Abstract
Low back problems are associated with decreased quality of life. Specific exercises can improve quality of life, resulting in better professional performance and functionality. The purpose of this study was to evaluate the effect of following a 21-month exercise program on the quality of life of warehouse workers. The population included 557 male warehouse workers from a food distribution company in Oporto, Portugal. Upon application of the selection criteria, 249 workers were deemed eligible, which were randomized into two groups (125 in the intervention group and 124 in the control group). Then, subjects were asked to volunteer for the study, the sample being formed by 229 workers (112 in the intervention group and 117 in the control group). All subjects completed the SF-36 questionnaire prior to beginning the program and on the 11th and 21st months following it. The exercises were executed in the company facilities once a day for 8 min. Data were analyzed using SPSS® 17.0 for Windows®. After 11 months of following the exercise program, there was an increase in all scores for the experimental group, with statistically significant differences in the dimensions physical functioning (0.019), bodily pain (0.010), general health (0.004), and rolephysical (0.037). The results obtained at the end of the study (21 months) showed significant improvements in the dimensions physical functioning (p = 0.002), rolephysical (p = 0.007), bodily pain (p = 0.001), social functioning (p = 0.015), role-emotional (p = 0.011), and mental health (p = 0.001). In the control group all dimensions showed a decrease in mean scores. It can be concluded that the implementation of a low back specific exercise program has changed positively the quality of life of warehouse workers.
Similar content being viewed by others
References
Airaksinen, O., Brox, J. I., Cedraschi, C., Hildebrandt, J., Klaber-Moffett, J., Kovacs, F., et al. (2006). Chapter 4. European guidelines for the management of chronic nonspecific low back pain. European Spine Journal, 15(Suppl 2), S192–300. doi:10.1007/s00586-006-1072-1.
Arnold, L. M., Witzeman, K. A., Swank, M. L., McElroy, S. L., & Keck, P. E., Jr. (2000). Health-related quality of life using the SF-36 in patients with bipolar disorder compared with patients with chronic back pain and the general population. Journal of Affective Disorders, 57(1–3), 235–239.
Bendix, T., & Bendix, A. F. (1997). Back pain school. Ugeskrift for Laeger, 159(35), 5224–5226.
Bigos, S. J., Holland, J., Holland, C., Webster, J. S., Battie, M., & Malmgren, J. A. (2009). High-quality controlled trials on preventing episodes of back problems: Systematic literature review in working-age adults. The Spine Journal, 9, 147–168.
Borenstein, D. G. (2000). Epidemiology, etiology, diagnostic evaluation, and treatment of low back pain. Current Opinion in Rheumatology, 12(2), 143–149.
Brox, J. I., Storheim, K., Holm, I., Friis, A., & Reikeras, O. (2005). Disability, pain, psychological factors and physical performance in healthy controls, patients with sub-acute and chronic low back pain: A case-control study. Journal of Rehabilitation Medicine, 37(2), 95–99. doi:10.1080/16501970410017738.
Brox, J. I., Storheim, K., Grotle, M., Tveito, T. H., Indahl, A., & Eriksen, H. R. (2008). Systematic review of back schools, brief education, and fear-avoidance training for chronic low back pain. The Spine Journal, 8, 948–958.
Buchbinder, R., Jolley, D., & Wyatt, M. (2001). Population based intervention to change back pain beliefs and disability: Three part evaluation. BMJ, 322, 1516–1520.
Burton, A. K., Balague, F., Cardon, G., Eriksen, H. R., Henrotin, Y., Lahad, A., et al. (2006). Chapter 2. European guidelines for prevention in low back pain: November 2004. European Spine Journal, 15(Suppl 2), S136–S168. doi:10.1007/s00586-006-1070-3.
Butler, R. J., & Johnson, W. G. (2011). Loss reduction through worker satisfaction: The case of workers’ compensation. Risk Management and Insurance Review, 14(1), 1–26. doi:10.1111/j.1540-6296.2010.01188.x.
Carroll, L. J., & Whyte, A. (2003). Predicting chronic back pain sufferers intention to exercise. British Journal of Therapy & Rehabilitation, 10, 53–58.
Claiborne, N., Vandenburgh, H., Krause, T. M., & Leung, P. (2002). Measuring quality of life changes in individuals with chronic low back conditions: A back education program evaluation. Evaluation and Program Planning, 25, 61–70.
Daltroy, L. H., Iversen, M. D., Larson, M. G., Lew, R., Wright, E., Ryan, J., et al. (1997). A controlled trial of an educational program to prevent low back injuries. New England Journal of Medicine, 337, 322–328.
Descarreaux, M., Normand, M. C., Laurencelle, L., & Dugas, C. (2002). Evaluation of a specific home exercise program for low back pain. Journal of Manipulative and Physiological Therapeutics, 25, 497–503.
Deyo, R. A., Battie, M., Beurskens, A. J., Bombardier, C., Croft, P., Koes, B., et al. (1998). Outcome measures for low back pain research: A proposal for standardized use. Spine, 23, 2003–2013.
Ferreira, P. L. (2000a). Criação da versão portuguesa do MOS SF-36.Parte I: Adaptação cultural e linguística. Acta Médica Portuguesa, 55–66.
Ferreira, P. L. (2000b). Criação da versão portuguesa do MOS SF-36. Parte II: Testes de validação. Acta Médica Portuguesa, 13, 119–127.
