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Strategies for the prevention of carpal tunnel syndrome in the workplace: A systematic review
Applied Ergonomics ( IF 3.1 ) Pub Date : 2021-01-13 , DOI: 10.1016/j.apergo.2020.103353
María-Constanza Trillos-Chacón 1 , Juan A Castillo-M 1 , Ingrid Tolosa-Guzman 1 , Andrés Felipe Sánchez Medina 1 , Silvia Marcela Ballesteros 2
Affiliation  

Carpal Tunnel Syndrome (CTS) is one of the most frequently occurring musculoskeletal disorders of the upper limbs. Strategies for preventing CTS in the workplace include interventions such as ergonomics, education, exercise, physical therapy, and occupational health. The purpose of this study was to provide a general overview based on the review of scientific literature regarding strategies used for preventing CTS in working populations. From September to October 2018, the MEDLINE, PUBMED, EMBASE and SCOPUS (1990 to December 2017) databases were searched for evidence. The risk of bias assessment in the selected papers was evaluated using the criteria recommended by The Cochrane Handbook and the methodological quality of the included studies was evaluated using Standard Quality Assessment Criteria for Evaluating Primary Research Papers from a Variety of Fields. A total of 11 studies were included in the present review. A total of 1,061 subjects participated in the studies. The quality of the included studies was limited in three studies, appropriate in three studies, good in three studies, and strong in two studies. The overall results suggest a mixed level of evidence of the effect of applying strategies for preventing CTS in the workplace. The bias assessment was primarily due to incomplete result data, selective reporting of results, and blinding. In this review, interventions focused on the modification or change of accessories (keyboard, mouse, wrist rest, and the overall workstation), education in ergonomics, exercise, and physical therapies, among others, were analyzed. The findings of this review show different possibilities when choosing an intervention strategy for the workplace. However, it was challenging to analyze each of the papers owing to the heterogeneity of the studies included.



中文翻译:

预防工作场所腕管综合征的策略:系统评价

腕管综合征 (CTS) 是最常见的上肢肌肉骨骼疾病之一。预防工作场所 CTS 的策略包括人体工程学、教育、锻炼、物理治疗和职业健康等干预措施。本研究的目的是基于对有关用于预防工作人群 CTS 的策略的科学文献的审查,提供一个总体概述。2018年9月至2018年10月,对MEDLINE、PUBMED、EMBASE和SCOPUS(1990年至2017年12月)数据库进行证据检索。所选论文的偏倚风险评估使用Cochrane 手册推荐的标准所纳入研究的方法学质量使用标准质量评估标准评估各种领域的主要研究论文。本综述共纳入 11 项研究。共有 1,061 名受试者参与了研究。纳入研究的质量有限,三项研究,三项研究合适,三项研究良好,两项研究强。总体结果表明,在工作场所应用预防 CTS 策略的效果的证据水平参差不齐。偏倚评估主要是由于结果数据不完整、结果的选择性报告和盲法。在本次审查中,干预措施侧重于配件(键盘、鼠标、腕托和整个工作站)的修改或更换、人体工程学教育、锻炼、和物理疗法等进行了分析。本综述的结果显示了为工作场所选择干预策略时的不同可能性。然而,由于所纳入研究的异质性,分析每篇论文具有挑战性。

更新日期:2021-01-13
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