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Arianne P Verhagen, Sita M A Bierma-Zeinstra, Alex Burdorf, Siobhán M Stynes, Henrica C W de Vet, Bart W Koes
BACKGROUND: Work-related upper limb disorder (WRULD), repetitive strain injury (RSI), occupational overuse syndrome (OOS) and work-related complaints of the arm, neck or shoulder (CANS) are the most frequently used umbrella terms for disorders that develop as a result of repetitive movements, awkward postures and impact of external forces such as those associated with operating vibrating tools. Work-related CANS, which is the term we use in this review, severely hampers the working population...
2013: Cochrane Database of Systematic Reviews
U Chris Ugbolue, Alexander C Nicol
BACKGROUND: Hand usage and movement is routinely performed by all individuals daily irrespective of age. These movements can vary and can be repetitive in nature. Exposure of the hard and soft tissues of the hand to prolonged repetitive activities could contribute to the development of work related upper limb disorders (WRULD). OBJECTIVE: Within the work setting, work related upper limb disorders (WRULDs) rank high in the United Kingdom (UK), second only to back complaints...
2014: Work: a Journal of Prevention, Assessment, and Rehabilitation
P Reis, A Moro, Eugenio Merino, J Vilagra
This research aimed to determine the handgrip strength difference between (♂) and (♀) and its influence on the incidence of RSI / WRULD in meat-packing plants. The study had the participation of 201 workers from the bone sector of a pig slaughterhouse located in the municipality of Sao Miguel do Iguacu, state of Parana, Brazil, being 98 men and 103 women with mean age of 34.3 ( ± 4.7 years) and weight of 66.3 (± 6.5 kg) for (♀) and 36.5 (± 6.4 years) and weight of 77.6 (± 5.8 kg) for (♂). Handgrip strength was used in the evaluation...
2012: Work: a Journal of Prevention, Assessment, and Rehabilitation
P Reis, A Moro
This research was conducted with slaughterhouse female workers in the municipality of São Miguel do Iguaçu, state of Parana, Brazil. The sample was composed of 103 women aged 25 to 40 ( 7.57 years, and the study aimed to verify the nerve conduction of the median nerve. An esthesiometer consisting of a Semmes-Weinstein monofilaments was used to measure the hand skin sensitivity in the region of the median nerve and a Jamar® hand dynamometer, which was used to determine the handgrip strength. About 81% of individuals had normal sensitivity with 0...
2012: Work: a Journal of Prevention, Assessment, and Rehabilitation
N Bhattacharyya, D Chakrabarti
Work related musculoskeletal disorders are seen as an indicating parameter of occupational stress among the women workers engaged in tea leaf plucking operation. The hand plucking (no mechanized plucking is practiced in Assam) being a highly repetitive task requires forceful exertions to reach to the distant periphery of the tea bushes and mechanical compression (pressing against hard surfaces). Specifically it aggravates with awkward positions adopted. The current research addresses to minimize the risk factors associated with CTDs and to ascertain the role of ergonomic design development in improving the situation...
2012: Work: a Journal of Prevention, Assessment, and Rehabilitation
Bo Povlsen
OBJECTIVES: To investigate if typing speed is proportional to the severity of pain in keyboard workers with work-related upper limb disorder (WRULD). DESIGN: Standardized functional typing test with participants scoring pain before and after typing; calculation of typing speed. PARTICIPANTS: Fifty-nine patients and six controls. SETTING: Tertiary hospital centre for hand and upper limb pain. MAIN OUTCOME MEASURES: Pain (VAS 0-10) and calculation of typing speed as words per minute...
January 2012: JRSM Short Reports
Bo Povlsen
OBJECTIVE: To evaluate the effect of a physical training program in combination with ergonomic changes in a group of keyboard operators with nonspecific/type II work-related upper limb disorder (WRULD). DESIGN: Prospective study. SETTING: Hospital department. PARTICIPANTS: Pain-free controls (n=6) and currently working patients with WRULD (n=17) were included. INTERVENTIONS: Participants were taught how to self-rehabilitate according to a previously published physical exercise program, in addition the patients requested maximal ergonomic assistance from their employer according to British law...
