Workplace-Based Interventions for Neck Pain in Office Workers: Systematic Review and Meta-Analysis

Chen, Xiaoqi; Coombes, Brooke K.; Sjøgaard, Gisela; Jun, Do Youn; O’Leary, Shaun; Johnston, Venerina

doi:10.1093/ptj/pzx101

Cited by 89 publications

(111 citation statements)

References 59 publications

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“…In addition, recent review evidence suggests that workplace interventions may improve mental health [177,178], the ability to perform occupational tasks fully [179], and adverse musculoskeletal symptoms (e.g. neck and shoulder pain) [176,[180][181][182], though higher quality studies are still needed to identify the most promising interventions. Evidence has also shown that increasing PA levels may be advantageous to employers through reduced absenteeism [183,184] and increased productivity [185].…”

Section: Discussionmentioning

confidence: 99%

Device-measured physical activity, sedentary behaviour and cardiometabolic health and fitness across occupational groups: a systematic review and meta-analysis

Prince

Elliott

Scott

et al. 2019

Int J Behav Nutr Phys Act

139

108

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Background With approximately 8 hours of one’s waking day spent at work, occupational tasks and environments are important influencers on an individual’s physical activity (PA) and sedentary behaviours. Little research has compared device-measured physical activity, sedentary behaviour and cardiometabolic outcomes between occupational groups. Objective To compare device-measured movement (sedentary time [ST], light intensity physical activity [LPA], moderate-to-vigorous intensity physical activity [MVPA], and steps) across occupations. The secondary objective was to examine whether cardiometabolic and fitness outcomes differed by occupation. Methods Five bibliographic databases were searched to identify all studies which included working age, employed adults from high-income countries, and reported on device-measured movement within occupations. Risk of bias within and across studies was assessed. Results were synthesized using meta-analyses and narrative syntheses. Results The review includes 132 unique studies with data from 15,619 participants. Working adults spent ~ 60% of their working and waking time engaged in sedentary behaviour; a very small proportion (~ 4%) of the day included MVPA. On average, workers accumulated 8124 steps/day. Office and call center workers’ steps/day were among the lowest, while those of postal delivery workers were highest. Office workers had the greatest ST and the lowest time in LPA both at work and during wakeful time. However, office workers had the greatest minutes sent in MVPA during wakeful hours. Laborers had the lowest ST and spent a significantly greater proportion of their work time in LPA and MVPA. Healthcare and protective services workers had higher levels of LPA at work compared to other occupations. Workers in driving-based occupations tended to have a higher body mass index and blood pressure. Conclusion This review identifies that occupational and wakeful time PA and ST differed between occupations. Future studies are needed to assess whether patterns differ by age and sex, describe leisure-time movement and movement patterns, and the relationship with cardiometabolic health. Systematic review registration PROSPERO CRD42017070448 . Electronic supplementary material The online version of this article (10.1186/s12966-019-0790-9) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Device-measured physical activity, sedentary behaviour and cardiometabolic health and fitness across occupational groups: a systematic review and meta-analysis

Prince

Elliott

Scott

et al. 2019

Int J Behav Nutr Phys Act

139

108

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“…Only for the mUTR would the 20RM evoke intensities >60% MVE that is normally considered to be most efficient for a training effect. From a pain reduction perspective, the high intensive exercises have been shown to be most effective and, therefore, the 12RM might be the best gain for the work time invested into exercises at the workplace [11,18].…”

Section: Contraction Intensitiesmentioning

confidence: 99%

“…To access the activation level, electromyography (EMG) is commonly used to measure the activity of the specific muscles that are involved in an exercise [16,17]; the bilateral upper trapezius muscle (mUTR), upper neck extensor muscles (mUNE), and sternocleidomastoideus muscle (mSCM) were the muscle groups included here. In the prevention and treatment of neck and shoulder pain such EMG measurements can ensure that a given mode and intensity of training will activate the target muscles to the sufficient level [18]. In addition, EMG measures allow for exploratory analysis, such as the development of muscle fatigue during multiple repetitions that might be an indicator of the long-term effect on hypertrophy, as well as the reduced perception of pain.…”

