Computer work and musculoskeletal disorders of the neck and upper extremity: a systematic review.
Computer work and musculoskeletal disorders of the neck and upper extremity: a systematic review.
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DOI：
10.1186/1471-2474-11-79
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发表时间：
2010-04-29
影响因子：
2.3
通讯作者：
Veiersted KB
中科院分区：
文献类型：
--
作者：
Waersted M;Hanvold TN;Veiersted KB
本综述探讨了计算机工作与颈部和上肢疾病（腕管综合症除外）之间关联的证据。对通过体检证实的计算机工作和肌肉骨骼疾病的研究进行了系统的批判性审查。共有 22 项研究（26 篇文章）符合纳入标准。结果显示，计算机工作本身、计算机鼠标和键盘时间与腕腱炎诊断相关以及计算机鼠标时间与前臂疾病之间的关联的证据有限。还发现有限的证据表明计算机工作本身与与紧张性颈部综合症相关的计算机鼠标时间之间存在因果关系，但键盘时间的证据不足。没有足够的证据表明颈部和上肢的其他肌肉骨骼诊断（包括肩腱炎和上髁炎）与计算机工作的任何方面之间存在关联。计算机工作的各个方面与所研究的一些临床诊断之间存在关联的流行病学证据有限。没有任何证据被认为是中等或有力的，需要更多更好的记录。
This review examines the evidence for an association between computer work and neck and upper extremity disorders (except carpal tunnel syndrome). A systematic critical review of studies of computer work and musculoskeletal disorders verified by a physical examination was performed. A total of 22 studies (26 articles) fulfilled the inclusion criteria. Results show limited evidence for a causal relationship between computer work per se, computer mouse and keyboard time related to a diagnosis of wrist tendonitis, and for an association between computer mouse time and forearm disorders. 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. There is limited epidemiological evidence for an association between aspects of computer work and some of the clinical diagnoses studied. None of the evidence was considered as moderate or strong and there is a need for more and better documentation.