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 ) .
Neuromuscular training with injury prevention counselling to decrease the risk of acute musculoskeletal injury in young men during military service: a population-based, randomised study
Background The rapidly increasing number of activity-induced musculoskeletal injuries among adolescents and young adults is currently a true public health burden . The objective of this study was to investigate whether a neuromuscular training programme with injury prevention counselling is effective in preventing acute musculoskeletal injuries in young men during military service . Methods The trial design was a population -based , r and omised study . Two successive cohorts of male conscripts in four companies of one brigade in the Finnish Defence Forces were first followed prospect ively for one 6-month term to determine the baseline incidence of injury . After this period , two new successive cohorts in the same four companies were r and omised into two groups and followed prospect ively for 6 months . Military service is compulsory for about 90 % of 19-year-old Finnish men annually , who comprised the cohort in this study . This r and omised , controlled trial included 968 conscripts comprising 501 conscripts in the intervention group and 467 conscripts in the control group .  A neuromuscular training programme was used to enhance conscripts ' motor skills and body control , and an educational injury prevention programme was used to increase knowledge and awareness of acute musculoskeletal injuries . The main outcome measures were acute injuries of the lower and upper limbs . Results In the intervention groups , the risk for acute ankle injury decreased significantly compared to control groups ( adjusted hazards ratio ( HR ) = 0.34 , 95 % confidence interval ( 95 % CI ) = 0.15 to 0.78 , P = 0.011 ) . This risk decline was observed in conscripts with low as well as moderate to high baseline fitness levels . In the latter group of conscripts , the risk of upper-extremity injuries also decreased significantly ( adjusted HR = 0.37 , 95 % CI 0.14 to 0.99 , P = 0.047 ) . In addition , the intervention groups tended to have less time loss due to injuries ( adjusted HR = 0.55 , 95 % CI 0.29 to 1.04 ) . Conclusions A neuromuscular training and injury prevention counselling programme was effective in preventing acute ankle and upper-extremity injuries in young male army conscripts . A similar programme could be useful for all young individuals by initiating a regular exercise routine . Trial registration Clinical Trials.gov identifier number NCT00595816
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 ) .