January 2012: Archives of Physical Medicine and Rehabilitation
Glenn J Crafts, Gregory J Snow, Kim Hong Ngoc
OBJECTIVE: Work-related upper limb disorder (WRULD) encompasses a broad array of occupational upper limb injuries, the most common being carpal tunnel syndrome (CTS). Carpal tunnel syndrome occasionally presents with concomitant ganglion cysts. The purpose of this case report is to describe the chiropractic management of a patient with bilateral WRULD complicated by ganglion cysts. CLINICAL FEATURES: The patient was diagnosed previously with bilateral CTS and presented with common CTS symptoms that were nonresponsive to several previous courses of care...
September 2011: Journal of Chiropractic Medicine
Bo Povlsen
OBJECTIVE: To compare results of typing endurance and pain before and after a standardized functional test. DESIGN: A standardized previously published typing test on a standard QWERTY keyboard. SETTING: An outpatient hospital environment. PARTICIPANTS: Sixty-one keyboard and mouse operating patients with WRULD and six normal controls. MAIN OUTCOME MEASURE: Pain severity before and after the test, typing endurance and speed were recorded...
May 2011: JRSM Short Reports
Marjon D F van Eijsden-Besseling, Karien A M van den Bergh, J Bart Staal, Rob A de Bie, Rob J E M Smeets, Wim J A van den Heuvel
OBJECTIVE: To assess the influence of work- and treatment-related factors on clinical status and functional disability in patients with non-specific work-related upper limb disorders (WRULD). PARTICIPANTS: 182 computer workers with non-specific WRULD, 18-50 years old, not having specific WRULD nor incomplete medical records. METHODS: Retrospective cohort study among computer workers with non-specific WRULD; average follow-up 4 years. Medical records at time of diagnosis and during treatment period and a follow-up questionnaire were used...
2010: Work: a Journal of Prevention, Assessment, and Rehabilitation
Marjon D F Van Eijsden-Besseling, Antonius van Attekum, Rob A de Bie, J Bart Staal
In computer workers psychological factors and physical fitness may play an important role in the onset and course of non-specific work-related upper limb disorders (WRULD) beyond socio-demographic factors. Based on our experiences in daily practice we assumed that pain catastrophizing and other psychological variables such as perfectionism, anxiety state and trait, and low physical fitness, are possibly associated with the occurrence of WRULD. We aim to study the association between pain catastrophizing, perfectionism, anxiety (state and trait), physical fitness, sex and level of education and the occurrence of WRULD, controlling for age as a confounder...
2010: Industrial Health
Marjon D van Eijsden-Besseling, Karien A van den Bergh, J Bart Staal, Rob A de Bie, Wim J van den Heuvel
OBJECTIVE: To assess the course of nonspecific work-related upper limb disorders (WRULD) and the influence of sociodemographic factors, psychologic factors, and physical fitness on clinical status and functional disability. DESIGN: Retrospective cohort study with cross-sectional analysis among computer workers with several stages of nonspecific WRULD; average follow-up 4 years. Sociodemographic and medical characteristics were assessed based on medical records at onset and diagnosis...
June 2010: Archives of Physical Medicine and Rehabilitation
Elizabeth Kirk, Jenny Strong
Contact centres are vehicles for a rapidly growing group of knowledge workers, or eWorkers. Using computers and high-speed telecommunications connections as work tools, these employees spend long hours performing mentally demanding work while maintaining static, physically stressful, seated positions. The complex interplay between job demands, work environment, and individual differences combine to produce high levels of physical discomfort among eWorkers. This paper discusses a new view that has emerged, one that focuses on the management rather than the elimination of work related upper limb disorders (WRULD) and computer vision syndrome (CVS) issues that are prevalent among eWorkers...
