AN EDUCATION BASED ERGONOMIC INTERVENTION PROGRAMME FOR GAUTENG CALL CENTRE WORKERS WITH UPPER EXTREMITY REPETITIVE STRAIN INJURIES.
|
|
|
- Cecil Hood
- 8 years ago
- Views:
Transcription
1 AN EDUCATION BASED ERGONOMIC INTERVENTION PROGRAMME FOR GAUTENG CALL CENTRE WORKERS WITH UPPER EXTREMITY REPETITIVE STRAIN INJURIES. Sancha Eliot Johannesburg 2010
2 DECLARATION I SANCHA ELIOT declare that this research is my own work. It is being submitted for the Degree of Master of Science in Occupational Therapy in the University of the Witwatersrand, Johannesburg. It has not been submitted before for any degree or examination at this or any other university. [Signature of candidate] day of.. [month], 20
3 ACKNOWLEDGMENTS I would like to acknowledge the assistance of my supervisor: Denise Franzsen. Your help, guidance and continuous support has been invaluable. To my family, a big thank you for your patience and support.
4 ABSTRACT Ergonomic interventions, addressing work and lifestyle factors, seem more effective in reducing computer related upper limb repetitive strain injury (RSI).This study considered the efficacy of such a programme on the resolution of RSI symptoms. A cross sectional survey, of 325 computer workers in a medical aid company call centres, in Gauteng, South Africa was used to establish a point prevalence of 30.23% for RSI symptoms, which correlates with those found elsewhere. An occupational therapy ergonomic intervention was then designed and piloted for efficacy. A randomised control trial conducted on 37 participants with RSI used the programme and computer generated Break Software. The six week intervention included the assessment of: three physical outcome measures and lifestyle factors for, the experimental and control groups. Results indicated positive effects on pain, grip strength, and lifestyle factors including feelings of inefficiency, pressure at the end of the day, depression and work capacity, but little extrapolation of ergonomic knowledge to the workplace.
5 Table of Contents DECLARATION... 2 ACKNOWLEDGMENTS... 3 ABSTRACT... 4 TABLE OF CONTENTS... 5 LIST OF TABLES... 9 LIST OF FIGURES OPERATIONAL DEFINITIONS ABBREVIATIONS CHAPTER 1... Error! Bookmark not INTRODUCTION... Error! Bookmark not 1.1 STATEMENT OF THE PROBLEM... Error! Bookmark not 1.2 PURPOSE OF THE STUDY... Error! Bookmark not 1.3 RESEARCH QUESTION... Error! Bookmark not 1.4 RESEARCH OBJECTIVES... Error! Bookmark not 1.5 NULL HYPOTHESIS... Error! Bookmark not 1.7 JUSTIFICATION FOR THE STUDY... Error! Bookmark not CHAPTER 2... Error! Bookmark not LITERATURE REVIEW... Error! Bookmark not 2.1 REPETITIVE STRAIN INJURY (RSI)... Error! Bookmark not Characteristics of Repetitive Strain Injury Error! Bookmark not Classification of Repetitive strain injuries according to Specific Body tissues... Error! Bookmark not 2.2 CAUSE AND DIAGNOSIS OF REPETITIVE STRAIN INJURIES... Error! Bookmark not Difficulty in reporting Repetitive Strain Injury... Error! Bookmark not The reporting of Repetitive Strain Injury in South AfricaError! Bookmark not Cost to individual and company... Error! Bookmark not 2.3 INTERVENTION FOR REPETITIVE STRAIN INJURY Error! Bookmark not Ergonomic programmes... Error! Bookmark not Education of Workers about ergonomics. Error! Bookmark not Warning/Break software programmes... Error! Bookmark not Workstyle/ Lifestyle programmes... Error! Bookmark not Non compliance with the Intervention ProgrammesError! Bookmark not Evaluation and limitations of the Intervention Programmes... Error! Bookmark not 2.4 SUMMARY... Error! Bookmark not CHAPTER 3... Error! Bookmark not
6 METHODOLOGY... Error! Bookmark not Screening Phase... Error! Bookmark not 3.1 PHASE 1... Error! Bookmark not Screening Phase... Error! Bookmark not Research Design... Error! Bookmark not Participant selection... Error! Bookmark not Call centres... Error! Bookmark not Measurement tool... Error! Bookmark not Ethical Considerations... Error! Bookmark not Research Procedure... Error! Bookmark not Screening procedure... Error! Bookmark not Data Analysis... Error! Bookmark not 3.2 PHASE 2... Error! Bookmark not Intervention Programme development... Error! Bookmark not Booklet Development... Error! Bookmark not Pilot study 1 Content validity of interactive education based ergonomic programme booklet with experts... Error! Bookmark not Pilot study 2. Content validity of interactive education based ergonomic programme with similar participantserror! Bookmark not Computer based Break Software... Error! Bookmark not PHASE 3... Error! Bookmark not 3.3 Intervention Phase... Error! Bookmark not Research design... Error! Bookmark not Selection of research participants... Error! Bookmark not Sample size... Error! Bookmark not Ethical considerations:... Error! Bookmark not Measurement techniques... Error! Bookmark not Pain... Error! Bookmark not Wrist active range of motion (AROM)Error! Bookmark not Pinch strength... Error! Bookmark not Grip strength... Error! Bookmark not Working conditions and health at call centres questionnaire... Error! Bookmark not Checklist... Error! Bookmark not Research procedure... Error! Bookmark not Assessment procedure... Error! Bookmark not Implementation of the Intervention... Error! Bookmark not Data Analysis... Error! Bookmark not CHAPTER 4... Error! Bookmark not RESULTS... Error! Bookmark not 4.1 RESULTS PHASE 1... Error! Bookmark not 4.2 RESULTS OF PHASE 3... Error! Bookmark not Demographics... Error! Bookmark not Physical Outcomes Measurements... Error! Bookmark not
