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. 2018 Jun 1;16(2):225–235. doi: 10.5327/Z1679443520180133

Chart 1. Studies included for review, effects, assessment measurements and methodological quality according to the PEDro scale, Salvador, 2017.

Author, year Population Intervention Follow-up Outcome Assessment Results PEDro score
Telles et al., 200917 291 professional computer users Intervention (n=146): yoga program Control (n=145): usual recreational activities 2 months Musculoskeletal discomfort and low back flexibility Musculoskeletal disorders were assessed with the Nordic Musculoskeletal Questionnaire; flexibility testing Group intervention exhibited significant reduction of musculoskeletal discomfort (p<0.01) and improved low back flexibility (p<0.001) 5/10
Kamioka et al., 201118 88 female caregivers in nursing homes Intervention (n=44): stretching exercises based on the MacKenzie method and orientation on posture Control (n=44): orientation on exercise 12 weeks Low back pain Low back pain was assessed on Visual Analogue Scale (VAN) Improvement in intervention group was not significant; no changes on VAS. However, the control group exhibited higher scores (p=0.068) 5/10
Del Pozo-Cruz et al., 201219 100 office workers Intervention (n=50): physical training program combined with orientation on posture by means of online videos Control (n=50): orientation per e-mail 9 months Low back pain Low back pain episodes; functional disability by means of the Roland-Morris Disability Questionnaire The scores on the Roland-Morris Disability Questionnaire improved for the intervention group (95%CI -8.41--6.31) and became poorer for the control group (95%CI 0.71-2.65) 7/10
Alexandre et al., 200120 56 nursing professionals Intervention (n=27): strength and flexibility exercising program combined with educational program for posture Control (n=29): lecture on spine anatomy and patient transfer techniques 4 months Backache Low back pain was assessed with a pain intensity VAS. Use of medications and frequency of backache were assessed through a questionnaire Reduced use of medications (p=0.0002), frequency of pain in home activities (p=0.000) and pain intensity (p=0.008) in group intervention 4/10
Pillastrini et al., 200921 71 nursery school teachers Intervention (n=35): program to reinforce lumbar extension and strengthen the primary stabilizers of the spine + orientation on low back pain Control (n=36): ergonomic brochure 3 weeks Neck and low back pain Physical ability was measured by means of the Roland-Morris Disability Questionnaire and the Oswestry Disability Index. Pain intensity was assessed with VAS Significant improvement of neck pain (p=0.0246), perceived pain on VAS (62.9%) and physical capacity (37.2%) in group intervention 8/10
Horneij et al., 200122 282 nursing aides and assistant nurses Intervention 1 (n=90): individual physical training program Intervention 2 (n=93): group stress management program Control (n=99): orientation on environment changes and health 18 months Backache and interference with work Musculoskeletal disorders were assessed with the Nordic Musculoskeletal Questionnaire Group intervention 1 reported less interference of spine discomfort (especially on the low back area) with work compared to the control group (p=0.02). Group intervention 2 did not exhibit any difference compared to the control group (p=0.057) 4/10
Anema et al., 200723 196 workers Intervention 1 (n=96): workplace assessment and changes and case management Intervention 2 (n=100): orientation on usual care 8 weeks Return to work and functional status Workplace assessment and length of sick leaves. Functional status was assessed through a questionnaire Intervention 1 was associated with better return-to-work outcomes and improved functional status compared to intervention 2 (HR=1,7; 95%CI 1.2-2.3; p=0.002). 7/10
Ewert et al., 200924 169 nurses Intervention 1 (n=86): warming up, strengthening, stretching and aerobic exercises Intervention 2 (n=83): segmental stabilization exercises, psychological and ergonomic orientation 13 weeks Backache and interference with work Pain interference and intensity were measured by means of the West Haven-Yale Multidimensional Pain Inventory and Short Form-36 There was not any statistically significant difference between the groups. Both programs had small to moderate effects. For pain interference, the effect size of intervention 1 was 0.58 and 0.47 for intervention 2 6/10
