Work-Related Musculoskeletal Injuries and Prevention: Difference between revisions

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# Common in occupations such as manufacturing, industrial technicians, office workers, etc.
# Common in occupations such as manufacturing, industrial technicians, office workers, etc.
#* Tasks that require precise motor control and extended working hours in same posture<ref>Jay K, Brandt M, Sundstrup E, Schraefel M, Jakobsen MD, Sjøgaard G, et al.. Effect of individually tailored biopsychosocial workplace interventions on chronic musculoskeletal pain, stress and work ability among laboratory technicians: randomized controlled trial protocol. BMC Musculoskeletal Disorders [Internet]. BMC Musculoskeletal Disorders; 2014;15(1):444. Available from: <nowiki>https://dx.doi.org/10.1186/1471-2474-15-444</nowiki></ref>
#* Tasks that require precise motor control and extended working hours in same posture<ref name=":0">Jay K, Brandt M, Sundstrup E, Schraefel M, Jakobsen MD, Sjøgaard G, et al.. Effect of individually tailored biopsychosocial workplace interventions on chronic musculoskeletal pain, stress and work ability among laboratory technicians: randomized controlled trial protocol. BMC Musculoskeletal Disorders [Internet]. BMC Musculoskeletal Disorders; 2014;15(1):444. Available from: <nowiki>https://dx.doi.org/10.1186/1471-2474-15-444</nowiki></ref>
# Usually characterized as pain, soreness, numbness, limited mobility and constrain one's participation in work or daily activities
#* Repetitive movements
# Primary cause of work-related disability and loss of productivity<ref>Rasotto C, Bergamin M, Simonetti A, Maso S, Bartolucci GB, Ermolao A, et al. Tailored exercise program reduces symptoms of upper limb work-related musculoskeletal disorders in a group of metalworkers: A randomized controlled trial. Manual Therapy. 2015;20(1):56–62.</ref><br>
#* Static contractions<ref>Zebis MK, Andersen LL, Pedersen MT, Mortensen P, Andersen CH, Pedersen MM, et al.. Implementation of neck/shoulder exercises for pain relief among industrial workers: A randomized controlled trial. BMC Musculoskeletal Disorders [Internet]. BMC Musculoskeletal Disorders; 2011;12(1):205. Available from: <nowiki>https://dx.doi.org/10.1186/1471-2474-12-205</nowiki></ref>
# Primary cause of work-related disability and loss of productivity<ref>Rasotto C, Bergamin M, Simonetti A, Maso S, Bartolucci GB, Ermolao A, et al. Tailored exercise program reduces symptoms of upper limb work-related musculoskeletal disorders in a group of metalworkers: A randomized controlled trial. Manual Therapy. 2015;20(1):56–62.</ref>
# High workload and sustained stress may result in anxiety and mental health issue<ref name=":0" /><br>


== Clinically Relevant Anatomy ==
== Clinically Relevant Anatomy ==


add text here relating to the mechanism of injury and/or pathology of the condition<br>  
As we targeting the musculoskeletal disorders at neck and upper limb, these anatomy structure may be included in WRMDs:
 
* Neck
* Cervical and thoracic spine
* Shoulder joint
* Elbow
* Forearm
* Wrist
* Fingers<br>  


== Clinical Presentation  ==
== Clinical Presentation  ==


add text here relating to the clinical presentation of the condition<br>  
* Musculoskeletal pain and myalgias<ref name=":0" />
* Muscle stiffness
* Redness
* Weakness<ref name=":1">Etana G, Ayele M, Abdissa D, Gerbi A. Prevalence of Work Related Musculoskeletal Disorders and Associated Factors Among Bank Staff in Jimma City, Southwest Ethiopia, 2019: An Institution-Based Cross-Sectional Study. Journal of Pain Research. Journal of Pain Research; 2021;Volume 14:2071–82.</ref>
* Numbness
* Tendon inflammations and related conditions, such as bursitis, tenosynovitis, etc.<ref name=":1" />
* Nerve compression disorders, such as carpal tunnel syndrome<ref name=":1" />
* Osteoarthritis<ref name=":1" />
* Thoracic outlet syndrome
* Inability to work or execute daily function<br>
 
== Management / Interventions ==
 
'''<big>Interventions:</big>'''
 
'''Resistance training'''<ref name=":0" />
 
* According to the research, individualized resistance training specific to the pain affected area has positive effect to the pain intensity
* Elastic resistance exercises
* Progressive training with variable resistance and/or contraction type and speed


