Browse > Article
http://dx.doi.org/10.13066/kspm.2019.14.3.109

Effect of an Active Tailored Exercise Program on Pain and Oswestry Disability Index in Automobile Manufacturing Workers with Musculoskeletal Symptoms of the Low Back  

Kim, Won-Ho (Department of Physical Therapy, Ulsan College)
Publication Information
Journal of the Korean Society of Physical Medicine / v.14, no.3, 2019 , pp. 109-116 More about this Journal
Abstract
PURPOSE: This study examined the effects of an active tailored exercise program on pain and the Oswestry disability index (ODI) among workers with musculoskeletal symptoms of the lower back in an automobile parts manufacturing company. METHODS: Twenty-two workers with musculoskeletal symptoms of the lower back were included in the study. The experimental group was composed of 15 workers and a control group of seven workers. The experimental group was provided an active tailored exercise program and education on the risk factors of musculoskeletal disorders. The control group was only provided ergonomic education. The exercise program, which consisted of movement pattern correction, muscle stretching and strengthening, and postural correction exercises, was applied twice a week for two months for one hour a day. Pain, which was determined using a visual analogue scale (VAS), and the ODI were measured before and after exercise. RESULTS: After applying the exercise program for two months, the VAS and ODI of the experimental group were significantly lower than those of the control group (p<.05). In the experimental group, the VAS decreased significantly after one month (p<0.05), and the ODI decreased significantly after two months (p<.05). CONCLUSION: Because active tailored exercise programs are effective in improving the pain and disability indices, it is necessary to actively implement such programs among manufacturing workers with musculoskeletal symptoms of the lower back.
Keywords
Musculoskeletal symptom; Lower back; Physical therapy; Worker;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Jeong BY. Ergonomics' role for preventing musculoskeletal disorders. J Ergon Soc Kor. 2010;29(4):393-404.   DOI
2 Putz-Anderson V. Cumulative Trauma Disorders: A Manual for Musculoskeletal Diseases of the Upper Limbs. London, Taylor & Francis Ltd., 1998:119-27.
3 Pereira M, Comans T, Sjogaard G, et al. The impact of workplace ergonomics and neck-specific exercise versus ergonomics and health promotion interventions on office worker productivity: A cluster-randomized trial. Scand J Work Environ Health. 2019;45(1):42-52.   DOI
4 Kruger K, Petermann C, Pilat C, et al. Preventive strength training improves working ergonomics during welding. Int J Occup Saf Ergon. 2015;21(2):150-7.   DOI
5 Lee SG, Kim JE, Kim YK, et al. Risk factors for absenteeism due to work related musculo-skeletal disorders among korean employees. Korean J Occup Environ Med. 2012;24(3):239-51.   DOI
6 Lee YM, Phee YG. The effects of occupational stress and musculoskeletal symptoms on health-related quality of life in female labor workers. J Korean Soc Occup Environ Hygie. 2016;26(2):210-18.   DOI
7 Lee KH, Yoon JH, Kim SK, et al. The relationship of physical and psychosocial risk factors to work-related musculoskeletal upper extremity symptoms amongst male automobile manufacturing workers. Korean J Occup Environ Med. 2012;24(1):72-85.   DOI
8 Verhagen AP, Bierma-Zeinstra SM, Burdorf A, et al. Conservative interventions for treating work-related complaints of the arm, neck or shoulder in adults. Cochrane Database Syst Rev. 2013;(12):CD008742.
9 Lee DH, Kang B, Choi S, et al. Change in musculoskeletal pain in patients with work-related musculoskeletal disorder after tailored rehabilitation education: a one-year followup survey. Ann Rehabil Med. 2015;39(5):726-34.   DOI
10 Go SU, Lee BH. Effects of manual therapy on shoulder pain in office workers. J Phys Ther Sci. 2016;28(9):2422-5.   DOI
11 Kim DH, Lee KI, Jung JY. The effects of 8 week combined exercise program on the biomechanical function recovery of patients suffering from work-related back problems. Korean J Sports Biomed. 2009;19(3):567-80.   DOI
12 Carr LJ, Leonhard C, Tucker S, et al. Total worker health intervention increases activity of sedentary workers. Am J Prev Med. 2016;50(1):9-17.   DOI
13 Lee KW, Kim WH. Effect of physical therapy based tailored exercise program on pain, accident incidence rates, and lost days of work in manufacturing worker: single subject design. J Korean Soc Phys Med. 2017;12(2):113-20.   DOI
14 Pereira MJ, Coombes BK, Comans TA, et al. The impact of onsite workplace health-enhancing physical activity interventions on worker productivity: a systematic review. Occup Environ Med. 2015;72(6):401-12.   DOI
15 Harman K, Fenety A, Hoens A, et al. Physiotherapy and low back pain in the injured worker: an examination of current practice during the subacute phase of healing. Physiother Can. 2009;61(2):88-106.   DOI
16 Janeck K, Reuven B, Romano CT. Spinal stabilization exercises for the injured worker. Clin Occup Environ Med. 2006;5(3):633-42,vii.
17 Joos E, Peretz A, Beguin S, et al. Reliability and reproducibility of visual analogue scale and numeric rating scale for therapeutic evaluation of pain in rheumatic patients. J Rheumatol 1991;18:1269-70.
18 Jeon CH, Kim DJ. Kim DJ, et al. Cross-cultural adaptation of the Korean version of the Oswestry Disability Index (ODI). J Korean Soc Spine Surg. 2005;12:146-52.   DOI
19 Vianin M. Psychometric properties and clinical usefulness of the Oswestry Disability Index. J Chiropr Med. 2008;7(4):161-63.   DOI
20 Monnier A, Larsson H, Djupsjobacka M, et al. Musculoskeletal pain and limitations in work ability in Swedish marines: a cross-sectional survey of prevalence and associated factors. BMJ. 2015;5(10):e007943.
21 Marshall L, Villeneuve J, Grenier S. Effectiveness of a multifactorial ergonomic intervention and exercise conditioning kinesiology program for subsequent work related musculoskeletal disorder prevention. Work. 2018;61(1):81-9.   DOI
22 Kim SH, Cho HY. The effects of mixture exercise program on the body composition and basic physical fitness of the work-related musculoskeletal disorders. Kor Sport Res. 2006;17(3):455-64.
23 Sahrmann S. Diagnosis and Treatment of Movement Impairment Syndromes. St. Louis. Mosby. 2001.
24 Sihawong R, Janwantanakul P, Jiamjarasrangsi W. A prospective, cluster-randomized controlled trial of exercise program to prevent low back pain in office workers. Eur Spine J. 2014;23(4):786-93.   DOI
25 Yoo WG. Effects of individual strengthening exercises for the stabilization muscles on the nutation torque of the sacroiliac joint in a sedentary worker with nonspecific sacroiliac joint pain. J Phys Ther Sci. 2015; 27(1): 313-4.   DOI
26 Han HI, Choi HS, Shin WS. Effects of hamstring stretch with pelvic control on pain and work ability in standing workers. J Back Musculoskelet Rehabil. 2016;29(4):865-71.   DOI
27 Thue L, Baeck IH, Lee KW. Medical Training Therapy. Seoul. Pan Mun. 2015.