Vulpoi Georgiana-Anca, Bistriceanu Cătălina Elena, Bîrsanu Lenuța, Palade Codrina-Madalina, Cuciureanu Dan Iulian
Neurology Department, Faculty of Medicine, University of Medicine and Pharmacy "Grigore T. Popa", 16 Universitatii Street, 700115 Iasi, Romania.
Elytis Hospital Hope, 43A Gheorghe Saulescu Street, 700010 Iasi, Romania.
J Clin Med. 2025 Jul 24;14(15):5237. doi: 10.3390/jcm14155237.
In recent decades, information technology has grown. Computers have become a daily activity, facilitating access to information, faster communication and faster work. If used responsibly, it has many advantages. To explore the potential link between prolonged use of computer input devices-such as keyboards and mice-and the development of compressive neuropathies, including carpal tunnel syndrome (CTS) and cubital tunnel syndrome (CuTS), in individuals whose daily routines are heavily reliant on computer-based activities. A comprehensive review of the literature was undertaken to assess the correlation between the use of computer input devices and the incidence of compressive neuropathies in the upper limbs, with particular attention to repetitive strain, ergonomic posture deviations, and personal risk factors. Current evidence indicates a potential association between prolonged computer use and the development of upper limb compressive neuropathies; however, a definitive consensus within the scientific literature remains elusive. Repetitive movements and non-neutral postures appear to be significant contributing factors, particularly among individuals with predisposing risk factors. Despite increasing awareness of this issue, standardized, evidence-based clinical guidelines for the evaluation and management of work-related nerve disorders remain lacking. While the relationship between computer use and compressive neuropathies remains debated, healthcare professionals should be aware of the risks, particularly in individuals exposed to repetitive strain and ergonomic stress. Further research and the development of clinical guidelines are needed to better understand and manage these work-related conditions.
近几十年来,信息技术不断发展。计算机已成为日常活动的一部分,方便人们获取信息、加快通信速度并提高工作效率。如果合理使用,它有诸多优点。为了探究在日常工作严重依赖计算机活动的人群中,长时间使用键盘和鼠标等计算机输入设备与包括腕管综合征(CTS)和肘管综合征(CuTS)在内的压迫性神经病变发展之间的潜在联系,我们对文献进行了全面综述,以评估计算机输入设备的使用与上肢压迫性神经病变发病率之间的相关性,特别关注重复性劳损、人体工程学姿势偏差和个人风险因素。目前的证据表明,长时间使用计算机与上肢压迫性神经病变的发展之间可能存在关联;然而,科学文献中尚未达成明确的共识。重复性动作和非中立姿势似乎是重要的促成因素,尤其是在有易感风险因素的个体中。尽管人们对这个问题的认识不断提高,但仍然缺乏用于评估和管理与工作相关神经疾病的标准化、基于证据的临床指南。虽然计算机使用与压迫性神经病变之间的关系仍存在争议,但医疗保健专业人员应意识到这些风险,尤其是在暴露于重复性劳损和人体工程学压力的个体中。需要进一步的研究和制定临床指南,以更好地理解和管理这些与工作相关的病症。