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 ) .
Long-term benefits of an educational and physical program on headache, and neck and shoulder pain, in a working community.
UNLABELLED We previously published the results of a controlled trial that showed the efficacy of a workplace educational and physical program in reducing  headache , and neck and shoulder pain . Participants recorded daily  pain episodes in diaries ; after 2 months of baseline observation , the program was administered to the intervention arm only , and comparison with the control arm was performed at month 8 . The objective of the present study was to confirm the long-term ( 14 months from the beginning of the study ) benefit of the program in the intervention arm of the study ( 192 office employees ) . Outcome measures of the present analyses were : 1 ) the number of days/month with headache , and neck and shoulder pain ; 2 ) the frequency of days with analgesic drug consumption ; 3 ) the proportion of subjects with 4 or more days/month with headache or neck and shoulder pain at baseline who achieved a > or = 50 % reduction in pain ( responder rate ) . Days/month with headache decreased from 5.50 at baseline ( months 1 - 2 ) to 3.11 at months 13 - 14 ( P < .001 ) ; from 6.79 to 3.88 ( P < .001 ) for neck and shoulder pain ; and from 1.72 to 0.86 ( P < .001 ) for analgesic consumption . Responder rates were 58.8 % ( 95%CI = 47.1 - 70.5 ) for headache , 60.9 % ( 49.4 - 72.4 ) for neck and shoulder pain , and 68.2 % ( 48.7 - 87.6 ) for drug consumption . These results confirm that the program may be effective at long term . PERSPECTIVE This article presents the results at long term of an educational and physical program in reducing headache , and neck and shoulder pain , in a working community . Since the benefits remained stable for a considerable period of time , a r and omized trial is ongoing to confirm these results on a larger , less-selected working population
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 ) .