The Efficiency of Ergonomics, Active Break and Stretching Exercise Program in Office Workers with Chronic Neck and Back Pain

Year 2023, Volume: 40 Issue: 2, 329 - 332, 19.07.2023

Oğuzhan Çimen

Abstract

The prevalence of chronic neck, shoulder and back pain in office workers is increasing rapidly. Chronic musculoskeletal pain has great socioeconomic impact as it is associated with reduced work performance and poor quality of life. The purpose of this study is to evaluate the influence of ergonomic modification, active rest, and stretching exercise programs on office workers' neck, upper back and shoulder pain. In our study, 74 patients aged between 22-50 years working in the office at the computer were evaluated. Brochures including ergonomic modification, active rest and stretching exercise program were given to the patients and necessary information was given. Visual Analogue Scale (VAS) was used to evaluate neck, shoulder and back pain and neck disability index (NDI) was used to evaluate functional outcomes. Evaluations were performed before treatment and at the first and third months after treatment. The VAS value, which was 5.39 ± 0.62 before the treatment, was 2.86 ± 1.40 at the first month after the treatment and 2.66 ± 1.15 at the third month after the treatment, and this improvement in the VAS score was statistically significant (p<0.01). While the NDI score was 21.91 ± 1.40 before the treatment, it was calculated as 12.77 ± 5.39 in the first month after the treatment and 12.02 ± 4.93 in the third month after the treatment, and this improvement in the NDI score was statistically significant (p<0.01). In conclusion, neck, shoulder and upper back pain can be reduced in patients working in the office environment with the help of ergonomics, stretching, and taking active breaks as much as working conditions allow.

