Características de los programas de ejercicio en el lugar de trabajo asociadas a la reducción del dolor musculoesquelético en trabajadores sedentarios: una revisión sistemática

Autores/as

DOI:

https://doi.org/10.47197/retos.v82.119776

Palabras clave:

workplace exercise; musculoskeletal pain; sedentary workers

Resumen

Introducción: El trabajo sedentario de oficina se asocia con un mayor riesgo de trastornos musculoesqueléticos por la sedestación prolongada y la escasa actividad física. Aunque las intervenciones de ejercicio en el lugar de trabajo han mostrado resultados favorables, las características asociadas siguen sin estar claras.

Objetivo: Sintetizar la evidencia sobre intervenciones de ejercicio en el lugar de trabajo para reducir el dolor musculoesquelético en trabajadores sedentarios e identificar las características vinculadas con resultados favorables.

Metodología: Se realizó una revisión sistemática conforme a PRISMA 2020. Se buscaron estudios en SCOPUS, Web of Science, PubMed y EBSCO hasta enero de 2024. Se incluyeron intervenciones de ejercicio en trabajadores sedentarios. La calidad metodológica se evaluó con las herramientas de los National Institutes of Health y, debido a la heterogeneidad, los resultados se sintetizaron narrativamente.

Resultados: Se incluyeron 38 publicaciones correspondientes a 25 intervenciones desarrolladas en 13 países. En conjunto, las intervenciones se asociaron con reducciones del dolor musculoesquelético, especialmente en trabajadores sintomáticos. El entrenamiento de fuerza mostró la evidencia más consistente. Entre las características recurrentes destacaron el ejercicio progresivo de fuerza, los programas de 10–12 semanas, las sesiones breves varias veces por semana y una elevada adherencia. La mayoría de los estudios presentó una calidad metodológica moderada o alta.

Conclusiones: Las intervenciones de ejercicio en el lugar de trabajo constituyen una estrategia prometedora para reducir el dolor musculoesquelético en trabajadores sedentarios. Esta revisión no identifica una prescripción óptima, sino características recurrentes que pueden orientar el diseño y la implementación de futuros programas.

Referencias

1. Andersen, L. L., Christensen, K. B., Holtermann, A., Poulsen, O. M., Sjøgaard, G., Pedersen, M. T., & Hansen, E. A. (2010). Effect of physical exercise interventions on musculoskeletal pain in all body regions among office workers: A one-year randomized controlled trial. Manual Therapy, 15(1), 100–104. https://doi.org/10.1016/j.math.2009.08.004

2. Andersen, L. L., Christensen, K. B., Holtermann, A., Poulsen, O. M., Sjøgaard, G., Pedersen, M. T., & Hansen, E. A. (2011). Effect of physical exercise interventions on musculoskeletal pain among office workers and the influence of psychosocial work factors. Journal of Occupational and Environmental Medicine, 53(5), 514-522. https://doi.org/10.1097/JOM.0b013e318215e67e

3. Archer, E., & Blair, S. N. (2011). Physical activity and the prevention of cardiovascular disease: From evolution to epidemiology. Progress in Cardiovascular Diseases, 53(6), 387–396. https://doi.org/10.1016/j.pcad.2011.02.006

4. Bennie, J. A., Pedisic, Z., Timperio, A., Crawford, D., Dunstan, D., Bauman, A., Van Uffelen, J., & Salmon, J. (2015). Total and domain-specific sitting time among employees in desk-based work settings in Australia. Australian and New Zealand Journal of Public Health, 39(3), 237–242. https://doi.org/10.1111/1753-6405.12293

5. Bevan, S. (2015). Economic impact of musculoskeletal disorders (MSDs) on work in Europe. Best Practice & Research Clinical Rheumatology, 29(3), 356–373. https://doi.org/10.1016/j.berh.2015.08.002

6. Chen, X., Coombes, B. K., Sjøgaard, G., Jun, D., O'Leary, S., & Johnston, V. (2018). Workplace-based interventions for neck pain in office workers: Systematic review and meta-analysis. Physical Therapy, 98(1), 40–62. https://doi.org/10.1093/ptj/pzx101

7. Chu, A. H. Y., Ng, S. H. X., Tan, C. S., Win, A. M., Koh, D., & Müller-Riemenschneider, F. (2016). A systematic review and meta-analysis of workplace intervention strategies to reduce sedentary time in white-collar workers. Obesity Reviews, 17(5), 467–481. https://doi.org/10.1111/obr.12388

