Paramedic strength and flexibility

Findings of a 6-month workplace exercise randomised controlled trial

Research output: Other contribution to conferenceAbstract

6 Downloads (Pure)

Abstract

Workplace exercise programs have been recommended to improve the musculoskeletal fitness of paramedics with the aim of reducing injury rates, and while they have shown efficacy in other occupations they have not been delivered and evaluated in Australian paramedics. This study investigated the effectiveness of a 6-month workplace exercise program (MedicFit; MF) to improve paramedic fitness with or without health coach (HC) support. A group of regional Australian paramedics (n=76; 43 male; mean±SD 36.5±9.1 years; BMI 28.0±5.4 kg/m2) were randomised at the station level to either exercise with remote health coach support (MFHC; n=30), exercise without health coach support (MF; n=23), or no-exercise control (CON; n=23) groups. MFHC and MF participants received a 6-month, low-moderate intensity resistance and flexibility exercise program to be performed on station without direct supervision. Available exercise equipment included dumbbells, resistance bands, Swiss balls, medicine balls, kettlebells, BOSU balls, yoga mats and foam rollers. MFHC and MF participants were also provided with a comprehensive exercise manual including sample exercise sessions aimed at improving musculoskeletal strength and flexibility which included exercise prescription (i.e. sets, reps, duration, load). Changes to upper-body (push-ups), lower-body (wall squat) and core (plank hold) strength and flexibility (back scratch and sit-reach tests) after the 6-month intervention were analysed using repeated measures ANOVA to compare changes between groups and over time. Upper-body (+20.6%; p<0.01; partial eta squared = 0.34 [large effect]) and lower-body (+40.8%; p<0.05; partial eta squared = 0.08 [moderate effect]) strength increased significantly with no interaction or group effects. Changes to core strength (+1.4%; p=0.17) and both upper-body (+19.5%; p=0.56) and lower-body (+3.3%; p=0.15) flexibility were non-significant with no interaction or group effects observed. While upper- and lower-body strength improved over the course of the intervention, providing a 6-month workplace exercise program with or without health coach support did not confer any greater strength or flexibility benefits than exercise testing alone (CON). Although exercise adherence was not measured, it is possible that participants require additional methods of support such as face-to-face exercise instruction and guidance and individually-tailored exercise programs to achieve adequate participation and improvements in musculoskeletal fitness. This presents challenges for more remote paramedic stations without regular face-to-face access to suitably qualified exercise professionals, and future research should investigate the effectiveness of other forms of exercise delivery and guidance for these paramedic officers such as remotely-facilitated digital exercise prescription and monitoring.
Original languageEnglish
Pages1-1
Number of pages1
Publication statusAccepted/In press - 07 Aug 2019
EventICSEHS 2019: 21st International Conference on Sport, Exercise and Health Sciences - Holiday Inn and Suites, Vancouver, Canada
Duration: 07 Aug 201908 Aug 2019
Conference number: 19CA08ICSEHS
https://waset.org/conference/2019/08/vancouver/ICSEHS

Conference

ConferenceICSEHS 2019: 21st International Conference on Sport, Exercise and Health Sciences
Abbreviated titleSport, Exercise and Health Sciences
CountryCanada
CityVancouver
Period07/08/1908/08/19
Internet address

Fingerprint

Allied Health Personnel
Workplace
Randomized Controlled Trials
Exercise
Health
Prescriptions
Yoga