7 Range of Motion of the Wrist... Error! Bookmark not Wrist Flexion... Error! Bookmark not Wrist Extension... Error! Bookmark not Radial Deviation... Error! Bookmark not Ulnar Deviation... Error! Bookmark not Pinch and Grip Strength... Error! Bookmark not Pinch Strength... Error! Bookmark not Grip Strength... Error! Bookmark not Pain... Error! Bookmark not Visual Analogue Scale Pain on ResistanceError! Bookmark not Visual Analogue Scale-Pain on Movement... Error! Bookmark not Visual Analogue Scale- Pain at Rest... Error! Bookmark not Visual Analogue Scale - Worst Pain... Error! Bookmark not Results for Working conditions and health at call centres Questionnaire... Error! Bookmark not Ergonomics Training... Error! Bookmark not Question Error! Bookmark not Work Space Design... Error! Bookmark not Question Error! Bookmark not Effect of Work on Stress and Energy Levels... Error! Bookmark not Question Error! Bookmark not Question Error! Bookmark not Question Error! Bookmark not This question deals with the measures during the past month to reduce RSI symptoms/problems. Answers are either No =1 or Yes =2. This question was only answered if RSI symptoms were present thus participants who had no problems did not answer these questions on both occasions.... Error! Bookmark not Question Error! Bookmark not Question Error! Bookmark not 4.3 Summary... Error! Bookmark not CHAPTER 5... Error! Bookmark not DISCUSSION... Error! Bookmark not 5.1 Effect of the Intervention Programme on Symptoms of Repetitive Strain Injury... Error! Bookmark not Physical outcome measures... Error! Bookmark not a ROM... Error! Bookmark not b Pinch and Grip strength... Error! Bookmark not c Pain... Error! Bookmark not d Ergonomic Training... Error! Bookmark not e Computer Software... Error! Bookmark not 5.2 Effect of the Intervention Programme on Attitude of Participants... Error! Bookmark not
8 5.3 Evaluation of the Effectiveness of the Intervention... Error! Bookmark not 5.4 Summary... Error! Bookmark not CHAPTER 6... Error! Bookmark not CONCLUSION... Error! Bookmark not 6.1 Recommendations... Error! Bookmark not REFERENCES... Error! Bookmark not APPENDICES... Error! Bookmark not APPENDIX A - Questionnaire, With Permission From The National Institute For Working Life.... Error! Bookmark not APPENDIX B - Physical Outcomes Assessment: Range of Movement.... Error! Bookmark not APPENDIX C - Physical Outcomes Measurement: Pinch Strength... Error! Bookmark not APPENDIX D -Physical Outcomes Measurement: Grip StrengthError! Bookmark not APPENDIX E -Physical Outcomes Measurement: Pain... Error! Bookmark not APPENDIX F- Letter of Permission... Error! Bookmark not APPENDIX G- Information Sheet for Phase 1... Error! Bookmark not APPENDIX H - Information Sheet for Phase 2... Error! Bookmark not APPENDIX J -Intervention Booklet... Error! Bookmark not APPENDIX K- Screening Questionnaire (abbreviated version of final questionnaire... Error! Bookmark not APPENDIX L: Data Collection Sheets... Error! Bookmark not APPENDIX M: Comment form for Phase Error! Bookmark not
9 List of Tables Table 4.1 Loss to follow up of participants over timeerror! Bookmark not Table 4.2 Demographics of the experimental and control grouperror! Bookmark not Table 4.3 Work demographics of the experimental and control group at Baseline... Error! Bookmark not Table 4.4 Results for range of motion of wrist flexion over three measurements..... Error! Bookmark not Table 4.5 Results for range of motion of wrist extension over three measurements.... Error! Bookmark not Table 4.6 Results for range of motion of wrist radial deviation over three measurements... Error! Bookmark not Table 4.7 Results for range of motion of wrist ulnar deviation over three measurements... Error! Bookmark not Table 4.8 Results for pinch strength over three measurements:error! Bookmark not Table 4.9 Results for grip strength over three measurements:error! Bookmark not Table 4.10 Results for Visual Analogue Scale pain on resistance over three measurements:... Error! Bookmark not Table 4.11 Results for Visual Analogue Scale pain on movement over three measurements:... Error! Bookmark not Table 4.12 Results for Visual Analogue Scale pain at rest over three measurements... Error! Bookmark not Table 4.13 Results for Visual Analogue Scale worst pain over three measurements:... Error! Bookmark not
10 List of Figures Figure 4.1 Wrist flexion range of motion over three measurements for the control and experimental groups... Error! Bookmark not Figure 4.2 Wrist radial deviation over three measurements for control and experimental groups... Error! Bookmark not Figure 4.3 Grip strength over three measurement for control and experimental groups... Error! Bookmark not Figure 4.4 Pain score on the Visual Analogue Scale for pain on resistance over three measurements for control and experimental groups... Error! Bookmark not Figure 4.5 Pain score on a Visual Analogue Scale for pain on movement over three measurements for control and experimental groups Error! Bookmark not Figure 4.6 Pain score on a Visual Analogue Scale for pain at rest over three Error! Bookmark not measurements for control and experimental groups Error! Bookmark not Figure 4.7 Pain score on a Visual Analogue Scale for worst pain over three measurements for control and experimental groups Error! Bookmark not Figure 4.8 Change in scores from Baseline to Time 2 for the combined groups for Question Error! Bookmark not Figure 4.9 Change in scores from Baseline to Time 2 for the experimental and control groups for Question 38f.... Error! Bookmark not Figure 4.10 Percentage of participants whose answers differed on Question 48e... Error! Bookmark not Figure 4.11 Percentage of participants whose answers differed on Question 48g Error! Bookmark not Figure 4.12 Percentage of participants whose answers differed on Question 48s.... Error! Bookmark not Figure 4.13 Percentage of participants whose answers differed on Question 53b Error! Bookmark not Figure 4.14 Change in scores from Baseline to Time 2 for the combined groups for Question 58f... Error! Bookmark not Figure 4.15 Percentage Change in scores from Baseline to Time 2 for the experimental and control groups for Question Error! Bookmark not Figure 4.16 Percentage of participants whose answers differed on Question 60k.... Error! Bookmark not Figure 4.17 Percentage of participants whose answers differed on Question 60l Error! Bookmark not
