RESUMEN
Work related musculoskeletal disorders are a major concern for public health and pain is the most important symptom. The aim of this study was to verify the effectiveness of workplace exercises to control musculoskeletal pain and its frequency, intensity, duration and type of exercises used. The search was conducted systematically in Medline, Pubmed, Embase, Bireme, Web of Knowledge and Pedro databases. The keywords "workplace", "exercise" and "musculoskeletal disorders" were used combined. Randomized control trials which performed worksite exercises were selected and the studies were assessed by their methodological soundness. Ten articles were selected which investigated the resistance training, cardio respiratory exercises, Pilates, stretching, postural orientation and exercises for relaxation. Workplace resistance training performed at 70-85% RM, three times a week for 20 minutes promotes reduction of the pain in shoulders, wrists, cervical, dorsal and lumbar spine. However, there is no consensus regarding the total duration of the intervention for the decrease of musculoskeletal pain in these regions. Level of Evidence I, Therapeutic Studies Investigating the Results of Treatment, Systematic Review of RCTs (Randomized and Controlled Clinical Studies).
RESUMEN
As desordens musculoesqueléticas relacionadas ao trabalho representamum grande problema de saúde pública mundial, sendo ador o principal sintoma. Os objetivos deste estudo foram: verificar aefetividade de programas de exercícios realizados no ambiente ocupacionalno controle da dor musculoesquelética e qual a frequência,intensidade, duração e os tipos de exercício realizados. Buscaram-seartigos, de forma sistemática nas bases de dados Medline, Pubmed,Embase, Bireme, Web of Knowledge e Pedro. Os descritores workplace,exercise e musculoskeletal disorders foram utilizados de formacombinada. Foram selecionados os ensaios clínicos randomizadosque realizaram o exercício físico no ambiente ocupacional e os estudosforam avaliados quanto à qualidade metodológica. Dez estudos foramselecionados, os quais investigaram os efeitos dos exercícios de treinamentode força, condicionamento cardiorrespiratório, Pilates, exercíciosde alongamento, orientações posturais e exercícios de relaxamento.Foi observada melhora da dor em ombros, punhos e coluna cervical,dorsal e lombar com exercícios de força muscular e sobrecarga entre70 a 85% da RM realizados no local de trabalho, três vezes por semanadurante 20 minutos. Porém, não houve consenso com relação à duraçãototal da intervenção para a melhora da dor musculoesqueléticanestas regiões. Nível de Evidência I, Estudos Terapêuticos - Investigaçãodos Resultados do Tratamento, Revisão Sistemática deECRC (Estudos Clínicos Randomizados e Controlados)...
Work related musculoskeletal disorders are a major concernfor public health and pain is the most importantsymptom. The aim of this study was to verify the effectivenessof workplace exercises to control musculoskeletalpain and its frequency, intensity, duration and type ofexercises used. The search was conducted systematicallyin Medline, Pubmed, Embase, Bireme, Web of Knowledgeand Pedro databases. The keywords workplace, exerciseand musculoskeletal disorders were used combined.Randomized control trials which performed worksiteexercises were selected and the studies were assessedby their methodological soundness. Ten articles were selectedwhich investigated the resistance training, cardiorespiratory exercises, Pilates, stretching, postural orientationand exercises for relaxation. Workplace resistancetraining performed at 70-85% RM, three times a week for20 minutes promotes reduction of the pain in shoulders,wrists, cervical, dorsal and lumbar spine. However, thereis no consensus regarding the total duration of the interventionfor the decrease of musculoskeletal pain in theseregions. Level of Evidence I, Therapeutic Studies Investigatingthe Results of Treatment, Systematic Reviewof RCTs (Randomized and Controlled Clinical Studies)...