Mani L, Gerr F
Department of Environmental and Occupational Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Prim Care. 2000 Dec;27(4):845-64. doi: 10.1016/s0095-4543(05)70180-9.
Upper extremity musculoskeletal disorders such as DeQuervain's tendonitis, carpal tunnel syndrome, and rotator cuff tendonitis have become increasingly common among working people in the United States. Extensive epidemiological investigation indicates that the adverse ergonomic exposures of force, repetition, vibration and certain postures are risk factors for development of many of these disorders. Assessment of patients with possible work-related upper limb disorders requires eliciting information about the illness, performing an examination about the illness, and obtaining information about adverse ergonomic exposures on and off from work. Treatment can only be successful when exposure to adverse ergonomic risk factors is reduced or eliminated.
诸如德奎尔万腱鞘炎、腕管综合征和肩袖肌腱炎等上肢肌肉骨骼疾病在美国劳动者中越来越普遍。广泛的流行病学调查表明,用力、重复动作、振动和某些姿势等不良工效学暴露是引发许多此类疾病的危险因素。对可能患有与工作相关的上肢疾病的患者进行评估,需要了解病情、进行相关检查,并获取工作内外不良工效学暴露的信息。只有减少或消除不良工效学危险因素的暴露,治疗才可能成功。