272 OCCUPATIONAL MEDICINE trials: survey of published parallel group trials in obstetrics and injuries of the elbow, forearm, wrist, and hand: a sys- and gynaecology. Br Med J 1996;312:742–744. tematic review by the Ontario Protocol for Traffic Injury 36. Verhagen AP, de Vet HC, de Bie RA, Boers M, van den Management (OPTIMa) collaboration. J Manipulative Brandt PA. The art of quality assessment of RCTs included Physiol Ther 2015;38:507–520. in systematic reviews. J Clin Epidemiol 2001;54:651–654. 38. Burton AK, Kendall NA, Pearce BG, Birrell LN, Bainbridge 37. Menta R, Randhawa K, Côté P et al. The effectiveness of LC. Management of work-relevant upper limb disorders: a exercise for the management of musculoskeletal disorders review. Occup Med 2008;59:44–52. doi:10.1093/occmed/kqy028 Society of Occupational Medicine Golden Jubilee Travelling Fellowship 2017 Thanks to the SOM Golden Jubilee Travelling The research presented suggested that if workers Fellowship I was able to attend an advanced education undertook a few minutes of resistance exercise course on physical activity in the workplace held each day then they experienced a reduction in in Reykjavik in October 2017. It was organized by musculoskeletal complaints. But the difficulties in NIVA, an organization founded in 1982 in Helsinki getting unmotivated staff to participate were clear. and allied with the Finnish Institute for Occupational The group discussion identified that in the case of Health (FIOH). NIVA has been an active player in care staff, their willingness to help residents and the field of occupational health and safety education patients may be the key to getting them to ex ercise. for 35 years and is now the only institute The experience of those in the room was that in Europe that focuses solely on an international and training care staff to show residents and patients advanced level of occupational education. Course par- exercises, including resistance exercises, to do each ticipants largely come from the Nordic countries (75%). day could be a way forward given that staff often The course, held over 3 days, was unusual for an work in the sector because of their desire to help oth- occupational health course in the diversity of both ers and they often put their own health second. The lecturers and audience. The lead lecturer was a NIVA team supported this view and emphasized the professor with expertise in sports science ably assisted importance of physical activity to their own organ- by an epidemiologist, health economist and experts ization so much that they have placed short training in computer technology. The audience was made up videos using both no equipment and simple cheap of occupational physicians, physiotherapists and PhD elastic thera-bands on their website (https://niva.org/ students from sport and exercise medicine. workout-take-a-227-min-break). The course covered published research, mostly The course was an excellent challenge to my current originating in Denmark, on the impact of physical activity thinking on physical activity in the workplace. This programmes in workplaces. Examples of slaughterhouse was less about gyms and physical exercise and more and care workers were used to illustrate outcomes and about simple activity. The impact of a few minutes some of the difficulties in setting up programmes. These resistance training per day in reducing musculoskeletal difficulties included motivating employers to participate complaints was convincing but so was the need to and maintain interest, recruiting staff to avoid bias and avoid prolonged sitting. The course has highlighted the limitations of studies because of unplanned changes that inactivity designed into jobs is the cause of mus- in the work being undertaken. The studies favoured the culoskeletal pain and obesity and has motivated me to stepped approach to study design where each group of look differently at the workplace. participants went through both ‘control’ (i.e. no activity) Nerys Williams and ‘intervention’ (activity) stages at different times. e-mail: email@example.com Downloaded from https://academic.oup.com/occmed/article-abstract/68/4/272/5001594 by Ed 'DeepDyve' Gillespie user on 21 June 2018
Occupational Medicine – Oxford University Press
Published: May 23, 2018
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