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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Neck Pain

Out of all 291 conditions studied in the Global Burden of Disease 2010 Study, neck pain ranked 4th highest in terms of disability and 21st in terms of overall burden.

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