Upper-extremity musculoskeletal disorders of occupational origin.
Gerr-F; Letz-R; Landrigan-PJ
Annu Rev Public Health 1991 Jan; 12:543-566
A critical review of the scientific evidence relating occupational factors to musculoskeletal disorders of the upper extremities was presented. Topics included: the background of methodological issues; carpal tunnel syndrome (CTS); tendinitis; hand/arm vibration syndrome (HAVS); cumulative trauma disorder; repetition strain injury; occupational cervicobrachial disorders; overuse syndrome; regional musculoskeletal illness; and epidemiological evidence for work relatedness. Well defined disorders included CTS, tendinitis, and HAVS. Poorly defined disorders included repetition strain injury, musculoskeletal discomfort among visual display terminal operators. The authors conclude that these well defined soft tissue disorders of the upper extremities are etiologically related to occupational risk factors such as force, repetition, and vibration; but, they state that poorly understood factors may be involved. Tool and job redesign may be required in many situations to minimize risk.
NIOSH-Publication; NIOSH-Grant; Musculoskeletal-system-disorders; Ergonomics; Cumulative-trauma-disorders; Vibration-effects; Epidemiology; Repetitive-work; Occupational-diseases; Carpal-tunnel-syndrome
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Annual Review of Public Health
Mount Sinai School of Medicine, New York, New York