About this trial
The aim of this research is to comparatively examine the effects of ergonomics training and the combined application of ergonomics and structured exercise training on work-related musculoskeletal disorders in female farmers actively engaged in milking.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Having been actively engaged in farming for at least 5 years
Being between 25-50 years of age
Being female
Having the physical ability to participate in the planned training and exercise program during the study period
Disqualifiers
Having any accompanying neurological disease or neurological dysfunction
Having a history of any musculoskeletal surgery
Having a serious systemic disease that may prevent the implementation of the study protocol
Trial design
Parallel
Treatments tested in this trial
ergonomics
Other interventionThe control group will be given standard ergonomics training which includes proper body mechanics, correct working posture and musculoskeletal protection principles during milking.
exercise
Other interventionThe exercise group will receive the same ergonomics training as well as a structured exercise program consisting of stretching, strengthening and posture exercises. The exercise program will be planned to last three days a week for a total of 12 weeks.
Treatment groups
Trial outcomes
Primary outcomes
Nordic Musculoskeletal Questionnaire
It is a scale used to determine the extent of pain in the musculoskeletal system. The purpose of this questionnaire is to identify and compare pain and complaints in parts of the body. There is an image showing the 9 parts of the body included in the questionnaire. These body parts; neck, shoulders, back, elbows, hands, waist, hips, knees and feet. The respondents are asked whether they have experienced problems such as pain and discomfort in their body parts in the last 12 months, in the last 4 weeks, and on the day of the assessment, and they are asked to mark this as yes or no.
QuickDASH
QuickDASH score of the mobility of the arm, shoulder, hand and its function by using the QuickDASH questionnaire. The QuickDASH is scored in two components: the disability/symptom section (11 items, scored 1-5) and the optional high performance sport/music or work modules (4 items, scored 1-5). A higher score indicates greater disability.
Beck Depression Inventory
The Beck Depression Inventory is a 21-question multiple-choice self-report inventory for measuring the severity of depression. Higher total scores indicate more severe depressive symptoms. The range of scores vary from 0 to 63 (highest possible total) for the whole test. A score of 0 - 10 indicates minimal depression, while a score of over 40 indicates extreme depression. No subscales were used for this outcome.
World Health Organization Quality of Life (Brief)
The World Health Organization Quality of Life brief is a 16 item quality of life scale covering four domains of QOL. Each item is scored from 1-5 with higher response employing a higher quality of life.
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