Int J Environ Res Public Health 2026 (Jan 19); 23 (1): 120

Table 1.

Extracted studies: Upper crossed syndrome and workplace computer use.

Authors, Date Type of Study Population Therapeutic Focus
Asad et al., 2021 [12] Cross-sectional survey General population, Islamabad Association between UCS and neck pain.
Bisen et al., 2024 [13] Case–control Office workers in Pune,
India
Correlation between cervical proprioception, scapular dyskinesis, and neck pain.
Calik et al., 2022 [7] Cross-sectional, mixed methods Office workers Risk factors for musculoskeletal disorders from office work
Chang et al., 2023 [4] Narrative systematic review Patients with UCS and neck pain Overview of the treatment of UCS.
Chaudhuri et al., 2023 [14] Systematic review and meta-analysis Individuals with work-related UCS Methodologic study to determine the most effective treatment strategies for UCS.
Chen et al., 2024 [15] Systematic review and meta-analysis of RCTs Studies in Asia, Europe, and Iran. Patients with a 3–6-month history of chronic neck pain Effects of scapular targeted therapy on neck pain and function.
Côte et al., 2008 [9] Review of insurance claims for workers’ compensation for neck pain Office workers in Ontario, Canada To measure the prevalence and incidence of neck pain in this cohort.
Elizagaray-Garcia et al., 2020 [16] Systematic review and meta-analysis Twelve studies of individuals with chronic primary headaches and asymptomatic controls To compare forward head posture between individuals with chronic headaches and asymptomatic individuals.
Fernandes et al., 2025 [17] Randomized clinical trial 52 women with chronic non-specific neck pain randomly assigned to postural re-education or specific therapeutic exercises To determine if postural re-education is as effective as specific therapeutic exercises in reducing subjectively reported pain.
Gerr et al., 2006 [18] Literature review Studies investigating the relationship between computer use by time and posture and development of upper-extremity musculoskeletal disorders. To determine if changes in ergonomics and/or hours per day of computer use could mitigate upper extremity musculoskeletal pain.
Guo et al., 2025 [19] Randomized controlled trial 74 college students with UCS randomized to intervention and control groups Assess efficacy of cervical and thoracic “Daoyin” training on pain, posture, function, and emotional state.
Iram et al., 2022 [20] Cross-sectional study Office workers who spent at least 3 h/day on computers To determine if there is a significant relationship between computer use and complaints of arm, neck, and shoulder pain.
Jung et al., 2024 [21] Crossover experimental protocol 33 men and women ages 18+ who were heavy computer users To examine changes in resting-state brain function due to forward head posture.
Kaur et al., 2025 [22] Systematic review Systematic review of 7 systematic reviews on physiotherapeutic approaches to UCS To investigate the relative efficacy of various physiotherapeutic strategies for UCS.
Lee et al., 2023 [23] Experimental 50 participants ages 20–50 To use a new algorithm to classify normal and abnormal body postures during computer use.
Lucas et al., 2022 [3] Systematic review Data from 61 studies including low-, middle-, and high-income countries on shoulder pain To determine the global prevalence and incidence of shoulder pain.
Mesas et al., 2014 [10] Cross-sectional analysis Data on 8283 Spanish workers To examine the association between chronic neck, lower-back, and migraine pain, and absenteeism.
Moi et al., 2021 [24] Narrative review 8 studies of UCS on patients ages 20–50 with UCS To examine efficacy of modalities including myofascial release, exercise, stretching and strengthening, TENS, and IFT on treating UCS.
Moon & Kim, 2023 [25] Cross-sectional, single-blind study Office workers ages 20–50, working at least 40 h/week To examine the relationship between scapular dyskinesis and neck and shoulder pain.
Moore, 2004 [26] Case study 56-year-old male writer To examine the relationship between UCS and cervicogenic headache.
Panagiotopoulos & Crowther, 2019 [6] Summary of clinical assessment N/A To explain the anatomy and kinematics of the scapula, biomechanics, pathological processes, and rehabilitation.
Panther et al., 2022 [27] Narrative review N/A To review diagnostic tests and treatment for thoracic outlet syndrome
Pathan et al., 2022 [28] Narrative review N/A Assessment of upper crossed syndrome symptoms and a structured exercise program
Safiri et al., 2020 [29] Systematic analysis General population living with neck pain across 195 countries To review data on the incidence and prevalence of neck pain from the 2017 Global Burden of Disease study.
Seidi et al., 2020 [30] Randomized controlled trial 24 men with UCS To investigate the efficacy of a corrective exercise program in men with UCS.
Sepehri, et al., 2024 [31] Systematic review and meta-analysis 22 studies on the effect of therapeutic exercises on forward head posture To examine the efficacy of specific strengthening and stretching exercises on improving the kinematics of individuals with UCS.
Takeno et al., 2019 [32] Systematic review 7 studies To examine therapeutic interventions for scapular kinematics and disability in patients with subacromial impingement.
Tang et al., 2024 [33] Multi-center randomized controlled trial 90 patients with scapular dyskinesis To compare the efficacy of scapular stabilization exercises with conventional exercises for treating shoulder pain.
Turgut et al., 2017 [34] Randomized controlled trial 30 outpatients with scapular dyskinesis Comparison of a scapular stabilization exercise protocol with conventional exercises for addressing kinematics, disability, and pain.
Wahlström, 2005 [35] Narrative review Computer users with musculoskeletal disorders To examine the association between work environments, psychosocial factors, and physical load with musculoskeletal disorders related to computer work.
Xu, 2024 [2] Systematic review and meta-analysis 7 studies involving 3722 participants To examine the prevalence of UCS
Yaghoubitajani et al., 2022 [36] Randomized controlled trial 45 subjects ages 30–45 assigned to online or workplace exercise groups and a control (no exercise intervention). To examine the efficacy of online vs. workplace exercise interventions in reducing UCS symptoms, compared to the control group.