<< Background >>Work-related musculoskeletal disorders (WMSDs) are common across Europe, resulting lost days and permanent incapacity to work. The incidence and prevalence rates seem to be increasing, indicating a sub-optimal effect of contemporary approaches for the prevention of WMSDs. The European Knowledge Alliance “Prevent4Work” was created to improve the current management strategies of WMSDs by developing and implementing innovative teaching modules based on new technologies.<< Objectives >>The Prevent4Work Project aims to establish a network connecting higher education institutions, ITC enterprise and clinical expertise, which will identify gaps in the existing educational resources focusing on occupational health. Moreover, innovative educational programmes will be introduced, adaptive mobile Health tools will be developed that can deliver high quality evidence-based material to prevent WMSDs in Europe.<< Implementation >>The Prevent4Work Project is a consortium consisting of universities, enterprises and hospitals in Spain, Denmark, and Italy. The target groups are workers and enterprises from different activity sectors and healthcare professionals and students. The project consists of 9 work packages, including a state of-the-art review, the development of a risk assessment questionnaire and an open access educative training platform.<< Results >>The Prevent4Work Project has organized 3 symposiums, including 1 Ideas Contest, with more 1,045 participants; 4 webinars for workers, trainers and health professionals with 1,811 participants; 6 online training courses and 2 MOOCs with 2,423 unique users. Furthermore, more than 1,500 workers have participated in our pilot actions. Additionally, we have published 4 scientific articles, 1 practical guideline for trainers and 1 strategic guideline for integration into Universities Curricula.

The ACTLIFE project is focused on the development and dissemination of protocols aimed at the prevention of osteoporosis consequences through physical activities in European countries. The project was developed and implemented in 6 European countries: Italy, Germany, United Kingdom, Ireland, Finland, and Bulgaria throughout 36 months plus the extension of 6 months due to COVID-19 pandemic. The ACTLIFE project was carried out successfully. The set objectives, activities, and intellectual outputs were fully achieved and satisfying. Indeed, the obtained results have encouraged the partners consortium to continue with further similar national and international activities and projects.Some studies have previously demonstrated the benefits of exercise in the treatment and prevention of most chronic disease, including Osteoporosis (OP). OP is the most prevalent metabolic bone disease in older people and has been shown to have adverse effects on the quality of life as well as physical health in women. There is consensus that regular exercise plays an important role in preventing OP and enhancing quality of life and longevity of those living with this condition.The team project collected, reviewed, and analysed the national institutional policies, health programs, and exercise protocols. Moreover, they reviewed the literature regarding the effect of physical activity and exercise as OP prevention with emphasis on postmenopausal women. Consequently, the consortium has published 2 systematic reviews and meta-analysis in high-quality scientific journals. In addition, a document collating all the European experiences has been written. Such important results were achieved thanks to the collaboration of all the partners involved and provided a basis for the implementation of the project outcomes.The partnership worked on finding the most promising exercise intervention to address fracture risk reduction through bone strengthening as well as fall and impact reduction strategies. The main exercises were tested, revised, approved, and included in the protocols. The partnership has implemented 2 ACTLIFE protocols: the first was designed for early postmenopausal women with osteopenia or OP employing gym machines; the second for women with osteoporosis without using any types of gym machines. The latter exercise program was conceived to be delivered to large number of subjects even if with little experience in physical activity, both at home or in a gym, with or without trainers supervision. The protocols were written in English and translated into all partners’ languages.In Italy and Germany, 2 RCT have been implemented. In Germany 56 women were assigned to 2 groups: one training group and one control group. In Italy, 52 women were assigned to 2 groups: one gym group and one individual home training group. These activities have been described in scientific articles. The studies were influenced by COVID-19 pandemic: in Germany study was stopped after 13 months; in Italy, assessments at 6 months were delayed and methodology was adapted to pandemic conditions. The list of safe/ethical gyms was gathered.University partners have organized several meetings with the Coordinators of the Higher Education Programs with aim of organising courses, seminars, and other educational events on the outcomes of the ACTLIFE project. A large communication and dissemination events were scheduled to be implemented during the lifetime of the project. However, in the last study period, dissemination and multiplier events were conducted online due to Covid-19 restrictions, which limited the possibility to perform events in face-to-face modality. However, in the last months, when and where possible, some face-to-face multiplier events have been organized in- and outdoor.

"PAIR project aims to develop and promote a physical activity (PA) exercise program for subjects operated of total knee/hip replacement, to be followed after their discharge and rehabilitation treatment.The subjects will also be monitored about the adherence to the proposed program and in regards to any changes in lifestyle relatively to physical activity. This study will be carried out by involving surgeons, nurses, physiotherapists, graduates in movement science and patients, during and beyond the end of the normal health care.The aims of the project are- Identification of a PA exercise program suitable for people with knee/hip replacement, to improve physical function (balance, proprioception, rom, posture, muscular trophism) and quality of life (pain, fear of falling, autonomy during daily activities, socialization and prevention of depressive states).- Data collection through a survey on the consideration and understanding of ""everyday"" PA in relation to quality of life.- Promotion of the recovery of any sport activity interrupted before the operation.- Raising awareness of stakeholders and decision makers about the promotion of physical and sport activity aimed at subjects who have undergone knee or hip prostheses.- Evaluation of adherence to the proposed PA.- Involvement of the sport community and high education institutions to promote specific courses based on physical activity programs for individuals with total knee or hip arthroplasty.In the scientific literature, there are evidences and experiences on the effectiveness of physical activity but there is no ""good practice"" shared and accepted within the European system; there is also a lack of adequate promotion to explain the benefits and how to perform physical activity after the operations.The project aims to analyze local experiences in Europe and implement this ""good practice"", pledging to disseminate it at European level through the partnership structure and other actions."