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The aim of this study was to evaluate the effect of a neuromuscular posture training program implemented in butchers on neck pain, posture quality and upper back muscle control.
The study population consists of butchers in Istanbul. Butchers will be included in the study after obtaining their informed consent. Participants will be randomized and divided into two equal groups. These groups will be designated as exercise and control groups. All participants will receive ergonomic training, while those in the exercise group will additionally receive neuromuscular exercises. At the beginning and end of the study, all participants will be assessed using the Visual Analog Scale, Neck Disability Index, Deep Cervical Flexor Endurance Test, Lateral Scapular Slide Test, Disabilities of the Arm, Shoulder, and Hand - Short Version, and Pittsburgh Sleep Quality Index.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| control | Active Comparator | only those who received ergonomics training |
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| exercise | Experimental | those who received exercise along with ergonomics training |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ergonomics training | Other | Each of the control group participants will receive separate ergonomics training. The content of this training will include the topics of "what is ergonomics, the purpose of ergonomics, musculoskeletal diseases in employees, work-related musculoskeletal risk factors |
| Measure | Description | Time Frame |
|---|---|---|
| Pittsburgh Sleep Quality Index | This index evaluates sleep quality and disturbance over the past month. It contains a total of 24 questions. 19 of these questions are answered by the person's self-assessment, and 5 of them are answered by the roommate who shares the same room with the person. The 5 questions answered by the person's roommate are not included when calculating the score. In scoring, the lowest (0) and the highest (21) points are obtained. A score of 4 and above indicates poor sleep quality | 10 weeks |
| Quick-Arm, Shoulder and Hand Disabilities Survey functional scale | The Quick Arm, Shoulder and Hand Disabilities Survey score is calculated as follows: At least 10 out of the 11 items must be answered. Each answered question will have a maximum value of 5. These values are then transformed into a score of 100 by subtracting 1 and multiplying by 25. This transformation is done to compare the scores with other scales ranging from 0 to 100. A high score indicates significant dysfunction. Quick Arm, Shoulder and Hand Disabilities Survey Score = [(Sum of responses / n) - 1] X 25 n: the number of questions answered. | 10 weeks |
| Neck Pain Disability Index Questionnaire | The scale includes 10 titles. It includes pain sensitivity, heavy lifting, personal hygiene, reading, sleep, headache, concentration, work, driving, social activities. There are 6 answer options according to the severity of the limitation or pain. Scoring is between 0 and 5. The highest score is 50 and the least is 0. The neck disability level classification according to the total score is as follows 0-4: no restrictions 5-14: mild limitation 15-24: moderate limitation 25-34: severe limitation 34 and up: completely restricted | 10 weeks |
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Inclusion Criteria
Exclusion Criteria
Persons with the following characteristics will not be included in the study:
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| Name | Affiliation | Role |
|---|---|---|
| Esra Çal | Uskudar University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Turkey | Istanbul | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41251731 | Background | Gur I, Sevgin O, Dikmen Hosbas B. Effectiveness of ergonomics training and exercise in tea workers: a randomized controlled trial. Int Arch Occup Environ Health. 2025 Dec;98(9-10):945-955. doi: 10.1007/s00420-025-02185-0. Epub 2025 Nov 18. | |
| 38943382 | Background | Zengi H, Safran EE, Sevgin O. The effect of home exercises with kinesiotaping on pain, functionality, and work performance in bus drivers with non-specific neck pain. J Back Musculoskelet Rehabil. 2024;37(6):1617-1630. doi: 10.3233/BMR-240001. |
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| ID | Term |
|---|---|
| D019547 | Neck Pain |
| D001416 | Back Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D006804 | Ergonomics |
| D015444 | Exercise |
| ID | Term |
|---|---|
| D004738 | Engineering |
| D013676 | Technology, Industry, and Agriculture |
| D009043 | Motor Activity |
| D009068 | Movement |
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|
| ergonomics training + exercise | Other |
|
|
| 38701125 | Background | Pehlevan E, Sevgin O. Effect of exercise given to factory workers with ergonomics training on pain and functionality: A randomized controlled trial. Work. 2024;78(1):195-205. doi: 10.3233/WOR-230663. |
| D009142 |
| Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |