Cochrane · systematic review · CD012487

Workplace interventions for increasing standing or walking for decreasing musculoskeletal symptoms in sedentary workers

Parry, SP, Coenen, P, Shrestha, N, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

WorkAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
15
current version
GRADE rated
15
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 6.7%Low 14 · 93.3%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Sit‐stand desk compared to no intervention for increasing standing or walking for decreasing musculoskeletal symptoms in sedentary workers

Population: sedentary workers with musculoskeletal symptoms
4 questions
OutcomeEffectEvidenceStatus / GRADE
Mean difference in low back pain
Sit‐stand desk vs no intervention
no estimate extracted2 studies · 79 participantsLow
Downgraded: risk of bias
Mean difference in upper back pain
Sit‐stand desk vs no intervention
no estimate extracted2 studies · 71 participantsLow
Downgraded: risk of bias
Mean difference in neck and shoulder pain/discomfort
Sit‐stand desk vs no intervention
no estimate extracted1 study · 31 participantsLow
Downgraded: risk of bias, imprecision
Mean difference in physical disability caused by LBP, RMDQ score
Sit‐stand desk vs no intervention
no estimate extracted1 study · 46 participantsLow
Downgraded: risk of bias

Treadmill workstation compared to no intervention for increasing standing or walking for decreasing musculoskeletal symptoms in sedentary workers

Population: sedentary workers with musculoskeletal symptoms
3 questions
OutcomeEffectEvidenceStatus / GRADE
Proportion of participants with low back pain/discomfort
Treadmill workstation vs no intervention
RR 1.05 [0.5, 2.19]1 study · 11 participantsLow
Downgraded: risk of bias
Proportion of participants with neck pain/discomfort
Treadmill workstation vs no intervention
RR 1.25 [0.56, 2.77]1 study · 14 participantsLow
Downgraded: risk of bias
Proportion of participants with shoulder pain/discomfort
Treadmill workstation vs no intervention
RR 1.13 [0.51, 2.5]1 study · 10 participantsLow
Downgraded: risk of bias

Activity tracker compared to alternate intervention or no intervention for increasing standing or walking for decreasing musculoskeletal symptoms in sedentary workers

Population: sedentary workers with musculoskeletal symptoms
4 questions
OutcomeEffectEvidenceStatus / GRADE
Mean difference in low back pain/discomfort
Activity tracker vs alternate intervention or no intervention
no estimate extracted2 studies · 31 participantsLow
Downgraded: risk of bias
Mean difference in upper back pain/discomfort
Activity tracker vs alternate intervention or no intervention
no estimate extracted2 studies · 23 participantsLow
Downgraded: risk of bias
Mean difference in neck pain/discomfort
Activity tracker vs alternate intervention or no intervention
no estimate extracted2 studies · 33 participantsLow
Downgraded: risk of bias
Mean difference in shoulder pain/discomfort
Activity tracker vs alternate intervention or no intervention
no estimate extracted2 studies · 31 participantsLow
Downgraded: risk of bias

Multi‐component intervention compared to no intervention for increasing standing or walking for decreasing musculoskeletal symptoms in sedentary workers

Population: sedentary workers with musculoskeletal symptoms
4 questions
OutcomeEffectEvidenceStatus / GRADE
Proportion of participants with low back pain/discomfort
Multi‐component intervention vs no intervention
RR 0.93 [0.69, 1.27]3 studies · 107 participantsLow
Downgraded: risk of bias
Proportion of participants with upper back pain/discomfort
Multi‐component intervention vs no intervention
RR 0.88 [0.4, 1.96]2 studies · 40 participantsLow
Downgraded: risk of bias
Proportion of participants with neck pain/discomfort
Multi‐component intervention vs no intervention
RR 1 [0.76, 1.32]3 studies · 115 participantsLow
Downgraded: risk of bias
Proportion of participants with shoulder pain/discomfort
Multi‐component intervention vs no intervention
RR 0.83 [0.12, 5.8]2 studies · 66 participantsVery low
Downgraded: risk of bias