Safety, tolerability and effectiveness of an ergonomic intervention with chiropractic care for knowledge workers with upper-extremity musculoskeletal disorders: A prospective case series.
BACKGROUND: One hundred and sixty million office workers (knowledge workers) in the U.S. and 2/3 of the developed countries use computers on a daily basis. OBJECTIVE: Investigate the effectiveness of ergonomic and diversified chiropractic care for the reduction of pain, discomfort and impaired produ...
| Publicado en: | Work Vol. 49; no. 4; pp. 641 - 652 |
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| Autores principales: | , , |
| Formato: | equations & formulas research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103878872&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103878872 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10519815 3RC jtl: Work issn: 10519815 maglogo: N pubinfo: dt: 2014 vid: 49 iid: 4 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 103878872 100574240 10.3233/WOR-131732 NLM24004790 103878872 ppf: 641 ppct: 11 formats: fmt: @attributes: type: P tig: atl: Safety, tolerability and effectiveness of an ergonomic intervention with chiropractic care for knowledge workers with upper-extremity musculoskeletal disorders: A prospective case series. aug: au: Sherrod, Chuck Johnson, Dale Chester, Bruce affil: Ergonomics Institute, Life Chiropractic College West, Hayward, CA, USA sug: subj: Ergonomics Chiropractic Musculoskeletal Diseases Prevention and Control Computers and Computerization Human Upper Extremity Behavioral Changes Transtheoretical Stages of Change Model Clinical Assessment Tools Productivity Female Adult Middle Age Adult: 19-44 years Middle Aged: 45-64 years Female ab: BACKGROUND: One hundred and sixty million office workers (knowledge workers) in the U.S. and 2/3 of the developed countries use computers on a daily basis. OBJECTIVE: Investigate the effectiveness of ergonomic and diversified chiropractic care for the reduction of pain, discomfort and impaired productivity in knowledge workers presenting with neck and upper extremity musculoskeletal complaints. METHODS: A one-year prospective case series (n=5 applying ergonomic job task analyses and ongoing surveillance at baseline, 8 weeks, 16 weeks and one-year for musculoskeletal discomfort (CMDQ and VAS, quality of life (Rand SF-36, productivity and forward head posture (FHP).RESULTS: CMDQ and VAS scores decreased by 45% (neck) and 80% (upper extremities); productivity increased from 65% to 100%; physical functioning, role physical and role emotional improved for 4 of 5 subjects; body pain and general health improved for 3 of 5. Average FHP changed from 1-inch (baseline) to 1/4-inch (16-weeks) to 1/2-inch (one year).CONCLUSIONS: Effectiveness of this intervention for the reduction of risks depended upon the subject's adoption of safe workstyle behaviors and postures. A transtheoretical model (TTM) for behavior change is discussed as a possible methodology to enhance the adoption of safer work habits. pubtype: Academic Journal doctype: equations & formulas research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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