Cumulative Trauma Disorder

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Damian C. R. Ireland - One of the best experts on this subject based on the ideXlab platform.

  • Australian repetition strain injury phenomenon.
    Clinical Orthopaedics and Related Research, 1998
    Co-Authors: Damian C. R. Ireland
    Abstract:

    The industrial upper limb pain epidemic colloquially known as repetition strain injury rapidly increased in the early 1980s to peak in 1985. Its less precipitous decline coincided with an awareness that repetition strain injury was a nonphysical sociopolitical phenomenon and a corresponding loss of the pecuniary benefits enjoyed by the powerful vested interest groups. Although its protagonists incorrectly claimed that this was a new disease, the rise and fall of repetition strain injury followed its historical predecessors including telegraphists' wrist and writer's cramp. Those affected by this phenomenon, a clearly defined cohort, were all employees who were highly suggestible and engaged in menial repetitious tasks with little job satisfaction. These patients were differentiated from those with genuine work related injuries whose symptoms are reproducible, with physical signs easily defined, disease identifiable, and response to physical treatment predictable. Most patients with repetition strain injury genuinely suffered the symptoms of which they complained and made little secondary gain relative to the protagonists of repetition strain injury who had a vested interest. The similarities between Australian repetition strain injury in the 1980s and American Cumulative Trauma Disorder in the 1990s is compelling.

  • Australian repetition strain injury phenomenon : Cumulative Trauma Disorders of the Upper Extremity
    Clinical Orthopaedics and Related Research, 1998
    Co-Authors: Damian C. R. Ireland
    Abstract:

    The industrial upper limb pain epidemic colloquially known as repetition strain injury rapidly increased in the early 1980s to peak in 1985. Its less precipitous decline coincided with an awareness that repetition strain injury was a nonphysical sociopolitical phenomenon and a corresponding loss of the pecuniary benefits enjoyed by the powerful vested interest groups. Although its protagonists incorrectly claimed that this was a new disease, the rise and fall of repetition strain injury followed its historical predecessors including telegraphists' wrist and writer's cramp. Those affected by this phenomenon, a clearly defined cohort, were all employees who were highly suggestible and engaged in menial repetitious tasks with little job satisfaction. These patients were differentiated from those with genuine work related injuries whose symptoms are reproducible, with physical signs easily defined, disease identifiable, and response to physical treatment predictable. Most patients with repetition strain injury genuinely suffered the symptoms of which they complained and made little secondary gain relative to the protagonists of repetition strain injury who had a vested interest. The similarities between Australian repetition strain injury in the 1980s and American Cumulative Trauma Disorder in the 1990s is compelling.

Matthew Faris - One of the best experts on this subject based on the ideXlab platform.

  • Are deficiencies in manual tracking associated with upper extremity Cumulative Trauma Disorders?
    Journal of Occupational Rehabilitation, 2007
    Co-Authors: Brenda Brouwer, Matthew Faris
    Abstract:

    Objectives : To examine the reliability of manual tracking performance and its association with impairment and disability in individuals symptomatic of an upper extremity Cumulative Trauma Disorder (CTD). Methods : Volunteer and physician referred subjects (100 control, 140 CTD) tracked a target cursor moving quasi-randomly using a hand-held stylus interfaced with a digitizing tablet. Impairment was physician-rated and the Disability of the Arm, Shoulder and Hand questionnaire measured disability. Subsamples of 25 subjects per group were tested on three occasions. Results : Reliability of tracking performance was excellent (ICC ≥ 0.88) and sensitivity was 81%. Performance was superior in controls ( p  

  • Are deficiencies in manual tracking associated with upper extremity Cumulative Trauma Disorders
    Journal of occupational rehabilitation, 2006
    Co-Authors: Brenda Brouwer, Matthew Faris
    Abstract:

    Objectives: To examine the reliability of manual tracking performance and its association with impairment and disability in individuals symptomatic of an upper extremity Cumulative Trauma Disorder (CTD). Methods: Volunteer and physician referred subjects (100 control, 140 CTD) tracked a target cursor moving quasi-randomly using a hand-held stylus interfaced with a digitizing tablet. Impairment was physician-rated and the Disability of the Arm, Shoulder and Hand questionnaire measured disability. Subsamples of 25 subjects per group were tested on three occasions. Results: Reliability of tracking performance was excellent (ICC ≥ 0.88) and sensitivity was 81%. Performance was superior in controls (p < 0.001) and deteriorated as a function of impairment level (p < 0.001). Tracking and impairment rating explained 65% of the disability score. Conclusions: Tracking performance may be an important outcome for monitoring change over time and the impact of a CTD on function in everyday activities.

Lydia Odenat - One of the best experts on this subject based on the ideXlab platform.

  • Cumulative Trauma Disorder Scale (CTD): Two Studies
    Psychology, 2012
    Co-Authors: Ibrahim A. Kira, Thomas Templin, Linda Lewandowski, Jeffery S. Ashby, Alwande Oladele, Lydia Odenat
    Abstract:

    Measures that screen for mental health in multiple Traumatized populations (e.g., refugees, minorities, mental health patients, prison inmates) lack theoretical clarity that makes it difficult to develop a measure that has robust psychometrics. The paper proposes Cumulative Trauma Disorders (CTD) model and develops a scale that measures the concept and can be used as a general mental health screening tool in such populations. The measure has been tested on two studies: on representative community sample of Iraqi refugees in Michigan and on a clinic sample of refugees. Further, the measure was used on samples of Iraqi refugee and African American adolescents, West Bank and Gaza in Palestinian territories, as well as a mental health screening tool in some centers that screen refugees and torture survivors in US. The measure has been found to have high alpha and test-retest reliability, good construct, concurrent, discriminative and predictive validity in the two main samples and on all the studies and centers that utilized it. The measure can be used as a general mental health screening tool for adult and adolescent in public health settings in different cultures, as well as for refugees, torture survivors, and highly Traumatized populations.

