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Journal of Occupational Rehabilitation

, Volume 20, Issue 2, pp 127–162 | Cite as

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

  • Carol A. KennedyEmail author
  • Benjamin C. Amick III
  • 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
Article

Abstract

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.

Keywords

Upper extremity musculoskeletal disorders Occupational health and safety interventions Systematic review 

Notes

Acknowledgments

The authors wish to thank: Rachel Couban and Dan Shannon for obtaining bibliographic information and other materials; Kiera Keown and Katherine Russo for their editorial advice; and Shanti Raktoe for administrative support. Shelley Brewer was supported by an Occupational Injury Prevention Training Grant (T42 OH008421) from the National Institute for Occupational Safety and Health. This research was supported by funds provided by the Workplace Safety and Insurance Board of Ontario.

References

  1. 1.
    Hagberg M, Silverstein B, Wells R, Smith MJ, Hendrick HW, Carayon P, et al. Work related musculoskeletal disorders (WMSDs): a reference book for prevention. London: Taylor & Francis; 1995.Google Scholar
  2. 2.
    De Kraker H, Blatter BM. Prevalentiecijfers van RSI-klachten en het voorkomen van risicofactoren in 15 Europese landen [prevalence of RSI-complaints and the occurrence of risk factors in 15 European countries]. Tijdschr Gezondheidsw. 2005;83:8–15. (Dutch).Google Scholar
  3. 3.
    Tate DG. Workers’ disability and return to work. Am J Phys Med Rehabil. 1992;71(2):92–6.PubMedGoogle Scholar
  4. 4.
    Fulton-Kehoe D, Franklin G, Weaver M, Cheadle A. Years of productivity lost among injured workers in Washington state: modeling disability burden in workers’ compensation. Am J Ind Med. 2000;37:656–62.PubMedGoogle Scholar
  5. 5.
    Hashemi L, Webster BS, Clancy EA, Courtney TK. Length of disability and cost of work-related musculoskeletal disorders of the upper extremity. JOEM. 1998;40(3):261–9.PubMedGoogle Scholar
  6. 6.
    Bongers PM, Ijmker S, van den HS, Blatter BM. Epidemiology of work related neck and upper limb problems: psychosocial and personal risk factors (part I) and effective interventions from a bio behavioural perspective (part II). J Occup Rehabil. 2006;16(3):279–302.PubMedGoogle Scholar
  7. 7.
    Van Der Windt DA, Thomas E, Pope DP, de Winter AF, Macfarlane GJ, Bouter LM, et al. Occupational risk factors for shoulder pain: a systematic review. Occup Environ Med. 2000;57(7):433–42.PubMedGoogle Scholar
  8. 8.
    Boocock MG, McNair PJ, Larmer PJ, Armstrong B, Collier J, Simmonds M, et al. Interventions for the prevention and management of neck/upper extremity musculoskeletal conditions: a systematic review. Occup Environ Med. 2007;64(5):291–303.PubMedGoogle Scholar
  9. 9.
    Crawford JO, Laiou E. Conservative treatment of work-related upper limb disorders: a review. Occup Med (Lond). 2007;57(1):4–17.Google Scholar
  10. 10.
    Karjalainen KA, Malmivaara AO, Van Tulder MW, Roine RP, Jauhiainen S, Hurri HO, et al. Biopsychosocial rehabilitation for repetitive-strain injuries among working-age adults. Scand J Work Environ Health. 2000;26(5):373–81.PubMedGoogle Scholar
  11. 11.
    Karjalainen K, Malmivaara A, van Tulder M, Roine R, Jauhiainen M, Hurri H, et al. Multidisciplinary biopsychosocial rehabilitation for neck and shoulder pain among working age adults. Cochrane Database Syst Rev. 2000;3:CD002194.PubMedGoogle Scholar
  12. 12.
    Karjalainen K, Malmivaara A, van Tulder M, Roine R, Jauhiainen M, Hurri H, et al. Biopsychosocial rehabilitation for upper limb repetitive strain injuries in working age adults. Cochrane Database Syst Rev. 2000;3:CD002269.PubMedGoogle Scholar
  13. 13.
    Konijnenberg HS, de Wilde NS, Gerritsen AA, Van Tulder MW, de Vet HC. Conservative treatment for repetitive strain injury. Scand J Work Environ Health. 2001;27(5):299–310.PubMedGoogle Scholar
  14. 14.
    Lincoln AE, Vernick JS, Ogaitis S, Smith GS, Mitchell CS, Agnew J. Interventions for the primary prevention of work-related carpal tunnel syndrome. Am J Prev Med. 2000;18(4S):37–50.PubMedGoogle Scholar
  15. 15.
    Verhagen AP, Bierma-Zeinstra SM, Feleus A, Karels C, Dahaghin S, Burdorf L, et al. Ergonomic and physiotherapeutic interventions for treating upper extremity work related disorders in adults. Cochrane Database Syst Rev. 2004;1:CD003471.PubMedGoogle Scholar
  16. 16.
