Moradi Ali, Ebrahimzadeh Mohammad H, Ring David
Ali Moradi MD, Hand and Upper Extermity Service Department of Orthopedic Surgery Massachusetts General Hospital, 55 Fruit Street Boston, MA, 02114 USA.
Arch Bone Jt Surg. 2013 Dec;1(2):53-8. Epub 2013 Dec 15.
Nonspecific activity-related arm pain is characterized by an absence of objective physical findings and symptoms that do not correspond with objective pathophysiology. Arm pain without strict diagnosis is often related to activity, work-related activity in particular, and is often seen in patients with physically demanding work. Psychological factors such as catastrophic thinking, symptoms of depression, and heightened illness concern determine a substantial percentage of the disability associated with puzzling hand and arm pains. Ergonomic modifications can help to control symptoms, but optimal health may require collaborative management incorporating psychosocial and psychological elements of illness.
非特异性活动相关的手臂疼痛的特点是缺乏客观的体格检查结果，且症状与客观病理生理学不相符。未经严格诊断的手臂疼痛通常与活动有关，尤其是与工作相关的活动，并且常见于从事体力要求较高工作的患者。诸如灾难性思维、抑郁症状和对疾病的高度关注等心理因素在很大程度上决定了与手部和手臂疼痛相关的残疾情况。人体工程学方面的调整有助于控制症状，但要达到最佳健康状态可能需要综合心理社会和心理因素的协同管理。
