4.2 Article

Comparison of Supervised and Telehealth Delivery of Worksite Exercise for Prevention of Low Back Pain in Firefighters A Cluster Randomized Trial

Journal

JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE
Volume 62, Issue 10, Pages E586-E592

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/JOM.0000000000001993

Keywords

exercise; firefighters; injuries; lost work time; low back pain; prevention

Funding

  1. Federal Emergency Management Agency, U.S. Department of Homeland Security [EMW-2013-FP-00723]
  2. Florida Chiropractic Foundation for Education and Research

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Objective: This study assessed worksite exercise delivered by on-site supervision (supervised) or telehealth to reduce lost work time (LWT) related to low back pain (LBP) in firefighters. Methods: A cluster randomized controlled trial assigned 264 career firefighters to supervised (n = 86) or telehealth (n = 95) back and core exercises 2x/week for 12 months, or control (n = 83). Results: 58.0% (153/264) of participants reported LBP and 7.6% (20/264) reported LWT related to LBP (control n = 10, supervised n = 5, telehealth n = 5). Participants in the control group experienced 1.15 times as many hours of LWTas the supervised group, and 5.51 times as many hours of LWT as the telehealth group. Conclusions: Worksite exercise, delivered by on-site supervision or telehealth, can reduce LWT related to LBP in career firefighters.

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