prevalence of neck pain in office workers

Data from the 4-week intervention could not be subjected to a meta-analysis due to lack of data for change from baseline and the short intervention period.50 Meta-analysis of the other 2 trials24,28 (n = 674) found moderate quality evidence (downgraded for inconsistency) for the ineffectiveness of neck/shoulder strengthening in comparison to no training in a general population of office workers (SMD = 0.03; 95% CI = 0.39 to 0.33) (Fig. Coombes, V. Johnston, S. OLeary, G. Sjgaard. , Christensen KB, Holtermann Aet al. Andersen \bigcirc }$|, Receive exclusive offers and updates from Oxford Academic, Neck/shoulder strengthening exercise vs no training, Job: 449 office workers from a national public admin authority, Type: 3 strengthening intervention arms: 1 60 (1 h/wk), 3 20 (20 min, 3 times/wk), 9 7 (7 min, 9 times/wk) Description: Specific strength training using 5 dumbbell exercises: front raises, lateral raises, reverse flies, shrugs, and wrist extensions Providers: Experienced exercise instructors Mode: Face-to-face in a group Duration: 20 wk, 3 intervention groups combined: SMD = 0.14 (0.08 to 0.37), 56% of participants participated at least 20 min/wk, Job: 549 office workers from a public admin authority, Type: Dynamic and specific strength training, 20 min, 3 times/wk Description: Dynamic resistance training included seated static exercises for the neck and explosive rowing and kayaking ergometer exercises for the shoulders; specific resistance training with dumbbells included shoulder extension, abduction, and lift Providers: Experienced exercise instructors Mode: Face-to-face in a group Duration: 52 wk, 45% of participants participated at least 20min/wk (mean of 54% the first half and 35% the second half of the intervention), Job: 72 office workers from a university and from insurance, physical therapy, and software companies, Type: Strength training twice daily Description: Resistance training included isometric neck rotation with manual resistance (5-s hold, 5 repetitions), shoulder shrugs, and scapular retraction with elastic band resistance (12 repetitions each) Provider: Not reported Mode: Face-to-face in a group Duration: 4 wk, No training (deep breathing and ankle pumps), 74% of planned training attended (average daily frequency of exercise = 1.47 times/d), Job: 256/449 office workers (subset of general population from Andersen etal, 2012, 3 intervention groups combined: SMD = 0.23 (0.07 to 0.52), Job: 100/549 office workers (subset of general population from Blangsted etal, 2008, 45% of participants participated at least 20 min/wk (mean of 54% the first half and 35% the second half of the intervention), Job: 48 female participants from banks, post offices, national admin offices, and an industrial production unit Condition: Trapezius myalgia, Type: Strength training, 20min, 3 times/wk Description: Specific strength training using 5dumbbell exercises: 1-arm row, shoulder abduction, elevation, reverse flies, and upright row Provider: Exercises were supervised Mode: Face-to-face in a group Duration: 10 wk, Job: 198 office workers Condition: Neck/shoulder pain with intensity of 2 (out of 10) during the past 3 mo, at least 30 d during the past year, Type: 2 strengthening intervention arms: 2 min/d, 12 min/d, 5 times/wk Description: Both intervention groups did resistance training with elastic tubing, performing shoulder abductions (lateral raises) Providers: Physical therapists Mode: Face-to-face initially and then individually thereafter Duration: 10 wk, 2 min/d: SMD = 0.60 (0.32 to 1.03) 12 min/d: SMD = 0.90 (0.54 to 1.26) 2 min+12 min/d: SMD = 0.74 (0.43 to 1.05), 2 min/d: 65% of planned training sessions attended 12 min/d: 66% of planned training sessions attended, Job: 47 office workers from a university Condition: Neck/shoulder pain with intensity of 3 (out of 9) in the previous month, Type: Scapular functional training, 20 min, 3 times/wk Description: Scapular exercises targeting serratus anterior and lower trapezius muscles to a high extent and upper trapezius muscle to a lower extent; elastic bands were provided for extra resistance if required Provider: Experienced exercise instructor Mode: Face-to-face in a group Duration: 10 wk, 70% of planned training sessions attended, Job: 393 female office workers from a health care center Condition: Nonspecific neck pain of 12 wk, Type: Dynamic muscle training, 30 min, 3 times/wk Description: Dynamic muscle training using dumbbells to activate large muscle groups in the neck/shoulder region, followed by stretching Provider: Physical therapist Mode: Face-to-face in a group