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Journal of Occupational Rehabilitation

Open Access 17-04-2024 | Back Pain

Videoconference-Supervised Group Exercise Reduces Low Back Pain in Eldercare Workers: Results from the ReViEEW Randomised Controlled Trial

Authors: Ander Espin, Jon Irazusta, Maialen Aiestaran, Unai Latorre Erezuma, Julia García-García, Ismene Arrinda, Karmele Acedo, Ana Rodriguez-Larrad

Published in: Journal of Occupational Rehabilitation

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Abstract

Purpose

To assess the effects of a group exercise intervention conducted by real-time videoconference on the low back pain of eldercare workers.

Methods

We randomly assigned 130 eldercare workers to an experimental group (EG: n = 65) or control group (CG: n = 65). Participants from both groups took part in routine prevention programs carried out in their workplace, and participants from the EG received an additional 12-week resistance-exercise intervention supervised by real-time videoconference. Assessments were conducted before and after the intervention, and the primary outcome was average low back pain intensity during the last 7 days, measured by the 0–10 numerical rating scale. Secondary outcomes included additional measures of low back, neck, shoulder and hand/wrist pain, as well as psycho-affective parameters, medication consumption and muscle performance. Both intention-to-treat and per-protocol analyses were applied with a group-by-time ANCOVA including baseline measurements as covariates.

Results

125 participants completed post-intervention assessments (EG: n = 63, CG: n = 62). The intention-to-treat analysis showed an effect favouring the EG on average low back pain intensity (p = 0.034). Improvements in additional low back and hand/wrist pain outcomes were also observed, as well as on upper limb muscle performance (p < 0.05). The per-protocol analysis demonstrated additional benefits in depression, quality of life, hypnotic/anxiolytic medication consumption and lower limb and trunk muscle performance in participants with ≥ 50% adherence (p < 0.05).

Conclusions

The intervention was effective for reducing the low back and hand/wrist pain of eldercare workers and increasing upper limb muscle performance. The per-protocol analysis showed additional benefits in psycho-affective parameters, medication consumption and muscle performance.
Trial registration: ClinicalTrials.gov, NCT05050526. Registered 20 September 2021—Prospectively registered, https://​www.​clinicaltrials.​gov/​study/​NCT05050526
Appendix
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Metadata
Title
Videoconference-Supervised Group Exercise Reduces Low Back Pain in Eldercare Workers: Results from the ReViEEW Randomised Controlled Trial
Authors
Ander Espin
Jon Irazusta
Maialen Aiestaran
Unai Latorre Erezuma
Julia García-García
Ismene Arrinda
Karmele Acedo
Ana Rodriguez-Larrad
Publication date
17-04-2024
Publisher
Springer US
Published in
Journal of Occupational Rehabilitation
Print ISSN: 1053-0487
Electronic ISSN: 1573-3688
DOI
https://doi.org/10.1007/s10926-024-10182-2