Physical Activity as Cause and Cure of Muscular Pain: Evidence of Underlying Mechanisms

Søgaard, Karen; Sjøgaard, Gisela

doi:10.1249/jes.0000000000000112

Cited by 67 publications

(67 citation statements)

References 88 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The intervention improved quality of life and reduced lower back pain. However, to increase the resilience of the surgeon and reduce musculoskeletal pain in all affected body sites, the exercises must be of high intensity (at least 60 per cent of 1 repetition maximum).…”

Section: Discussionmentioning

confidence: 99%

Surgeons' posture and muscle strain during laparoscopic and robotic surgery

Dalager

Jensen

Eriksen

et al. 2020

British Journal of Surgery

View full text Add to dashboard Cite

Background: It is assumed that conventional laparoscopy (LAP) and robotic-assisted laparoscopic surgery (RALS) differ in terms of the surgeon's comfort. This study compared muscle workload, work posture and perceived physical exertion of surgeons performing LAP or RALS.Methods: Colorectal surgeons with experience in advanced LAP and RALS performed one of each operation. Bipolar surface electromyography (EMG) recordings were made from forearm, shoulder and neck muscles, and expressed relative to EMG maximum (%EMG max ). The static, median and peak levels of muscle activity were calculated, and an exposure variation analysis undertaken. Postural observations were carried out every 10 min, and ratings of perceived physical exertion before and after surgery were recorded.Results: The study included 13 surgeons. Surgeons performing LAP showed higher static, median, and peak forearm muscle activity than those undertaking RALS. Muscle activity at peak level was higher during RALS than LAP. Exposure variation analysis demonstrated long-lasting periods of low-level intensity muscle activity in the shoulders for LAP, in the forearms for RALS, and in the neck for both procedures. Postural observations revealed a greater need for a change in work posture when performing LAP compared with RALS. Perceived physical exertion was no different between the surgical modalities.Conclusion: Minimally invasive surgery requires long-term static muscle activity with a high physical workload for surgeons. RALS is less demanding on posture. MethodsColorectal surgeons from two Danish hospitals participated. The surgeons were eligible if certified in both surgical modalities, had performed LAP and RALS almost equally, and had a high weekly caseload. The surgeons gave written informed consent to participate, and the Danish Data Protection Agency approved the study (record number 2015-57-0008). Approval from the regional ethics committee was sought, but the present study was exempted. Measurements were conducted on site during normal work procedures. Each surgeon performed two operations -one with LAP and one with RALS. Each of the procedures

show abstract

Section: Discussionmentioning

confidence: 99%

Surgeons' posture and muscle strain during laparoscopic and robotic surgery

Dalager

Jensen

Eriksen

et al. 2020

British Journal of Surgery

View full text Add to dashboard Cite

show abstract

“…Soft tissue mobility activities prevent stasis in the ECM fluid the preventing increased metabolic waste accumulation [53]. These activities allow soft tissues to undergo a spectrum of tensioning between slack and fully elongated, thus relieving tension and likely decreasing the discomfort from tissues which have been under a static constant tension [51,54].…”

Section: Normalization Of Tissue Tension and Soft Tissue Mobility/glimentioning

confidence: 99%

“…Removal of metabolic waste from local ECM and restoration of mobility of soft tissue structures [53].…”

Section: Relaxation/stress Reductionmentioning

confidence: 99%

Evidence-based intraoperative microbreak activities for reducing musculoskeletal injuries in the operating room

Wood

Lowndes

Buus

et al. 2018

WOR

View full text Add to dashboard Cite

show abstract

“…These occupational patterns also reflect extensive physical requirements, which is associated with both a reduced and increased risk of various diseases, 28,29 and may also modify the potential health effects of other exposures possibly encountered by the firefighters. There are some limitations to our descriptive study, which we also acknowledge.…”

mentioning

confidence: 99%

Full employment history of Danish firefighters potentially involving additional exposures, 1964‐2015

Pedersen

Petersen

Hansen

2020

American J Industrial Med

View full text Add to dashboard Cite

Background This study aimed to demonstrate the possibility of using data on full employment history to describe occupational patterns of Danish firefighters that may indicate additional hazards encountered by these workers. Methods An established cohort of Danish full‐time and part‐time/volunteer firefighters was used in the study (N = 9952) as well as occupational history covering the period 1964‐2015, which was retrieved from a nationwide pension fund with compulsory membership. The most frequently held employments other than firefighting, together with temporal patterns of these employments, were explored in descriptive analyses. Results Besides working in the firefighter service, both full‐time and part‐time/volunteer firefighters had frequently been employed in the military and the police (55% and 38%) and more than 10% of both types of firefighters in a number of blue‐collar jobs, including construction‐related jobs (eg, masonry, joining, carpentry, insulation, and installation), laundry and dry cleaning, the auto industry, and rubber and plastic production. Part‐time/volunteer firefighters had more frequently been employed in the machine industry, fabricated metal production, the wood and furniture industry, and farming. Both types of firefighters were initially employed in other jobs before their employment in firefighting. Conclusion The cohort of Danish firefighters had frequently been working in other professions potentially exposing them to additional hazardous exposures, and occupational patterns varied by type of firefighter employment. Accounting for full employment history is, for that reason, considered essential when exploring associations between specific professions and health outcomes.

show abstract

Physical Activity as Cause and Cure of Muscular Pain: Evidence of Underlying Mechanisms

Abstract: Physical activity has contrasting effects; occupational physical activity can cause muscle pain, while tailored exercise training can cure muscle pain, maintain function, and prevent lifestyle diseases.

Cited by 67 publications

References 88 publications

Surgeons' posture and muscle strain during laparoscopic and robotic surgery

Surgeons' posture and muscle strain during laparoscopic and robotic surgery

Evidence-based intraoperative microbreak activities for reducing musculoskeletal injuries in the operating room

Full employment history of Danish firefighters potentially involving additional exposures, 1964‐2015

Contact Info

Product

Resources

About