11 Figure 4.18 Percentage Change in scores from baseline to Time 2 for the combined groups for Question 61a... Error! Bookmark not Figure 4.19 Change in scores from baseline to Time 2 for combined groups for Question 64b... Error! Bookmark not
12 OPERATIONAL DEFINITIONS 1. Repetitive strain injury (RSI) - cumulative chronic upper extremity pain, for which no alternative diagnosis is made and which is related (but not limited to) highly repetitive movements, movements at extremes of reach, static muscle loading, awkward sustained positions and overuse (Sanders, 2004, van Tulder, Malmivaara and Koes, 2007) RSI are characteristically shown to have a slow insidious onset with initial localised pain, which becomes diffuse. (Palmer, 2003.) 2. Tenosynovitis and Tendonitis Inflammation of one or more tendon sheaths or one or more tendons. As the above are difficult to discern clinically without thorough examination (and have the same treatment) they were collectively termed tenosynovitis in this research. (Palmer, 2003) 3. Compression Neuropathy Entrapment in a specific anatomical area where nerves pass under restrictive pulleys or retinaculae. Sensory fibres are more readily and quickly affected than motor fibres. Symptoms (proximal or distal to the compression) may be vague, however may include one or more of the following: pain, numbness, weakness and tingling. (Kasch, 2002) For the purposes of this study the following characteristics of RSI were accepted: multifactorial causes, mechanical and physiological mechanisms are involved, a relationship to the duration and intensity of work exists, and work cycle and environment have an impact.(sanders, 2004) 4. Work Related Upper Limb Disorders Type I WRULD These have clearly defined and localised symptomology, diagnoses and treatments. They include: carpal tunnel syndrome, lateral epicondylitis and De Quervain s tenosynovitis Type II WRULD Non traumatic upper limb pain with poorly defined symptoms and causation are included in this class. They incorporate the regional pain syndromes. (Povlsen and Rose, 2008)
13 5. Ergonomics Ergonomics can be described as the interface between an individual, their work task/job, the work environment and the tools they utilise to perform the task at hand. It should take into account the individual (physical characteristics and capabilities), the task and the work environment. Ergonomics as used by Occupational Health practitioners involves the study of the work and the individual fit. It must include the study of the organisation s social, economic, political and legislative environment. Work organisation i.e. psychosocial work place risk factors as well as physical work place risk factors must be considered as well as the individual. (Sanders, 2004) 6. Point Prevalence Point prevalence is not defined by a time interval and is therefore not a rate. It may be defined as the number of cases of a disease that exist in a defined population at a specified point in time. (Mann, 2003)
14 ABBREVIATIONS CTD Cumulative Trauma Disorders EU European Union IOD - Injury On Duty MSD Musculoskeletal Disorders NIOSH - National Institute for Occupational Safety and Health OCD Occupational Cervico-brachial Disorders OOS Occupational Overuse Syndrome RSI Repetitive Strain Injury SASHT South African Society of Hand Therapists SLE Systemic Lupus Erythematous UE Upper Extremity UL Upper Limb UED - Upper Extremity Disorders ULD Upper Limb Disorders USA United States of America VAS Visual Analogue Scale WRULDS - Work Related Upper Limb Disorders WRMSDS - Work Related Musculoskeletal Disorders WCA Workman s Compensation Act
CHAPTER 1 INTRODUCTION
CHAPTER 1 INTRODUCTION By virtue of their nature Repetitive Strain Injuries (RSI) are difficult to describe and diagnose. Literature cannot agree on terminology let alone diagnostic criteria (Sanders,
APPENDIX F INTERJURISDICTIONAL RESEARCH
Ontario Scheduled Presumption: Bursitis, listed in Schedule 3, of the Ontario Workers Compensation Act, entry number 18 Description of Disease Bursitis Process Any process involving constant or prolonged
Ergonomics Monitor Training Manual
Table of contents I. Introduction Ergonomics Monitor Training Manual II. Definition of Common Injuries Common Hand & Wrist Injuries Common Neck & Back Injuries Common Shoulder & Elbow Injuries III. Ergonomics
Fact Sheet: Occupational Overuse Syndrome (OOS)
Fact Sheet: Occupational Overuse Syndrome (OOS) What is OOS? Occupational Overuse Syndrome (OOS) is the term given to a range of conditions characterised by discomfort or persistent pain in muscles, tendons
Lean-Ergonomic methods to reduce workers compensation costs (Part 2 of 2) Cumulative trauma disorders can be classified as: What is CTD?
