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Occupational Medicine Advance Access originally published online on August 11, 2006
Occupational Medicine 2007 57(1):4-17; doi:10.1093/occmed/kql084
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© The Author 2006. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Conservative treatment of work-related upper limb disorders—a review

Joanne O. Crawford and Elpiniki Laiou

The University of Birmingham, Institute of Occupational and Environmental Medicine, School of Medicine, Birmingham B15 2TT, UK

Aim The literature review was carried out to identify and summarize the evidence-base for conservative clinical management of upper limb disorders (ULDs) including specific disorders and non-specific ULDs.

Method Keywords were identified through a scoping study and guidance from the project sponsor. A number of databases were searched including Web of Knowledge, Pub Med, Medline, Ergonomics Online, the Cochrane Library and BMJ Clinical Evidence for the years 1993–2004. Abstracts were obtained for papers identified in the search and full papers were obtained for literature, which included diagnostic methods, conservative treatments, new data or results or systematic reviews.

Results The review identified that there is evidence for the efficacy of conservative treatments for the management of carpal tunnel syndrome, epicondylitis, rotator cuff tendonitis and bicipital tendonitis and tension neck syndrome. There was no evidence found to support or refute conservative treatment of tenosynovitis, tendonitis, de Quervain's disease or diffuse non-specific ULDs.

Conclusion The evidence reviewed was not always of good quality and data gaps including methodological design issues need to be addressed by future research.

Keywords      Evidence-base; musculoskeletal; treatment

Correspondence to: Joanne O. Crawford, The University of Birmingham, Institute of Occupational and Environmental Medicine, School of Medicine, Birmingham B15 2TT, UK. Tel: +44 1214143623; fax: +44 1214146217; e-mail: J.O.Crawford{at}bham.ac.uk


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