    Verhagen AP, Karels C, Bierma-Zeinstra SM, Feleus A, Dahaghin S, Burdorf A, et al. Exercise proves effective in a systematic review of work-related complaints of the arm, neck, or shoulder. J Clin Epidemiol. 2007;60(2):110–7.PubMedGoogle Scholar
  17. 17.
    Williams RM, Westmorland MG, Schmuck G, MacDermid JC. Effectiveness of workplace rehabilitation interventions in the treatment of work-related upper extremity disorders: a systematic review. J Hand Ther. 2004;17(2):267–73.PubMedGoogle Scholar
  18. 18.
    Brewer S, Eerd DV, Amick BC 3rd, Irvin E, Daum KM, Gerr F, et al. Workplace interventions to prevent musculoskeletal and visual symptoms and disorders among computer users: a systematic review. J Occup Rehabil. 2006;16(3):325–58.PubMedGoogle Scholar
  19. 19.
    Van Eerd D, Brewer S, Amick BC 3rd, Irvin E, Daum K, Gerr F, et al. Workplace interventions to prevent musculoskeletal and visual symptoms and disorders among computer users: a systematic review. Toronto: Institute for Work & Health; 2006.Google Scholar
  20. 20.
    da Costa BR, Vieira ER. Stretching to reduce work-related musculoskeletal disorders: a systematic review. J Rehabil Med. 2008;40(5):321–8.PubMedGoogle Scholar
  21. 21.
    Bos EH, Krol B, Van Der SA, Groothoff JW. The effects of occupational interventions on reduction of musculoskeletal symptoms in the nursing profession. Ergonomics. 2006;49(7):706–23.PubMedGoogle Scholar
  22. 22.
    Westgaard RH, Winkel J. Ergonomic intervention research for improved musculoskeletal health: a critical review. Int J Ind Ergon. 1997;20:463–500.Google Scholar
  23. 23.
    Verhagen AP, Karels C, Bierma-Zeinstra SM, Burdorf L, Feleus A, Dahaghin S, et al. Ergonomic and physiotherapeutic interventions for treating work-related complaints of the arm, neck or shoulder in adults. Cochrane Database Syst Rev. 2006;3:CD003471.PubMedGoogle Scholar
  24. 24.
    Slavin RE. Best evidence synthesis: an intelligent alternative to meta-analysis. J Clin Epidemiol. 1995;48(1):9–18.PubMedGoogle Scholar
  25. 25.
    Reeves S, Koppel I, Barr H, Freeth D, Hammick M. Twelve tips for undertaking a systematic review. Med Teach. 2002;24(4):358–63.PubMedGoogle Scholar
  26. 26.
    Brewer S, King E, Amick B, Delclos G, Spear J, Irvin E, et al. A systematic review of injury/illness prevention and loss control programs (IPC). Toronto: Institute for Work & Health; 2007.Google Scholar
  27. 27.
    Tompa E, Dolinschi R, de Oliveira C, Irvin E. Review of OHS interventions with economic evaluations. Toronto: Institute for Work & Health; 2007.Google Scholar
  28. 28.
    (28) Cochrane Collaboration [Internet]. Oxford, UK: Cochrane Collaboration. The Cochrane Manual; 2008 [cited 2008 July]. Available from: http://www.cochrane.org/admin/manual.htm.
  29. 29.
    Beaton DE, Bombardier C, Cole DC, Hogg-Johnson S, Van Eerd D. A pattern recognition approach to the development of a classification system for upper-limb musculoskeletal disorders of workers. Scand J Work Environ Health. 2007;33(2):131–40.PubMedGoogle Scholar
  30. 30.
    Boiselle PM, Levine D, Horwich PJ, Barbaras L, Siegal D, Shillue K, et al. Repetitive stress symptoms in radiology: prevalence and response to ergonomic interventions. J Am Coll Radiol. 2008;5(8):919–23.PubMedGoogle Scholar
  31. 31.
    Conlon CF, Krause N, Rempel DM. A randomised controlled trial evaluating an alternative mouse and forearm support on upper body discomfort and musculoskeletal disorders among engineers. Occup Environ Med. 2008;65(5):311–8.PubMedGoogle Scholar
  32. 32.
    TrialStat Corporation [Internet]. Ottawa, ON: TrialStat Corporation; 2001–2009. Systematic Review Software (SRS); [cited 2008 July]. Available from: www.trialstat.com.
  33. 33.
    Agency for Healthcare Research and Quality [Internet]. Rockville, MD: Agency for Healthcare Research and Quality. [revised 2007 Oct 24; cited 2008 July]. Available from: http://www.ahrq.gov/.
  34. 34.