Duration: 12 wk, 39% of planned training sessions attended, Neck/shoulder strengthening exercise vs physical therapy, Job: 33 female office workers Condition: Neck/shoulder pain with intensity of 3 (out of 6) for last 6 mo and 2 wk, and pain for 3 d continuously for last 2 wk. It can have an impact on the individual's physical, social, and psychological well-being, contributing to increasing costs to society and businesses. The postural malalignment and related muscle adaptations we. However, the high heterogeneity between the trials (I2 = 77%) possibly was related to differences in intervention lengths (given that similar exercises and total training durations [60 min/wk]) were reported). Church , Bierma-Zeinstra SM, Burdorf A, Stynes SM, de Vet HC, Koes BW. , Thiese MS, Wood EMet al. The estimated 1 year incidence of neck pain from available studies ranges between 10.4% and 21.3% with a higher incidence noted in office and computer workers. Methods: Seven English/Portuguese databases were searched for relevant literature. \bigcirc \! The present review also explored factors that may influence the effectiveness of exercise training regimens on pain outcomes. , Blangsted AK, Andersen LL, Jorgensen MB, Hansen EA, Sjogaard G. Martin \bigoplus \! Two RCTs (n = 127) studied the effect of 1 hour of general fitness training per week on office workers who were symptomatic in comparison to no training.32,49 In the trial that found a significant effect, training consisted of 52weeks of all-around fitness exercises involving the whole body,32 while the other that trial that found no significant effect consisted of 10 weeks of purely leg cycling.49 When the 2 studies were pooled, meta-analysis found moderate-quality evidence (downgraded for imprecision) of a small effect in favor of 1 hour of general fitness training per week on reducing pain intensity in office workers who were symptomatic (SMD = 0.43; 95% CI = 0.08 to 0.78) (I2 = 0%) (Fig. Prevalence and risk factors of neck pain in military office workers AP \bigoplus \! MT These interventions were not specifically targeted to the neck/shoulder, which may explain the lack of effect. We also recommend subgroup analyses of symptomatic, asymptomatic, and possibly at risk groups to be performed. Pedersen As intervention effects were unique to the subpopulation studied, this represents an important strength of the review. Neck pain is highly prevalent among office workers, as 46% of them reported neck pain annually . This is due to the increasing responsibility of companies toward employee health, and the potential cost-savings and productivity gains associated with a healthy workforce.3 Workplace-based interventions are broadly grouped into those that target the workers health and/or knowledge (eg, exercise, education), or those that target the job task and environment (eg, ergonomics). L D \bigoplus \! LL Three of these RCTs studied a general population of office workers, each finding no significant effect on neck pain intensity.27,32,50 The intervention length for these studies was 4,50 20,27 and 5232 weeks, with participation rates of 74%, 56%, and 45%, respectively. independently performed the identification and screening (of titles and abstracts), and the eligibility assessment (of full texts). Coombes, V. Johnston, S. OLeary, G. Sjgaard, Writing: X. Chen, B.K. Data could not be obtained from some studies for meta-analysis and assessment of risk of bias. Work with arms above the shoulders for >1 hours/day was associated with a significant excess of symptoms [PR 1.3-1.7 (women) and 1.2-1.4 (men)], but no associations existed for typing, lifting, vibratory tool use, or professional driving. Updated method guidelines for systematic reviews in the Cochrane Collaboration Back Review Group. , Jorgensen MB, Blangsted AK, Pedersen MT, Hansen EA, Sjogaard G. Blangsted independently extracted data using predefined data fields, and another author (B.K.C.) Coombes, V. Johnston, S. OLeary, G. Sjgaard, Data collection: X. Chen, B.K. Prevalence of Neck Pain in Soldiers as a Result of Mild - PubMed Point estimates of effect were deemed statistically significant if the 95% CI for RR did not cross 1.22 An RR of 1 to 1.25 or 0.8 to 1 indicated a small effect, an RR of 1.25 to 2 or 0.5 to 0.8 indicated a medium effect, and an RR of greater than 2 or less than 0.5 indicated a large effect.22,23, Data to calculate effect statistics were obtained from postintervention (final values) or, where possible, change from baseline values. No effect sizes displayed because of lack of change from baseline data. 2023 Mar;29(1):50-55. doi: 10.1080/10803548.2021.2018855. Your