Keywords

Office workers, pain, neck, stretching, ergonomics

References

• 1. Andersen LL, Hansen K, Mortensen OS, et al. Prevalence and anatomical location of muscle tenderness in adults with nonspecific neck/shoulder pain. BMC Musculosketal Disorders 2011; 22: 169–176.
• 2. van Rijn RM, Huisstede BMA, Koes BW, et al. Associations between work-related factors and specific disorders of the shoulder – a systematic review of the literature Scand J Work Environ Health 2010; 36: 189–201.
• 3. Tunwattanapong P, Kongkasuwan R, Kuptniratsaikul V. The effectiveness of a neck and shoulder stretching exercise program among office workers with neck pain: a randomized controlled trial. Clin Rehabil. 2016 Jan;30(1):64-72.
• 4. Celik S, Celik K, Dirimese E, et al. Determination of pain in musculoskeletal system reported by office workers and the pain risk factors. Int J Occup Med Environ Health. 2018 Jan 1;31(1):91-111.
• 5. Basakci Calik B, Yagci N, Oztop M, Caglar D. Effects of risk factors related to computer use on musculoskeletal pain in office workers. Int J Occup Saf Ergon. 2022 Mar;28(1):269-274.
• 6. Klussmann A, Gebhardt H, Liebers F, Rieger MA. Musculoskeletal symptoms of the upper extremities and the neck: a cross‐sectional study on prevalence and symptom‐predicting factors at visual display terminal (VDT) workstations. BMC Musculoskelet Disord. 2008;9:96 10.1186/1471-2474-9-96
• 7. Rutanen R, Nygård CH, Moilanen J, et al. Effect of physical exercise on work ability and daily strain in symptomatic menopausal women: A randomized controlled trial. Work 2014; 47: 281–286.
• 8. Silva LS, Pinheiro TM and Sakurai E. Economic restructuring and impacts on health and mental distress: The case of a state-owned bank in Minas Gerais State, Brazil. Cad Saude Publica 2007; 23: 2949–2958.
• 9. Kay TM, Gross A, Goldsmith C, et al. Exercises for mechanical neck disorders. Cochrane Database Syst Rev. 2005;3:CD004250.
• 10. Sihawong R, Janwantanakul P, Sitthipornvorakul E, Pensri P. Exercise therapy for office workers with nonspecific neck pain: a systematic review. J Manipulative Physiol Ther. 2011;34:62–71.
• 11. Verhagen AP, Bierma-Zeinstra SM, Feleus A, et al. Ergonomic and physiotherapeutic interventions for treating upper extremity work related disorders in adults. Cochrane Database Syst Rev 2004; 1: CD003471.
• 12. Shariat A, Cleland JA, Danaee M, et al. Effects of stretching exercise training and ergonomic modifications on musculoskeletal discomforts of office workers: a randomized controlled trial. Braz J Phys Ther. 2018 Mar-Apr;22(2):144-153.
• 13. Verhagen AP, Bierma-Zeinstra SM, Burdorf A, et al. Conservative interventions for treating work-related complaints of the arm, neck or shoulder in adults. Cochrane Database Syst Rev 2013; 12: CD008742.
• 14. Verhagen AP, Karels C, Bierma-Zeinstra SM, et al. Ergonomic and physiotherapeutic interventions for treating work-related complaints of the arm, neck or shoulder in adults. A Cochrane systematic review. Eura Medicophys 2007; 43: 391–405.
• 15. Sonne M., Villalta D.L., Andrews D.M. Development and evaluation of an office ergonomic risk checklist: ROSA – rapid office strain assessment. Appl Ergon. 2012;43(1):98–108.
• 16. Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res (Hoboken). 2011 Nov;63 Suppl 11:S240-52.
• 17. Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991 Sep;14(7):409-15.
• 18. Irmak A, Bumin G and Irmak R. The effects of exercise reminder software program on office workers’ perceived pain level, work performance and quality of life. Work 2012; 41: 5692–5695.
• 19. Andersen LL, Christensen KB, Holtermann A, et al. Effect of physical exercise interventions on musculoskeletal pain in all body regions among office workers: A one-year randomized controlled trial. Man Ther 2010; 15: 100–104.
• 20. Andersen LL, Saervoll CA, Mortensen OS, et al. Effectiveness of small daily amounts of progressive resistance training for frequent neck/shoulder pain: Randomised controlled trial. Pain 2011; 152: 440–446.
• 21. Zebis MK, Andersen LL, Pedersen MT, et al. Implementation of neck/shoulder exercises for pain relief among industrial workers: A randomized controlled trial. BMC Musculoskelet Disord 2011; 12: 205–213.
• 22. Ting JZR, Chen X, Johnston V. Workplace-Based Exercise Intervention Improves Work Ability in Office Workers: A Cluster Randomised Controlled Trial. Int J Environ Res Public Health. 2019 Jul 24;16(15):2633.
• 23. Johnston V, Chen X, Welch A, et al. A cluster-randomized trial of workplace ergonomics and neck-specific exercise versus ergonomics and health promotion for office workers to manage neck pain - a secondary outcome analysis. BMC Musculoskelet Disord. 2021 Jan 12;22(1):68.
• 24. Akkarakittichoke N, Waongenngarm P, Janwantanakul P. The effects of active break and postural shift interventions on recovery from and recurrence of neck and low back pain in office workers: A 3-arm cluster-randomized controlled trial. Musculoskelet Sci Pract. 2021 Dec;56:102451.
• 25. Kennedy CA, Amick BC, Dennerlein JT, et al. Systematic review of the role of occupational health and safety interventions in the prevention of upper extremity musculoskeletal symptoms, signs, disorders, injuries, claims and lost time. Journal of Occupational Rehabilitation 2010;20(2):127‐62.
• 26. Waongenngarm P, Areerak K, Janwantanakul P. The effects of breaks on low back pain, discomfort, and work productivity in office workers: A systematic review of randomized and non-randomized controlled trials. Appl. Ergon. 2018;68:230–239.
• 27. Korhonen T, Ketola R, Toivonen R, et al. Work related and individual predictors for incident neck pain among office employees working with video display units. Occup. Environ. Med. 2003;60:475–482.
• 28. Netten MP, van der Doelen LHM, Goossens RH. Proceedings of the International Conference on Digital Human Modeling and Applications in Health, Safety, Ergonomics and Risk Management. Springer; Berlin/Heidelberg, Germany: 2013. Chair based measurements of sitting behavior a field study of sitting postures and sitting time in office work; pp. 261–268.
• 29. Mehrparvar AH, Heydari M, Mirmohammadi SJ, et al. (2014) Ergonomic intervention, workplace exercises and musculoskeletal complaints: a comparative study. Med J Islam Repub Iran 28, 69.
• 30. Mani K, Provident I, Eckel E. (2016) Evidence-based ergonomics education: promoting risk factor awareness among office computer workers. Work 55, 913–22.
• 31. Van Eerd D, Munhall C, Irvin E, et al. (2016) Effectiveness of workplace interventions in the prevention of upper extremity musculoskeletal disorders and symptoms: an update of the evidence. Occup Environ Med 73, 62–70.