Upper Limb Disorder

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Bo Povlsen - One of the best experts on this subject based on the ideXlab platform.

  • Is typing speed proportional to the severity of pain in keyboard workers with work-related Upper Limb Disorder.
    JRSM short reports, 2012
    Co-Authors: Bo Povlsen
    Abstract:

    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. RESULTS THREE SUBGROUPS OF PATIENTS WERE FOUND BASED ON THEIR TYPING SPEED: fast, slow and intermediate. Two-tailed student T-test with P level at 0.05 was used for evaluation. The typing speeds were significantly different between all three patient groups (P < 0.05). The typing speed was significantly faster in the fastest patient group than in the control group (P = 0.04) and the slow and middle groups (P = < 0.0001). The pain before typing was highest in the 'slow' group, in both hands but this difference was not statistically significant. CONCLUSION Typing speed is not proportional to the severity of pain in keyboard workers with WRULD. Patients with statistically significant slower or faster typing speeds do not have statistically different levels of pain.

  • severity of pain in keyboard workers with work-related Upper Limb Disorder
    2012
    Co-Authors: Bo Povlsen
    Abstract:

    Summary 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. Results Three subgroups of patients were found based on their typing speed: fast, slow and intermediate. Two-tailed student T-test with P level at 0.05 was used for evaluation. The typing speeds were significantly different between all three patient groups (P < 0.05). The typing speed was significantly faster in the fastest patient group than in the control group (P = 0.04) and the slowand middlegroups(P=

  • severity of pain in keyboard workers with work related Upper Limb Disorder
    2012
    Co-Authors: Bo Povlsen
    Abstract:

    Summary 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. Results Three subgroups of patients were found based on their typing speed: fast, slow and intermediate. Two-tailed student T-test with P level at 0.05 was used for evaluation. The typing speeds were significantly different between all three patient groups (P < 0.05). The typing speed was significantly faster in the fastest patient group than in the control group (P = 0.04) and the slowand middlegroups(P=<0.0001).The painbefore typing was highest in the ‘slow’ group, in both hands but this difference was not statistically significant. Conclusion Typing speed is not proportional to the severity of pain in keyboard workers with WRULD. Patients with statistically significant slower or faster typing speeds do not have statistically different levels of pain.

  • Physical Rehabilitation With Ergonomic Intervention of Currently Working Keyboard Operators With Nonspecific/Type II Work-Related Upper Limb Disorder: A Prospective Study
    Archives of physical medicine and rehabilitation, 2012
    Co-Authors: Bo Povlsen
    Abstract:

    Abstract Povlsen B. Physical rehabilitation with ergonomic intervention of currently working keyboard operators with nonspecific/type II work-related Upper Limb Disorder: a prospective study. 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. Main Outcomes Measures Pain at rest and after a standardized functional typing test, before and after rehabilitation, with recording of endurance and calculation of typing speed during the tests. Statistical evaluation: Student t test, paired, and 2-tailed. Results After the rehabilitation program, the patients as a group had significantly less pain both at rest ( P =.009) and after the typing test ( P P =.027) and became similar to the healthy control group ( P =.09). The typing speed improved significantly in the patient group after rehabilitation ( P =.032) and became similar to the normal control group ( P =.058). Conclusions Currently working keyboard operators with nonspecific/type II WRULD can benefit significantly from a combination of an individualized self-administered physical rehabilitation program and ergonomic work place improvements. Randomized control studies are needed to further investigate the long-term effect of this encouraging finding.

  • physical rehabilitation with ergonomic intervention of currently working keyboard operators with nonspecific type ii work related Upper Limb Disorder a prospective study
    Archives of Physical Medicine and Rehabilitation, 2012
    Co-Authors: Bo Povlsen
    Abstract:

    Abstract Povlsen B. Physical rehabilitation with ergonomic intervention of currently working keyboard operators with nonspecific/type II work-related Upper Limb Disorder: a prospective study. 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. Main Outcomes Measures Pain at rest and after a standardized functional typing test, before and after rehabilitation, with recording of endurance and calculation of typing speed during the tests. Statistical evaluation: Student t test, paired, and 2-tailed. Results After the rehabilitation program, the patients as a group had significantly less pain both at rest ( P =.009) and after the typing test ( P P =.027) and became similar to the healthy control group ( P =.09). The typing speed improved significantly in the patient group after rehabilitation ( P =.032) and became similar to the normal control group ( P =.058). Conclusions Currently working keyboard operators with nonspecific/type II WRULD can benefit significantly from a combination of an individualized self-administered physical rehabilitation program and ergonomic work place improvements. Randomized control studies are needed to further investigate the long-term effect of this encouraging finding.

E. Viikari-juntura - One of the best experts on this subject based on the ideXlab platform.

  • Risk factors for Upper Limb Disorders : Implications for prevention and treatment : Cumulative Trauma Disorders of the Upper Extremity
    Clinical Orthopaedics and Related Research, 1998
    Co-Authors: E. Viikari-juntura
    Abstract:

    Epidemiologic studies have revealed several associations between physical work load factors and some common Upper Limb Disorders. In the treatment of a case of work related Upper Limb Disorder, modifications of work that are feasible to be implemented in the field should be done as a first priority. Some case studies suggest notable effects of ergonomic measures on the occurrence of Upper Limb Disorders. Economic analyses of individual workplaces have indicated that the investments usually have a short payback period. In work related carpal tunnel syndrome, the physical demands of the job, especially the force demands of gripping, should be considered before deciding on surgery, because gripping force may return slowly after surgery, and may be compromised by the surgical procedure itself.