Nassif et al., 201125 75 workers Intervention (n=37): muscle strength, flexibility and endurance training sessions Control (n=38): no direct intervention 6 months Low back pain and flexibility Pain-related parameters were assessed by means of questionnaires and scales. Pain intensity was assessed on VAS. Physical assessment based on tests Reduction of pain-related parameters (p<0.025) and pain intensity in group intervention compared to the control group (1.8 vs. 0.51) and improved flexibility (p<0.0001) 4/10
Elfering et al., 201326 54 office workers Intervention (n=27): vibration training Control (n=27): same training starting 4 weeks later 4 weeks Musculoskeletal pain and body balance Musculoskeletal pain was assessed with the Nordic Musculoskeletal Questionnaire. Body balance was assessed by means of the clinical test of sensory integration of balance (CTSIB) Musculoskeletal pain significantly decreased among the participants who reported low back pain (p<0.05). Body balance was significantly increased (p<0.05) 5/10
Jakobsen et al., 201527 200 healthcare workers from 3 hospitals Intervention (n=111): supervised high-intensity strength training with resistance bands and kettlebells at the workplace Control (n=89): exercise at home during leisure time 10 weeks Musculoskeletal pain, muscle strength and use of analgesics Pain was assessed on VAS. Pain areas were defined based on the Nordic Musculoskeletal Questionnaire. Muscle strength testing. Use of analgesics was assessed through a questionnaire Pain intensity, back muscle strength and use of analgesics improved in group intervention (p<0.05). Difference between groups was -0.7 for pain intensity (95%CI -0.1--0.3), 5.5 for back muscle strength (95%CI 2.0-9.0) and -0.4 days for use of analgesics (85%CI -0.7-0.2) 7/10
Mayer et al., 201528 96 firefighters Intervention (n=54): supervised exercise targeting the back and core muscles while on duty in addition to usual physical activity Control (n=42): usual physical activity 24 weeks Low back pain, muscle strength and endurance Muscle strength and resistance were assessed by means of the Biering-Sorensen and plank tests Group intervention had 12% greater (p=0.021) back muscle endurance and 21% greater (p=0.0006) core muscle endurance compared to the control group 7/10
Kim et al., 201529 53 workers Intervention (n=27): core muscle strengthening program (CORE) Control (n=26): hot-packs and transcutaneous electrical nerve stimulation 2 months Musculoskeletal pain, range of motion and proprioception Resting and movement-induced pain were assessed on VAS. Pressure pain was assessed with pressure algometer. Active range of pain-free motion was assessed with inclinometer. Proprioception assessment The intensity of resting (35.6±5.9 mm) and movement-induced (39.4-9.1 mm) pain significantly decreased in group intervention. Significant improvement of the pressure pain threshold (quadratus lumborum: 2.2±0.7 kg/cm2), active range of motion and proprioception (p<0.05) 5/10
Brandt et al., 201530 13 US Airforce helicopter crewmembers Intervention (n=6): core strengthening exercises Control (n=7): usual exercising regimen 12 weeks In-flight low back pain and functional disability Self-reported pain severity and disability were assessed with Numerical Pain Rating Scale - NPRS and the Modified Oswestry Low Back Pain Disability Index (MODI) The average score on NPRS significantly decreased in group intervention and increased in the control group (-1.8 vs. +0.1 points). The mean score on MODI significantly decreased in group intervention and increased in the control group (-4.8 vs. +1.7 points) 4/10
Macedo, 201131 50 workers Intervention (n=29): workplace fitness program with emphasis on stretching, relaxation and ludic activities Control (n=21): did not participate in the fitness program 8 months Musculoskeletal pain Pain topography was assessed with the Nordic Musculoskeletal Questionnaire. Pain intensity was assessed with VAS Group intervention exhibited significant low back pain improvement (p=0.001) 5/10