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Updated: Aug 27, 2025

Chuzhen Therapy as a Non-Invasive Traditional Chinese Therapy for Neck Pain
Published on: June 6, 2025
A Multi-component Intervention (NEXpro) Reduces Neck Pain-Related Work Productivity Loss: A Randomized Controlled
Andrea Martina Aegerter1, Manja Deforth2,3, Thomas Volken2
1Institute of Public Health, School of Health Sciences, ZHAW Zurich University of Applied Sciences, Katharina Sulzer-Platz 9, 8400, Winterthur, Switzerland. andrea.aegerter@zhaw.ch.
A multi-component intervention significantly reduced neck pain-related work productivity loss in Swiss office workers. This intervention, including exercises and ergonomics, offers cost savings and improved productivity for businesses.
Area of Science:
- Occupational Health
- Ergonomics
- Public Health Interventions
Background:
- Neck pain is a prevalent issue among office workers, significantly impacting work productivity.
- Productivity loss manifests as absenteeism and presenteeism, incurring substantial economic costs.
- Existing interventions often focus on single components, necessitating a comprehensive approach.
Purpose of the Study:
- To evaluate the efficacy of a multi-component intervention in mitigating neck pain-related work productivity loss.
- To quantify the impact on both time lost and associated monetary value among Swiss office workers.
Main Methods:
- A 12-week stepped-wedge cluster randomized controlled trial involving 120 office workers (aged 18-65).
- Intervention comprised neck exercises, health-promotion information, and workplace ergonomics.
- Work productivity loss measured using the Work Productivity and Activity Impairment Questionnaire; analyzed via generalized linear mixed-effects model.
Main Results:
- Baseline neck pain-related work productivity loss was 12% (1.2% absenteeism, 10.8% presenteeism).
- The multi-component intervention achieved a marginal predicted mean reduction of 2.8 percentage points (p=0.049).
- Estimated weekly savings of Swiss Francs 27.40 per participant were observed.
Conclusions:
- The multi-component intervention effectively reduces neck pain-related work productivity loss in office settings.
- Findings support the adoption of such interventions by employers, employees, and policymakers.
- Evidence suggests a positive return on investment through reduced productivity loss and associated costs.
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