#425 Lean-ergonomic methods to reduce workers compensation costs, Part 2 of 2 Lean-Ergonomic methods to reduce workers compensation costs (Part 2 of 2) Govid Bharwani, Ph.D, Biomedical Engineering Thursday,
CUMMULATIVE DISORDERS OF UPPER EXTIMITY DR HABIBOLLAHI
CUMMULATIVE DISORDERS OF UPPER EXTIMITY DR HABIBOLLAHI Definition Musculoskeletal disorder (MSD) is an injury or disorder of the muscles, nerves, tendons, joints, cartilage,ligament and spinal discs. It
CONSTRUCTION WORK and CUMULATIVE TRAUMA DISORDERS
Connecticut Department of Public Health Environmental and Occupational Health Assessment Program 410 Capitol Avenue MS # 11OSP, PO Box 340308 Hartford, CT 06134-0308 (860) 509-7740 http://www.ct.gov/dph
Repetitive Strain Injury (RSI)
Carpal Tunnel Syndrome and Other Musculoskeletal Problems in the Workplace: What s the Solution? by Richard N. Hinrichs, Ph.D. Dept. of Kinesiology Arizona State University Repetitive Strain Injury (RSI)
How To Treat Musculoskeletal Injury In Sonographers
MUSCULOSKELETAL DISORDERS IN SONOGRAPHERS: ARE WE DOING ENOUGH? Many terms are used to refer to work related injuries among sonographers. Musculosketetal injury (MSI) Repetitive motion injury (RMI) Repetitive
Most active and intricate part of the upper extremity Especially vulnerable to injury Do not respond well to serious trauma. Magee, 2008. pg.
PTA 216 Most active and intricate part of the upper extremity Especially vulnerable to injury Do not respond well to serious trauma Magee, 2008. pg. 396 28 bones Numerous articulations 19 intrinsic muscles
Repetitive Strain Injuries (RSI / ASTD)
Repetitive Strain Injuries (RSI / ASTD) This information should not be distributed to the employer. This information is an overview of the principles derived from the current jurisprudence. Each case is
Musculoskeletal Injury as Part of the Job"
Musculoskeletal Injury as Part of the Job" Health and Safety in Hand-Intensive Health- Care Occupations Preventing Work-Related Upper Limb Disorders Report submitted to the IOSH Research Committee Health
Did the worker s right hand condition arise out of and in the course of her employment, or was it due to the nature of that employment?
WCAT Decision Number: WCAT-2008-02151 WCAT Decision Date: July 18, 2008 Panel: David A. Cox, Vice Chair Introduction The worker appeals from the January 7, 2008 decision of an officer of the Workers Compensation
International Journal of Pharma and Bio Sciences EFFECTS OF EXERCISES ON REPETITIVE STRAIN INJURIES OF HAND IN MILKMEN ABSTRACT
Research Article Physiotherapy International Journal of Pharma and Bio Sciences ISSN 0975-6299 EFFECTS OF EXERCISES ON REPETITIVE STRAIN INJURIES OF HAND IN MILKMEN PROF.TUSHAR J PALEKAR *1, ANIRUDHA VAIDYA
Body Mechanics for Mammography Technologists
Body Mechanics for Mammography Technologists Diane Rinella RT(R)(M)(BD)RDMS(BR)CDT Objectives Recognize causes and risk factors for Musculoskeletal Disorders (MSDs) for mammography technologists Understand
Keeping the Aging Worker Productive and Injury Free
Keeping the Aging Worker Productive and Injury Free Peter Goyert PT CCPE Senior Ergonomist WorkSafeBC Aging Some say aging is > 30 years. Everybody is aging. Generally aging workers refer to those in last
STRAIN INJURIES. Summary of the law on
Summary of the law on STRAIN INJURIES Workers who suffer from pain and stiffness in any of their upper limbs because of something they do at work may be suffering from strain injury categorised as a work
ERGONOMICS COMPLIANCE POLICY
ERGONOMICS COMPLIANCE POLICY I. OBJECTIVE: To establish a formal proactive plan to reduce the numbers and/or severity of injuries that occur at the workplace that are caused by a disregard for, or lack
OUTREACH Organized by Lecturer
OUTREACH Organized by Lecturer Rod Larson, PhD, CIH Industrial Hygiene Program Director 585-3673 "Plans and basis for plans to conduct environmental monitoring on Mothers and Children as part of the National
Repetitive strain injury (RSI) in the workplace
AbilityNet Factsheet September 2015 Repetitive strain injury (RSI) in the workplace This factsheet looks at repetitive strain injury (RSI) the term most often used to describe the pain felt in muscles,
Repetitive strain injury (RSI) in the workplace
AbilityNet Factsheet March 2015 Repetitive strain injury (RSI) in the workplace This factsheet looks at repetitive strain injury (RSI) the term most often used to describe the pain felt in muscles, nerves
Cycling Injury Prevention Workshop
Cycling Injury Prevention Workshop Focus on Thoracic-Shoulder & Associated Conditions Ian Wee Occupational Therapist / Cycle Coach Chris Thompson Physiotherapist / Cycle Coach/ Exercise Physiologist Workshop
Class Term Project Radiology Workplace Assessment Client Henry Ford Hospital - Radiology Department Coordinated by Carl Zylak
Design & Environmental Analysis 670 Class Term Project Radiology Workplace Assessment Client Henry Ford Hospital - Radiology Department Coordinated by Carl Zylak Professor Alan Hedge Cornell University
ERGONOMICS. University at Albany Office of Environmental Health and Safety 2010
ERGONOMICS University at Albany Office of Environmental Health and Safety 2010 WHAT IS ERGONOMICS? From the Greek: ergon work and nomoi natural laws Defined by Webster as: Biotechnology WHAT IS ERGONOMICS?