2010: Work: a Journal of Prevention, Assessment, and Rehabilitation
E De Smet, F Germeys, L De Smet
A cross sectional study where 145 hairdressers were interviewed for the occurrence of work related upper limb disorders (WRULD). The interview features for engagement, burnout and workaholism, as well as asks for general health and working conditions. The BMI, the hand size and gripping force of each worker was obtained. WRULD was present in 41%. It was significantly correlated with burnout and workaholism. Surprisingly it was not altered by engagement or by the use of ergonomic equipment. Morphological features (BMI), hand size and gripping force, were not related to the occurrence of WRULD...
2009: Work: a Journal of Prevention, Assessment, and Rehabilitation
Marjon D van Eijsden, Sylvia A Gerhards, Rob A de Bie, Johan L Severens
BACKGROUND: Exercise therapies generate substantial costs in computer workers with non-specific work-related upper limb disorders (WRULD). AIMS: To study if postural exercise therapy is cost-effective compared to regular physiotherapy in screen-workers with early complaints, both from health care and societal perspective. METHODS: Prospective randomized trial including cost-effectiveness analysis; one year follow-up. PARTICIPANTS: Eighty-eight screen-workers with early non-specific WRULD; six drop-outs...
2009: Trials
Bo Povlsen, Robyn-Lee Rose
Work-related upper limb disorders (WRULDs) are difficult to diagnose due to the limited availability of recognized objective assessment methods. This case series report demonstrates the use of the "typing capacity cycle" test and standardized clinical tests as outcome measures to assess work capacity in four high-intensity keyboard and mouse users who remain at work before and after the implementation of a six-month treatment program. Pain intensity, the duration of pain before treatment, the duration of treatment, type of work, and the location of the pain were recorded for each patient...
January 2008: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
E Michael Shanahan, Peter Jezukaitis
BACKGROUND: Work related upper limb disorders (WRULDs) are among the most common workers' compensation claims. Their management is a challenge for medical practitioners for a range of reasons. OBJECTIVE: This article describes the common WRULDs and summarises current management strategies. DISCUSSION: The identification and management of WRULDs is complicated by diagnostic, aetiological and therapeutic uncertainties. The workers' compensation system further complicates the issue...
December 2006: Australian Family Physician
R Soer, E H J Gerrits, M F Reneman
The aim of this study was to determine test-retest reliability of a Functional Capacity Evaluation for patients with non-specific Work Related Upper Limb Disorders (WRULD FCE). The study sample included 33 healthy adults, consisting of 14 males and 19 females with a mean age of 29.2 years. The WRULD FCE consisted of 8 different tests including 26 items measuring repetitive movements, duration, working in awkward positions, forceful movements and static postures. Two FCE sessions were held with a 10-day interval...
2006: Work: a Journal of Prevention, Assessment, and Rehabilitation
Michael Feuerstein, Rena A Nicholas
BACKGROUND: 'Workstyle', or how a worker behaviourally, cognitively and physiologically responds to increased or stressful work demands, has been proposed to help explain the link between ergonomic and psychosocial factors in work-related upper limb disorder symptoms and disorders (WRULD). AIM: To describe the psychometric properties of a shortened version of the original Workstyle measure. METHODS: Factor analyses of the Workstyle measure items were conducted to reduce the number of total items...
March 2006: Occupational Medicine
M F Reneman, R Soer, E H J Gerrits
A reported reduction in work-related functional capacity in Work-related Upper Limb Disorders (WRULD) patients is among the most common problems in WRULD. The extent to which this reduction in functional capacity can be objectified remains unknown. A validated instrument to test functional capacity in this patient group is unavailable. The objective of this study was to design a Functional Capacity Evaluation (FCE) for WRULD patients working with Visual Display Units (VDU) and provide evidence for content validity...
September 2005: Journal of Occupational Rehabilitation
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