consisting of exercise and guidelines on care and prevention of WMSDs in activities of daily living, especially those relating work activities) and B ("Control": will receive a manual-brochure - containing information about general health). Participants will sign a Letter of Consent.

Description:

Clinical Trial Study with 54 surgeons allocated in two groups: A and B. They received two protocols in accordance with the groups they have been allocated.

Group A: participated in eight meetings supervised by physical education professionals, with 15 minutes duration, individually administered, twice a week, during the surgeons working hours, at times and places combined with them. The meetings were composed of endurance exercise, mobility and muscle stretching. They were also given guidance on care and prevention of Work-Related Musculoskeletal Disorders in activities fo daily life, especially those related to work activities.

Group B: received a manual (brochure ) containing information on general health care, especially designed for this study. With food guide, sleep, physical activity and smoking.

Were measured the quality of life, muscle force, muscle stretching and pain. The dates were collected at the beginning of the procedures, 4 weeks after the protocols and 26 after the protocols.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 54
• Est. completion date: August 2015
• Est. primary completion date: May 2015
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• surgeons (teachers, contractors and medical residents)

• of the Hospital de Clínicas de Porto Alegre

• members of General Surgery teams, Digestive Surgery , Plastic Surgery and Coloproctology

• of both sexes

Exclusion Criteria:

• individuals who did not agree to participate in the study

• those who were not present at the time of the study (regardless of reason)

• those who had some more serious illness that prevented the achievement of study protocols

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Prevention

Related Conditions & MeSH terms

• Musculoskeletal Diseases
• Quality of Life

Intervention

Other:
• Exercise
Physical Exercise
• Guideline
Guideline on care and prevention of Work-Related Musculoskeletal Disorders in activities of daily living, especially those relating work activities.
• Brochure
Manual/brochure containing information about general health

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Hospital de Clinicas de Porto Alegre

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Quality of life	Quality of life evaluated by the Short-Form Survey Questionnaire (SF-36). Unit of measure: Scale of Quality of life.	26 weeks after the interventions	No
Secondary	Muscle strength - Grip and Pinch Strength	Evaluated by hand grip dynamometer and pinch grip dynamometer. Unit of measure: kilogram force (kgf) (both evaluations).	4 weeks and 26 weeks after the interventions	No
Secondary	Muscle flexibility	Evaluated by "Banco de Wells". Unit of measure: centimeters (cm)	4 weeks and 26 weeks after the interventions	No
Secondary	Musculoskeletal intensity of pain	Evaluated by Questionnaire. Unit of measure: Scale of pain.	4 weeks and 26 weeks after the interventions	No
Secondary	Quality of life - after 4 weeks	Quality of life evaluated by the Short-Form Survey Questionnaire (SF-36). Unit of measure: Scale of Quality of life.	4 weeks after the interventions	No