The elixir of muscle activity and kinesiology in a health perspective: Evidence of worksite tailored exercise training alleviating muscle disorders

Sjøgaard, Gisela; Mann, Stephanie; Jensen, Jesper Stejnicher Drongstrup; Oestergaard, Anne Skov; Dalager, Tina

doi:10.1016/j.jelekin.2021.102600

Cited by 10 publications

(14 citation statements)

References 82 publications

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“…1 ). The specific content and rationale of the concept as well as the earlier workplace interventions using it has been described elsewhere [ 26 , 28 , 32 ]. Based on findings from the intervention mapping and development phase of the intervention, the specific contents (e.g., specific exercises and cut points for exercise prescription) were altered to fit the target population of WTs, the offshore work context and available facilities (e.g., fitness room and equipment).…”

Section: Methodsmentioning

confidence: 99%

“…Figure 1 displays an overview of the tests, questionnaires, and cut points included to prescribe individual modes of exercise in IPET for WTs and is modified from the previous versions published in Sjøgaard et al [ 32 ] and later in Sjøgaard et al [ 28 ]. Briefly, musculoskeletal disorders were evaluated using the Nordic Musculoskeletal Questionnaire (NMQ) where the average 3-month severities ≥1 (0–10 on a numerical rating scale (NRS)) led to prescription of body part specific strength training.…”

Section: Methodsmentioning

confidence: 99%

“…Structured workplace exercise programs have proved effective within a variety of occupational groups [ 25 – 28 ]. The aims of such exercise programs should include improving essential physical capacities, e.g., aerobic and strength, for improved physical work performance and health [ 26 ].…”

Section: Introductionmentioning

confidence: 99%

“…Prioritized accordingly, the concept “Intelligent Physical Exercise Training” (IPET) has been developed, tested, and shown efficient for physical capacity optimization, musculoskeletal symptom reduction, and improvements in work performance across different occupational groups [ 26 , 28 ]. The exercise concept is a semi-standardized framework and developed to prescribe individually tailored exercise for 1 h per week during working hours based on (1) the physical work demands, (2) individual physical capacities, and (3) the individual physical health profile (e.g., musculoskeletal disorders) of the worker.…”

Section: Introductionmentioning

confidence: 99%

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Intelligent Physical Exercise Training (IPET) in the offshore wind industry: a feasibility study with an adjusted conceptual model

Oestergaard

Sandal

Smidt

et al. 2022

Pilot Feasibility Stud

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Background Good physical health and capacity is a requirement for offshore wind service technicians (WTs) who have substantial physical work demands and are exposed to numerous health hazards. Workplace physical exercise has shown promise for improving physical health and work ability among various occupational groups. Therefore, we aimed to assess the feasibility and preliminary efficacy of Intelligent Physical Exercise Training (IPET) among WTs in the offshore wind industry. Methods A within-subject design was used to assess the feasibility and preliminary efficacy of IPET (one hour/week individualized exercise during working hours). The intervention period was 12 weeks, with the first eight weeks performed on site as supervised or partly supervised exercise during work hours and the last four weeks planned as home-administered exercise after the seasonal offshore service period. Three assessments, T1 (six months prior to intervention start), T2 (start of intervention) and T3 (end of intervention), of physical health and capacity (self-reported and objective measurements) were conducted and the period between T1 and T2 served as a within-subject control period. Primary outcome was feasibility measured as compliance, adherence, adverse events, and participant acceptability. Descriptive statistics were used to present feasibility outcomes. Preliminary efficacy was reported as mean differences with 95% confidence intervals for health and physical capacity outcomes between T1 and T2, between T2 and T3 and between T1 and T3. Results All WTs at the included wind farm (n=24, age: 40 years (SD±8)) participated in the study. No serious adverse events were reported. Compliance and adherence of 95 and 80% respectively, were reached in the eight-week supervised part, but were lower when exercise was home-administered (<20%). Acceptability was high for the supervised part, with 83% indicating that the exercise program worked well and 100% that exercise should be implemented as an integrated part of the working structure. Changes in physical capacity and health indicators, such as VO2max (ml O2/kg/min) at T1 (38.6 (SD±7.2)), T2 (44.1 (SD±9)) and T3 (45.8 (SD±6.5)), may indicate seasonal fluctuations as well as improvements from the intervention. Conclusion On-site Intelligent Physical Exercise Training during working hours was feasible and well received among WTs in the offshore wind industry. The proceeding of larger-scale evaluation and implementation is therefore recommended. Trial registration ClinicalTrials.gov (Identifier: NCT04995718). Retrospectively registered on August 6, 2021,

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Intelligent Physical Exercise Training (IPET) in the offshore wind industry: a feasibility study with an adjusted conceptual model