Cite this

Hunter, J., MacQuarrie, A., Sheridan, S., High, R., & Waite, C. (Accepted/In press). Paramedic strength and flexibility: Findings of a 6-month workplace exercise randomised controlled trial. 1-1. Abstract from ICSEHS 2019: 21st International Conference on Sport, Exercise and Health Sciences, Vancouver, Canada.
Hunter, Jayden ; MacQuarrie, Alexander ; Sheridan, Samantha ; High, Richard ; Waite, Carolyn. / Paramedic strength and flexibility : Findings of a 6-month workplace exercise randomised controlled trial. Abstract from ICSEHS 2019: 21st International Conference on Sport, Exercise and Health Sciences, Vancouver, Canada.1 p.
@conference{3d174040e4f64149938e23dcc9c84037,
title = "Paramedic strength and flexibility: Findings of a 6-month workplace exercise randomised controlled trial",
abstract = "Workplace exercise programs have been recommended to improve the musculoskeletal fitness of paramedics with the aim of reducing injury rates, and while they have shown efficacy in other occupations they have not been delivered and evaluated in Australian paramedics. This study investigated the effectiveness of a 6-month workplace exercise program (MedicFit; MF) to improve paramedic fitness with or without health coach (HC) support. A group of regional Australian paramedics (n=76; 43 male; mean±SD 36.5±9.1 years; BMI 28.0±5.4 kg/m2) were randomised at the station level to either exercise with remote health coach support (MFHC; n=30), exercise without health coach support (MF; n=23), or no-exercise control (CON; n=23) groups. MFHC and MF participants received a 6-month, low-moderate intensity resistance and flexibility exercise program to be performed on station without direct supervision. Available exercise equipment included dumbbells, resistance bands, Swiss balls, medicine balls, kettlebells, BOSU balls, yoga mats and foam rollers. MFHC and MF participants were also provided with a comprehensive exercise manual including sample exercise sessions aimed at improving musculoskeletal strength and flexibility which included exercise prescription (i.e. sets, reps, duration, load). Changes to upper-body (push-ups), lower-body (wall squat) and core (plank hold) strength and flexibility (back scratch and sit-reach tests) after the 6-month intervention were analysed using repeated measures ANOVA to compare changes between groups and over time. Upper-body (+20.6{\%}; p<0.01; partial eta squared = 0.34 [large effect]) and lower-body (+40.8{\%}; p<0.05; partial eta squared = 0.08 [moderate effect]) strength increased significantly with no interaction or group effects. Changes to core strength (+1.4{\%}; p=0.17) and both upper-body (+19.5{\%}; p=0.56) and lower-body (+3.3{\%}; p=0.15) flexibility were non-significant with no interaction or group effects observed. While upper- and lower-body strength improved over the course of the intervention, providing a 6-month workplace exercise program with or without health coach support did not confer any greater strength or flexibility benefits than exercise testing alone (CON). Although exercise adherence was not measured, it is possible that participants require additional methods of support such as face-to-face exercise instruction and guidance and individually-tailored exercise programs to achieve adequate participation and improvements in musculoskeletal fitness. This presents challenges for more remote paramedic stations without regular face-to-face access to suitably qualified exercise professionals, and future research should investigate the effectiveness of other forms of exercise delivery and guidance for these paramedic officers such as remotely-facilitated digital exercise prescription and monitoring.",
keywords = "Workplace exercise, Paramedic health, Strength training, Flexibility training",
author = "Jayden Hunter and Alexander MacQuarrie and Samantha Sheridan and Richard High and Carolyn Waite",
year = "2019",
month = "8",
day = "7",
language = "English",
pages = "1--1",
note = "ICSEHS 2019: 21st International Conference on Sport, Exercise and Health Sciences, Sport, Exercise and Health Sciences ; Conference date: 07-08-2019 Through 08-08-2019",
url = "https://waset.org/conference/2019/08/vancouver/ICSEHS",

}

Hunter, J, MacQuarrie, A, Sheridan, S, High, R & Waite, C 2019, 'Paramedic strength and flexibility: Findings of a 6-month workplace exercise randomised controlled trial' ICSEHS 2019: 21st International Conference on Sport, Exercise and Health Sciences, Vancouver, Canada, 07/08/19 - 08/08/19, pp. 1-1.

Paramedic strength and flexibility : Findings of a 6-month workplace exercise randomised controlled trial. / Hunter, Jayden; MacQuarrie, Alexander; Sheridan, Samantha; High, Richard; Waite, Carolyn.

2019. 1-1 Abstract from ICSEHS 2019: 21st International Conference on Sport, Exercise and Health Sciences, Vancouver, Canada.