Galukande, M., Muwazi, S., & Mugisa, D. B. (2005). Aetiology of low back pain in Mulago Hospital, Uganda. African Health Sciences, 5(2), 164–167.
Giaccone, M. (2007). Annual review of working conditions in the EU 2006–2007 European foundation for the improvement of living and working conditions. Luxembourg: Office for Official Publications of the European Communities.
Goldby, L. J., Moore, A. P., Doust, J., & Trew, M. E. (2006). A randomized controlled trial investigating the efficiency of musculoskeletal physiotherapy on chronic low back disorder. Spine, 31, 1083–1093.
Ijzelenberg, H., Meerding, W. J., & Burdorf, A. (2007). Effectiveness of a back pain prevention program: A cluster randomized controlled trial in an occupational setting. Spine, 32, 711–719.
Lang, E., Liebig, K., Kastner, S., Neundörfer, B., & Heuschmann, P. (2003). Multidisciplinary rehabilitation versus usual care for chronic low back pain in the community: Effects on quality of life. The Spine Journal, 4, 270–276.
Merkesdal, S., & Mau, W. (2005). Prediction of costs-of-illness in patients with low back pain undergoing orthopedic outpatient rehabilitation. International Journal of Rehabilitation Research, 28(2), 119–126.
Moffett, J. K., Torgerson, D., Bell-Syer, S., Jackson, D., & Llewlyn-Phillips, H. (1999). Randomised controlled trial of exercise for low back pain: Clinical outcomes, costs, and preferences. BMJ, 319, 279–283.
Norris, C. M. (1995). Spinal stabilisation: 3. Stabilisation mechanisms of the lumbar spinestabilization mechanisms of the lumbar spine. Physiotherapy, 81, 72–79.
Pengel, L. H., Herbert, R. D., Maher, C. G., & Refshauge, K. M. (2003). Acute low back pain: Systematic review of its prognosis. BMJ, 327, 327–323.
Picavet, H. S., & Hoeymans, N. (2004). Health related quality of life in multiple musculoskeletal diseases: SF-36 and EQ-5D in the DMC3 study. Annals of the Rheumatic Diseases, 63(6), 723–729. doi:10.1136/ard.2003.01076963/6/723.
Rainville, J., Hartigan, C., Martinez, E., Limke, J., Jouve, C., & Finno, M. (2004). Exercise as a treatment for chronic low back pain. The Spine Journal, 4, 106–115.
Salo, P. K., Hakkinen, A. H., Kautiainen, H., & Ylinen, J. J. (2010). Effect of neck strength training on healthrelated quality of life in females with chronic neck pain: a randomized controlled 1-year follow-up study 8:48. Health Qual Life Outcomes, 8.
Santos, A. C., Bredemeier, M., Rosa, K. F., Amantéa, V. A., & Xavier, R. M. (2011). Impact on the quality of life of an educational program for the prevention of work-related musculoskeletal disorders: A randomized controlled trial. BMC Public Health, 11.
Sculco, A. D., Paup, D. C., Fernhall, B., & Sculco, M. J. (2001). Effects of aerobic exercise on low back pain patients in treatment. The Spine Journal, 1(2), 95–101.
Sherman, K. J., Cherkin, D. C., Erro, J., Miglioretti, D. L., & Deyo, R. A. (2005). Comparing yoga, exercise, and a self-care book for chronic low back pain: A randomized, controlled trial. Annals of Internal Medicine, 143, 849–856.
Steenstra, I. A., Anema, J. R., Bongers, P. M., de Vet, H. C., & van Mechelen, W. (2003). Cost effectiveness of a multi-stage return to work program for workers on sick leave due to low back pain, design of a population based controlled trial [ISRCTN60233560]. BMC Musculoskeletal Disorders, 4, 26. doi:10.1186/1471-2474-4-261471-2474-4-26.
Tuncel, S., Iossifova, Y., Ravelo, E., Daraiseh, N., & Salem, S. (2006). Effectiveness of controlled workplace interventions in reducing lower back disorders. Theoretical Issues in Erg Science, 7, 211–225.
Tuzun, E. H. (2007). Quality of life in chronic musculoskeletal pain. Best Practice & Research Clinical Rheumatology, 21, 567–579.
Tveito, T. H., & Eriksen, H. R. (2009). Integrated health programme: A workplace randomized controlled trial. Journal of Advanced Nursing, 65(1), 110–119. doi:10.1111/j.1365-2648.2008.04846.x.
van Tulder, M., Malmivaara, A., & Koes, B. (2007). Repetitive strain injury. Lancet, 369, 1815–1822.
Walsh, D. A., & Radcliffe, J. C. (2002). Pain beliefs and perceived physical disability of patients with chronic low back pain. Pain, 97, 23–31.
Ware, J. E., Jr., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care, 30(6), 473–483.
Acknowledgements
This study was supported by a grant from Fundação para a Ciência e Tecnologia and Instituto Politécnico do Porto (SFRH/BD/50183/2009).
The authors thank all participants in this study for their time and interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Mesquita, C.C., Ribeiro, J.C. & Moreira, P. An Exercise Program Improves Health-Related Quality of Life of Workers. Applied Research Quality Life 7, 295–307 (2012). https://doi.org/10.1007/s11482-011-9161-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11482-011-9161-7