Risk Factors for Neck and Upper Extremity Disorders among Computers Users and the Effect of Interventions An Overview of Systematic Reviews 英文参考文献.docVIP
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Risk Factors for Neck and Upper Extremity Disorders among Computers Users and the Effect of Interventions An Overview of Systematic Reviews 英文参考文献
RiskFactorsforNeckandUpperExtremityDisorders
amongComputersUsersandtheEffectofInterventions:
AnOverviewofSystematicReviews
JohanH.Andersen1*,NilsFallentin2,JaneF.Thomsen3,SigurdMikkelsen3
1Danish Ramazzini Centre, Department of Occupational Medicine, Regional Hospital Herning, Herning, Denmark,, 2Center for Physical Ergonomics, Liberty Mutual
ResearchInstituteforSafety,Hopkinton,Massachusetts,UnitedStatesofAmerica,3DepartmentofOccupationalandEnvironmentalMedicine,CopenhagenUniversity
HospitalBispebjerg,Copenhagen,Denmark
Abstract
Background: Tosummarizesystematicreviewsthat1)assessedtheevidenceforcausalrelationshipsbetweencomputer
work and the occurrence of carpal tunnel syndrome (CTS) or upper extremity musculoskeletal disorders (UEMSDs), or 2)
reportedoninterventionstudiesamongcomputerusers/orofficeworkers.
Methodology/Principal Findings: PubMed, Embase, CINAHL and Web of Science were searched for reviews published
between1999and2010.Additionalpublicationswereprovidedbycontentareaexperts.Theprimaryauthorextractedall
data using a purpose-built form, while two of the authors evaluated the quality of the reviews using recommended
standard criteria from AMSTAR; disagreements were resolved by discussion. The quality of evidence syntheses in the
includedreviewswasassessedqualitativelyforeachoutcomeandfortheinterventions. Altogether,1,349reviewtitleswere
identified, 47 reviews were retrieved for full text relevance assessment, and 17 reviews were finally included as being
relevantandofsufficientquality.Thedegreesoffocusandrigorousnessofthese17reviewswerehighlyvariable.Three
reviewsonriskfactorsforcarpaltunnelsyndromewereratedmoderatetohighquality,8reviewsonriskfactorsforUEMSDs
rangedfromlowtomoderate/highquality,and6reviewsoninterventionstudieswereofmoderatetohighquality.The
qualityoftheevidenceforcomputeruseasariskfactorforCTSwasinsufficient,whiletheevidenceforcomputeruseand
UEMSDswasmoderateregardingpaincomplaintsandlimitedforspecificmusculoskeletaldisorders.From
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