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The findings of our systematic review (see page 277) showed that ergonomic interventions are not effective for preventing or reducing low back pain (LBP) and neck pain among non-sick listed workers. In this systematic review only randomised controlled trials (RCTs) were included, but Westgaard (see page 217) questions whether study designs other than RCTs (eg, quasi-experimental and qualitative studies) would be also suitable for evaluating the effectiveness of ergonomic interventions in the workplace. For a long time, the conduct of a systematic review on RCTs only was not possible because RCTs on ergonomic interventions were lacking. Therefore, reviews also included study designs that were suspicious for bias (ie, pre–post trials, prospective cohort studies, controlled trials and quasi-experimental trials).1 2 However, in …