Section: Introductionmentioning

confidence: 99%

Electromyographic Evaluation of Specific Elastic Band Exercises Targeting Neck and Shoulder Muscle Activation

et al. 2020

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Background: Specific strength training at a high intensity is effective in reducing work related neck/shoulder pain. However, it remains to be documented as to which exercises most specifically target neck and shoulder muscles at high activation level while using simple equipment as e.g., elastic bands. We hypothezised that selected exercises would specifically target the respective muscles, as follows: (1) shrugs and reverse flyes: the upper trapezius muscle, (2) cervical extension and lateral flexion: the upper neck extensor muscle, and (3) cervical flexion and rotation: the sternocleidomastoideus muscle. Methods: Eleven healthy males (25.9 ± 1.4 years, BMI 24.3 ± 1.4) with no neck/shoulder pain (VAS = 0) performed the six exercises with elastic bands at 12RM (repetition maximum) and 20RM in a randomized order. Electromyography was bilaterally recorded from the three muscles and it was normalized to maximal voluntary activation (%MVE). Exercises that evoke more than 60%MVE were considered as high intensity activation. Results: High muscle activation level was attained during 12RM in the upper trapezius muscle during shrugs (100.3 ± 29.8%MVE) and reverse flyes (91.6 ± 32.8%MVE) and in the upper neck extensor muscle during cervical extension (67.6 ± 29.8%MVE) and shrugs (61.9 ± 16.8%MVE). In the sternocleidomastoideus muscle, the highest activity was recorded during cervical flexion (51.7 ± 16.4%MVE) but it did not exceed 60%MVE. The overall activity was ~10% higher during 12RM when compared to 20RM. Conclusion: The simple exercises shrugs and reverse flyes resulted in high intensity activation of both the upper trapezius and neck extensors, while no exercises activated sternocleidomastoideus at high intensity.

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“…The built environment directly impacts human health and well-being, making building design and operation crucial for managing and improving public health [2][3][4]. Human outcomes frequently identified as being impacted by the built environment include comfort (e.g., thermal [5] and acoustic comfort [6,7]), performance [8,9], sleep [10], stress [11,12], pollutant exposure [13], and a wide range of other health and behavioral outcomes, such as musculoskeletal pain [14], posture [15], pathogen transmission [16][17][18], allergen exposure [19,20], workplace collaboration [21], and privacy [22,23].…”

Section: Introductionmentioning

confidence: 99%

The Spatial and Temporal Variability of the Indoor Environmental Quality during Three Simulated Office Studies at a Living Lab

et al. 2019

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The living lab approach to building science research provides the ability to accurately monitor occupants and their environment and use the resulting data to evaluate the impact that various components of the built environment have on human comfort, health, and well-being. A hypothesized benefit of the living lab approach is the ability to simulate the real indoor environment in an experimentally controlled setting over relatively long periods of time, overcoming a significant hurdle encountered in many chamber-type experimental designs that rarely reflect typical indoor environments. Here, we present indoor environmental quality measurements from a network of sensors as well as building system design and operational data demonstrating the ability of a living lab to realistically simulate a wide range of environmental conditions in an office setting by varying air temperature, lighting, façade control, and sound masking in a series of three human subject experiments. The temporal variability of thermal and lighting conditions was assessed on an hourly basis and demonstrated the significant impact of façade design and control on desk-level measurements of both factors. Additional factors, such as desk layout and building system design (e.g., luminaires, speaker system), also contributed significantly to spatial variability in air temperature, lighting, and sound masking exposures, and this variability was reduced in latter experiments by optimizing desk layout and building system design. While ecologically valid experimental conditions are possible with a living lab, a compromise between realism and consistency in participant experience must often be found by, for example, using an atypical desk layout to reduce spatial variability in natural light exposure. Based on the experiences from these three studies, experimental design and environmental monitoring considerations for future office-based living lab experiments are explored.

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Workplace-Based Interventions for Neck Pain in Office Workers: Systematic Review and Meta-Analysis

Cited by 89 publications

References 59 publications

Device-measured physical activity, sedentary behaviour and cardiometabolic health and fitness across occupational groups: a systematic review and meta-analysis

Device-measured physical activity, sedentary behaviour and cardiometabolic health and fitness across occupational groups: a systematic review and meta-analysis

Electromyographic Evaluation of Specific Elastic Band Exercises Targeting Neck and Shoulder Muscle Activation

The Spatial and Temporal Variability of the Indoor Environmental Quality during Three Simulated Office Studies at a Living Lab

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