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 .
Randomized controlled trial of nocturnal splinting for active workers with symptoms of carpal tunnel syndrome.
OBJECTIVES To determine whether nocturnal splinting of workers identified through active surveillance with symptoms consistent with carpal tunnel syndrome ( CTS ) would improve symptoms and median nerve function as well as impact medical care . DESIGN R and omized controlled trial . SETTING A Midwestern auto assembly plant . PARTICIPANTS Active workers with symptoms suggestive of CTS based on a h and diagram . INTERVENTION The treatment group received customized wrist splints , which were worn at night for 6 weeks ; the control group received ergonomic education alone . MAIN OUTCOME MEASURES Change in wrist , h and , and /or finger discomfort , carpal tunnel symptom severity index , median sensory nerve function , and the percentage of subjects who had carpal tunnel release surgery . RESULTS The splinted group , unlike the controls , had a significant reduction in wrist , h and , and /or finger discomfort and a similar trend in the Levine carpal tunnel symptom severity index , which was maintained at 12 months . A secondary analysis showed that more median nerve impairment at baseline was associated with less clinical improvement among controls but not among the splinted group . CONCLUSIONS Workers identified with CTS symptoms in an active symptom surveillance tended to benefit from a 6-week nocturnal splinting trial , and the benefits were still evident at the 1-year follow-up . The splinted group improved in terms of h and discomfort regardless of the degree of median nerve impairment , whereas the controls showed improvement only among subjects with normal median nerve function . Results suggest that a short course of nocturnal splinting may reduce wrist , h and , and /or finger discomfort among active workers with symptoms consistent with CTS
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 .