8. Côté, P., Carroll, L. J., Hogg-Johnson, S., Carragee, E. J., Haldeman, S., Nordin, M., Hurwitz, E. L., Guzman, J., & Peloso, P. M. (2008). The burden and determinants of neck pain in workers: Results of the Bone and Joint Decade 2000–2010 Task Force on Neck Pain and Its Associated Disorders. Journal of Manipulative and Physiological Therapeutics, 32(2 Suppl.), S70–S86. https://doi.org/10.1016/j.jmpt.2008.11.012

9. Côté, P., Cassidy, J. D., Carroll, L., & Kristman, V. (2004). The annual incidence and course of neck pain in the general population: A population-based cohort study. Pain, 112(3), 267–273. https://doi.org/10.1016/j.pain.2004.09.004

10. Cruz, A., Parola, V., Neves, H., Cardoso, D., Bernardes, R., & Parreira, P. (2021). Programas de exercício físico para a dor músculoesquelética relacionada com o trabalho: Protocolo de scoping review. Revista de Enfermagem Referência, 5(6), e20092. https://doi.org/10.12707/RV20092

11. Csuhai, É. A., Nagy, A. C., Szőllősi, G. J., & Veres-Balajti, I. (2021). Impact analysis of 20-week multimodal progressive functional-proprioceptive training among sedentary workers affected by non-specific low-back pain: An interventional cohort study. International Journal of Environmental Research and Public Health, 18(20), 10592. https://doi.org/10.3390/ijerph182010592

12. Dalager, T., Bredahl, T. G. V., Pedersen, M. T., Boyle, E., Andersen, L. L., & Sjøgaard, G. (2015). Does training frequency and supervision affect compliance, performance and muscular health? A cluster randomised controlled trial. Manual Therapy, 20(5), 657–665. https://doi.org/10.1016/j.math.2015.01.016

13. Dalager, T., Justesen, J. B., Murray, M., Boyle, E., & Sjøgaard, G. (2015). Implementing intelligent physical exercise training at the workplace: Health effects among office workers. BioMed Research International, 2015, 328950. https://doi.org/10.1155/2015/328950

14. Driessen, M. T., Proper, K. I., Anema, J. R., Bongers, P. M., & van der Beek, A. J. (2010). Process evaluation of a participatory ergonomics programme to prevent low back pain and neck pain among workers. Implementation Science, 5(1), 65. https://doi.org/10.1186/1748-5908-5-65

15. Driessen, M. T., Proper, K. I., van Tulder, M. W., Anema, J. R., Bongers, P. M., & van der Beek, A. J. (2010). The effectiveness of physical and organisational ergonomic interventions on low back pain and neck pain: A systematic review. Occupational and Environmental Medicine, 67(4), 277–285. https://doi.org/10.1136/oem.2009.047548

16. European Commission, Directorate-General for Education, Youth, Sport and Culture. (2022). Sport and physical activity: Summary report. Publications Office of the European Union. https://doi.org/10.2766/151826

17. Fortun-Rabadán, R., Jiménez-Sánchez, C., Flores-Yaben, O., & Bellosta-López, P. (2021). Workplace physiotherapy for musculoskeletal pain-relief in office workers: A pilot study. Journal of Education and Health Promotion, 10, 75. https://doi.org/10.4103/jehp.jehp_888_20

18. García-Salirrosas, E. E., & Sánchez-Poma, R. A. (2020). Prevalencia de los trastornos musculoesqueléticos en docentes universitarios que realizan teletrabajo en tiempos de COVID-19 [Preprint]. SciELO Preprints. https://doi.org/10.1590/SciELOPreprints.1014

19. Griffiths, K. L., Mackey, M. G., & Adamson, B. J. (2011). Behavioural and psychophysiological responses to job demands and association with musculoskeletal symptoms in computer work. Journal of Occupational Rehabilitation, 21(4), 482–492. https://doi.org/10.1007/s10926-010-9263-3

20. Griffiths, K. L., Mackey, M. G., Adamson, B. J., & Pepper, K. L. (2012). Prevalence and risk factors for musculoskeletal symptoms with computer-based work across occupations. Work, 42(4), 533–541. https://doi.org/10.3233/WOR-2012-1396

21. James, S. L., Abate, D., Abate, K. H., Abay, S. M., Abbafati, C., Abbasi, N., Abbastabar, H., Abd-Allah, F., Abdela, J., Abdelalim, A., Abdollahpour, I., Abdulkader, R. S., Abebe, Z., Abera, S. F., Abil, O. Z., Abraha, H. N., Abu-Raddad, L. J., Abu-Rmeileh, N. M. E., Accrombessi, M. M. K., ... Murray, C. J. L. (2018). Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: A systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 392(10159), 1789–1858. https://doi.org/10.1016/S0140-6736(18)32279-7

