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 .
Effects of traditional cupping therapy in patients with carpal tunnel syndrome: a randomized controlled trial.
UNLABELLED We investigated the effectiveness of cupping , a traditional method of treating musculoskeletal pain , in patients with carpal tunnel syndrome ( CTS ) in an open r and omized trial . n = 52 out patients ( 58.5 + /- 8.0 years ) with neurologically confirmed CTS were r and omly assigned to either a verum ( n = 26 ) or a control group ( n = 26 ) . Verum patients were treated with a single application of wet cupping , and control patients with a single local application of heat within the region overlying the trapezius muscle . Patients were followed up on day 7 after treatment . The primary outcome , severity of CTS symptoms ( VAS ) , was reduced from 61.5 + /- 20.5 to 24.6 + /- 22.7 mm at day 7 in the cupping group and from 67.1 + /- 20.2 to 51.7 + /- 23.9 mm in the control group [ group difference -24.5 mm ( 95%CI -36.1 ; -2.9 , P < .001 ) ] . Significant treatment effects were also found for the Levine CTS-score ( -.6 pts : 95%CI -.9 ; -.2 , P = .002 ) , neck pain ( -12.6 mm ; 95%CI -18.8 ; -6.4 , P < .001 ) , functional disability ( DASH-Score ) ( -11.1 pts ; 95%CI -17.1 ; -5.1 , P < .001 ) , and physical quality of life ( .3 ; 95%CI .0 ; .3 , P = .048 ) . The treatment was safe and well tolerated . We conclude that cupping therapy may be effective in relieving the pain and other symptoms related to CTS . The efficacy of cupping in the long-term management of CTS and related mechanisms remains to be clarified . PERSPECTIVE The results of a r and omized trial on the clinical effects of traditional cupping therapy in patients with carpal tunnel syndrome are presented . Cupping of segmentally related shoulder zones appears to alleviate the symptoms of carpal tunnel syndrome
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 .