背景:尽管研究旨在改善其预防和治疗,但与工作相关的肌肉骨骼疾病(WRMSDs)仍然是一个挑战。外在反馈已被建议用于WRMSD的预防和康复,以改善感觉运动控制,并最终减少疼痛和残疾。然而,关于外在反馈对WRMSD的有效性的系统评价很少。
目的:进行系统评价,研究外在反馈对WRMSDs预防和康复的影响。
方法:五个数据库(CINAHL,Embase,人体工程学抽象,PsycInfo,PubMed)进行了搜索。对各种设计的研究,评估工作任务期间外部反馈对三个结果的影响(功能,症状,感觉运动控制)在WRMSDs的预防和康复中被包括在内。
结果:纳入了49项研究,在工作场所(27项研究)或受控环境(22项研究)中执行与工作相关任务的3,387名参与者(包括925名伤者)的总样本.外部反馈的使用被证明是有效的,在受控环境中短期预防功能限制和感觉运动改变(非常有限的证据,中度)和改善,在受伤的参与者中,函数,症状和感觉运动控制(中度证据)。在工作场所,它被证明是有效的短期预防功能限制(有限的证据).关于其在工作场所对WRMSD康复的影响,有相互矛盾的证据。
结论:外在反馈是在受控环境中预防和康复WRMSD的一个有趣的补充工具。需要更多证据证明其对工作场所WRMSD的预防和康复的影响。
BACKGROUND: Work-related musculoskeletal disorders (WRMSDs) remain a challenge despite research aimed at improving their prevention and treatment. Extrinsic feedback has been suggested for the prevention and rehabilitation of WRMSDs to improve sensorimotor control, and ultimately to reduce pain and disability. However, there are few systematic reviews on the effectiveness of extrinsic feedback for WRMSDs.
OBJECTIVE: To perform a systematic review investigating the effect of extrinsic feedback for the prevention and rehabilitation of WRMSDs.
METHODS: Five databases (CINAHL, Embase, Ergonomics Abstract, PsycInfo, PubMed) were searched. Studies of various designs assessing the effects of extrinsic feedback during work tasks on three outcomes (function, symptoms, sensorimotor control) in the context of prevention and rehabilitation of WRMSDs were included.
RESULTS: Forty-nine studies were included, for a total sample of 3387 participants (including 925 injured) who performed work-related tasks in the workplace (27 studies) or in controlled environments (22 studies). The use of extrinsic feedback was shown to be effective in controlled environments for short-term prevention of functional limitations and sensorimotor alterations (very limited to moderate evidence) and for improving, in injured participants, function, symptoms and sensorimotor control (moderate evidence). In the workplace, it was shown to be effective for short-term prevention of functional limitations (limited evidence). There was conflicting evidence regarding its effect for WRMSD rehabilitation in the workplace.
CONCLUSIONS: Extrinsic feedback is an interesting complementary tool for the prevention and rehabilitation of WRMSDs in controlled environments. More evidence is needed regarding its effect for the prevention and rehabilitation of WRMSDs in the workplace.