Interventions for the prevention and management of neck/upper extremity musculoskeletal conditions: a systematic review
Mark Boocock,Peter J. McNair,Peter J. Larmer,Bridget Armstrong,Jill Collier,Marian Simmonds,Nick Garrett +6 more
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TLDR
No single-dimensional or multi-dimensional strategy for intervention that was considered effective across occupational settings was identified and there is limited information to support the establishment of evidence-based guidelines applicable to a number of industrial sectors.Abstract:
Considered from medical, social or economic perspectives, the cost of musculoskeletal injuries experienced in the workplace is substantial, and there is a need to identify the most efficacious interventions for their effective prevention, management and rehabilitation. Previous reviews have highlighted the limited number of studies that focus on upper extremity intervention programmes. The aim of this study was to evaluate the findings of primary, secondary and/or tertiary intervention studies for neck/upper extremity conditions undertaken between 1999 and 2004 and to compare these results with those of previous reviews. Relevant studies were retrieved through the use of a systematic approach to literature searching and evaluated using a standardised tool. Evidence was then classified according to a "pattern of evidence" approach. Studies were categorised into subgroups depending on the type of intervention: mechanical exposure interventions; production systems/organisational culture interventions and modifier interventions. 31 intervention studies met the inclusion criteria. The findings provided evidence to support the use of some mechanical and modifier interventions as approaches for preventing and managing neck/upper extremity musculoskeletal conditions and fibromyalgia. Evidence to support the benefits of production systems/organisational culture interventions was found to be lacking. This review identified no single-dimensional or multi-dimensional strategy for intervention that was considered effective across occupational settings. There is limited information to support the establishment of evidence-based guidelines applicable to a number of industrial sectors.read more
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Occupational musculoskeletal and mental health: Significance of rationalization and opportunities to create sustainable production systems ― A systematic review
Rolf H. Westgaard,Jörgen Winkel +1 more
TL;DR: It is concluded that production system rationalization represents a pervasive work life intervention without a primary occupational health focus and has considerable and mostly negative influence on worker health, but this can be reduced by attention to modifiers.
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Vocational rehabilitation – what works, for whom, and when?(Report for the Vocational Rehabilitation Task Group)
TL;DR: In this paper, the authors provide an evidence base for policy development on vocational rehabilitation and develop practical suggestions on what vocational rehabilitation interventions are likely to work, for whom, and when.
Journal ArticleDOI
Systematic review of the role of occupational health and safety interventions in the prevention of upper extremity musculoskeletal symptoms, signs, disorders, injuries, claims and lost time.
Carol A. Kennedy,Benjamin C. Amick,Jack T. Dennerlein,Shelley Brewer,Starly Catli,Renee M. Williams,Consol Serra,Fred Gerr,Emma Irvin,Quenby Mahood,Al Franzblau,Dwayne Van Eerd,Bradley A. Evanoff,David Rempel +13 more
TL;DR: There is a paucity of high quality OHS interventions evaluating upper extremity MSDs and none focused on traumatic injury outcomes or workplace mandated pre-placement screening exams, so it is recommended that worksites not engage in OHS activities that include only workstation adjustments.
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The effectiveness of physical and organisational ergonomic interventions on low back pain and neck pain: a systematic review
M.T. Driessen,Karin I. Proper,M.W. van Tulder,Johannes R. Anema,Paulien M Bongers,A.J. van der Beek +5 more
TL;DR: A systematic review of randomised controlled trials on the effectiveness of ergonomic interventions provides a solid overview of the high quality epidemiological evidence on the (usually lack of) effectiveness of Ergonomic interventions on LBP and neck pain.
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Ergonomic design and training for preventing work‐related musculoskeletal disorders of the upper limb and neck in adults
TL;DR: Overall, there was moderate-quality evidence that arm support with alternative mouse reduced the incidence of neck/shoulder disorders and low- quality evidence that other interventions were not effective in reducing work-related MSDs of the upper limb and neck in adults.
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