    Shadish WR, Cook TD, Campbell DT. Experimental and quasi-experimental designs for generalized causal inference. Boston: Houghton Mifflin; 2002.Google Scholar
  35. 35.
    Franche R, Cullen K, Clarke J, Irvin E, Sinclair S, Frank J, et al. Workplace-based return-to-work interventions: a systematic review of the quantitative literature. J Occup Rehabil. 2005;15(4):607–31.PubMedGoogle Scholar
  36. 36.
    Amick BC, Tullar JM, Irvin E, Mahood Q, Pompeii L, Wang A, et al. Interventions in health-care settings to protect musculoskeletal health: a systematic review: full report. Toronto: Institute for Work & Health; 2006.Google Scholar
  37. 37.
    Tompa E, de Oliveira C, Dolinschi R, Irvin E. A systematic review of disability management interventions with economic evaluations. J Occup Rehabil. 2008;18(1):16–26.PubMedGoogle Scholar
  38. 38.
    Côté P, Cassidy JD, Carroll L, Frank JW, Bombardier C. A systematic review of the prognosis of acute whiplash and a new conceptual framework to synthesize the literature. Spine. 2001;26(19):E445–58.PubMedGoogle Scholar
  39. 39.
    Cooper H, Hedges LV. The handbook of research synthesis. New York: Russell Sage Foundation; 1994.Google Scholar
  40. 40.
    Tompa E, Trevithick S, McLeod C. Systematic review of the prevention incentives of insurance and regulatory mechanisms for occupational health and safety. Scand J Work Environ Health. 2007;33(2):85–95.PubMedGoogle Scholar
  41. 41.
    Kristensen TS. Intervention studies in occupational epidemiology. Occup Environ Med. 2005;62(3):205–10.PubMedGoogle Scholar
  42. 42.
    Aaras A, Horgen G, Bjorset HH, Ro O, Walsoe H, Horgen G. Musculoskeletal, visual and psychosocial stress in VDU operators before and after multidisciplinary ergonomic interventions. A 6 years prospective study-part II. Appl Ergon. 2001;32(6):559–71.PubMedGoogle Scholar
  43. 43.
    Aaras A, Horgen B, Bjorset HH, Ro O, Thoresen M. Musculoskeletal, visual and psychosocial stress in VDU operators before and after multidisciplinary ergonomic interventions. Appl Ergon. 1998;29(5):335–54.PubMedGoogle Scholar
  44. 44.
    Aaras A, Ro O, Thorensen M. Can a more neutral position of the forearm when operating a computer mouse reduce the pain level for visual display unit operators? A prospective epidemiological intervention study. Int J Hum Comput Interact. 1999;11(2):79–94.Google Scholar
  45. 45.
    Aaras A, Dainoff M, Ro O, Thoresen M. Can a more neutral position of the forearm when operating a computer mouse reduce the pain level for visual display unit operators? A prospective epidemiological intervention study: part II. Int J Hum Comput Interact. 2001;13(1):13–40.Google Scholar
  46. 46.
    Aaras A, Dainoff M, Thorensen M. Can a more neutral position of the forearm when operating a computer mouse reduce the pain level for VDU operators? Int J Ind Ergon. 2002;30(4–5):307–24.Google Scholar
  47. 47.
    Horgen G, Aaras A, Dainoff MJ, Konarska M, Thoresen M, Cohen BG, et al. A cross-country comparison of short- and long-term effects of an ergonomic intervention on musculoskeletal discomfort, eyestrain and psychosocial stress in VDT operators: selected aspects of the international project. Int J Occup Saf Ergon. 2005;11(1):77–92.PubMedGoogle Scholar
  48. 48.
    Konarska M, Wolska A, Widerszal-Bazyl M, Roman-Lui D, Aaras A. The effect of an ergonomic intervention on musculoskeletal, psychosocial, and visual strain of VDT data entry work: the polish part of the international study. Int J Occup Saf Ergon. 2005;11(1):65–76.PubMedGoogle Scholar
  49. 49.
    Dainoff MJ, Cohen BG, Dainoff MH. The effect of an ergonomic intervention on musculoskeletal, psychosocial, and visual strain of VDT data entry work: the United States part of the international study. Int J Occup Saf Ergon. 2005;11(1):49–63.PubMedGoogle Scholar
  50. 50.
    Aaras A, Horgen G, Ro O, Loken E, Mathiasen G, Bjorset HH, et al. The effect of an ergonomic intervention on musculoskeletal, psychosocial and visual strain of VDT data entry work: the Norwegian part of the international study. Int J Occup Saf Ergon. 2005;11(1):25–47.PubMedGoogle Scholar
  51. 51.
    Bohr PC. Efficacy of office ergonomics education. J Occup Rehabil. 2000;10(4):243–56.Google Scholar
  52. 52.
    Bohr PC. Office ergonomics education: a comparison of traditional and participatory methods. Work. 2002;19(2):185–91.PubMedGoogle Scholar
  53. 53.
