EFFECTIVENESS OF LIFESTYLE INTERVENTION FOR PREVENTION OF MUSCULOSKELETAL DISORDERS AMONG HEALTH CARE PROFESSIONALS-A SYSTEMATIC REVIEW
Main Article Content
Keywords
Musculoskeletal disorders, Healthcare professionals, Randomized controlled trials, Lifestyle interventions
Abstract
Background:
This systematic review assesses the impact of lifestyle interventions, including workplace exercises, in preventing musculoskeletal disorders among healthcare professionals. It focuses on RCTs published from 2011, to 2021, utilizing databases such as PubMed and Cochrane. The review employs a narrative synthesis approach, following SWiM guidelines, and assesses methodological quality using the Cochrane Risk of Bias (RoB-2) tool.
Objective
Assess the efficacy of lifestyle interventions, especially workplace exercises, in preventing musculoskeletal disorders among healthcare professionals.
Design
This systematic review concentrates on RCTs, aiming to evaluate the effect of lifestyle interventions, including workplace exercises, on preventing musculoskeletal disorders in healthcare professionals.
Data Sources
Relevant studies were sought in key databases: PubMed, CINAHL Plus, Cochrane, Scopus, ISI WoS, and PeDRO. Inclusion criteria covered studies published from 2011 to 2021 for this systematic review.
Inclusion Criteria:
RCTs on lifestyle interventions for preventing musculoskeletal disorders in healthcare professionals, including workplace exercise programs.
Data Extraction and Synthesis:
Independent reviewers extracted data and assessed bias risk. Employed a narrative synthesis approach per SWiM guidelines without meta-analysis. Utilized the Cochrane Risk of Bias (RoB-2) tool for comprehensive evaluation of methodological quality and evidence robustness.
References
2. Tinubu, B.M., Mbada, C.E., Oyeyemi, A.L. et al. Work-Related Musculoskeletal Disorders among Nurses in Ibadan, South-west Nigeria: a cross-sectional survey. BMC Musculoskelet Disord 11, 12 (2010). https://doi.org/10.1186/1471-2474-11-12
3. Yasobant S, Rajkumar P. Work-related musculoskeletal disorders among health care professionals: A cross-sectional assessment of risk factors in a tertiary hospital, India. Indian J Occup Environ Med. 2014 May;18(2):75-81. doi: 10.4103/0019-5278.146896. PMID: 25568602; PMCID: PMC4280781.
4. B.R. da Costa, E.R. VieiraRisk factors for work-related musculoskeletal disorders: a systematic review of recent longitudinal studies.Am. J. Ind. Med., 53 (2010), pp. 285-323, 10.1002/ajim.20750
5. Serra, C., Soler-Font, M., García, A.M. et al. Prevention and management of musculoskeletal pain in nursing staff by a multifaceted intervention in the workplace: design of a cluster randomized controlled trial with effectiveness, process and economic evaluation (INTEVAL_Spain). BMC Public Health 19, 348 (2019). https://doi.org/10.1186/s12889-019-6683-7
6. Jakobsen, M. D., Sundstrup, E., Brandt, M., Jay, K., Aagaard, P., & Andersen, L. L. (2015). Effect of workplace-versus home-based physical exercise on musculoskeletal pain among healthcare workers: a cluster randomized controlled trial. Scandinavian journal of work, environment & health, 153-163
7. European Agency for Safety and Health and Work, Musculoskeletal disorders in the healthcare sector, Discussion paper,2020 https://osha.europa.eu/en/publications/musculoskeletal-disorders-healthcare-sector/view
8. Zeller, Janice M., and Pamela F. Levin. "Mindfulness interventions to reduce stress among nursing personnel: An occupational health perspective." Workplace health & safety 61.2 (2013): 85-89.
9. Soares CO, Pereira BF, Pereira Gomes MV, Marcondes LP, de Campos Gomes F, de Melo-Neto JS. Preventive factors against work-related musculoskeletal disorders: narrative review. Rev Bras Med Trab. 2020 Apr 15;17(3):415-430. doi: 10.5327/Z1679443520190360. PMID: 32368676; PMCID: PMC7195879.
10. Andersen LL, Clausen T, Mortensen OS, Burr H, Holtermann A. A prospective cohort study on musculoskeletal risk factors for long-term sickness absence among healthcare workers in eldercare. Int Arch Occup Environ Health. 2012 Aug;85(6):615-22. doi: 10.1007/s00420-011-0709-5. Epub 2011 Oct 11. PMID: 21986907.
