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.
Background Little is known about the most effective occupational health and safety (OHS) interventions to reduce upper extremity musculoskeletal disorders (MSDs) and injuries. Methods A systematic review used a best evidence synthesis approach to address the question: 'do occupational health and saf...
| Publicado en: | Journal of Occupational Rehabilitation Vol. 20; no. 2; pp. 127 - 163 |
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| Autores principales: | , , , , , , , , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Springer Nature
Jun2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105038100&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105038100 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10530487 JOR jtl: Journal of Occupational Rehabilitation issn: 10530487 maglogo: N pubinfo: dt: Jun2010 vid: 20 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 105038100 2010696077 10.1007/s10926-009-9211-2 NLM19885644 105038100 ppf: 127 ppct: 36 formats: fmt: @attributes: type: P tig: atl: 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. aug: au: Kennedy CA Amick BC III Dennerlein JT Brewer S Catli S Williams R Serra C Gerr F Irvin E Mahood Q Franzblau A Van Eerd D Evanoff B Rempel D affil: Department of Environmental Health, Harvard University, Boston USA sug: subj: Musculoskeletal Diseases Prevention and Control Occupational Diseases Prevention and Control Occupational Health Occupational Therapy Practice, Evidence-Based Occupational-Related Injuries Prevention and Control Physical Therapy Practice, Evidence-Based Biofeedback Blue Collar Workers CINAHL Database Embase Equipment and Supplies Ergonomics Exercise Funding Source Human Medline Occupational Health Services Psycinfo Software Systematic Review Upper Extremity White Collar Workers Work Environment ab: Background Little is known about the most effective occupational health and safety (OHS) interventions to reduce upper extremity musculoskeletal disorders (MSDs) and injuries. Methods A systematic review used a best evidence synthesis approach to address the question: 'do occupational health and safety interventions have an effect on upper extremity musculoskeletal symptoms, signs, disorders, injuries, claims and lost time?' Results The search identified 36 studies of sufficient methodological quality to be included in data extraction and evidence synthesis. Overall, a mixed level of evidence was found for OHS interventions. Levels of evidence for interventions associated with positive effects were: Moderate evidence for arm supports; and Limited evidence for ergonomics training plus workstation adjustments, new chair and rest breaks. Levels of evidence for interventions associated with ' no effect' were: Strong evidence for workstation adjustment alone; Moderate evidence for biofeedback training and job stress management training; and Limited evidence for cognitive behavioral training. No interventions were associated with ' negative effects'. Conclusion It is difficult to make strong evidenced-based recommendations about what practitioners should do to prevent or manage upper extremity MSDs. 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. We recommend that worksites not engage in OHS activities that include only workstation adjustments. However, when combined with ergonomics training, there is limited evidence that workstation adjustments are beneficial. A practice to consider is using arm supports to reduce upper extremity MSDs. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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