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A randomised controlled trial evaluating an alternative mouse and forearm support on upper body discomfort and musculoskeletal disorders among engineers.

机译:一项随机对照试验,评估了工程师对上肢不适和肌肉骨骼疾病的替代鼠标和前臂支撑。

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OBJECTIVES: The aim of this intervention study was to determine the effects of an alternative mouse and/or a forearm support board on the change in upper body discomfort scores and the development of incident musculoskeletal disorders. METHODS: This randomised controlled intervention trial followed 206 engineers for one year. Participants were randomised to receive (1) a conventional mouse only, (2) an alternative mouse only, (3) a forearm support board, or (4) an alternative mouse plus forearm support board. Outcome measures included weekly upper body discomfort scores and incident musculoskeletal disorders. RESULTS: During the study, 42 participants were diagnosed with an incident musculoskeletal disorder. The group that received the forearm support board experienced a reduction in their right upper extremity discomfort (beta-coefficient -0.35, 95% CI -0.67 to -0.03) in comparison to those who did not receive a forearm board. The group that received the alternative mouse had a protective, but non-significant (p = 0.20), effect on incident cases of right upper extremity musculoskeletal disorders (HR 0.57, 95% CI 0.24 to 1.34) and a non-significant reduction in neck/shoulder discomfort (beta-coefficient -0.23, 95% CI -0.056 to 0.10) in comparison to those who received a conventional mouse. CONCLUSIONS: In engineers who use a computer for more than 20 h per week, a forearm support board may reduce right upper extremity discomfort attributed to computer use.
机译:目的:本次干预研究的目的是确定另一只小鼠和/或前臂支撑板对上身不适评分的变化和肌肉骨骼疾病的发展。方法:该随机对照干预试验对206名工程师进行了为期一年的随访。参与者被随机分配为接受(1)仅常规鼠标,(2)仅替代鼠标,(3)前臂支撑板,或(4)替代鼠标加前臂支撑板。结果指标包括每周上半身不适评分和事件性肌肉骨骼疾病。结果:在研究过程中,有42名参与者被诊断出患有肌肉骨骼疾病。与没有前臂支撑板的组相比,接受前臂支撑板的组的右上肢不适感有所减轻(β系数-0.35,95%CI -0.67至-0.03)。接受替代小鼠的组对右上肢肌肉骨骼疾病(HR 0.57,95%CI 0.24至1.34)的发病病例有保护性但不显着(p = 0.20)的影响,并且颈部无明显减少与接受传统鼠标的人相比,单肩不适(β系数-0.23,95%CI -0.056至0.10)。结论:在每周使用计算机超过20小时的工程师中,前臂支撑板可减少因使用计算机而引起的右上肢不适。

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