Evidence map›Paper›PMID 42331580›Full record

SynthesisBMJ open2026

Workplace interventions for chronic musculoskeletal disorders: a systematic review.

Glykeria Skamagki, Colin J Greaves, Ruby M Shrestha, Afroditi Stathi

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Glykeria SkamagkiUniversity of Birmingham School of Sport Exercise and Rehabilitation Sciences, Birmingham, UK g.skamagki@bham.ac.uk.ORCID http://orcid.org/0000-0001-9543-1679
Colin J GreavesUniversity of Birmingham School of Sport Exercise and Rehabilitation Sciences, Birmingham, UK.ORCID http://orcid.org/0000-0003-4425-2691
Ruby M ShresthaSchool of Geography, Earth and Environmental Sciences, University of Birmingham, Birmingham, UK.
Afroditi StathiUniversity of Birmingham School of Sport Exercise and Rehabilitation Sciences, Birmingham, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo provide an updated systematic review of the effectiveness of workplace interventions for chronic musculoskeletal disorders, identify key intervention components and assess their impact on health and work-related outcomes.

designSystematic review of randomised controlled trials. DATA SOURCES: MEDLINE, EMBASE, CINAHL, PsycINFO, Scopus and Web of Science were searched for studies published between 2018 and 2024. Grey literature sources were also consulted. ELIGIBILITY CRITERIA: Randomised controlled trials and cluster-randomised trials evaluating workplace interventions targeting adults with chronic musculoskeletal disorders were included. Outcomes of interest included pain, functional outcomes, quality of life and work-related outcomes (eg, work ability, productivity, presenteeism and absenteeism). DATA EXTRACTION AND SYNTHESIS: Two reviewers independently screened studies, extracted data and assessed risk of bias using the Cochrane Risk of Bias 2 tool. Due to heterogeneity, only a narrative synthesis was conducted.

results23 studies involving 2456 participants were included and classified into physical exercise, ergonomic and multicomponent interventions. Physical exercise interventions consistently improved pain and functional outcomes. Digital delivery of exercise interventions demonstrated comparable effectiveness to face-to-face or workplace-based approaches. Multicomponent interventions, combining exercise with ergonomic strategies, demonstrated the most consistent benefits across outcomes. Evidence for work-related outcomes was limited and inconsistent, and quality of life was assessed in only a small number of studies.

conclusionsWorkplace interventions, particularly multicomponent approaches combining exercise, ergonomics and education, can be effective in improving health outcomes in chronic musculoskeletal disorders. However, evidence on work-related outcomes remains limited and inconsistent. PROSPERO REGISTRATION NUMBER: CRD420261289218.

Indexed as

Exercise TherapyMusculoskeletal DiseasesWorkplaceChronic DiseaseErgonomicsHumansQuality of LifeRandomized Controlled Trials as TopicWorking ConditionsChronic DiseaseDisease ManagementMusculoskeletal disordersSystematic ReviewWorkplace

Identifiers

PMID42331580
PMCPMC13288689

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.