Online supervised versus workplace corrective exercises for upper crossed syndrome: a protocol for a randomized...

Area of Science:

• Ergonomics and Occupational Health
• Rehabilitation Science
• Clinical Biomechanics

Background:

• Musculoskeletal disorders (MSDs), including upper crossed syndrome (UCS), are prevalent among office workers, leading to significant work-related issues.
• UCS is characterized by postural imbalances and muscle dysfunction, contributing to neck and shoulder pain (NSP) and reduced workability.

Purpose of the Study:

• To evaluate the efficacy of workplace-based versus online-supervised home-based corrective exercises for office workers diagnosed with UCS.
• To compare the effects of these interventions on neck-shoulder pain, sick leave, postural alignment, workability, and muscle activity.

Main Methods:

• A parallel-group, randomized controlled trial involving 45 office workers (30-45 years) with UCS.
• Participants were assigned to either workplace exercise, online-supervised home exercise, or a control group for 8 weeks.
• Primary outcomes included neck-shoulder pain and sick leave; secondary outcomes involved postural alignment, workability, and surface electromyography of key upper back and neck muscles.

Main Results:

• Preliminary analysis suggests both workplace and online interventions may reduce neck-shoulder pain and improve postural alignment.
• Improvements in muscle balance and workability are anticipated following the 8-week intervention period.
• The study aims to provide data on the effectiveness of these distinct delivery methods for corrective exercises.

Conclusions:

• Corrective exercises, delivered either at the workplace or via online supervision, are expected to alleviate symptoms associated with UCS in office workers.
• Online-supervised interventions offer a flexible and potentially cost-effective solution for managing work-related neck and shoulder disorders.
• Findings may guide employers in reducing costs associated with absenteeism and productivity loss, and inform clinicians on evidence-based treatment strategies.