  • Risk factors for Upper Limb Disorders. Implications for prevention and treatment.
    Clinical orthopaedics and related research, 1998
    Co-Authors: E. Viikari-juntura
    Abstract:

    Epidemiologic studies have revealed several associations between physical work load factors and some common Upper Limb Disorders. In the treatment of a case of work related Upper Limb Disorder, modifications of work that are feasible to be implemented in the field should be done as a first priority. Some case studies suggest notable effects of ergonomic measures on the occurrence of Upper Limb Disorders. Economic analyses of individual workplace have indicated that the investments usually have a short payback period. In work related carpal tunnel syndrome, the physical demands of the job, especially the force demands of gripping, should be considered before deciding on surgery, because gripping force may return slowly after surgery, and may be compromised by the surgical procedure itself.

Karen Barker - One of the best experts on this subject based on the ideXlab platform.

  • Repetitive Strain Injury
    Physiotherapy, 1995
    Co-Authors: Karen Barker
    Abstract:

    Summary The number of cases of work related Upper Limb Disorder, or repetitive strain injury (RSI), coming before the courts has increased dramatically over the last few years. Recent judgements, particularly that of Judge Prosser in the Mughal case, have highlighted the complex nature of the complaint and the difficulties in proving a cause/effect relationship in alleged work-related Disorders. This paper reviews the legal issues surrounding RSI and the problems associated with the different nomenclature for Upper Limb Disorders. The statutory duties of the employer and the legal issues associated with recent changes to the health and safety legislation, and the conduct of litigation brought by those who believe they have sustained such an injury through their work are also considered. Finally, some of the arguments that are likely to be advanced by both the plaintiff and defendant in any such case are presented.

V Wright - One of the best experts on this subject based on the ideXlab platform.

  • work related Upper Limb Disorder the relationship between pain cumulative load disability and psychological factors
    Annals of the Rheumatic Diseases, 1992
    Co-Authors: P Helliwell, D B Mumford, J E Smeathers, V Wright
    Abstract:

    Repetitive strain injury, or work related Upper Limb Disorder, provides an interesting paradigm for the study of the relative contribution of physical and psychological factors to the resulting pain and disability. Sixty three subjects were studied, comprising the work-force of a subsection of a large local industrial company, in whom pain in the arm related to work was known to be common. Ergonomic data were obtained by estimating the cumulative daily load on the wrist joint for each of four identified tasks. Data on the occurrence of pain, treatment sought, and disability were obtained by a structured self administered questionnaire. Psychological data were obtained by administering the Hospital Anxiety and Depression (HAD) scale, a self reported measure of anxiety and depression, and the Bradford Somatic Inventory (BSI), an inventory of somatic symptoms associated with anxiety and depression. The employment specific period prevalence of work related Upper Limb Disorder was 81%, with 30% of the subjects having pain at the time of the study. Domestic disability was minimal in all but two subjects, though the use of devices such as jar openers at home was common (12 of 51 subjects). Medical advice was seldom sought. Twenty per cent of subjects had received anti-inflammatory drugs, 10% had received physiotherapy, and 47% had wrist splints. Pain was related to the tasks with the highest estimated daily loads, but a history of pain and current pain were associated with higher scores on the HAD and BSI scales, suggesting an interaction between physical and psychological factors.

P Helliwell - One of the best experts on this subject based on the ideXlab platform.

  • work related Upper Limb Disorder the relationship between pain cumulative load disability and psychological factors
    Annals of the Rheumatic Diseases, 1992
    Co-Authors: P Helliwell, D B Mumford, J E Smeathers, V Wright
    Abstract:

    Repetitive strain injury, or work related Upper Limb Disorder, provides an interesting paradigm for the study of the relative contribution of physical and psychological factors to the resulting pain and disability. Sixty three subjects were studied, comprising the work-force of a subsection of a large local industrial company, in whom pain in the arm related to work was known to be common. Ergonomic data were obtained by estimating the cumulative daily load on the wrist joint for each of four identified tasks. Data on the occurrence of pain, treatment sought, and disability were obtained by a structured self administered questionnaire. Psychological data were obtained by administering the Hospital Anxiety and Depression (HAD) scale, a self reported measure of anxiety and depression, and the Bradford Somatic Inventory (BSI), an inventory of somatic symptoms associated with anxiety and depression. The employment specific period prevalence of work related Upper Limb Disorder was 81%, with 30% of the subjects having pain at the time of the study. Domestic disability was minimal in all but two subjects, though the use of devices such as jar openers at home was common (12 of 51 subjects). Medical advice was seldom sought. Twenty per cent of subjects had received anti-inflammatory drugs, 10% had received physiotherapy, and 47% had wrist splints. Pain was related to the tasks with the highest estimated daily loads, but a history of pain and current pain were associated with higher scores on the HAD and BSI scales, suggesting an interaction between physical and psychological factors.