Disease/Illness. GUIDE TO REPETITIVE STRAIN INJURIES Repetitive Strain Injuries/Work Related Limb Disorders. Help it hurts! How does it happen?
GUIDE TO REPETITIVE STRAIN INJURIES Repetitive Strain Injuries/Work Related Limb Disorders Help it hurts! What is it? There are loads of different phrases used to describe pain and symptoms arising from
Beware! your mouse can bite your hand!
Beware! your mouse can bite your hand! Pradnya R. Malandkar K. Munshi When a typical form of work is extensively performed repeatedly over a large time span (years) it causes R.S.I. (Repetitive Stress
BODY STRESSING RISK MANAGEMENT CHECKLIST
BODY STRESSING RISK MANAGEMENT CHECKLIST BODY STRESSING RISK MANAGEMENT CHECKLIST This checklist is designed to assist managers, workplace health staff and rehabilitation providers with identifying and
A STUDY ON THE PREVALENCE OF UPPER EXTREMITY REPETITIVE STRAIN INJURIES AMONG THE HANDLOOM WEAVERS OF WEST BENGAL
J. Human Ergol., 32: 17-22, 2003 A STUDY ON THE PREVALENCE OF UPPER EXTREMITY REPETITIVE STRAIN INJURIES AMONG THE HANDLOOM WEAVERS OF WEST BENGAL PRASUN BANERJEE AND SOMNATH GANGOPADHYAY * Ergonomics
Medical Treatment Guidelines Washington State Department of Labor and Industries
Complex regional pain syndrome (CRPS) Formerly known as reflex sympathetic dystrophy 1. Introduction This bulletin outlines the Department of Labor and Industries guidelines for diagnosing and treating
WORKPLACE SAFETY AND INSURANCE APPEALS TRIBUNAL DECISION NO. 1602/11
WORKPLACE SAFETY AND INSURANCE APPEALS TRIBUNAL DECISION NO. 1602/11 BEFORE: M. M. Cohen: Vice-Chair HEARING: August 16, 2011 at Toronto Written DATE OF DECISION: August 23, 2011 NEUTRAL CITATION: 2011
How To Treat Repetitive Strain Injury
Repetitive Strain Injury WHAT IS REPETITIVE STRAIN INJURY? Updated April 2010 Repetitive Strain Injury (RSI) is the more commonly known term for a set of disorders called Work Related Upper Limb Disorders
A Patient s Guide to Guyon s Canal Syndrome
A Patient s Guide to DISCLAIMER: The information in this booklet is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or
Aching arms (or RSI) in small businesses. Is ill health due to upper limb disorders a problem in your workplace?
Aching arms (or RSI) in small businesses Is ill health due to upper limb disorders a problem in your workplace? This booklet is designed to help employers and managers in small businesses to understand
ERGONOMICS and the PREVENTION OF UPPER EXTREMITY CUMULATIVE TRAUMA DISORDERS
ERGONOMICS and the PREVENTION OF UPPER EXTREMITY CUMULATIVE TRAUMA DISORDERS ERGONOMICS AND THE PREVENTION OF UPPER EXTREMITY CUMULATIVE TRAUMA DISORDERS BY KARL V. SIEGFRIED DIRECTOR OF ERGONOMICS Copyright
The Irish Congress of Trade Unions has identified common causes of occupational stress:
Tipp FM Legal Slot 25 th September 2012 Workplace Stress & Repetitive Strain Injury Melanie Power, Solicitor What is Workplace Stress? Stress is not an illness in itself but it is characterized by a feeling
THE WRIST. At a glance. 1. Introduction
THE WRIST At a glance The wrist is possibly the most important of all joints in everyday and professional life. It is under strain not only in many blue collar trades, but also in sports and is therefore
Hand and Upper Extremity Injuries in Outdoor Activities. John A. Schneider, M.D.
