Abstract：
OBJECTIVE: To explore and describe therapeutic approaches for the prevention of upper limb (UL) repetitive strain injuries (RSI) amongst computer users in the twenty-first century.
METHODS: A scoping review was conducted using the method described by Arksey and O\'Malley, further enhanced by Levac et al. to ensure rigor, validity and reliability during analysis. Key concepts pertaining to the research question have been mapped, following comprehensive searches of relevant electronic databases namely EBSCOHost (Academic Search Premier, CINAHL, eBook Collection, E-Journals, Health Source-Consumer Edition, Health Sources-Nursing/Academic Edition and MEDLINE), PUBMED and Google Scholar. The identified studies have been presented in a descriptive numerical summary to address the research aim.
RESULTS: From the 577 studies initially identified, 58 studies were eligible for inclusion in the scoping review after abstract and full text screening. Strategies for the prevention of UL RSIs in computer users were categorised into overarching types of intervention as well as the factors which contribute towards sustained implementation of prevention strategies. Using ergonomic equipment was the most prevalent approach during intervention, breaks and rest periods were found to be the less common intervention offered to prevent RSIs. The majority of the studies noted personal worksite adjustments, including adjustments of the chair, back rest, lumbar support, handles or any arm support to the individual as a strategy to prevent UL RSIs. In high income countries the use of ergonomic equipment was the most common type of approach during intervention, in middle income countries stretches were the most common therapeutic intervention strategy and in low-income countries there was an even distribution between a number of different therapeutic interventions aimed at preventing RSIs.
CONCLUSIONS: The review provides an overview of approaches and a comprehensive baseline for identifying further research required to generate prevention approaches. The information within the review may be used to impact company practice, policy and decision making in terms of developing prevention strategies.
METHODS: A scoping review was conducted using the method described by Arksey and O\'Malley, further enhanced by Levac et al. to ensure rigor, validity and reliability during analysis. Key concepts pertaining to the research question have been mapped, following comprehensive searches of relevant electronic databases namely EBSCOHost (Academic Search Premier, CINAHL, eBook Collection, E-Journals, Health Source-Consumer Edition, Health Sources-Nursing/Academic Edition and MEDLINE), PUBMED and Google Scholar. The identified studies have been presented in a descriptive numerical summary to address the research aim.
RESULTS: From the 577 studies initially identified, 58 studies were eligible for inclusion in the scoping review after abstract and full text screening. Strategies for the prevention of UL RSIs in computer users were categorised into overarching types of intervention as well as the factors which contribute towards sustained implementation of prevention strategies. Using ergonomic equipment was the most prevalent approach during intervention, breaks and rest periods were found to be the less common intervention offered to prevent RSIs. The majority of the studies noted personal worksite adjustments, including adjustments of the chair, back rest, lumbar support, handles or any arm support to the individual as a strategy to prevent UL RSIs. In high income countries the use of ergonomic equipment was the most common type of approach during intervention, in middle income countries stretches were the most common therapeutic intervention strategy and in low-income countries there was an even distribution between a number of different therapeutic interventions aimed at preventing RSIs.
CONCLUSIONS: The review provides an overview of approaches and a comprehensive baseline for identifying further research required to generate prevention approaches. The information within the review may be used to impact company practice, policy and decision making in terms of developing prevention strategies.
摘要：
目的：探索和描述21世纪计算机用户上肢（UL）重复性劳损（RSI）的预防治疗方法。
方法：使用Arksey和O\'Malley描述的方法进行了范围审查，由Levac等人进一步增强。为了确保严谨，分析过程中的有效性和可靠性。与研究问题相关的关键概念已经被映射，在对相关电子数据库进行全面搜索之后，即EBSCOHost(学术搜索高级，CINAHL,电子书收藏,电子期刊,健康来源-消费者版，健康来源-护理/学术版和MEDLINE），pubmed和谷歌学者。已确定的研究已在描述性数字摘要中提出，以解决研究目标。
结果：从最初确定的577项研究中，经过摘要和全文筛选后，58项研究有资格纳入范围审查。在计算机用户中预防ULRSIs的策略被分类为总体干预类型以及有助于持续实施预防策略的因素。使用人体工程学设备是干预期间最普遍的方法，发现休息和休息时间是预防RSIs的较不常见的干预措施。大多数研究指出了个人工作地点的调整，包括椅子的调整，靠背,腰部支撑,手柄或任何手臂支撑的个人作为一个策略，以防止ULRSIs。在高收入国家，使用人体工程学设备是干预期间最常见的方法，在中等收入国家,延伸是最常见的治疗性干预策略,在低收入国家,旨在预防RSIs的多种不同治疗性干预措施之间分布均匀.
结论：本综述概述了方法和综合基线，以确定产生预防方法所需的进一步研究。审查中的信息可能会被用来影响公司的做法，制定预防战略方面的政策和决策。
方法：使用Arksey和O\'Malley描述的方法进行了范围审查，由Levac等人进一步增强。为了确保严谨，分析过程中的有效性和可靠性。与研究问题相关的关键概念已经被映射，在对相关电子数据库进行全面搜索之后，即EBSCOHost(学术搜索高级，CINAHL,电子书收藏,电子期刊,健康来源-消费者版，健康来源-护理/学术版和MEDLINE），pubmed和谷歌学者。已确定的研究已在描述性数字摘要中提出，以解决研究目标。
结果：从最初确定的577项研究中，经过摘要和全文筛选后，58项研究有资格纳入范围审查。在计算机用户中预防ULRSIs的策略被分类为总体干预类型以及有助于持续实施预防策略的因素。使用人体工程学设备是干预期间最普遍的方法，发现休息和休息时间是预防RSIs的较不常见的干预措施。大多数研究指出了个人工作地点的调整，包括椅子的调整，靠背,腰部支撑,手柄或任何手臂支撑的个人作为一个策略，以防止ULRSIs。在高收入国家，使用人体工程学设备是干预期间最常见的方法，在中等收入国家,延伸是最常见的治疗性干预策略,在低收入国家,旨在预防RSIs的多种不同治疗性干预措施之间分布均匀.
结论：本综述概述了方法和综合基线，以确定产生预防方法所需的进一步研究。审查中的信息可能会被用来影响公司的做法，制定预防战略方面的政策和决策。
