• Bo Povlsen.
• Department of Orthopaedic Surgery, Guy's & St Thomas' Hospitals, London, UK. bo@manusmedical.com
• Arch Phys Med Rehabil. 2012 Jan 1; 93 (1): 78-81.

ObjectiveTo evaluate the effect of a physical training program in combination with ergonomic changes in a group of keyboard operators with nonspecific/type II work-related upper limb disorder (WRULD).DesignProspective study.SettingHospital department.ParticipantsPain-free controls (n=6) and currently working patients with WRULD (n=17) were included.InterventionsParticipants were taught how to self-rehabilitate according to a previously published physical exercise program, in addition the patients requested maximal ergonomic assistance from their employer according to British law.Main Outcomes MeasuresPain at rest and after a standardized functional typing test, before and after rehabilitation, with recording of endurance and calculation of typing speed during the tests. Statistical evaluation: Student t test, paired, and 2-tailed.ResultsAfter the rehabilitation program, the patients as a group had significantly less pain both at rest (P=.009) and after the typing test (P<.001). The typing endurance improved significantly (P=.027) and became similar to the healthy control group (P =.09). The typing speed improved significantly in the patient group after rehabilitation (P=.032) and became similar to the normal control group (P=.058).ConclusionsCurrently working keyboard operators with nonspecific/type II WRULD can benefit significantly from a combination of an individualized self-administered physical rehabilitation program and ergonomic work place improvements. Randomized control studies are needed to further investigate the long-term effect of this encouraging finding.Copyright © 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

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