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February/March 2016 (vol. 12/5)
Preventing upper-limb disorder
There is strong evidence that a workplace fitness programme of resistance training can help upper-limb disorders (ULDs), according to this updated systematic review of 61 included papers. It found moderate-quality evidence that stretching exercise programmes, forearm supports and computer mice with vibration feedback can help prevent ULDs. There is moderate evidence that job stress-management training, biofeedback and workstation adjustment alone (ie without other interventions) have no effect. There is limited evidence – but not enough ‘to guide current practice’ – that aerobic exercise, non-standard keyboards, trackball pointing devices, rest breaks, postural exercise programmes and neuromuscular exercise may be beneficial.
Occupational Health at Work February/March 2016 (vol. 12/5) pp36