22. Jay, K., Brandt, M., Hansen, K., Sundstrup, E., Jakobsen, M. D., Schraefel, M. C., & Andersen, L. L. (2014). Effect of video-based versus personalized instruction on errors during elastic tubing exercises for musculoskeletal pain: A randomised controlled trial. BioMed Research International, 2014, 790937. https://doi.org/10.1155/2014/790937

23. Jay, K., Brandt, M., Jakobsen, M. D., Sundstrup, E., Berthelsen, K. G., Schraefel, M. C., & Andersen, L. L. (2014). Ten weeks of physical-cognitive-mindfulness training reduces musculoskeletal pain and increases work ability in office workers: A randomized controlled trial. Journal of Occupational and Environmental Medicine, 56(8), 810–816. https://doi.org/10.1097/JOM.0000000000000200

24. Kaliniene, G., Ustinaviciene, R., Skemiene, L., & Januskevicius, V. (2013). Associations between neck musculoskeletal complaints and work-related factors among public service computer workers in Kaunas. International Journal of Occupational Medicine and Environmental Health, 26(5), 670–681. https://doi.org/10.2478/s13382-013-0141-z

25. Katzmarzyk, P. T., Friedenreich, C., Shiroma, E. J., & Lee, I.-M. (2022). Physical inactivity and non-communicable disease burden in low-income, middle-income and high-income countries. British Journal of Sports Medicine, 56(2), 101–106. https://doi.org/10.1136/bjsports-2020-103640

26. Kim, R., Wiest, C., Clark, K., Cook, C., & Horn, M. (2018). Identifying risk factors for first-episode neck pain: A systematic review. Musculoskeletal Science and Practice, 33, 77–83. https://doi.org/10.1016/j.msksp.2017.11.007

27. Louw, S., Makwela, S., Manas, L., Meyer, L., Terblanche, D., & Brink, Y. (2017). Effectiveness of exercise in office workers with neck pain: A systematic review and meta-analysis. South African Journal of Physiotherapy, 73(1), 392. https://doi.org/10.4102/sajp.v73i1.392

28. Macedo, A. C., Trindade, C. S., Brito, A. P., & Dantas, M. S. (2011). On the effects of a workplace fitness programme upon pain perception: A case study encompassing office workers in a Portuguese context. Journal of Occupational Rehabilitation, 21(2), 228–233. https://doi.org/10.1007/s10926-010-9264-2

29. Machado-Matos, M., & Arezes, P. M. (2016). Impact of a workplace exercise program on neck and shoulder segments in office workers. DYNA, 83(196), 63–68. https://doi.org/10.15446/dyna.v83n196.56611

30. Marin-Farrona, M., Wipfli, B., Thosar, S. S., Colino, E., Garcia-Unanue, J., Gallardo, L., Felipe, J. L., & López-Fernández, J. (2023). Effectiveness of worksite wellness programs based on physical activity to improve workers' health and productivity: A systematic review. Systematic Reviews, 12(1), 87. https://doi.org/10.1186/s13643-023-02258-6

31. McCrady, S. K., & Levine, J. A. (2009). Sedentariness at work: How much do we really sit? Obesity, 17(11), 2103–2105. https://doi.org/10.1038/oby.2009.117

32. Moreira-Silva, I., Teixeira, P. M., Santos, R., Abreu, S., Moreira, C., & Mota, J. (2016). The effects of workplace physical activity programs on musculoskeletal pain: A systematic review and meta-analysis. Workplace Health & Safety, 64(5), 210–222. https://doi.org/10.1177/2165079916629688

33. National Institute for Occupational Safety and Health. (2017). Using Total Worker Health® concepts to reduce the health risks from sedentary work. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. https://doi.org/10.26616/NIOSHPUB2017131

34. Nikander, R., Mälkiä, E., Parkkari, J., Heinonen, A., Starck, H., & Ylinen, J. (2006). Dose-response relationship of specific training to reduce chronic neck pain and disability. Medicine & Science in Sports & Exercise, 38(12), 2068–2074. https://doi.org/10.1249/01.mss.0000229105.16274.4b

35. Nygaard Andersen, L., Mann, S., Juul-Kristensen, B., & Søgaard, K. (2017). Comparing the impact of specific strength training vs general fitness training on professional symphony orchestra musicians: A feasibility study. Medical Problems of Performing Artists, 32(2), 94–100. https://doi.org/10.21091/mppa.2017.2016

