risk factors for neck and upper extremity disorders among computers users and the effect of interventions an overview of systematic reviews颈部和上肢障碍的风险因素在电脑用户和干预措施的效果系统评价的概述.pdfVIP
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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颈部和上肢障碍的风险因素在电脑用户和干预措施的效果系统评价的概述
Risk Factors for Neck and Upper Extremity Disorders
among Computers Users and the Effect of Interventions:
An Overview of Systematic Reviews
1 2 3 3
Johan H. Andersen *, Nils Fallentin , Jane F. Thomsen , Sigurd Mikkelsen
1 Danish Ramazzini Centre, Department of Occupational Medicine, Regional Hospital Herning, Herning, Denmark,, 2 Center for Physical Ergonomics, Liberty Mutual
Research Institute for Safety, Hopkinton, Massachusetts, United States of America, 3 Department of Occupational and Environmental Medicine, Copenhagen University
Hospital Bispebjerg, Copenhagen, Denmark
Abstract
Background: To summarize systematic reviews that 1) assessed the evidence for causal relationships between computer
work and the occurrence of carpal tunnel syndrome (CTS) or upper extremity musculoskeletal disorders (UEMSDs), or 2)
reported on intervention studies among computer users/or office workers.
Methodology/Principal Findings: PubMed, Embase, CINAHL and Web of Science were searched for reviews published
between 1999 and 2010. Additional publications were provided by content area experts. The primary author extracted all
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
included reviews was assessed qualitatively for each outcome and for the interventions. Altogether, 1,349 review titles were
identified, 47 reviews were retrieved for full text relevance assessment, and 17 reviews were finally included as being
relevant and of sufficient quality. The degrees of focus and rigorousness of these 17 reviews were highly variable. Three
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