    Martin SA, Irvine JL, Fluharty K, Gatty CM. A comprehensive work injury prevention program with clerical and office workers: phase I. Work. 2003;21(2):185–96.PubMedGoogle Scholar
  54. 54.
    Gatty CM. A comprehensive work injury prevention program with clerical and office workers: phase II. Work. 2004;23(2):131–7.PubMedGoogle Scholar
  55. 55.
    Lagerstrom M, Josephson M, Pingel B, Tjernstrom G, Hagberg M. Evaluation of the implementation of an education and training programme for nursing personnel at a hospital in Sweden. Int J Ind Ergon. 1998;21(1):79–90.Google Scholar
  56. 56.
    Lagerstrom M, Hagberg M. Evaluation of a 3 year education and training program: for nursing personnel at a Swedish hospital. AAOHN J. 1997;45(2):83–92.PubMedGoogle Scholar
  57. 57.
    Laing AC, Cole DC, Theberge N, Wells RP, Kerr MS, Frazer MB. Effectiveness of a participatory ergonomics intervention in improving communication and psychosocial exposures. Ergonomics. 2007;50(7):1092–109.PubMedGoogle Scholar
  58. 58.
    Laing AC, Frazer MB, Cole DC, Kerr MS, Wells RP, Norman RW. Study of the effectiveness of a participatory ergonomics intervention in reducing worker pain severity through physical exposure pathways. Ergonomics. 2005;48(2):150–70.PubMedGoogle Scholar
  59. 59.
    Vink P, Kompier MA. Improving office work: a participatory ergonomic experiment in a naturalistic setting. Ergonomics. 1997;40(4):435–49.PubMedGoogle Scholar
  60. 60.
    Vink P, Peeters M, Grundemann RW, Smulders PG, Kompier MA, Dul J. A participatory ergonomics approach to reduce mental and physical workload. Int J Ind Ergon. 1995;15(5):389–96.Google Scholar
  61. 61.
    Hladky A, Prochazka B. Effects of using screen filters on visual and musculoskeletal complaints in VDU workers. Pracovni Lekarstvi. 1998; 50(3):129–33 (Czech).Google Scholar
  62. 62.
    Conlon CF, Krause N, Rempel DM. A randomized controlled trial evaluating an alternative mouse and forearm support on upper body discomfort and musculoskeletal disorders among engineers. Occup Environ Med. 2007;65(5):311–8.PubMedGoogle Scholar
  63. 63.
    Faucett J, Garry M, Nadler D, Ettare D. A test of two training interventions to prevent work-related musculoskeletal disorders of the upper extremity. Appl Ergon. 2002;33(4):337–47.PubMedGoogle Scholar
  64. 64.
    Feuerstein M, Nicholas RA, Huang GD, Dimberg L, Ali D, Rogres H. Job stress management and ergonomic intervention for work-related upper extremity symptoms. Appl Ergon. 2004;35(6):565–74.PubMedGoogle Scholar
  65. 65.
    Gerr F, Marcus M, Monteilh C, Hannan L, Ortiz D, Kleinbaum D. A randomised controlled trial of postural interventions for prevention of musculoskeletal symptoms among computer users. Occup Environ Med. 2005;62(7):478–87.PubMedGoogle Scholar
  66. 66.
    Horneij E, Hemborg B, Jensen I, Ekdahl C. No significant differences between intervention programmes on neck, shoulder and low back pain: a prospective randomized study among home-care personnel. J Rehabil Med. 2001;33(4):170–6.PubMedGoogle Scholar
  67. 67.
    Ketola R, Toivonen R, Hakkanen M, Luukkonen R, Takala EP, Viikari-Juntura E, et al. Effects of ergonomic intervention in work with video display units. Scand J Work Environ Health. 2002;28(1):18–24.PubMedGoogle Scholar
  68. 68.
    Lundblad I, Elert J, Gerdle B. Randomized controlled trial of physiotherapy and Feldenkrais interventions in female workers with neck-shoulder complaints. J Occup Rehabil. 1999;9(3):179–94.Google Scholar
  69. 69.
    Pillastrini P, Mugnai R, Franeti C, Bertozzi L, Bonfiglioli R, Curti S, et al. Evaluation of two preventive interventions for reducing musculoskeletal complaints in operators of video display terminals. Phys Ther. 2007;87(5):536–44.PubMedGoogle Scholar
  70. 70.
    Rempel D, Tittiranonda P, Burastero S, Hudes M, So Y. Effect of keyboard keyswitch design on hand pain. J Occup Environ Med. 1999;41(2):111–9.PubMedGoogle Scholar
  71. 71.
    Rempel DM, Krause N, Goldberg R, Benner D, Hudes M, Goldner GU. A randomised controlled trial evaluating the effects of two workstation interventions on upper body pain and incident musculoskeletal disorders among computer operators. Occup Environ Med. 2006;63(5):300–6.PubMedGoogle Scholar
  72. 72.
