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Published on: December 13, 2024
Videoconference-Supervised Exercise for Low Back Pain in Eldercare Workers: One-Year Follow-up of the ReViEEW
Ander Espin1, Jon Irazusta, Miriam Urquiza
1From the Ageing on Research Group, Department of Physiology, University of the Basque Country (UPV/EHU), Leioa, Spain (A.E., J.I., M.U., A.R.-F., A.R.-L.); Clinical Nursing and Community Health Research Group, Biobizkaia Health Research Institute, Barakaldo, Spain (A.E., J.I., M.U., A.R.-F., A.R.-L.); Home Care Lab, S. Coop., Bilbao, Spain (U.L.E.); Caser Residencial Betharram, Hondarribia, Spain (L.C.T.); and National Research Centre for the Working Environment, Copenhagen, Denmark (L.L.A.).
Objective:
To examine the 1-year impact of a 12-week videoconference-supervised exercise program followed by exercise advice on low back pain (LBP) among eldercare workers.
Methods:
One hundred thirty participants were randomized to control or intervention arms. Both received standard workplace prevention. The intervention group also completed the 12-week program and was encouraged to continue exercising until 1-year follow-up.
Results:
Eleven participants dropped out. Intention-to-treat analysis showed no significant group-by-time effect on average LBP intensity ( P = 0.140). However, significant effects favored the intervention group in work interference from LBP and neck pain and reduced use of hypnotic/anxiolytic medications, whereas a negative effect appeared in work-related personal accomplishment ( P < 0.05). Per-protocol analysis showed gains in trunk muscle endurance and depressive symptoms ( P < 0.05).
Conclusions:
The intervention did not lower average LBP intensity but positively influenced several secondary outcomes, including work interference from pain and medication use.