Research output: Other contribution to conferenceAbstract

TY - CONF

T1 - Paramedic strength and flexibility

T2 - Findings of a 6-month workplace exercise randomised controlled trial

AU - Hunter, Jayden

AU - MacQuarrie, Alexander

AU - Sheridan, Samantha

AU - High, Richard

AU - Waite, Carolyn

PY - 2019/8/7

Y1 - 2019/8/7

N2 - Workplace exercise programs have been recommended to improve the musculoskeletal fitness of paramedics with the aim of reducing injury rates, and while they have shown efficacy in other occupations they have not been delivered and evaluated in Australian paramedics. This study investigated the effectiveness of a 6-month workplace exercise program (MedicFit; MF) to improve paramedic fitness with or without health coach (HC) support. A group of regional Australian paramedics (n=76; 43 male; mean±SD 36.5±9.1 years; BMI 28.0±5.4 kg/m2) were randomised at the station level to either exercise with remote health coach support (MFHC; n=30), exercise without health coach support (MF; n=23), or no-exercise control (CON; n=23) groups. MFHC and MF participants received a 6-month, low-moderate intensity resistance and flexibility exercise program to be performed on station without direct supervision. Available exercise equipment included dumbbells, resistance bands, Swiss balls, medicine balls, kettlebells, BOSU balls, yoga mats and foam rollers. MFHC and MF participants were also provided with a comprehensive exercise manual including sample exercise sessions aimed at improving musculoskeletal strength and flexibility which included exercise prescription (i.e. sets, reps, duration, load). Changes to upper-body (push-ups), lower-body (wall squat) and core (plank hold) strength and flexibility (back scratch and sit-reach tests) after the 6-month intervention were analysed using repeated measures ANOVA to compare changes between groups and over time. Upper-body (+20.6%; p<0.01; partial eta squared = 0.34 [large effect]) and lower-body (+40.8%; p<0.05; partial eta squared = 0.08 [moderate effect]) strength increased significantly with no interaction or group effects. Changes to core strength (+1.4%; p=0.17) and both upper-body (+19.5%; p=0.56) and lower-body (+3.3%; p=0.15) flexibility were non-significant with no interaction or group effects observed. While upper- and lower-body strength improved over the course of the intervention, providing a 6-month workplace exercise program with or without health coach support did not confer any greater strength or flexibility benefits than exercise testing alone (CON). Although exercise adherence was not measured, it is possible that participants require additional methods of support such as face-to-face exercise instruction and guidance and individually-tailored exercise programs to achieve adequate participation and improvements in musculoskeletal fitness. This presents challenges for more remote paramedic stations without regular face-to-face access to suitably qualified exercise professionals, and future research should investigate the effectiveness of other forms of exercise delivery and guidance for these paramedic officers such as remotely-facilitated digital exercise prescription and monitoring.

AB - Workplace exercise programs have been recommended to improve the musculoskeletal fitness of paramedics with the aim of reducing injury rates, and while they have shown efficacy in other occupations they have not been delivered and evaluated in Australian paramedics. This study investigated the effectiveness of a 6-month workplace exercise program (MedicFit; MF) to improve paramedic fitness with or without health coach (HC) support. A group of regional Australian paramedics (n=76; 43 male; mean±SD 36.5±9.1 years; BMI 28.0±5.4 kg/m2) were randomised at the station level to either exercise with remote health coach support (MFHC; n=30), exercise without health coach support (MF; n=23), or no-exercise control (CON; n=23) groups. MFHC and MF participants received a 6-month, low-moderate intensity resistance and flexibility exercise program to be performed on station without direct supervision. Available exercise equipment included dumbbells, resistance bands, Swiss balls, medicine balls, kettlebells, BOSU balls, yoga mats and foam rollers. MFHC and MF participants were also provided with a comprehensive exercise manual including sample exercise sessions aimed at improving musculoskeletal strength and flexibility which included exercise prescription (i.e. sets, reps, duration, load). Changes to upper-body (push-ups), lower-body (wall squat) and core (plank hold) strength and flexibility (back scratch and sit-reach tests) after the 6-month intervention were analysed using repeated measures ANOVA to compare changes between groups and over time. Upper-body (+20.6%; p<0.01; partial eta squared = 0.34 [large effect]) and lower-body (+40.8%; p<0.05; partial eta squared = 0.08 [moderate effect]) strength increased significantly with no interaction or group effects. Changes to core strength (+1.4%; p=0.17) and both upper-body (+19.5%; p=0.56) and lower-body (+3.3%; p=0.15) flexibility were non-significant with no interaction or group effects observed. While upper- and lower-body strength improved over the course of the intervention, providing a 6-month workplace exercise program with or without health coach support did not confer any greater strength or flexibility benefits than exercise testing alone (CON). Although exercise adherence was not measured, it is possible that participants require additional methods of support such as face-to-face exercise instruction and guidance and individually-tailored exercise programs to achieve adequate participation and improvements in musculoskeletal fitness. This presents challenges for more remote paramedic stations without regular face-to-face access to suitably qualified exercise professionals, and future research should investigate the effectiveness of other forms of exercise delivery and guidance for these paramedic officers such as remotely-facilitated digital exercise prescription and monitoring.

KW - Workplace exercise

KW - Paramedic health

KW - Strength training

KW - Flexibility training

M3 - Abstract

SP - 1

EP - 1

ER -

Hunter J, MacQuarrie A, Sheridan S, High R, Waite C. Paramedic strength and flexibility: Findings of a 6-month workplace exercise randomised controlled trial. 2019. Abstract from ICSEHS 2019: 21st International Conference on Sport, Exercise and Health Sciences, Vancouver, Canada.