    Rempel DM, Wang PC, Janowitz I, Harrison RJ, Yu F, Ritz BR. A randomized controlled trial evaluating the effects of new task chairs on shoulder and neck pain among sewing machine operators: the Los Angeles garment study. Spine. 2007;32(9):931–8.PubMedGoogle Scholar
  73. 73.
    Sjogren T, Nissen KJ, Jarvenpaa SK, Ojanen MT, Vanharanta H, Malkia EA. Effects of a workplace physical exercise intervention on the intensity of headache and neck and shoulder symptoms and upper extremity muscular strength of office workers: a cluster randomized controlled cross-over trial. Pain. 2005;116(1–2):119–28.PubMedGoogle Scholar
  74. 74.
    Voerman GE, Sandsjo L, Vollenbroek-Hutten MM, Larsman P, Kadefors R, Hermens HJ. Effects of ambulant myofeedback training and ergonomic counselling in female computer workers with work-related neck-shoulder complaints: a randomized controlled trial. J Occup Rehabil. 2007;17(1):137–52.PubMedGoogle Scholar
  75. 75.
    Alexandre NM, De Moraes MA, Correa FH, Jorge SA. Evaluation of a program to reduce back pain in nursing personnel. Rev Saude Publica. 2001;35(4):356–61.PubMedGoogle Scholar
  76. 76.
    Brisson C, Montreuil S, Punnett L. Effects of an ergonomic training program on workers with video display units. Scand J Work Environ Health. 1999;25(3):255–63.PubMedGoogle Scholar
  77. 77.
    Cook C, Burgess-Limerick R. The effect of forearm support on musculoskeletal discomfort during call centre work. Appl Ergon. 2004;35(4):337–42.PubMedGoogle Scholar
  78. 78.
    Coury HJ. Self-administered preventive programme for sedentary workers: reducing musculoskeletal symptoms or increasing awareness? Appl Ergon. 1998;29(6):415–21.PubMedGoogle Scholar
  79. 79.
    Fredriksson K, Bildt C, Hagg G, Kilbom A. The impact on musculoskeletal disorders of changing physical and psychosocial work environment conditions in the automobile industry. Int J Ind Ergon. 2001;28(1):31–45.Google Scholar
  80. 80.
    Galinsky TL, Swanson NG, Sauter SL, Hurrell JJ, Schleifer LM. A field study of supplementary rest breaks for data-entry operators. Ergonomics. 2000;43(5):622–38.PubMedGoogle Scholar
  81. 81.
    Galinsky T, Swanson N, Sauter S, Dunkin R, Hurrell J, Schleifer L. Supplementary breaks and stretching exercises for data entry operators: a follow-up field study. Am J Ind Med. 2007;50(7):519–27.PubMedGoogle Scholar
  82. 82.
    Greene BL, DeJoy DM, Olejnik S. Effects of an active ergonomics training program on risk exposure, worker beliefs, and symptoms in computer users. Work. 2005;24(1):41–52.PubMedGoogle Scholar
  83. 83.
    Hedge A, Morimoto S, Mccrobie D. Effects of keyboard tray geometry on upper body posture and comfort. Ergonomics. 1999;42(10):1333–49.PubMedGoogle Scholar
  84. 84.
    Kamwendo K, Linton SJ. A controlled study of the effect of neck school in medical secretaries. Scand J Rehabil Med. 1991;23(3):143–52.PubMedGoogle Scholar
  85. 85.
    Leclerc A, Landre M, Pietri F, Beaudoin M, David S. Evaluation of interventions for prevention of back, neck, and shoulder disorders in three occupational groups. Int J Occup Environ Health. 1997;3(1):5–12.PubMedGoogle Scholar
  86. 86.
    Lemstra M, Olszynski WP. The effectiveness of standard care, early intervention, and occupational management in worker’s compensation claims. Spine. 2003;28(3):299–304.PubMedGoogle Scholar
  87. 87.
    Lin R-T, Chan C-C. Effectiveness of workstation design on reducing musculoskeletal risk factors and symptoms among semiconductor fabrication room workers. Int J Ind Ergon. 2007;37(1):35–42.Google Scholar
  88. 88.
    Lintula M, Nevala-Puranen N, Louhevaara V. Effects of Ergorest arm supports on muscle strain and wrist positions during the use of the mouse and keyboard in work with visual display units: a work site intervention. Int J Occup Saf Ergon. 2001;7(1):103–16.PubMedGoogle Scholar
  89. 89.
    Luijsterburg PA, Bongers PM, de Vroome EM. A new bricklayers’ method for use in the construction industry. Scand J Work Environ Health. 2005;31(5):394–400.PubMedGoogle Scholar
  90. 90.
    McLean L, Tingley M, Scott RN, Rickards J. Computer terminal work and the benefit of microbreaks. Appl Ergon. 2001;32(3):225–37.PubMedGoogle Scholar
  91. 91.
