Moderate evidence was observed for : ( 1 ) no effect of workstation adjustment , ( 2 ) no effect of rest breaks and exercise and ( 3 ) positive effect of alternative pointing devices .
For all other interventions mixed or insufficient evidence of effect was observed .
Conclusion : Few high quality studies were found that examined the effects of interventions in the office on musculoskeletal or visual health
Background : The literature examining the effects of workstation , eyewear and behavioral interventions on  musculoskeletal and visual symptoms among computer users is large and heterogeneous .
Methods : A systematic review of the literature used a best evidence synthesis approach to address the general question “ Do office interventions among computer users have an effect on musculoskeletal or visual health ? ”
Job stress management and ergonomic intervention for work-related upper extremity symptoms.
In practice the secondary prevention of work-related upper extremity ( WRUE ) symptoms generally targets biomechanical risk factors . Psychosocial risk factors have also been shown to play an important role in the development of WRUE symptom severity and future disability . The addition of a stress management component to biomechanically focused interventions may result in greater improvements in WRUE symptoms and functional limitations than intervening in the biomechanical risk factors alone . Seventy office workers with WRUE symptoms were r and omly assigned to an ergonomics intervention group ( assessment and modification of work station and stretching exercises ) or a combined ergonomic and job stress intervention group ( ergonomic intervention plus two 1-h workshops on the identification and management of workplace stress ) . Baseline , 3- and 12-month follow-up measures of observed ergonomic risks and self-reported ergonomic risks , job stress , pain , symptoms , functional limitation , and general physical and mental health were obtained from all participants . While both groups experienced significant decreases in pain , symptoms , and functional limitation from baseline to three months with improvements continuing to 12 months post baseline , no significant differences between groups were observed for any outcome measures . Findings indicate that the additional two-session job stress management component did not significantly enhance the short- or long-term improvements brought about by the ergonomic intervention alone
Moderate evidence was observed for : ( 1 ) no effect of workstation adjustment , ( 2 ) no effect of rest breaks and exercise and ( 3 ) positive effect of alternative pointing devices .
For all other interventions mixed or insufficient evidence of effect was observed .
Conclusion : Few high quality studies were found that examined the effects of interventions in the office on musculoskeletal or visual health
Background : The literature examining the effects of workstation , eyewear and behavioral interventions on  musculoskeletal and visual symptoms among computer users is large and heterogeneous .
Methods : A systematic review of the literature used a best evidence synthesis approach to address the general question “ Do office interventions among computer users have an effect on musculoskeletal or visual health ? ”