11. A Systematic Review of Workplace Interventions to Rehabilitate Musculoskeletal Disorders Among Employees with Physical Demanding Work. J Occup Rehabil. 2020; 30(4): 588–612. Published online 2020 Mar 26. doi: 10.1007/s10926-020-09879-x PMCID: PMC7716934PMID: 3221968
12. Yang, S., Li, L., Wang, L. et al. Effectiveness of a multidimensional intervention program in improving occupational musculoskeletal disorders among intensive care unit nurses: a cluster-controlled trial with follow-up at 3 and 6 months. BMC Nurs 20, 46 (2021). https://doi.org/10.1186/s12912-021-00561-y
13. Davies, K., Weale, V. & Oakman, J. A participatory ergonomics intervention to re-design work and improve the musculoskeletal health of paramedics: protocol for a cluster randomised controlled trial. BMC Musculoskelet Disord 24, 716 (2023). https://doi.org/10.1186/s12891-023-06834-8
14. Quality of life among district hospital nurses with multisite musculoskeletal symptoms in Vietnam Thanh Hai Nguyen, Duc Luan Hoang, Thi Gian.
https://onlinelibrary.wiley.com/share/UZCYJTRQUDRVSVMHXNKC?target=10.1002/1348-9585.12161
15. Paré G, Kitsiou S. Chapter 9 Methods for Literature Reviews. In: Lau F, Kuziemsky C, editors. Handbook of eHealth Evaluation: An Evidence-based Approach [Internet]. Victoria (BC): University of Victoria; 2017 Feb 27. Available from:
https://www.ncbi.nlm.nih.gov/books/NBK481583/
16. Patino CM, Ferreira JC. Inclusion and exclusion criteria in research studies: definitions and why they matter. J Bras Pneumol. 2018 Apr;44(2):84. doi: 10.1590/s1806-37562018000000088. PMID: 29791550; PMCID: PMC6044655.
17. Work caused musculoskeletal disorders in health professionals, Dženan Pleho, et al. Work Caused Musculoskeletal Disorders Journal of Health Sciences 2021;11(1):7-16
18. Systematic and systematic-like review toolkit.
https://deakin.libguides.com/systematicreview/step3
Quality Assessment Tools for Systematic Reviews
https://www.distillersr.com/resources/systematic-literature-reviews/quality-assessment-tools-for-systematic-reviews#:~:text=Cochrane%20Risk%2DOf%2DBias%20(,high%2C%20low%2C%20or%20unclear.
19. Gusenbauer M, Haddaway NR. Which academic search systems are suitable for systematic reviews or meta-analyses? Evaluating retrieval qualities of Google Scholar, PubMed, and 26 other resources. Res Synth Methods. 2020 Mar;11(2):181-217. doi: 10.1002/jrsm.1378. Epub 2020 Jan 28. PMID: 31614060; PMCID: PMC7079055.
20. Kaul, Rachna & Shastry, Shilpa & C J, Sanjay. (2015). Musculoskeletal Disorders and Mental Health Related Issues as Occupational Hazards among Dental Practitioners in the City of Bengaluru: A Randomized Cross-sectional Study. International Journal of Medical and Dental Sciences. 4. 589. 10.19056/ijmdsjssmes/2015/v4i1/79947.
21. Rasotto C, Bergamin M, Sieverdes JC, Gobbo S, Alberton CL, Neunhaeuserer D, Maso S, Zaccaria M, Ermolao A; A tailored workplace exercise program for women at risk for neck and upper limb musculoskeletal disorders: a randomized controlled trial. Journal of occupational and environmental medicine. 2015
22. Abdollahi T, Pedram Razi S, Pahlevan D, Yekaninejad MS, Amaniyan S, Leibold Sieloff C, Vaismoradi M. Effect of an Ergonomics Educational Program on Musculoskeletal Disorders in Nursing Staff Working in the Operating Room: A Quasi-Randomized Controlled Clinical Trial. International Journal of Environmental Research and Public Health, 2020; 17(19):7333; https://doi.org/10.3390/ijerph17197333
23. Ratzon NZ, Bar-Niv NA, Froom P. The effect of a structured personalized ergonomic intervention program for hospital nurses with reported musculoskeletal pain: An assigned randomized control trial. Work. 2016 Jun 23;54(2):367-77. doi: 10.3233/WOR-162340. PMID: 27372892.