comment will be reviewed and published at the journal's discretion. , Pensri P, Jiamjarasrangsri V, Sinsongsook T. Sihawong , Linton SJ. , Kenny DT, Md Zein R, Hassan SN. When studies demonstrated clinical homogeneity (ie, similar study intervention, comparator intervention, postintervention time frames, and pain outcome),20 data were pooled using a weighted mean difference. Thank you for submitting a comment on this article. \bigcirc \! , Kjaer M, Sgaard K, Hansen L, Kryger AI, Sjgaard G. Kietrys There was moderate-quality evidence that neck/shoulder strengthening exercises and general fitness training were effective in reducing neck pain in office workers who were symptomatic, although the effect size was larger for strengthening exercises. Characteristics of office workers who benefit most from inte : PAIN The aim of this systematic review was to investigate the effectiveness of workplace-based interventions on the prevention and reduction of neck pain in office workers in comparison to other or to no interventions. (neck pain* or cervicalgia or cervicodynia or trapezius myalgia or complaints of the arm neck shoulder or tension neck syndrome or tension neck syndromes) AND (workplace intervention or workplace interventions or workplace* or worksite* or work environment or company* or office* or organization* or organisation* or on-site) AND (office work* or visual display operator* or visual display unit* or visual display terminal* or computer* or employ*) NOT surger*, Oxford University Press is a department of the University of Oxford. At present, there is no consolidated evidence for workplace-based interventions for the prevention and reduction of neck pain in office workers. JM One-year prevalence rates for neck and low back pain among office workers have been shown to range from 42% to 69% 1,16 and 31% to 51%, 2,39 respectively. (2) Methods: A cross-sectional study was conducted, and the participants completed an online questionnaire based on the Standardized Nordic questionnaire and Quality of Life Scale Brief Version to evaluate their . It has been reported that the prevalence of neck pain in office workers is much higher than in the general population. , Amick BCIII, Dennerlein JTet al. So you . However, these reviews examined all occupational categories, including office workers.3,11,12 In contrast, other reviews have studied solely office workers, but not performed meta-analysis, nor considered the potential influence of individual factors, such as neck pain presence at baseline, or intervention characteristics, including participation in an intervention.1315 Current reviews have also not distinguished between studies investigating workers with and without neck symptoms (general population of office workers), and those with symptoms (office workers who are symptomatic). KT Two reviewers (X.C., D.J.) K Additionally, this review observed that higher participation in exercise influences the size of the effect, with SMDs ranging from 0.74 to 1.29 for studies reporting participation rates of 66% to 87% but SMDs of 0.23 and 0.46 for studies with participation rates of 56% and 45%, respectively. DM checked the accuracy of extracted data.17 The predefined data fields were customized on the basis of the PICO (Population, Intervention, Control, and Outcomes) process and a modified Template for Intervention Description and Replication (TIDieR) checklist.18 Data were subgrouped based on the type of intervention (eg, exercise, ergonomic intervention) and study population (eg, general population of office workers who were symptomatic). SG Evidence quality was evaluated using the Grading of Recommendations Assessment, Development, and Evaluation system. CF Randomized controlled trials (RCTs) were included if the following criteria were present: the population consisted of office workers performing computer work for most of their work time; the intervention was performed on-site at the workplace only, and outcome measures included pain intensity or incidence/prevalence of neck pain. Workplace-Based Interventions for Neck Pain in Office Workers This literature review describes the global epidemiology and trends associated with neck pain, before exploring the psychological and biological risk factors associated with the initiation and progression of neck pain. A , Green S, Cochrane C. Coombes , Josephson M, Wahlstedt K, Lampa E, Norbck D. Gerr B Two trials (n = 628) of low quality (downgraded for inconsistency and imprecision) found conflicting evidence for the effectiveness of general fitness exercises on reducing neck pain intensity in a general population of office workers.32,43 