Hand and Upper Extremity Injuries in Outdoor Activities John A. Schneider, M.D. Biographical Sketch Dr. Schneider is an orthopedic surgeon that specializes in the treatment of hand and upper extremity
The research on RSI and Breaks. Wellnomics White Paper
The research on RSI and Breaks Wellnomics White Paper Dr Kevin Taylor, BE, PhD March 2002 www.wellnomics.com research@wellnomics.com 2006 Wellnomics Limited Ref 1029/01/092006 Introduction This document
TEXAS A&M UNIVERSITY-COMMERCE COMPUTER ERGONOMICS. Making Things a Little Easier
COMPUTER ERGONOMICS Making Things a Little Easier COURSE OBJECTIVES Understand the definition of ergonomics Understand Primary Causes of Cumulative Trauma Disorders (CTDs). Understand ways to prevent CTDs
Your Body, Your Job. Preventing Carpal Tunnel Syndrome and Other Upper Extremity Musculoskeletal Disorders
Your Body, Your Job Preventing Carpal Tunnel Syndrome and Other Upper Extremity Musculoskeletal Disorders Your Body, Your Job Preventing Carpal Tunnel Syndrome and Other Upper Extremity Musculoskeletal
Neck Pain Overview Causes, Diagnosis and Treatment Options
Neck Pain Overview Causes, Diagnosis and Treatment Options Neck pain is one of the most common forms of pain for which people seek treatment. Most individuals experience neck pain at some point during
Wingz Ergonomic Computer Keyboard An overview of research leading to a new keyboard design
Wingz Ergonomic Computer Keyboard An overview of research leading to a new keyboard design Advanced Research Computers Inc. March 2011 Abstract The Wingz Smartkeyboard is an advance in computer keyboard
COMPUTER-RELATED MUSCLE, TENDON, AND JOINT INJURIES
CHAPTER ELEVEN COMPUTER-RELATED MUSCLE, TENDON, AND JOINT INJURIES To reduce the risk of pain in your neck and shoulders, stay within these recommended ranges of movement: Neck Flexion: 0 o -15 o (bending
MANUAL OF UNIVERSITY POLICIES PROCEDURES AND GUIDELINES. Applies to: faculty staff students student employees visitors contractors
Page 1 of 5 Title/Subject: CMU ERGONOMICS PROGRAM Applies to: faculty staff students student employees visitors contractors Effective Date of This Revision: May 1, 2012 Contact for More Information: Human
Guidance on the Prevention and Management of Musculoskeletal Disorders (MSDs) in the Workplace
Guidance on the Prevention and Management of Musculoskeletal Disorders (MSDs) in the Workplace This guide is designed for application in both Northern Ireland and the Republic of Ireland. The production
Hand Injuries and Disorders
Hand Injuries and Disorders Introduction Each of your hands has 27 bones, 15 joints and approximately 20 muscles. There are many common problems that can affect your hands. Hand problems can be caused
ERGONOMICS AND MUSCULOSKELETAL INJURY (MSI) Preventing Injuries by Design
ERGONOMICS AND MUSCULOSKELETAL INJURY (MSI) Preventing Injuries by Design ERGONOMICS and Musculoskeletal injury (MSI) Some of the tasks we perform at work, such as lifting, reaching and repeating the same
Aetna Nerve Conduction Study Policy
Aetna Nerve Conduction Study Policy Policy Aetna considers nerve conduction velocity (NCV) studies medically necessary when both of the following criteria are met: 1. Member has any of the following indications:
Manitoba Labour Workplace Safety and Health Division. A Guide to Program Development and Implementation
Manitoba Labour Workplace Safety and Health Division Ergonomics A Guide to Program Development and Implementation May 2009 This document is Version 1.2 of the Ergonomics Guideline originally released in
REPETITIVE STRAIN INJURY (RSI)
REPETITIVE STRAIN INJURY (RSI) Compiled by Campbell M Gold CMG Archives http://www.campbellmgols.com (2012) IMPORTANT The health information contained herein is not meant as a substitute for advice from
Musculoskeletal disorders (MSDs) in HORECA
24 Musculoskeletal disorders Introduction The HORECA (hotels, restaurants and catering) sector employs about 7.8 million people in the European Union. It is characterised by a high proportion of small
Clinical guidelines for best practice management of acute and chronic whiplash-associated disorders. Clinical resource guide
Clinical guidelines for best practice management of acute and chronic whiplash-associated disorders Clinical resource guide TRACsa was integrated into the Motor Accident Commission (MAC) in November 2008.
Health and Safety Resources Caution to Users
Health and Safety Resources Caution to Users Many of the resources in this archive were originally prepared by WSN s predecessor organizations for use by industry clients. While much of the information
LABOR Albert G. Kroll Commissioner
Clifton R. Lacy, M.D. Commissioner CUMULATIVE TRAUMA DISORDERS IN OFFICE WORKERS Public Employees Occupational Safety and Health Program James E. McGreevey Governor NEW JERSEY DEPARTMENT LABOR Albert G.
INJURIES OF THE HAND AND WRIST By Derya Dincer, M.D.
05/05/2007 INJURIES OF THE HAND AND WRIST By Derya Dincer, M.D. Hand injuries, especially the fractures of metacarpals and phalanges, are the most common fractures in the skeletal system. Hand injuries
Industrial HabitAtWork Workbook
Workbook HabitAtWork is an education and training tool that promotes self-help and problem solving for the prevention and management of discomfort, pain and injury. Contents What is discomfort, pain and
Does training in workplace adjustment and posture prevent occupational overuse syndrome in workplace based computer users?
Does training in workplace adjustment and posture prevent occupational overuse syndrome in workplace based computer users? Prepared by: Meryl Lovarini Research Project Manager and occupational therapist,
Repetitive Strain Injuries A: Building Background Knowledge. Audience. n Focus on Facts: Repetitive Strain Injury 1
Lesson Plan 21 Repetitive Strain Injuries A: Building Background Knowledge CLB Level(s): 5-6 CLB Skill(s): Reading, Speaking Essential Skill(s): Document Use, Oral Communication Objective(s) n Learners
Contents. Working safely with manual handling
learning Enable Skills Bulletin September 2008 To keep you informed in community services. FREE Circulating accommodation and residential services educational Services and community services in general.
