"The objective of this paper is to present a systematic review of the literature in the field to identify problems, recommended practices, unresolved issues and explore occupational needs related to cleaning problems. Selected for review were published and unpublished reports dealing with musculoskeletal disorders among cleaners. English language summaries of other language articles were also included. The factor mentioned most often is that cleaning is associated with high physical and psychosocial workloads. Recommended ergonomic interventions were summarized in a model to present a systematic overview, useful for research and practical applications. A few studies concern equipment design, working environments and factors affecting individual workers. A need to conduct research on cleaning tools/equipment, working environments and individual risk factors is apparent."

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