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Effectiveness of a lumbopelvic monitor and suggestions gadget to alter postural behaviour: a protocol for the ELF cluster randomised managed trial.

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Effectiveness of a lumbopelvic monitor and suggestions gadget to alter postural behaviour: a protocol for the ELF cluster randomised managed trial.

BMJ Open. 2017 Jan 10;7(1):e015568

Authors: Ribeiro DC, Milosavljevic S, Abbott JH

Summary
INTRODUCTION: Low again ache (LBP) is the most typical, pricey and disabling musculoskeletal dysfunction worldwide, and is prevalent in healthcare staff. Posture is a modifiable danger issue for LBP proven to cut back the prevalence of LBP. Our feasibility analysis means that postural suggestions would possibly assist healthcare staff keep away from hazardous postures. The Effectiveness of Lumbopelvic Suggestions (ELF) trial will examine the extent to which postural monitor and suggestions (PMF) can cut back publicity to hazardous posture related to LBP.
METHODS: This can be a participant-blinded, randomised managed trial with blocked cluster random allocation. Contributors will embrace volunteer healthcare staff recruited from aged care establishments and hospitals. A postural monitoring and suggestions gadget will monitor and document lumbopelvic ahead bending posture, and supply audio suggestions at any time when the person sustains a lumbopelvic ahead bending posture that exceeds predefined thresholds. The first consequence measure will probably be postural behaviour (exceeding thresholds). Secondary consequence measures will probably be incidence of LBP, participant-reported incapacity and adherence. Following baseline evaluation, we are going to randomly assign members to 1 of two intervention arms: a suggestions group and a no-feedback management group. We’ll examine between-group variations of adjustments in postural behaviour by utilizing a repeated measures mixed-effect mannequin evaluation of covariance (ANCOVA) at 6?weeks. Postural behaviour baseline scores, work-related psychosocial components and incapacity scores will probably be enter as covariates into the statistical fashions. We’ll use logistic blended mannequin evaluation and Cox’s proportional hazards for assessing the impact of a PMF on LBP incidence between teams.
DISCUSSION: Posture is a modifiable danger issue for low again problems. Findings from the ELF trial will inform the design of future scientific trials assessing the effectiveness of wearable know-how on minimising hazardous posture throughout every day residing actions in sufferers with low again problems.
TRIAL REGISTRATION NUMBER: ACTRN12616000449437.

PMID: 28073798 [PubMed – indexed for MEDLINE]

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