Erik Peper - One of the best experts on this subject based on the ideXlab platform.

  • Cumulative Trauma Disorder Risk for Children Using Computer Products: Results of a Pilot Investigation with a Student Convenience Sample
    Public Health Reports, 2002
    Co-Authors: Adam Burke, Erik Peper
    Abstract:

    Objectives. Cumulative Trauma Disorder is a major health problem for adults. Despite a growing understanding of adult Cumulative Trauma Disorder, however, little is known about the risks for younger populations. This investigation examined issues related to child/adolescent computer product use and upper body physical discomfort. Methods. A convenience sample of 212 students, grades 1-12, was interviewed at their homes by a college-age sibling or relative. One of the child's parents was also interviewed. A 22-item questionnaire was used for data-gathering. Questionnaire items included frequency and duration of use, type of computer products/games and input devices used, presence of physical discomfort, and parental concerns related to the child's computer use. Results. Many students experienced physical discomfort attributed to computer use, such as wrist pain (30%) and back pain (15%). Specific computer activities-such as using a joystick or playing noneducational games-were significantly predictive of physical discomfort using logistic multiple regression. Many parents reported difficulty getting their children off the computer (46%) and that their children spent less time outdoors (35%). Conclusions. Computer product use within this cohort was associated with self-reported physical discomfort. Results suggest a need for more extensive study, including multiyear longitudinal surveys.

Kathleen Hartford - One of the best experts on this subject based on the ideXlab platform.

  • Rates of claims for Cumulative Trauma Disorder of the upper extremity in Ontario workers during 1997.
    Chronic diseases in Canada, 2004
    Co-Authors: Dianne Zakaria, James Mcd. Robertson, John J. Koval, Joy C. Macdermid, Kathleen Hartford
    Abstract:

    Surveillance of work-related Cumulative Trauma Disorder of the upper extremity (CTDUE) requires valid and reliable claim extraction strategies and should examine for confounding and interaction. This research estimated crude and specific rates of CTDUE claims in Ontario workers during 1997 while acknowledging misclassification and testing for confounding and interaction. Lower and upper limit event estimates were obtained by means of an algorithm applied to the Ontario Workplace Safety and Insurance Board (OWSIB) database and were combined with "at-risk" estimates obtained from the Canadian Labour Force Survey (LFS). Poisson regression was used to evaluate confounding and interaction. The method used to identify CTDUE claims had a substantial impact on the magnitude of rates, female to male rate ratios, the most commonly affected part of the upper extremity and the highest risk occupational categories. Poisson regression identified sex interactions. It allowed rigorous evaluation of the data and indicated that rates should be examined separately for men and women. Researchers should clearly define extraction strategies and examine the impact of misclassification.

  • Identifying Cumulative Trauma Disorders of the upper extremity in workers' compensation databases
    American journal of industrial medicine, 2003
    Co-Authors: Dianne Zakaria, James Mcd. Robertson, Joy C. Macdermid, Kathleen Hartford, Cam Mustard, Judy Clarke, John J. Koval
    Abstract:

    Background Impeding the use of workers' compensation databases for surveillance of Cumulative Trauma Disorder of the upper extremity (CTDUE) is the lack of valid and reliable extraction strategies. Methods Using the Z795-96 Coding of Work Injury or Disease Information standard, analgorithm was developed to classify claims as definite, possible, or non-CTDUE. Reliability was assessed with standardized claim reviews. Results Moderate to substantial agreement (Kappa = 0.48, 95% CI 0.42–0.54, n = 328; weighted Kappa = 0.75, 95% CI 0.70–0.80, n = 328) was demonstrated. The algorithm produced relatively homogeneous groups of definite and non-CTDUE claims but 29.1% of the possible CTDUE claims were categorized as definite CTDUE by claim review. Part of body agreement was almost perfect (Kappa = 0.81–1.00) when determining whether the upper extremity or specific parts of the upper extremity were involved. Conclusions The algorithm can be used to estimate the number of CTDUE and extract homogeneous groups of definite and non-CTDUE claims. Furthermore, certain upper extremity part of body codes can be used to target anatomically defined claims. Am. J. Ind. Med. 43:507–518, 2003. © 2003 Wiley-Liss, Inc.

  • Work-related Cumulative Trauma Disorders of the upper extremity: navigating the epidemiologic literature.
    American journal of industrial medicine, 2002
    Co-Authors: Dianne Zakaria, James Mcd. Robertson, Joy C. Macdermid, Kathleen Hartford, John J. Koval
    Abstract:

    Background Cumulative Trauma Disorder of the upper extremity (CTDUE) is an umbrella term used to describe Disorders resulting from repeated use of the upper extremity over time rather than a specific incident. The primary purpose of this article is to summarize the literature regarding the rate of work-related CTDUE, while drawing attention to the various factors contributing to the wide range of reported findings. Methods The Cumulative Index to Nursing and Allied Health and Medline databases were searched for articles focusing on etiology or rates of occurrence of work-related CTDUE and their findings were summarized. Results Potential reasons for rising rates, a gender differential, and the substantial range in rates and rate ratios are delineated and important factors to consider when interpreting rates derived from workers' compensation data are detailed. Conclusions Future research should attempt to correctly identify more specific categories of CTDUE in well-defined and accurately-quantified “at risk” populations to provide more meaningful information regarding the epidemiology of CTDUE and the effectiveness of control activities. Am. J. Ind. Med. 42:258–269, 2002. © 2002 Wiley-Liss, Inc.