How To Become A Physio And Rehabilitation Medicine Specialist
EUROPEAN BOARD OF PHYSICAL AND REHABILITATION MEDICINE LOGBOOK EUROPEAN UNION OF MEDICAL SPECIALISTS UEMS IDENTIFICATION... 2 INSTRUCTIONS FOR USE... 3 THE TRAINING COURSE... 3 TRAINING PROGRAMME... 4
An Investigation of the Incidences of Repetitive Strain Injury among computer Users in Nigeria
www.ijcsi.org 254 An Investigation of the Incidences of Repetitive Strain Injury among computer Users in Nigeria Olabiyisi Olatunde 1, Akingboye Yusuff 2, Abayomi-Alli Adebayo 3, Izilien Fred 4, Adeleke
Repetitive Motion Claims Strategy
Repetitive Motion Claims Strategy Aon Risk Solutions Global Risk Consulting 2012 Aon Corporation Brief Description: This paper explores presents the strategies role of individual to reduce and the non-work-related
Preventing Overuse Injuries at Work
Preventing Overuse Injuries at Work The Optimal Office Work Station Use an adjustable chair with good lumbar support. Keep your feet flat on a supportive surface (floor or foot rest). Your knees should
Pipetting, Ergonomics, and You. An overview of ergonomics, pipetting risk factors, methods for reducing risk of injury, and recommended solutions.
Pipetting, Ergonomics, and You An overview of ergonomics, pipetting risk factors, methods for reducing risk of injury, and recommended solutions. TR-2001 FOREWORD Work-related musculoskeletal disorders
Below is a diagram showing the main bones together with written text on their order of compilation.
Below is a diagram showing the main bones together with written text on their order of compilation. The hand and wrist contain twenty-seven bones and tendons, eight carpals, five metacarpals and fourteen
Evaluation of Disorders of the Hands and Wrists
Evaluation of Disorders of the Hands and Wrists Case 27 yo female with 6 month history of right forearm and hand pain Works as secretary, symptoms are interfering with her job duties Complains that she
Occupational Disease Casebook. Tenosynovitis. Labour Department Occupational Safety and Health Branch. Occupational Safety & Health Council
Occupational Disease Casebook Tenosynovitis Labour Department Occupational Safety and Health Branch Occupational Safety & Health Council This booklet is published by the Occupational Safety and Health
Dragon Solutions From RSI to ROI
Dragon Solutions From RSI to ROI RSI A Painful Reality for Computer Users The widespread use of computers in the workplace has contributed to the rise of musculoskeletal disorders (MSDs), which include
OUTPATIENT PHYSICAL AND OCCUPATIONAL THERAPY PROTOCOL GUIDELINES
OUTPATIENT PHYSICAL AND OCCUPATIONAL THERAPY PROTOCOL GUIDELINES General Therapy Guidelines 1. Therapy evaluations must be provided by licensed physical and/or occupational therapists. Therapy evaluations
Mini Medical School: Focus on Orthopaedics
from The Cleveland Clinic Mini Medical School: Focus on Orthopaedics Common Disorders of the Hand and Wrist Jeffrey Lawton, MD Associate Staff, Department of Orthopaedic The Cleveland Clinic Appointments:
Repetitive Strain Injuries (RSIs)
Protecting Your Right to a Safe and Healthful Workplace Repetitive Strain Injuries (RSIs) Repetitive strain injuries (RSIs) are now the single largest cause of occupational health problems in the United
Eric M. Kutz, D.O. Arlington Orthopedics Harrisburg, PA
Eric M. Kutz, D.O. Arlington Orthopedics Harrisburg, PA 2 offices 805 Sir Thomas Court Harrisburg 3 Walnut Street Lemoyne Mechanism of injury Repetitive overhead activities Falls to the ground Falls with
QUALITY MEDICAL REPORTING FOR WORKERS COMP
QUALITY MEDICAL REPORTING FOR WORKERS COMP Lev.II Curriculum Rev. 6/09 18 OBJECTIVES WORKERS COMPENSATION REPORT 1. Describe the information that should be included in any complete narrative report for
ERGONOMICS IN CONSTRUCTION
1.0 1.0 Facilitator / Leader Tasks Before the Tool Box Talk (TBT): 1. Read through this TBT guide. 2. Walk the job site to find ergonomics examples based on the TBT. If possible, take photos of safe and
A Patient s Guide to Carpal Tunnel Syndrome
A Patient s Guide to Carpal Tunnel Syndrome 651 Old Country Road Plainview, NY 11803 Phone: 5166818822 Fax: 5166813332 p.lettieri@aol.com DISCLAIMER: The information in this booklet is compiled from a
How To Know If You Can Get A Carpal Tunnel Injury Compensation
U. S. DEPARTMENT OF LABOR Employees Compensation Appeals Board In the Matter of BARBARA SNYDER and DEPARTMENT OF THE TREASURY, INTERNAL REVENUE SERVICE, Germansville, PA Docket No. 03-1467; Submitted on
Procedure for Managing Injury Risks Associated with Manual Tasks
Burgess-Limerick & Associates Ergonomics and Research Consultants ABN 84976421949 Procedure for Managing Injury Risks Associated with Manual Tasks Burgess-Limerick, R. (2008). Procedure for Managing Injury
Evaluation and Design Strategy of an Upper Limb supporting for desktop work
Evaluation and Design Strategy of an Upper Limb supporting for desktop work Ghi-Hwei Kao 1,2, a, Chia-Chi Tai 1, b, Chih-Hsi Ssu 1, c, Chin-Yuan Wang 1, d, Horng-Yi Yu 1, e 1 National Taipei University
CENTER FOR HEALTH AND SAFETY IN THE WORKPLACE
CENTER FOR HEALTH AND SAFETY IN THE WORKPLACE A study by the RAND Institute for Civil Justice and RAND Health CHILDREN AND FAMILIES EDUCATION AND THE ARTS ENERGY AND ENVIRONMENT HEALTH AND HEALTH CARE