Oestergaard

Sandal

Smidt

et al. 2022

Pilot Feasibility Stud

Self Cite

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“…Self-rated physical strength was assessed with the question: “How would you describe your physical strength?” Response options were: 1 (far below average), 2 (slightly below average), 3 (average), 4 (slightly above average), and 5 (far above average)—“compared with my peers.” Self-rated physical strength has been assessed using similar questions in previous studies (Mikkelsson et al, 2005 ; Petersen et al, 2021 ; Sjøgaard et al, 2021 ).…”

Section: Methodsmentioning

confidence: 99%

A Mixed-Method Evaluation of a Prison Anti-doping Intervention: The Hercules Prison Program

Sagoe¹,

Johnsen²,

Lindblad³

et al. 2021

Front. Sports Act. Living

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The Norwegian Offender Mental Health and Addiction study denotes the need for physical activity and anti-doping interventions in Norwegian prisons. We developed and evaluated the efficacy of such intervention—the Hercules prison program. The program combines theoretical anti-doping lessons with practical strength training. The study adopts a mixed-methods approach (pretest-posttest design) comprising a longitudinal survey, observation, informal conversations, and in-depth interviews. Survey respondents were 104 male prisoners aged 18–56 (M = 34.81, SD = 9.34) years from seven Norwegian prisons. Of these, 52 provided both baseline and posttest responses. Participants completed questionnaires including demographic, doping use, and psychophysical items/measures. At the end of the intervention, in-depth interviews were conducted with 11 of the survey respondents. The survey data were analyzed using descriptive statistics, as well as independent and paired samples t-tests. The qualitative data were analyzed using Interpretative Phenomenological Analysis. A total of 7.5% and 33.3% of participants were current and former AAS users respectively, whereas 86.1% personally knew at least one current or former AAS user. Consistent with our expectation, there were increases in self-rated physical strength (t = −4.1, p < 0.001, d = 0.46) and strength training self-efficacy (t = −8.33, p < 0.001, d = 1.36), and a decrease in moral disengagement in doping (t = −4.05, p < 0.001, d = 0.52) from baseline to posttest. These findings are supported by the qualitative data. Notable success factors are relationship-building, instructors' expertise and acceptability, and gatekeepers' navigation and co-creation. The program provides valuable evidence of the potential benefits of combining anti-doping education with practical strength training in doping prevention in correctional settings.

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Intraoperative active and passive breaks during minimally invasive surgery influence upper extremity physical strain and physical stress response—A controlled, randomized cross-over, laboratory trial

Luger¹,

Bonsch

Seibt³

et al. 2023

Surg Endosc

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Objective Investigate the effect of passive, active or no intra-operative work breaks on static, median and peak muscular activity, muscular fatigue, upper body postures, heart rate, and heart rate variability. Background Although laparoscopic surgery is preferred over open surgery for the benefit of the patient, it puts the surgeons at higher risk for developing musculoskeletal disorders especially due to the less dynamic and awkward working posture. The organizational intervention intraoperative work break is a workplace strategy that has previously demonstrated positive effects in small-scale intervention studies. Methods Twenty-one surgeons were exposed to three 90-min conditions: no breaks, 2.5-min passive (standing rest) or active (targeted stretching and mobilization exercises) breaks after 30-min work blocks. Muscular activity and fatigue of back, shoulder and forearm muscles were assessed by surface electromyography; upper body posture, i.e., spinal curvature, by inclination sensors; and heart rate and variability (HRV) by electrocardiography. Generalized estimating equations were used for statistical analyses. This study (NCT03715816) was conducted from March 2019 to October 2020. Results The HRV-metric SDNN tended to be higher, but not statistically significantly, in the intervention conditions compared to the control condition. No statistically significant effects of both interventions were detected for muscular activity, joint angles or heart rate. Conclusion Intraoperative work breaks, whether passive or active, may counteract shoulder muscular fatigue and increase heart rate variability. This tendency may play a role in a reduced risk for developing work-related musculoskeletal disorders and acute physical stress responses.

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The elixir of muscle activity and kinesiology in a health perspective: Evidence of worksite tailored exercise training alleviating muscle disorders

Cited by 10 publications

References 82 publications

Intelligent Physical Exercise Training (IPET) in the offshore wind industry: a feasibility study with an adjusted conceptual model

Intelligent Physical Exercise Training (IPET) in the offshore wind industry: a feasibility study with an adjusted conceptual model

A Mixed-Method Evaluation of a Prison Anti-doping Intervention: The Hercules Prison Program

Intraoperative active and passive breaks during minimally invasive surgery influence upper extremity physical strain and physical stress response—A controlled, randomized cross-over, laboratory trial

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