An Ergonomic Training With Exercise Program for Work-related Musculoskeletal Disorders Among Hemodialysis Nurse

Musculoskeletal Disorders Clinical Trial

— WMSD  

Official title:

Occupational Therapy for Work-related Musculoskeletal Disorders Among Hemodialysis Nurse

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05964894
• Other study ID #: A-ER-108-235
• Status: Completed
• Phase: N/A
• Start date: August 1, 2019
• Est. completion date: June 30, 2020

Study information

• Verified date: July 2023
• Source: National Cheng-Kung University Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study aimed to examine the effectiveness of the 12-week ergonomic intervention developed by Person-Environment-Occupation (PEO) model in improving musculoskeletal discomfort and muscle strength for hemodialysis nurses. The maintenance effects of the intervention were also evaluated after another 12-week follow-up.

Description:

Methods A cluster experimental design was used to conduct this study. Participants were recruited from hemodialysis units at two medical centers in Taiwan and had complaints of work-related musculoskeletal disorders (WMSDs) within the past six months. By PEO model, the 12-week intervention including ergonomic education and exercise program was designed based on the job contents of hemodialysis nurses. In the study period, we used a mobile massager app to reminder them and monitor their implementation of exercises. The outcome indicators were measured before and after intervention as well as the follow-up after another 12 weeks. A generalized estimating equations model was adopted to analyze the repeated measurements.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 38
• Est. completion date: June 30, 2020
• Est. primary completion date: June 30, 2020
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 20 Years to 65 Years

Eligibility

Inclusion Criteria:

• 20 to 65 years old, which is the legal age range of adult for work in Taiwan
• registered nurses to work full time in the hemodialysis unit more than 6 months,
• having complaint of WMSDs within previous 6 months before this study.

Exclusion Criteria:

• having no musculoskeletal disorder related to the job
• to care less than 4 patients in 4 hours, which was below the Taiwan workload reference for nurse in hemodialysis job
• to have any other consideration to keep from 12- week physical exercise program (such as pregnancy, injury, disease, leave…, etc.).

Related Conditions & MeSH terms

• Musculoskeletal Diseases
• Musculoskeletal Disorders

Intervention

Other:
• ergonomic training
ergonomic education & exercise training

Locations

Country	Name	City	State
Taiwan	National Cheng Kung University	Tainan

Sponsors (1)

Lead Sponsor	Collaborator
Jer-Hao Chang

Country where clinical trial is conducted

Taiwan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	severity degree of muscular discomfort	self reported by Nordic Musculoskeletal Questionnaire (0-5 points; the higher score indicates the more discomfort)	week 0
Primary	muscle strength	grip and pinch power; the muscle strength of neck extension, shoulder flexion/extension, and wrist flexion/extension of the dominant (maximal force of the muscles movement against in kilograms, the higher the stronger)	week 0
Primary	severity degree of muscular discomfort	self reported by Nordic Musculoskeletal Questionnaire (0-5 points; the higher score indicates the more discomfort)	week 12
Primary	muscle strength	grip and pinch power; the muscle strength of neck extension, shoulder flexion/extension, and wrist flexion/extension of the dominant (maximal force of the muscles movement against in kilograms, the higher the stronger)	week 12
Primary	severity degree of muscular discomfort	self reported by Nordic Musculoskeletal Questionnaire (0-5 points; the higher score indicates the more discomfort)	week 24
Primary	muscle strength	grip and pinch power; the muscle strength of neck extension, shoulder flexion/extension, and wrist flexion/extension of the dominant (maximal force of the muscles movement against in kilogram, the higher the stronger)	week 24
Secondary	Subjective quality of life	World Health Organization Quality of Life, Brief edition, Taiwan version (1-5, higher score for higher quality of life)	week 0
Secondary	Subjective quality of life	World Health Organization Quality of Life, Brief edition, Taiwan version (1-5, higher score for higher quality of life)	week 24