Appareil locomoteur SOFMER/ SOFCOT

Le 02/12/2022 de 08:00 à 09:30

Retour Session


Evaluation de l'efficacité d'une intervention éducative en milieu thermal, en prévention active des troubles musculo-squelettiques des membres supérieurs (Muska). 

charlotte Lanhers (clermont ferrand, France)

Objective : This study aimed to estimate the superiority at 3 months of a combination of exercise, self-management workshops and intensive spa therapy for 6 days over usual care in managing musculoskeletal disorders (MSDs) in terms of employee functional capacity in personal and professional daily life.

Material / Patients and Methods : This was a prospective, comparative (intervention vs control group), randomized by the REDCap software (immediate vs later treatment) study of active prevention of upper-extremity musculoskeletal disorders (UEMSDs). Participants were workers from 18 to 65 years old with latent or symptomatic UEMSDs, with any type of job or work status, and with or without  history of sick leave.

Results : A total of 150 participants were randomized: 78 to the control group and 72 to the intervention group; most (more than 80%) were women. At month 3, the QuickDASH total and work scores did not differ between groups (effect-size [ES] = -0.15, 95% confidence interval -0.38; 0.09, p=0.215, and -0.11, -0.35; 0.12, p=0.343). However, the QuickDASH sport/performing arts score was reduced to a greater extent for the intervention than control group (ES =-0.25, 95% confidence interval -0.48; -0.02, p=0.035).

Discussion - Conclusion : This study provided no evidence in favor of a short-course, personalized self-management, intensive spa therapy intervention as compared with usual care for active management of upper-extremity musculoskeletal disorders.

Keywords : upper-extremity musculoskeletal disorder; management; randomized controlled trial, intervention, occupational, pain