McDermott F T
Med J Aust. 1986 Feb 17;144(4):196-200. doi: 10.5694/j.1326-5377.1986.tb128357.x.
"Repetition strain injury" (RSI) is a controversial condition and has become a major occupational health problem in Australia. It seems to be a disorder that is consequent to the introduction of new technology without due concern for human performance. The introduction of mechanized and partly automated processes apparently has made physical workloads lighter but has resulted in an increased regularity of physical movement with workloads that frequently are concentrated locally. Mechanization and automation have also produced an increased rate of work. A combination of several factors, each of which in itself is seemingly tolerable, may lead to this occupational hazard. Physical, psychological and ergonomic aspects may contribute to the condition but there are no useful diagnostic investigations. The pathology is unknown. Management of the condition requires carefully supervised treatment of the patient and his or her environment. The prevention of RSI necessitates improved organizational and ergonomic control in the work environment. Fundamental research into its causes, natural history and pathophysiology is essential for the development of scientifically based preventive strategies and patient therapy.
“重复性劳损”(RSI)是一种存在争议的病症,已成为澳大利亚的一个主要职业健康问题。它似乎是在引入新技术时未充分考虑人体机能而导致的一种紊乱。机械化和部分自动化流程的引入显然使体力工作量减轻了,但却导致身体运动的规律性增加,且工作量常常集中在局部区域。机械化和自动化还提高了工作速度。几个因素各自看似可以忍受,但它们的综合作用可能导致这种职业危害。身体、心理和人体工程学方面都可能导致这种病症,但目前尚无有效的诊断检查方法。其病理状况不明。对该病症的管理需要对患者及其工作环境进行仔细监督的治疗。预防重复性劳损需要在工作环境中加强组织管理和人体工程学控制。对其病因、自然病程和病理生理学进行基础研究,对于制定基于科学的预防策略和患者治疗方案至关重要。