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首页> 外文期刊>Occupational and environmental medicine >Effectiveness of workplace interventions in the prevention of upper extremity musculoskeletal disorders and symptoms: an update of the evidence
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Effectiveness of workplace interventions in the prevention of upper extremity musculoskeletal disorders and symptoms: an update of the evidence

机译：工作场所干预措施对预防上肢肌肉骨骼疾病和症状的有效性：证据更新

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摘要

The burden of disabling musculoskeletal pain and injuries (musculoskeletal disorders, MSDs) arising from work-related causes in many workplaces remains substantial. There is little consensus on the most appropriate interventions for MSDs. Our objective was to update a systematic review of workplace-based interventions for preventing and managing upper extremity MSD (UEMSD). We followed a systematic review process developed by the Institute for Work & Health and an adapted best evidence synthesis. 6 electronic databases were searched (January 2008 until April 2013 inclusive) yielding 9909 non-duplicate references. 26 high-quality and medium-quality studies relevant to our research question were combined with 35 from the original review to synthesise the evidence on 30 different intervention categories. There was strong evidence for one intervention category, resistance training, leading to the recommendation: Implementing a workplace-based resistance training exercise programme can help prevent and manage UEMSD and symptoms. The synthesis also revealed moderate evidence for stretching programmes, mouse use feedback and forearm supports in preventing UEMSD or symptoms. There was also moderate evidence for no benefit for EMG biofeedback, job stress management training, and office workstation adjustment for UEMSD and symptoms. Messages are proposed for both these and other intervention categories.
机译：在许多工作场所中，与工作相关的原因造成的使肌肉骨骼疼痛和伤害（肌肉骨骼疾病，MSD）失能的负担仍然很大。对于MSD的最合适的干预措施尚无共识。我们的目标是对预防和管理上肢MSD（UEMSD）的基于工作场所的干预措施进行系统的回顾。我们遵循了由工作与健康研究所开发的系统审查流程，并采用了最佳的证据综合方法。搜索了6个电子数据库（从2008年1月至2013年4月，包括当年），得到9909个非重复的参考文​​献。与我们的研究问题相关的26项高质量和中等质量研究与原始评论中的35项相结合，综合了30种不同干预类别的证据。有很强的证据表明一种干预类别为抵抗训练，因此建议：实施基于工作场所的抵抗训练计划可以帮助预防和管理UEMSD和症状。该合成还揭示了伸展程序，鼠标使用反馈和前臂支持预防UEMSD或症状的适度证据。也有中等证据表明，肌电图生物反馈，工作压力管理培训以及针对UEMSD和症状的办公室工作站调整均无益处。建议针对这些干预类别和其他类别的消息。

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