36. Pedersen, M. T., Blangsted, A. K., Andersen, L. L., Jørgensen, M. B., Hansen, E. A., & Sjøgaard, G. (2013). The effect of worksite physical activity intervention on physical capacity, health, and productivity: A one-year randomized controlled trial. Journal of Occupational and Environmental Medicine, 55(7), 759–765. https://doi.org/10.1097/JOM.0b013e3182917898

37. Pereira, M., Comans, T., Sjøgaard, G., Straker, L., Melloh, M., O'Leary, S., Chen, X., & Johnston, V. (2019). The impact of workplace ergonomics and neck-specific exercise versus ergonomics and health promotion interventions on office worker productivity: A cluster-randomised trial. Scandinavian Journal of Work, Environment & Health, 45(1), 42–52. https://doi.org/10.5271/sjweh.3760

38. Peterson, M. D., Rhea, M. R., & Alvar, B. A. (2005). Applications of the dose-response for muscular strength development: A review of meta-analytic efficacy and reliability for designing training prescription. Journal of Strength and Conditioning Research, 19(4), 950–958. https://doi.org/10.1519/R-16874.1

39. Shariat, A., Lam, E. T. C., Kargarfard, M., Tamrin, S. B. M., & Danaee, M. (2017). The application of a feasible exercise training program in the office setting. Work, 56(3), 421–428. https://doi.org/10.3233/WOR-172508

40. Sihawong, R., Janwantanakul, P., & Jiamjarasrangsi, W. (2014). Effects of an exercise programme on preventing neck pain among office workers: A 12-month cluster-randomised controlled trial. Occupational and Environmental Medicine, 71(1), 63–70. https://doi.org/10.1136/oemed-2013-101561

41. Sorensen, G., McLellan, D., Dennerlein, J. T., Pronk, N. P., Allen, J. D., Boden, L. I., Okechukwu, C. A., Hashimoto, D., Stoddard, A., & Wagner, G. R. (2013). Integration of health protection and health promotion: Rationale, indicators, and metrics. Journal of Occupational and Environmental Medicine, 55(Suppl. 12), S12–S18. https://doi.org/10.1097/JOM.0000000000000032

42. Strijk, J. E., Proper, K. I., van der Beek, A. J., & van Mechelen, W. (2011). A process evaluation of a worksite vitality intervention among ageing hospital workers. International Journal of Behavioral Nutrition and Physical Activity, 8(1), 58. https://doi.org/10.1186/1479-5868-8-58

43. Tudor-Locke, C., Leonardi, C., Johnson, W. D., & Katzmarzyk, P. T. (2011). Time spent in physical activity and sedentary behaviors on the working day: The American Time Use Survey. Journal of Occupational and Environmental Medicine, 53(12), 1382–1387. https://doi.org/10.1097/JOM.0b013e31823c1402

44. Tudor-Locke, C., Schuna, J. M., Frensham, L. J., & Proença, M. (2014). Changing the way we work: Elevating energy expenditure with workstation alternatives. International Journal of Obesity, 38(6), 755–765. https://doi.org/10.1038/ijo.2013.223

45. van Eerd, D., Munhall, C., Irvin, E., Rempel, D., Brewer, S., van der Beek, A. J., Dennerlein, J. T., Tullar, J., Skivington, K., Pinion, C., Amick, B. C., & Cullen, K. (2016). Effectiveness of workplace interventions in the prevention of upper extremity musculoskeletal disorders and symptoms: An update of the evidence. Occupational and Environmental Medicine, 73(1), 62–70. https://doi.org/10.1136/oemed-2015-102992

46. Wierenga, D., Engbers, L. H., van Empelen, P., Duijts, S., Hildebrandt, V. H., & van Mechelen, W. (2013). What is actually measured in process evaluations for worksite health promotion programs? A systematic review. BMC Public Health, 13(1), 1190. https://doi.org/10.1186/1471-2458-13-1190

47. World Health Organization. (2003). Preventing musculoskeletal disorders in the workplace (Protecting Workers' Health Series No. 5). World Health Organization. https://apps.who.int/iris/handle/10665/42651

48. World Health Organization. (2018). Global action plan on physical activity 2018–2030: More active people for a healthier world. World Health Organization. https://www.who.int/publications/i/item/9789241514187

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Publicado

30-05-2026

Número

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Revisiones teóricas sistemáticas y/o metaanálisis

Cómo citar

López-Rodríguez , J. ., Prieto Prieto, J., Moreno Pascual, C., & Mateos Martín, E. (2026). Características de los programas de ejercicio en el lugar de trabajo asociadas a la reducción del dolor musculoesquelético en trabajadores sedentarios: una revisión sistemática. Retos, 82, 685-700. https://doi.org/10.47197/retos.v82.119776