== Diagnostic Procedures  ==
'''Motor control training'''<ref name=":0" />


add text here relating to diagnostic tests for the condition<br>
* Isolated dynamic joint mobility movements
** Slow speed (15-30 seconds/repetitive)
* Target the site of pain


== Outcome Measures  ==
'''Posture modification'''


add links to outcome measures here (see [[Outcome Measures|Outcome Measures Database]])
'''Manual therapy'''


== Management / Interventions<br> ==
* Should be conducted by physiotherapists based on individual's condition<br>


add text here relating to management approaches to the condition<br>  
'''<big>Management</big>'''


== Differential Diagnosis<br> ==
Job modifications<br>Pain relief by using prescribed medication


add text here relating to the differential diagnosis of this condition<br>
Search for professionals such as physiotherapists for advice


== Resources <br>  ==
== Resources <br>  ==

Revision as of 06:09, 25 November 2022

Original Editor - User Name
Top Contributors - Yuan Chuang, Nupur Smit Shah and Kim Jackson

Introduction[edit | edit source]

•Work-related musculoskeletal disorders (WRMDs) refer to the musculoskeletal disorders that are caused by one's work

  1. Common in occupations such as manufacturing, industrial technicians, office workers, etc.
    • Tasks that require precise motor control and extended working hours in same posture[1]
    • Repetitive movements
    • Static contractions[2]
  2. Primary cause of work-related disability and loss of productivity[3]
  3. High workload and sustained stress may result in anxiety and mental health issue[1]

Clinically Relevant Anatomy[edit | edit source]

As we targeting the musculoskeletal disorders at neck and upper limb, these anatomy structure may be included in WRMDs:

  • Neck
  • Cervical and thoracic spine
  • Shoulder joint
  • Elbow
  • Forearm
  • Wrist
  • Fingers

Clinical Presentation[edit | edit source]

  • Musculoskeletal pain and myalgias[1]
  • Muscle stiffness
  • Redness
  • Weakness[4]
  • Numbness
  • Tendon inflammations and related conditions, such as bursitis, tenosynovitis, etc.[4]
  • Nerve compression disorders, such as carpal tunnel syndrome[4]
  • Osteoarthritis[4]
  • Thoracic outlet syndrome
  • Inability to work or execute daily function

Management / Interventions[edit | edit source]

Interventions:

Resistance training[1]

  • According to the research, individualized resistance training specific to the pain affected area has positive effect to the pain intensity
  • Elastic resistance exercises
  • Progressive training with variable resistance and/or contraction type and speed

Motor control training[1]

  • Isolated dynamic joint mobility movements
    • Slow speed (15-30 seconds/repetitive)
  • Target the site of pain

Posture modification

Manual therapy

  • Should be conducted by physiotherapists based on individual's condition

Management

Job modifications
Pain relief by using prescribed medication

Search for professionals such as physiotherapists for advice

Resources
[edit | edit source]

add appropriate resources here

References[edit | edit source]

  1. ↑ 1.0 1.1 1.2 1.3 1.4 Jay K, Brandt M, Sundstrup E, Schraefel M, Jakobsen MD, Sjøgaard G, et al.. Effect of individually tailored biopsychosocial workplace interventions on chronic musculoskeletal pain, stress and work ability among laboratory technicians: randomized controlled trial protocol. BMC Musculoskeletal Disorders [Internet]. BMC Musculoskeletal Disorders; 2014;15(1):444. Available from: https://dx.doi.org/10.1186/1471-2474-15-444
  2. ↑ Zebis MK, Andersen LL, Pedersen MT, Mortensen P, Andersen CH, Pedersen MM, et al.. Implementation of neck/shoulder exercises for pain relief among industrial workers: A randomized controlled trial. BMC Musculoskeletal Disorders [Internet]. BMC Musculoskeletal Disorders; 2011;12(1):205. Available from: https://dx.doi.org/10.1186/1471-2474-12-205
  3. ↑ Rasotto C, Bergamin M, Simonetti A, Maso S, Bartolucci GB, Ermolao A, et al. Tailored exercise program reduces symptoms of upper limb work-related musculoskeletal disorders in a group of metalworkers: A randomized controlled trial. Manual Therapy. 2015;20(1):56–62.
  4. ↑ 4.0 4.1 4.2 4.3 Etana G, Ayele M, Abdissa D, Gerbi A. Prevalence of Work Related Musculoskeletal Disorders and Associated Factors Among Bank Staff in Jimma City, Southwest Ethiopia, 2019: An Institution-Based Cross-Sectional Study. Journal of Pain Research. Journal of Pain Research; 2021;Volume 14:2071–82.
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