NDLI: Are work disability prevention interventions effective for the management of neck pain or upper extremity disorders? A systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) collaboration.

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Are work disability prevention interventions effective for the management of neck pain or upper extremity disorders? A systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) collaboration.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Varatharajan, Sharanya Côté, Pierre Shearer, Heather M. Loisel, Patrick Wong, Jessica J. Southerst, Danielle Yu, Hainan Randhawa, Kristi Sutton, Deborah Van Der Velde, Gabrielle Mior, Silvano Carroll, Linda J. Jacobs, Craig Taylor-Vaisey, Anne
Description	Author Affiliation: Varatharajan S ( UOIT-CMCC Centre for the Study of Disability Prevention and Rehabilitation, University of Ontario Institute of Technology (UOIT), 6100 Leslie Street, Toronto, ON, M2H 3J1, Canada, sharanya.varatharajan@uoit.ca.)
Abstract	PURPOSE: We conducted a systematic review to critically appraise and synthesize literature on the effectiveness of work disability prevention (WDP) interventions in workers with neck pain, whiplash-associated disorders (WAD), or upper extremity disorders. METHODS: We searched electronic databases from 1990 to 2012. Random pairs of independent reviewers critically appraised eligible studies using the Scottish Intercollegiate Guidelines Network criteria. Scientifically admissible studies were summarized and synthesized following best-evidence synthesis methodology. RESULTS: Of the 6,359 articles retrieved, 16 randomized controlled trials were eligible for critical appraisal and five were admissible. We found that a return-to-work coordination program (including workplace-based work hardening) was superior to clinic-based work hardening for persistent rotator cuff tendinitis. Workplace high-intensity strength training and workplace advice had similar outcomes for neck and shoulder pain. Mensendieck/Cesar postural exercises and strength and fitness exercises had similar outcomes for non-specific work-related upper limb complaints. Adding a brief job stress education program to a workplace ergonomic intervention was not beneficial for persistent upper extremity symptoms. Adding computer-prompted work breaks to ergonomic adjustments and workplace education benefited workers' recovery from recent work-related neck and upper extremity complaints. CONCLUSIONS: At present, no firm conclusions can be drawn regarding the effectiveness of WDP interventions for managing neck pain, WAD, and upper extremity disorders. Our review suggests a return-to-work coordination program is more effective than clinic-based work hardening. Also, adding computer-prompted breaks to ergonomic and workplace interventions benefits workers' recovery. The current quality of evidence does not allow for a definitive evaluation of the effectiveness of ergonomic interventions.
File Format	HTM / HTML
ISSN	10530487
Issue Number	4
Volume Number	24
e-ISSN	15733688
Journal	Journal of Occupational Rehabilitation
Language	English
Publisher	Springer
Publisher Date	2014-12-01
Publisher Place	Netherlands
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Physical and Rehabilitation Medicine Neck Pain Rehabilitation Occupational Diseases Occupational Health Shoulder Pain Whiplash Injuries Humans Prevention & Control Randomized Controlled Trials As Topic Resistance Training Return To Work Upper Extremity Complications Journal Article Research Support, Non-u.s. Gov't Review
Content Type	Text
Resource Type	Article
Subject	Rehabilitation Occupational Therapy

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