Ergonomic and physiotherapeutic interventions for treating work-related complaints of the arm, neck or shoulder in adults

AP Verhagen, C Karels, SMA Bierma-Zeinstra, L Burdorf, A Feleus, S Dahaghin, HCW de Vet, BW Koes

This systematic review aims to determine whether conservative interventions have a significant impact on outcomes for work-related CANS in adults.  We included randomised and non-randomised controlled trials studying conservative interventions (e.g. exercises, relaxation, physical applications, biofeedback, myofeedback and work-place adjustments) for adults suffering CANS.  There is limited evidence for the effectiveness of keyboards with an alternative force-displacement of the keys or an alternative geometry, and limited evidence for the effectiveness of exercises compared to massage; breaks during computer work compared to no breaks; massage as an add-on treatment to manual therapy; and manual therapy as an add-on treatment to exercises.

Cochrane Database of Systematic Reviews 2006, Issue 3

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