| No difference between postural exercises and strength and fitness exercises for early, non-specific, work-related upper limb disorders in visual display unit workers: a randomised trial. | |
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MedLine Citation:
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PMID: 18492000 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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QUESTION: Are postural exercises delivered by Mensendieck/Cesar therapists more effective in decreasing pain, reducing disability and improving health-related quality of life in visual display unit workers with early non-specific work-related upper limb disorders than strength and fitness exercises delivered by physiotherapists? DESIGN: Randomised trial with concealed allocation and intention-to-treat analysis. PARTICIPANTS: Eighty-eight (6 drop-outs) visual display unit workers with early non-specific work-related upper limb disorders. INTERVENTION: One group received 10 weeks of postural exercises while the other group received 10 weeks of strength and fitness exercises. OUTCOME MEASURES: Pain was measured with a 10-cm visual analogue scale, disability was measured with the Disabilities of Arm, Shoulder and Hand questionnaire, and health-related quality of life was measured with the Short Form-36. Number of participants experiencing upper limb complaints was also collected. Outcome measures were collected at baseline and again at 3, 6, and 12 months. RESULTS: There was no significant difference in decrease in pain between the groups at 3 months (0.6 cm, 95% CI 0.0 to 1.2), 6 months (0.2, 95% CI -0.3 to 0.7), or at 12 months (0.1, 95% CI -0.6 to 0.8). Differences between the groups in upper limb complaints, disability, and health related quality of life were also small and not significant at any measurement occasion. CONCLUSION: Postural exercises did not result in a better outcome than strength and fitness exercises. However, 55% of visual display unit workers with early non-specific work-related upper limb disorders reported being free of complaints one year after both interventions were commenced. TRIAL REGISTRATION: ISRCTN15872455. |
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Authors:
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Marjon D van Eijsden-Besseling; J Bart Staal; Antonius van Attekum; Rob A de Bie; Wim J A van den Heuvel |
Publication Detail:
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Type: Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The Australian journal of physiotherapy Volume: 54 ISSN: 0004-9514 ISO Abbreviation: Aust J Physiother Publication Date: 2008 |
Date Detail:
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Created Date: 2008-05-21 Completed Date: 2008-09-10 Revised Date: 2008-10-09 |
Medline Journal Info:
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Nlm Unique ID: 0370615 Medline TA: Aust J Physiother Country: Australia |
Other Details:
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Languages: eng Pagination: 95-101 Citation Subset: IM |
Affiliation:
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University Hosptial Maastricht, Maastricht, 6202 AZ, The Netherlands. Mvey@frev.am.nl |
| Data Bank Information | |
Bank Name/Acc. No.:
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ISRCTN/ISRCTN15872455 |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Exercise Therapy* Female Health Status Indicators Humans Male Muscle Strength* Muscle, Skeletal / physiopathology* Musculoskeletal Diseases / etiology Netherlands / epidemiology Occupational Diseases / etiology, rehabilitation* Occupational Exposure / adverse effects Physical Fitness* Posture* Prevalence Prospective Studies Questionnaires Time Factors Upper Extremity / pathology* User-Computer Interface* |
| Comments/Corrections | |
Erratum In:
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Aust J Physiother. 2008;54(3):156 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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