Effective Designs of Non-Keyboard Computer Input Devices
Effective Designs of Non-Keyboard Computer Input Devices Sandra Mau Robotics Institute Carnegie Mellon University Pittsburgh, PA, USA smau@andrew.cmu.edu I. INTRODUCTION With the prevalence of computer
Sample Ergonomics Program
Sample Ergonomics Program Ergonomics: Fitting the Job to the Employee In recent years, there has been a dramatic increase in the occurrence of cumulative trauma disorders (CTDs), or repetitive motion disorders,
Symptoms and Signs of Irritation of the Brachial Plexus in Whiplash Injuries
1 Symptoms and Signs of Irritation of the Brachial Plexus in Whiplash Injuries J Bone Joint Surg (Br) 2001 Mar;83(2):226-9 Ide M, Ide J, Yamaga M, Takagi K Department of Orthopaedic Surgery, Kumamoto University
FOR IMMEDIATE RELEASE February 2007 Contact: Sue Seecof, marketing@rolf.org, 800-530-8875
FOR IMMEDIATE RELEASE February 2007 Contact: Sue Seecof, marketing@rolf.org, 800-530-8875 Manufacturer s Worker Compensation Costs for Repetitive Stress Injuries Decreased By $1 Million With Effective,
1st Edition 2015. Quick reference guide for the management of acute whiplash. associated disorders
1 1st Edition 2015 Quick reference guide for the management of acute whiplash associated disorders 2 Quick reference guide for the management of acute whiplash associated disorders, 2015. This quick reference
.org. Tennis Elbow (Lateral Epicondylitis) Anatomy. Cause
Tennis Elbow (Lateral Epicondylitis) Page ( 1 ) Tennis elbow, or lateral epicondylitis, is a painful condition of the elbow caused by overuse. Not surprisingly, playing tennis or other racquet sports can
lesley@yourvirtualorganiser.co.uk www.yourvirtualorganiser.co.uk
...to Deal with Repetitive Strain Injury (RSI) : Lesley Long Your Virtual Organiser lesley@yourvirtualorganiser.co.uk www.yourvirtualorganiser.co.uk 1. Purpose of my Here s How Guides. The aim of each
How you will benefit by implementing an early reporting system
Introduction How you will benefit by implementing an early reporting system Early reporting and action for musculoskeletal discomfort and pain directly assists workplaces wishing to prevent and manage
How To Treat Repetitive Strain Injury
Document type INFORMATION PAPER Reference HEALTH AND SAFETY NO. 8 Issuing function EMPLOYMENT RELATINS & UNION SERVICES Date of issue MAY1999 Repetitive Strain Injury THE CHARTERED SOCIETY OF PHYSIOTHERAPY
Full version is >>> HERE Health surveillance for Hand-arm vibration syndrome
Health surveillance for Hand-arm vibration syndrome What is health surveillance? Health surveillance is about having procedures to detect work-related ill health at an early stage and acting on the results.
Carpal Tunnel Syndrome and Repetitive Strain Injuries. A Guide for Wellness, Recovery and Prevention. www.troohealthcare.com
Carpal Tunnel Syndrome and Repetitive Strain Injuries A Guide for Wellness, Recovery and Prevention www.troohealthcare.com Copyright 2007, All Rights Reserved UK Copyright and International Laws apply.
Handicap after acute whiplash injury A 1-year prospective study of risk factors
1 Handicap after acute whiplash injury A 1-year prospective study of risk factors Neurology 2001;56:1637-1643 (June 26, 2001) Helge Kasch, MD, PhD; Flemming W Bach, MD, PhD; Troels S Jensen, MD, PhD From
Fatigue Management in Neurology. Alison Nock MS Specialist Occupational Therapist
Fatigue Management in Neurology Alison Nock MS Specialist Occupational Therapist Overview of Fatigue Common disabling symptom Some people rate fatigue as the worst symptom of their disease. Predominant
Examination of the Elbow. Elbow Examination. Structures to Examine. Active Range of Motion. Active Range of Motion 8/22/2012
Examination of the Elbow The elbow is a complex modified hinge joint The humero-ulnar joint is a hinge joint allowing flexion and extension The radio-ulnar joint allows for pronation and supination of
Reducing Upper Extremity Injuries in the Workplace: Prevention, Ergonomics & Treatment Algorithms. Indiana Hand to Shoulder Center
Reducing Upper Extremity Injuries in the Workplace: Prevention, Ergonomics & Treatment Algorithms Nicholas E. Crosby, M.D. Nancy M. Cannon, OTR, CHT Indianapolis, Indiana Indiana Hand to Shoulder Center
BEFORE THE APPEALS BOARD FOR THE KANSAS DIVISION OF WORKERS COMPENSATION
BEFORE THE APPEALS BOARD FOR THE KANSAS DIVISION OF WORKERS COMPENSATION BARBARA SHEREE HUTSON ) Claimant ) ) VS. ) Docket No. 1,035,700 ) CUSTOM CAMPERS, INC. ) Self-Insured Respondent ) ORDER Claimant
Work Conditioning Natural Progressions By Nancy Botting, Judy Braun, Charlene Couture and Liz Scott
Work Conditioning Natural Progressions By Nancy Botting, Judy Braun, Charlene Couture and Liz Scott How a non-traditional, geared-to-work treatment is returning injured workers to full duties quickly,
New York State Workers' Comp Board. Mid and Lower Back Treatment Guidelines. Summary From 1st Edition, June 30, 2010. Effective December 1, 2010
New York State Workers' Comp Board Mid and Lower Back Treatment Guidelines Summary From 1st Edition, June 30, 2010 Effective December 1, 2010 General Principles Treatment should be focused on restoring