Editing Carpal tunnel syndrome (section)

== Prevention ==
There is little or no data to support the concept that activity adjustment prevents carpal tunnel syndrome.<ref name="jhs_lozano-calderon">{{cite journal |vauthors=Lozano-Calderón S, Anthony S, Ring D |date=April 2008 |title=The quality and strength of evidence for etiology: example of carpal tunnel syndrome |journal=The Journal of Hand Surgery |volume=33 |issue=4 |pages=525–538 |doi=10.1016/j.jhsa.2008.01.004 |pmid=18406957}}</ref> The evidence for using a [[wrist rest]] at a computer keyboard is debated.<ref>{{Cite web|url=https://www.ccohs.ca/oshanswers/ergonomics/office/wrist.html|title=Wrist Rests: OSH Answers|website=[[Canadian Centre for Occupational Health and Safety]] | access-date=2017-04-14|url-status=live|archive-url=https://web.archive.org/web/20170415012243/https://www.ccohs.ca/oshanswers/ergonomics/office/wrist.html|archive-date=2017-04-15}}</ref> There is also little research supporting that [[ergonomics]] is related to carpal tunnel syndrome.<ref>{{Cite book| vauthors = Goodman G |title=Ergonomic interventions for computer users with cumulative trauma disorders|publisher=International handbook of occupational therapy interventions. 2nd ed.|isbn=978-3-319-08140-3|pages=205–17|date=2014-12-08}}</ref>

Given that biological factors such as genetic predisposition and anthropometric features are more strongly associated with carpal tunnel syndrome than occupational/environmental factors such as hand use, CTS might not be prevented by activity modifications.<ref name="jhs_lozano-calderon"/>

Some claim that worksite modifications such as switching from a [[QWERTY]] computer keyboard layout to [[Dvorak Simplified Keyboard|Dvorak]] is helpful, but [[Meta-analysis|meta-analyses]] of the available studies note limited supported evidence.<ref name="Lincoln_2000">{{cite journal | vauthors = Lincoln AE, Vernick JS, Ogaitis S, Smith GS, Mitchell CS, Agnew J | title = Interventions for the primary prevention of work-related carpal tunnel syndrome | journal = American Journal of Preventive Medicine | volume = 18 | issue = 4 Suppl | pages = 37–50 | date = May 2000 | pmid = 10793280 | doi = 10.1016/S0749-3797(00)00140-9 }}</ref><ref name="Verhagen_2013">{{cite journal | vauthors = Verhagen AP, Bierma-Zeinstra SM, Burdorf A, Stynes SM, de Vet HC, Koes BW | title = Conservative interventions for treating work-related complaints of the arm, neck or shoulder in adults | journal = The Cochrane Database of Systematic Reviews | volume = 2013 | issue = 12 | pages = CD008742 | date = December 2013 | pmid = 24338903 | pmc = 6485977 | doi = 10.1002/14651858.CD008742.pub2 }}</ref>