    Mekhora K, Liston CB, Nanthavanij S, Cole JH. The effect of ergonomic intervention on discomfort in computer users with tension neck syndrome. Int J Ind Ergon. 2000;26(3):367–79.Google Scholar
  92. 92.
    Nevala-Puranen N, Pakarinen K, Louhevaara V. Ergonomic intervention on neck, shoulder and arm symptoms of newspaper employees in work with visual display units. Int J Ind Ergon. 2003;31(1):1–10.Google Scholar
  93. 93.
    Peper E, Gibney KH, Wilson VE. Group training with healthy computing practices to prevent repetitive strain injury (RSI): a preliminary study. Appl Psychophysiol Biofeedback. 2004;29(4):279–87.PubMedGoogle Scholar
  94. 94.
    Ripat J, Scatliff T, Giesbrecht E, Quanbury A, Friesen M, Kelso S. The effect of alternate style keyboards on severity of symptoms and functional status of individuals with work related upper extremity disorders. J Occup Rehabil. 2006;16(4):707–18.PubMedGoogle Scholar
  95. 95.
    Takala EP, Viikari-Juntura E, Tynkkynen EM. Does group gymnastics at the workplace help in neck pain? A controlled study. Scand J Rehabil Med. 1994;26(1):17–20.PubMedGoogle Scholar
  96. 96.
    Thomas RE, Vaidya SC, Herrick RT, Congleton JJ. The effects of biofeedback on carpal tunnel syndrome. Ergonomics. 1993;36(4):353–61.PubMedGoogle Scholar
  97. 97.
    Tittiranonda P, Rempel D, Armstrong T, Burastero S. Effect of four computer keyboards in computer users with upper extremity musculoskeletal disorders. Am J Ind Med. 1999;35(6):647–61.PubMedGoogle Scholar
  98. 98.
    Tsauo JY, Lee HY, Hsu JH, Chen CY, Chen CJ. Physical exercise and health education for neck and shoulder complaints among sedentary workers. J Rehabil Med. 2004;36(6):253–7.PubMedGoogle Scholar
  99. 99.
    van den Heuvel SG, de Looze MP, Hildebrandt VH, The KH. Effects of software programs stimulating regular breaks and exercises on work-related neck and upper-limb disorders. Scand J Work Environ Health. 2003;29(2):106–16.PubMedGoogle Scholar
  100. 100.
    Van Der Molen HF, Grouwstra R, Kuijer PP, Sluiter JK, Frings-Dresen M. Efficacy of adjusting working height and mechanizing of transport on physical work demands and local discomfort in construction work. Ergonomics. 2004;47(7):772–83.PubMedGoogle Scholar
  101. 101.
    Veiersted KB, Gould KS, Hansson GA. Effect of an intervention addressing working technique on the biomechanical load of the neck and shoulders among hairdressers. Appl Ergon. 2008;39(2):183–90.PubMedGoogle Scholar
  102. 102.
    Wahlstedt KG, Nygard CH, Kemmlert K, Torgen M, Bjorksten MG. The effects of a change in work organization upon the work environment and musculoskeletal symptoms among letter carriers. Int J Occup Saf Ergon. 2000;6(2):237–55.PubMedGoogle Scholar
  103. 103.
    Whysall Z, Haslam C, Haslam R. A stage of change approach to reducing occupational ill health. Prev Med. 2006;43(5):422–8.PubMedGoogle Scholar
  104. 104.
    Yassi A, Cooper JE, Tate RB, Gerlach S, Muir M, Trottier J, et al. A randomized controlled trial to prevent patient lift and transfer injuries of health care workers. Spine. 2001;26(16):1739–46.PubMedGoogle Scholar
  105. 105.
    Aaras A. Postural load and the development of musculo-skeletal illness. Scand J Rehabil Med Suppl. 1987;18:5–35.PubMedGoogle Scholar
  106. 106.
    Aaras A. Relationship between trapezius load and the incidence of musculoskeletal illness in the neck and shoulder. Int J Ind Ergon. 1994;14:341–8.Google Scholar
  107. 107.
    Aiba Y, Ohshiba S, Ishizuka H, Sakamoto K, Morioka I, Miyashita K, et al. A study on the effects of countermeasures for vibrating tool workers using an impact wrench. Ind Health. 1999;37(4):426–31.PubMedGoogle Scholar
  108. 108.
    Bayeh AD, Smith MJ. Effect of physical ergonomics on VDT workers’ health: a longitudinal intervention field study in a service organization. Int J Human Comput Interact. 1999;11(2):109–35.Google Scholar
  109. 109.
    Bernacki EJ, Guidera JA, Schaefer JA, Lavin RA, Tsai SP. An ergonomics program designed to reduce the incidence of upper extremity work related musculoskeletal disorders. J Occup Environ Med. 1999;41(12):1032–41.PubMedGoogle Scholar
  110. 110.
