Musculoskeletal Disorders
Conditions
Keywords
Upper limb musculoskeletal disorders, Spa treatment, Randomized controlled trials, Education, Self- management, Self-care, Exercise, Non pharmacological treatment
Brief summary
The main objective of this work is to demonstrate superiority to three months of a standardized short course of SPA Therapy of 6 days associated with personalized health education program compared to conventional therapy in the management of MSDs on the functional capabilities of the employees in their daily lives (personal or professional)
Detailed description
Musculoskeletal disorders are the leading occupational disease in industrialized countries. The symptoms are varied, their multiple risk factors, work organization may be involved. Musculoskeletal disorders affect the muscles, tendons and nerves of the mainly upper limbs (neck, shoulder, elbow, wrist and hand). Pain or functional impairment are common to all these disorders.The proposed study is part of an active preventive approach in addressing current employees with latent or symptomatic upper extremity MSD linked to a hyper solicitation. This study provide them 6 days SPA therapy (before or after work) combined with a health education program to help improve their lives over time.
Interventions
OTHERSPA Therapy
Immersion bath and shower ( 1 treatment ) Underwater shower with localized massage on the painful area ( 1 treatment ) or equivalent underwater massage Illutations ( 1 treatment ) or equivalent ( poultice ) Mobilization Pool ( 1 care) Education to exercise
Sponsors
University Hospital, Clermont-Ferrand
Association Francaise pour la Recherche Thermale
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* TMS latent or symptomatic of the upper limbs according to the European Consensus SALTSA / Q score with INRS Nordic \> 2 * With or without a history of work stoppage and occupation at the time of inclusion * Age: \> 18 years \< 65 years * Patient affiliated to a social security scheme ( beneficiary entitled ) * Patient has given its consent in writing to participate in the study
Exclusion criteria
* Contraindication to the spa therapy * Spa achieved in the last 12 months * Trouble behavior or understanding making it impossible to assess
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The score from the scale Quick DASH | Month 03 | Change from baseline in measure physical function and symptoms in people with any or multiple musculoskeletal disorders of the upper limb by Quick DASH measure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Life quality | Day 06, Month 01, Month 02, Month 03, Month 04, Month 05, Month 06 | Life quality measured by SF36 (36-item Medical Outcomes Study Short-Form Health Survey - SF-36) Survey - SF-36) |
| Stopping time of work | Month 06 | Stopping time of work by self-administered questionnaire. |
| Change of Quick DASH | Day 06, Month 01, Month 02, Month 03, Month 04, Month 05, Month 06 | Average change from baseline in measure physical function and symptoms in people with any or multiple musculoskeletal disorders of the upper limb by Quick DASH measure |
| Pain intensity | Day 06, Month 01, Month 02, Month 03, Month 04, Month 05, Month 06 | Pain intensity measured on a Visual Analogical Scale (VAS) |
Countries
France
Outcome results
None listed