title: Effectiveness of an ergonomic intervention on the productivity of workers with upper-extremity disorders--a randomized controlled trial.
abstract: OBJECTIVE
  The aim of this study was to investigate the effectiveness of an ergonomic intervention on productivity loss at work caused by upper-extremity disorders (UED).
  
  
  METHODS
  Workers with medically verified UED were invited to participate. The intervention consisted of a physician contacting the worker's supervisor and an occupational physiotherapist conducting an ergonomic assessment at the worksite. Before and after the intervention, the employees self-assessed UED-related productivity loss (ie, decreased quality and quantity of the daily work output). We tested for differences between groups at 8 and sub-sequently 12 weeks. We also applied generalized estimating equation (GEE) to analyze repeated measures data.
  
  
  RESULTS
  Altogether 177 employees were randomized. The overall participation rate was 88%. At baseline, 54% of the intervention group and 58% of the control group reported productivity loss. The magnitude of productivity loss was 17% and 20%, respectively. At 8 weeks, both the proportion and magnitude of productivity loss were lower in the intervention than the control group, but the differences were statistically significant only at 12 weeks (proportion 25% versus 51%, magnitude 7% versus 18%, P=0.001 for both). Using GEE analyses, we also found the differences to be statistically significant (proportion 38% versus 52%, magnitude 12% versus 18%). The intervention only benefitted employees with 0-20% loss of productivity at baseline, not those with a higher initial productivity loss.
  
  
  CONCLUSIONS
  Early ergonomic intervention, in addition to adequate medical care, is effective in preventing and restoring self-reported productivity loss associated with UED.
authors: Finnish Institute of Occupational Health, FI-00250 Helsinki. kari-pekka.martimo@ttl.fi
authors: Kari-Pekka
authors: KP
authors: Martimo
authors: Rahman
authors: R
authors: Shiri
authors: Helena
authors: H
authors: Miranda
authors: Ritva
authors: R
authors: Ketola
authors: Helena
authors: H
authors: Varonen
authors: Eira
authors: E
authors: Viikari-Juntura
mesh_terms: D000328:Adult; D001134:Arm Injuries / Q000628:therapy*; D012090:Cumulative Trauma Disorders / Q000628:therapy*; D004526:Efficiency; D006804:Ergonomics; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000628:therapy*; D009784:Occupational Diseases / Q000628:therapy*; D016896:Treatment Outcome; D055815:Young Adult