    Bru E, Mykletun RJ, Berge WT, Svebak S. Effects of different psychological interventions on neck, shoulder and low back pain in female hospital staff. Psychol Health. 1994;9(5):371–82.Google Scholar
  111. 111.
    Caple D, Moody H. Cut-resistant gloves in the meat industry. J Occup Health Saf Aust NZ. 2001;17(2):153–62.Google Scholar
  112. 112.
    Chatterjee DS. Workplace upper limb disorders: a prospective study with intervention. Occup Med (Lond). 1992;42(3):129–36.Google Scholar
  113. 113.
    Christmansson M, Friden J, Sollerman C. Task design, psycho-social work climate and upper extremity pain disorders—effects of an organisational redesign on manual repetitive assembly jobs. Appl Ergon. 1999;30(5):463–72.PubMedGoogle Scholar
  114. 114.
    Cole DC, Hogg-Johnson S, Manno M, Ibrahim S, Wells RP, Ferrier SE, et al. Reducing musculoskeletal burden through ergonomic program implementation in a large newspaper. Int Arch Occup Environ Health. 2006;80(2):98–108.PubMedGoogle Scholar
  115. 115.
    Daerga L, Edin-Liljegren A, Sjolander P. Work-related musculoskeletal pain among reindeer herding Sami in Sweden—a pilot study on causes and prevention. Int J Circumpolar Health. 2004;63(Suppl 2):343–8.PubMedGoogle Scholar
  116. 116.
    Dalkilinc M, Bumin G, Kayihan H. The effects of ergonomic training and preventive physiotherapy in musculo-skeletal pain. Pain Clin. 2002;14(1):75–9.Google Scholar
  117. 117.
    Demure B, Mundt KA, Bigelow C, Luippold RS, Ali D, Liese B. Video display terminal workstation improvement program: II. Ergonomic intervention and reduction of musculoskeletal discomfort. J Occup Environ Med. 2000;42(8):792–7.PubMedGoogle Scholar
  118. 118.
    Evanoff BA, Bohr PC, Wolf LD. Effects of a participatory ergonomics team among hospital orderlies. Am J Ind Med. 1999;35(4):358–65.PubMedGoogle Scholar
  119. 119.
    Fernstrom EA, Aborg CM. Alterations in shoulder muscle activity due to changes in data entry organisation. Int J Ind Ergon. 1999;23(3):231–40.Google Scholar
  120. 120.
    Feuerstein M, Marshall L, Shaw WS, Burrell LM. Multicomponent intervention for work-related upper extremity disorders. J Occup Rehabil. 2000;10(1):71–83.Google Scholar
  121. 121.
    Grunert BK, Matloub HS, Sanger JR, Yousif NJ. Treatment of posttraumatic stress disorder after work-related hand trauma. J Hand Surg Am. 1990;15(3):511–5.PubMedGoogle Scholar
  122. 122.
    Haig AJ, Linton P, McIntosh M, Moneta L, Mead PB. Aggressive early medical management by a specialist in physical medicine and rehabilitation: effect on lost time due to injuries in hospital employees. J Occup Med. 1990;32(3):241–4.PubMedGoogle Scholar
  123. 123.
    Herbert R, Dropkin J, Warren N, Sivin D, Doucette J, Kellogg L, et al. Impact of a joint labor-management ergonomics program on upper extremity musculoskeletal symptoms among garment workers. Appl Ergon. 2001;32(5):453–60.PubMedGoogle Scholar
  124. 124.
    Jensen LK, Friche C. Effects of training to implement new tools and working methods to reduce knee load in floor layers. Appl Ergon. 2007;38(5):655–65.PubMedGoogle Scholar
  125. 125.
    Jones RJ. Corporate ergonomics program of a large poultry processor. Am Ind Hyg Assoc J. 1997;58(2):132–7.Google Scholar
  126. 126.
    Lewis RJ, Fogleman M, Deeb J, Crandall E, Agopsowicz D. Effectiveness of a VDT ergonomics training program. Int J Ind Ergon. 2001;27(2):119–31.Google Scholar
  127. 127.
    Li J, Wolf L, Evanoff B. Use of mechanical patient lifts decreased musculoskeletal symptoms and injuries among health care workers. Inj Prev. 2004;10(4):212–6.PubMedGoogle Scholar
  128. 128.
    McKenzie F, Storment J, Van Hook P, Armstrong TJ. A program for control of repetitive trauma disorders associated with hand tool operations in a telecommunications manufacturing facility. Am Ind Hyg Assoc J. 1985;46(11):674–8.PubMedGoogle Scholar
  129. 129.
    Moore JS. Flywheel truing—a case study of an ergonomic intervention. Am Ind Hyg Assoc J. 1994;55(3):236–44.Google Scholar
  130. 130.
