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Occupational repetitive strain injury
1University of Alberta, Edmonton.
American Family Physician
|February 1, 1992
Summary
Repetitive strain injuries (RSIs) affect workers with repetitive neck and upper extremity motions. Diagnosis involves occupational history and physical exams, with workplace modifications crucial for prevention and recovery.
Area of Science:
- Occupational Medicine
- Musculoskeletal Disorders
- Physical Therapy
Background:
- Repetitive strain injuries (RSIs) are common among workers performing repetitive motions of the neck and upper extremities.
- These injuries can be mistaken for other conditions like rheumatologic diseases or acute inflammation.
Purpose of the Study:
- To differentiate RSIs from other musculoskeletal and non-musculoskeletal conditions.
- To outline common manifestations and effective treatment and prevention strategies for RSIs.
Main Methods:
- Detailed occupational history collection.
- Comprehensive physical examinations.
- Specific diagnostic maneuvers to identify RSIs.
Main Results:
- RSIs can manifest as cervical syndrome, tension neck syndrome, thoracic outlet syndrome, and frozen shoulder.
- Common elbow, wrist, and hand injuries include epicondylitis, carpal tunnel syndrome, and ulnar nerve entrapment.
- Conservative treatments like rest, ice/heat, and anti-inflammatory drugs are typically effective, though recovery may take weeks to months.
Conclusions:
- Accurate diagnosis distinguishing RSIs from other conditions is essential.
- Workplace modifications are key for preventing initial injuries and reinjury.
- Conservative management and ergonomic adjustments facilitate recovery and return to work.