Of the 2 trials, a large 52-week study (n = 549) found insignificant differences between 1 hour of general fitness training per week (consisting of activities such as Nordic walking and running) and no training (SMD = 0.20; 95% CI = 0.44 to 0.05).32 The other, smaller trial (n = 79) of 10 weeks found significant effectiveness of aerobics exercise (55 minutes, 3 times per week) compared to no intervention (P<.05).43. MG Studies were restricted to those written in English, and in peer-reviewed literature. The Neck Pain and Disability Scale was used as an assessment tool, and it was presented both personally on paper and online as well as a google form. Various occupational risk factors have been linked to neck pain. The prevalence of pain in the other body. Chiarotto 3B). An extensive cross-sectional questionnaire was used to estimate the prevalence of neck pain and to identify risk factors (short term to long term) in the occurrence of neck pain in military office workers. All RCTs did not meet the patient and care provider blinding criteria, as it is not possible for the type of interventions performed in this review. Background: Persisting neck pain is common in society. R Conlon The epidemiology of neck pain - PubMed Prevalence was considered as the number/proportion of cases of neck pain, while incidence was considered as the number/proportion of new cases identified at a given time. , Curran-Everett D, Maluf KS. Future RCTs of ergonomic interventions targeted at office workers who are symptomatic are required. Measuring inconsistency in meta-analyses. , Bredahl TG, Pedersen MT, Boyle E, Andersen LL, Sjgaard G. Andersen The 12 month prevalences of neck pain in office workers was 45.5%. The aim of the current study was to estimate the one-year prevalence of neck pain among office workers and to determine which physical, psychological and . Interestingly, the longer-duration RCTs (2052 weeks)27,32 reported reduced participation (45%56%), which may have also influenced their pain outcomes. A recent study recommended 70% participation as the cutoff point for per-protocol analysis,68 a recommendation that is supported by our observation that participation of greater than or equal to 66% was associated with a larger effect size. , Janwantanakul P, Jiamjarasrangsi W. Shahidi Nine trials5,27,32,45,4751 investigated the effectiveness of workplace-based strengthening exercises consisting of resistance exercises targeted to the neck/shoulder region using dumbbells or resistance band/tubing compared to no training. I know I do all the time. Most RCTs addressing exercise interventions (67%), education, breaks, and myofeedback interventions (71%) focused on office workers who were symptomatic; whereas only 13% of trials of ergonomic interventions were undertaken in the symptomatic population. Andersen Several limitations were associated with the interpretation of this review's results. GE Background Persisting neck pain is common in society. Mahmud Study selection. Twenty-seven RCTs were included. Bernaards The costs to the worker, employer and society associated with work-related neck pain are known to be considerable and are escalating. Janwantanakul Neck pain is a prevalent and burdensome condition particularly in office workers compared to other occupations.13 The annual prevalence of neck pain in office workers varies from 42% to 63%,1,4,5 and office workers have the highest incidence of neck disorders among all other occupations, at 17% to 21%.6,7 Approximately 34% to 49% of workers report a new onset of neck pain during a 1-year follow-up.1,2,5,8 The impact of neck pain is significant not just for the individual, but also for industry and society.3 Workers who do not return to work within 1 to 2 months are at high risk of developing disability and may cease work altogether.3 Costs associated with neck pain place a burden on employers, society, and the individual through care-seeking behavior, reduced productivity, and workers compensation claims.3,9,10, Workplace-based interventions are becoming important to reduce the burden of neck pain. The authors thank Tina Dalager (MSc), Associate Professor David Kietrys, Professor Prawit Janwantanakul, and Professor Ottar Vasseljen for their efforts in providing unpublished data for this review. A comprehensive work injury prevention program with clerical and office workers: phase I. TC Prevalence of scapular dyskinesis in office workers with neck and scapular pain Int J Occup Saf Ergon . ), and examples of the search terms used included neck pain AND workplace AND office work (Appendix).

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