    Nelson NA, Silverstein BA. Workplace changes associated with a reduction in musculoskeletal symptoms in office workers. Hum Factors. 1998;40(2):337–50.PubMedGoogle Scholar
  131. 131.
    Orgel DL, Milliron MJ, Frederick LJ. Musculoskeletal discomfort in grocery express checkstand workers. An ergonomic intervention study. J Occup Med. 1992;34(8):815–8.PubMedGoogle Scholar
  132. 132.
    Ronald LA, Yassi A, Spiegel J, Tate RB, Tait D, Mozel MR. Effectiveness of installing overhead ceiling lifts. Reducing musculoskeletal injuries in an extended care hospital unit. AAOHN J. 2002;50(3):120–7.PubMedGoogle Scholar
  133. 133.
    Shute SJ, Starr SJ. Effects of adjustable furniture on VDT users. Hum Factors. 1984;26(2):157–70.PubMedGoogle Scholar
  134. 134.
    Silverstein BA, Armstrong TJ, Longmate A, Woody D. Can in-plant exercise control musculoskeletal symptoms? J Occup Med. 1988;30(12):922–7.PubMedGoogle Scholar
  135. 135.
    Stevenson MG, Coleman N, Long AF, Williamson AM. Assessment, re-design and evaluation of changes to the driver’s cab in a suburban electric train. Appl Ergon. 2000;31(5):499–506.PubMedGoogle Scholar
  136. 136.
    Torma-Krajewski J, Steiner L, Lewis P, Gust P, Johnson K. Implementation of an ergonomics process at a US surface coal mine. Int J Ind Ergon. 2007;37(2):157–67.Google Scholar
  137. 137.
    Trevelyan FC, Haslam RA. Musculoskeletal disorders in a handmade brick manufacturing plant. Int J Ind Ergon. 2001;27(1):43–55.Google Scholar
  138. 138.
    Vasseljen O Jr, Johansen BM, Westgaard RH. The effect of pain reduction on perceived tension and EMG-recorded trapezius muscle activity in workers with shoulder and neck pain. Scand J Rehabil Med. 1995;27(4):243–52.PubMedGoogle Scholar
  139. 139.
    Vink P, Urlings IJM, Van Der Molen HF. A participatory ergonomics approach to redesign work of scaffolders. Saf Sci. 1997;26(1–2):75–85.Google Scholar
  140. 140.
    Wergeland EL, Veiersted B, Ingre M, Olsson B, Akerstedt T, Bjornskau T, et al. A shorter workday as a means of reducing the occurrence of musculoskeletal disorders. Scand J Work Environ Health. 2003;29(1):27–34.PubMedGoogle Scholar
  141. 141.
    Amick BC, Kennedy CA, Dennerlein JT, Brewer S, Catli S, Williams R, et al. 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 [Internet]. Toronto: Institute for Work & Health; 2008 [cited 2009 July 28]. Available from: http://www.iwh.on.ca/sys-reviews/upper-extremity-musculoskeletal-interventions.
  142. 142.
    Heaney CA, Goetzel RZ. A review of health-related outcomes of multi-component worksite health promotion programs. Am J Health Promot. 1997;11(4):290–308.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Carol A. Kennedy
    • 1
    • 2
    Email author
  • Benjamin C. Amick III
    • 1
    • 3
  • Jack T. Dennerlein
    • 4
  • Shelley Brewer
    • 5
  • Starly Catli
    • 6
  • Renee Williams
    • 7
  • Consol Serra
    • 8
    • 9
  • Fred Gerr
    • 10
  • Emma Irvin
    • 1
  • Quenby Mahood
    • 1
  • Al Franzblau
    • 11
  • Dwayne Van Eerd
    • 1
  • Bradley Evanoff
    • 12
  • David Rempel
    • 13
  1. 1.The Institute for Work & HealthTorontoCanada
  2. 2.Department of Physical TherapyUniversity of TorontoTorontoCanada
  3. 3.Southwest Center for Occupational and Environmental Health, School of Public HealthThe University of TexasHoustonUSA
  4. 4.Department of Environmental HealthHarvard UniversityBostonUSA
  5. 5.Chemplan, Inc.SarasotaUSA
  6. 6.Workplace Safety & Insurance BoardTorontoCanada
  7. 7.School of Rehabilitation ScienceMcMaster UniversityHamiltonCanada
  8. 8.CISAL Center of Research in Occupational HealthUniversitat Pompeu FabraBarcelonaSpain
  9. 9.Department of Occupational HealthInstitut Municipal de la SalutBarcelonaSpain
  10. 10.Department of Environmental and Occupational Health, School of Public HealthUniversity of IowaIowa CityUSA
  11. 11.University of MichiganAnn ArborUSA
  12. 12.School of MedicineWashington University at St. LouisSt. LouisUSA
  13. 13.Division of Occupational and Environmental Medicine, School of MedicineUniversity of California - San FranciscoSan FranciscoUSA

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