Limited evidence was also found for a causal relationship between  computer work per se and computer mouse time related to tension neck syndrome , but the evidence for keyboard time was insufficient .
Insufficient evidence was found for an association between other musculoskeletal diagnoses of the neck and upper extremities , including shoulder tendonitis and epicondylitis , and any aspect of computer work .
Conclusions There is limited epidemiological evidence for an association between aspects of computer work and some of the clinical diagnoses studied .
Background This review examines the evidence for an association between  computer work and neck and upper extremity disorders ( except carpal tunnel syndrome ) .
A Cross-Country Comparison of Short-and Long-Term Effects of an Ergonomic Intervention on Musculoskeletal Discomfort, Eyestrain and Psychosocial Stress in VDT Operators: Selected Aspects of the International Project
Three groups of data entry female visual display terminal ( VDT ) workers from Norway ( n = 30 ) , Pol and ( n = 33 ) and the USA ( n = 29 ) were compared . Before intervention , the Norwegian group reported more neck pain compared with the Polish group . The Polish group reported less shoulder pain than both the U.S. and the Norwegian groups . The clinical examination documented fewer symptoms and signs of musculoskeletal illness among the Polish participants compared with the Norwegian and the U.S. groups . After intervention , the Norwegian group reported a reduction in neck pain while the U.S. group reported a reduction in shoulder pain . The Polish group reported an increase in neck , shoulder and forearm pain at follow-up compared to after intervention . The Polish group recorded higher flexion of the upper arm at follow-up parallel with an increase of pain in the upper part of the body . Visual discomfort showed variable results in the 3 countries
Limited evidence was also found for a causal relationship between  computer work per se and computer mouse time related to tension neck syndrome , but the evidence for keyboard time was insufficient .
Insufficient evidence was found for an association between other musculoskeletal diagnoses of the neck and upper extremities , including shoulder tendonitis and epicondylitis , and any aspect of computer work .
Conclusions There is limited epidemiological evidence for an association between aspects of computer work and some of the clinical diagnoses studied .
Background This review examines the evidence for an association between  computer work and neck and upper extremity disorders ( except carpal tunnel syndrome ) .