National Institute of Occupational Health, PO Box 8149 Dep, N-0033 Oslo, Norway.
BMC Musculoskelet Disord. 2010 Apr 29;11:79. doi: 10.1186/1471-2474-11-79.
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.
本综述旨在研究计算机工作与颈部和上肢疾病（腕管综合征除外）之间的关联。
对经体格检查验证的与计算机工作和肌肉骨骼疾病相关的研究进行了系统的批判性评价。
共有 22 项研究（26 篇文章）符合纳入标准。结果表明，计算机工作本身、与腕肌腱炎相关的计算机鼠标和键盘使用时间、与前臂疾病相关的计算机鼠标使用时间之间存在因果关系的证据有限。此外，计算机工作本身和与紧张性颈综合征相关的计算机鼠标使用时间之间存在因果关系的证据也有限，但键盘使用时间的证据不足。与颈部和上肢的其他肌肉骨骼诊断（包括肩肌腱炎和肘关节炎）以及计算机工作的任何方面之间存在关联的证据也不足。
有有限的流行病学证据表明计算机工作的某些方面与某些临床诊断有关。这些证据均不被认为是中等或强等证据，因此需要更多和更好的记录。
