Szabo Robert M
Department of Orthopaedic Surgery, University of California, Davis, School of Medicine, 4860 Y Street, Sacramento, CA 95817, USA.
Clin Occup Environ Med. 2006;5(2):225-34, v. doi: 10.1016/j.coem.2005.11.003.
To determine causation in work-related upper extremity disorders, one must appreciate the philosophical constructs used in establishing causation and have clear definitions of the disorder in question. The preponderance of evidence does not support repetition as a major risk factor for physical injury. Terms such as "repetitive stress," "repetitive strain," and "cumulative trauma" should be abandoned, and we should educate our patients as to the multiple risk factors for upper extremity pain.
要确定与工作相关的上肢疾病的病因，必须理解用于确定病因的哲学概念，并对所讨论的疾病有明确的定义。大量证据并不支持重复性是身体受伤的主要风险因素。诸如“重复性压力”“重复性劳损”和“累积性创伤”等术语应该摒弃，而且我们应该告知患者上肢疼痛的多种风险因素。
