| 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. | |
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MedLine Citation:
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PMID: 19885644 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Carol A Kennedy; Benjamin C Amick; Jack T Dennerlein; Shelley Brewer; Starly Catli; Renee Williams; Consol Serra; Fred Gerr; Emma Irvin; Quenby Mahood; Al Franzblau; Dwayne Van Eerd; Bradley Evanoff; David Rempel |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Review |
Journal Detail:
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Title: Journal of occupational rehabilitation Volume: 20 ISSN: 1573-3688 ISO Abbreviation: J Occup Rehabil Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-06-18 Completed Date: 2010-09-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9202814 Medline TA: J Occup Rehabil Country: Netherlands |
Other Details:
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Languages: eng Pagination: 127-62 Citation Subset: IM |
Affiliation:
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The Institute for Work & Health, 481 University Avenue, Toronto, Ontario, Canada. ckennedy@iwh.on.ca |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Humans Musculoskeletal Diseases / prevention & control* Occupational Diseases / prevention & control* Occupational Health* Randomized Controlled Trials as Topic Upper Extremity* Workers' Compensation Workplace |
| Grant Support | |
ID/Acronym/Agency:
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T42 OH008421/OH/NIOSH CDC HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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