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. 2019 Nov 19;2019(11):CD012487. doi: 10.1002/14651858.CD012487.pub2

Summary of findings 3. Activity tracker compared to alternate intervention or no intervention for increasing standing or walking for decreasing musculoskeletal symptoms in sedentary workers.

Activity tracker compared to alternate intervention or no intervention for increasing standing or walking for decreasing musculoskeletal symptoms in sedentary workers
Patient or population: sedentary workers with musculoskeletal symptoms
 Setting: office setting
 Intervention: activity tracker
 Comparison: alternate intervention or no intervention
Outcomes Anticipated absolute effects* (95% CI) Relative effect
 (95% CI) № of participants
 (studies) Certainty of the evidence
 (GRADE) Comments
Risk with alternate intervention or no intervention Risk with activity tracker
Mean difference in low back pain/discomfort follow‐up short‐term   SMD 0.05 lower
 (0.87 lower to 0.77 higher) 31
 (2 RCTs) ⊕⊕⊝⊝
 Lowa,b  
Mean difference in upper back pain/discomfort follow‐up short‐term   SMD 0.04 lower
 (0.92 lower to 0.84 higher) 23
 (2 RCTs) ⊕⊕⊝⊝
 Lowa,b  
Mean difference in neck pain/discomfort follow‐up short‐term   SMD 0.05 higher
 (0.68 lower to 0.78 higher) 33
 (2 RCTs) ⊕⊕⊝⊝
 Lowa,b  
Mean difference in shoulder pain/discomfort follow‐up short‐term   SMD 0.14 higher
 (0.63 lower to 0.9 higher) 31
 (2 RCTs) ⊕⊕⊝⊝
 Lowa,b  
*The risk in the intervention group (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
 
 CI: confidence interval; RCT: randomised controlled trial; SMD: standardised mean difference.
GRADE Working Group grades of evidence.High certainty: we are very confident that the true effect lies close to that of the estimate of the effect.
 Moderate certainty: we are moderately confident in the effect estimate: the true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different.
 Low certainty: our confidence in the effect estimate is limited: the true effect may be substantially different from the estimate of the effect.
 Very low certainty: we have very little confidence in the effect estimate: the true effect is likely to be substantially different from the estimate of effect.

aConcerns about personnel and outcome assessor blinding; downgraded one level.

bSmall sample size and wide confidence intervals; downgraded one level.