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  1. M A Huysmans,
  2. B M Blatter,
  3. A J van der Beek,
  4. W van Mechelen,
  5. P M Bongers,
  6. S IJmker
  1. Research Centre Physical Activity, Work and Health VU University Medical Centre, Amsterdam, The Netherlands
  1. Dr S IJmker, Body@Work TNO VUmc, Research Centre Physical Activity, Work and Health VU University Medical Centre, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands; s.ijmker{at}vumc.nl

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Mr Darby raises some interesting points regarding the prevention of discomfort and pain among computer users. The main topic is whether the suggestion to limit computer time has validity in preventing hand-arm-wrist and neck-shoulder symptoms.

We agree with Darby that reducing the duration of computer use without breaks may not be the solution for all workers. At present, there is uncertainty regarding the positive effects of breaks in preventing hand-arm-wrist and neck-shoulder symptoms, because high quality intervention studies are lacking and the results from the available evidence are …

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