None of the ergonomic interventions was more beneficial for any outcome measures when compared with another treatment or with no treatment or with placebo .
Behavioural interventions had inconsistent effects on pain and disability , with some subgroups showing benefit and others showing no significant improvement when compared with no treatment , minor intervention controls or other behavioural interventions .In the eight studies that evaluated various other interventions , there was no evidence of a clear beneficial effect of any of the interventions provided .
We found very low- quality evidence indicating that pain , recovery , disability and sick leave are similar after exercises when compared with no treatment , with minor intervention controls or with exercises provided as additional treatment to people with work-related complaints of the arm , neck or shoulder .
Low- quality evidence also showed that ergonomic interventions did not decrease pain at short-term follow-up but did decrease pain at long-term follow-up .
There was no evidence of an effect on other outcomes .
For behavioural and other interventions , there was no evidence of a consistent effect on any of the outcomes .
BACKGROUND Work-related upper limb disorder ( WRULD ) , repetitive strain injury ( RSI ) , occupational overuse syndrome ( OOS ) and work-related complaints of the arm , neck or shoulder ( CANS ) are the most frequently used umbrella terms for disorders that develop as a result of repetitive movements , awkward postures and impact of external forces such as those associated with operating vibrating tools .
Work-related CANS , which is the term we use in this review , severely hampers the working population .
OBJECTIVES To assess the effects of conservative interventions for work-related complaints of the arm , neck or shoulder ( CANS ) in adults on pain , function and work-related outcomes .
An alternative approach to treating lateral epicondylitis. A randomized, placebo-controlled, double-blinded study
Objective : To investigate the effect of noxious level electrical stimulation on pain , grip strength and functional abilities in subjects with chronic lateral epicondylitis . Design : R and omized , placebo-control , double-blinded study . Setting : Physical Therapy Department , North Georgia College and State University . Subjects : Eighteen subjects with chronic lateral epicondylitis between the ages of 24 and 72 years participated in this study . Subjects were r and omly assigned into treatment or placebo groups . Interventions : Subjects received six sessions of low-frequency electrical stimulation over the palpated tender points . The intensity of electrical stimulation was set at 0 in the placebo group . Main measurements : Grip strength , functional status , pain intensity and limited activity due to pain were assessed before and after treatment . Six-month follow-up data were collected in treatment group only . Results : Both clinical ly and statistically significant improvements in average grip strength were found ( treatment group : 28 % increase ; placebo group : 2.5 % decrease ; P=0.04 ) , functional activity ( treatment group : 110 % increase ; placebo group : 22 % increase ; P= 0.003 ) , pain intensity ( treatment group : 3.1 point decrease ; placebo group : 0.2 point increase ; P=0.01 ) and activity limitation due to pain ( treatment group : 4.1 points increase ; placebo group : 1.9 point decrease ; P= 0.003 ) between the treatment and placebo groups . Follow-up data showed that 100 % of subjects maintained the improved function , and 83 % remained pain-free for at least six months post treatment . Conclusion : The results of this study indicated that symptoms of chronic lateral epicondylitis could be effectively treated by noxious level low-frequency electrical stimulation
None of the ergonomic interventions was more beneficial for any outcome measures when compared with another treatment or with no treatment or with placebo .
Behavioural interventions had inconsistent effects on pain and disability , with some subgroups showing benefit and others showing no significant improvement when compared with no treatment , minor intervention controls or other behavioural interventions .In the eight studies that evaluated various other interventions , there was no evidence of a clear beneficial effect of any of the interventions provided .
We found very low- quality evidence indicating that pain , recovery , disability and sick leave are similar after exercises when compared with no treatment , with minor intervention controls or with exercises provided as additional treatment to people with work-related complaints of the arm , neck or shoulder .
Low- quality evidence also showed that ergonomic interventions did not decrease pain at short-term follow-up but did decrease pain at long-term follow-up .
There was no evidence of an effect on other outcomes .
For behavioural and other interventions , there was no evidence of a consistent effect on any of the outcomes .
BACKGROUND Work-related upper limb disorder ( WRULD ) , repetitive strain injury ( RSI ) , occupational overuse syndrome ( OOS ) and work-related complaints of the arm , neck or shoulder ( CANS ) are the most frequently used umbrella terms for disorders that develop as a result of repetitive movements , awkward postures and impact of external forces such as those associated with operating vibrating tools .
Work-related CANS , which is the term we use in this review , severely hampers the working population .
OBJECTIVES To assess the effects of conservative interventions for work-related complaints of the arm , neck or shoulder ( CANS ) in adults on pain , function and work-related outcomes .