There was strong evidence for one intervention category , resistance training , leading to the recommendation : Implementing a workplace-based resistance training exercise programme can help prevent and manage UEMSD and symptoms .
The synthesis also revealed moderate evidence for stretching programmes , mouse use feedback and forearm supports in preventing UEMSD or symptoms .
There was also moderate evidence for no benefit for EMG biofeedback , job stress management training , and office workstation adjustment for UEMSD and symptoms .
The burden of disabling musculoskeletal pain and injuries ( musculoskeletal disorders , MSDs ) arising from work-related causes in many workplaces remains substantial .
There is little consensus on the most appropriate interventions for MSDs .
Our objective was to up date a systematic review of workplace-based interventions for preventing and managing  upper extremity MSD ( UEMSD ) .
The economic evaluation of a participatory ergonomics programme to prevent low back and neck pain.
This study was an economic evaluation conducted alongside a cluster r and omised controlled trial with a follow-up of 12 months . The aim was to evaluate the cost-effectiveness and cost-benefit of the Stay@Work Participatory Ergonomics programme ( PE ) compared to a control group ( no PE ) . In total , 37 departments ( n=3047 workers ) were r and omised into either the intervention ( PE ) or control group ( no PE ) . During a meeting , working groups followed the steps of PE , and composed and prioritized ergonomic measures aim ed to prevent low back pain ( LBP ) and neck pain ( NP ) . Working groups had to implement the ergonomic measures within three months in their department . Cost data included those directly related to LBP and NP . Cost-effectiveness analyses ( CEA ) and cost-benefit analyses ( CBA ) were performed . After 12 months , health care costs and costs of productivity losses were higher in the intervention group than in the control group ( the mean total cost difference was $ /euro$127 ; 95 % CI $ /euro$-164 - $ /euro$418 ) . From a societal perspective , the CEA showed that PE was not cost-effective compared to control for LBP and NP prevalence , work performance , and sick leave . The CBA from a company perspective showed a monetary loss of $ /euro$78 per worker . The PE programme was neither cost-effective nor cost-beneficial on any of the effect measures
There was strong evidence for one intervention category , resistance training , leading to the recommendation : Implementing a workplace-based resistance training exercise programme can help prevent and manage UEMSD and symptoms .
The synthesis also revealed moderate evidence for stretching programmes , mouse use feedback and forearm supports in preventing UEMSD or symptoms .
There was also moderate evidence for no benefit for EMG biofeedback , job stress management training , and office workstation adjustment for UEMSD and symptoms .
The burden of disabling musculoskeletal pain and injuries ( musculoskeletal disorders , MSDs ) arising from work-related causes in many workplaces remains substantial .
There is little consensus on the most appropriate interventions for MSDs .
Our objective was to up date a systematic review of workplace-based interventions for preventing and managing  upper extremity MSD ( UEMSD ) .