Repetitive work of the upper extremity: Part I—Guidelines for the practitioner

1994 ◽  
Vol 14 (1-2) ◽  
pp. 51-57 ◽  
Author(s):  
Åsa Kilbom
Keyword(s):  
Upper Extremity ◽  
Repetitive Work

scholarly journals Description of Outcomes of Upper-Extremity Musculoskeletal Disorders in Workers Highly Exposed to Repetitive Work

2009 ◽  
Vol 34 (5) ◽  
pp. 890-895 ◽  
Author(s):  
Alexis Descatha ◽  
Yves Roquelaure ◽  
Jean-François Chastang ◽  
Bradley Evanoff ◽  
Diane Cyr ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Musculoskeletal Disorders ◽  
Repetitive Work ◽  
Upper Extremity Musculoskeletal Disorders

Repetitive work of the upper extremity: Part I–Guidelines for the practitioner * *The recommendations provided in this guide are based on numerous published and unpublished scientific studies and are intended to enhance worker safety and productivity. These recommendations are neither intended to replace existing standards, if any, nor should be treated as standards. Furthermore, this document should not be construed to represent institutional policy.The following individuals participated in the discussion of the earlier version of this guide. Their suggestions (written or verbal) were incorporated by the authors in this version: Arne Aaras, Norway; Fred Aghazadeh, USA; Roland Andersson, Sweden; Jan Dul, The Netherlands; Jeffrey Fernandez, USA; Ingvar Holmér, Sweden; Matthias Jäger, Germany; Anders Kjellberg, Sweden; Olli Korhonen, Finland; Helmut Krueger, Switzerland; Shrawan Kumar, Canada; Ulf Landström, Sweden; Tom Leamon, USA; Anil Mital, USA; Ruth Nielsen, Denmark; Jerry Ramsey, USA; Murray Sinclair, UK; Rolf Westgaard, Norway; Ann Williamson, Australia; Jørgen Winkel, Sweden; Pia Zätterström, Sweden. The guide was also reviewed in depth by several anonymous reviewers.

2000 ◽  
pp. 145-150 ◽  
Author(s):  
Åsa Kilbom
Keyword(s):  
The Netherlands ◽  
Upper Extremity ◽  
Worker Safety ◽  
Repetitive Work

Exposure Assessment to Musculoskeletal Load of the Upper extremity in Repetitive Work Tasks

2020 ◽  
pp. 590-592
Author(s):  
Ulrike M. Hoehne-Hückstadt ◽  
Rolf P. Ellegast ◽  
Dirk M. Ditchen
Keyword(s):  
Exposure Assessment ◽  
Upper Extremity ◽  
Repetitive Work ◽  
Work Tasks

Joint moment trade-offs across the upper extremity and trunk during repetitive work

2020 ◽  
Vol 88 ◽  
pp. 103142
Author(s):  
Daanish M. Mulla ◽  
Alison C. McDonald ◽  
Peter J. Keir
Keyword(s):  
Upper Extremity ◽  
Joint Moment ◽  
Repetitive Work ◽  
Trade Offs

Combining Values

2002 ◽  
Vol 7 (2) ◽  
pp. 1-4, 12 ◽  
Author(s):  
Christopher R. Brigham
Keyword(s):  
Lower Extremity ◽  
Upper Extremity ◽  
Evaluation Method ◽  
Proximal Phalanx ◽  
Common Error ◽  
The Third ◽  
Whole Person ◽  
Impairment Ratings ◽  
Upper Extremity Impairment ◽  
The Individual

Abstract To account for the effects of multiple impairments, evaluating physicians must provide a summary value that combines multiple impairments so the whole person impairment is equal to or less than the sum of all the individual impairment values. A common error is to add values that should be combined and typically results in an inflated rating. The Combined Values Chart in the AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition, includes instructions that guide physicians about combining impairment ratings. For example, impairment values within a region generally are combined and converted to a whole person permanent impairment before combination with the results from other regions (exceptions include certain impairments of the spine and extremities). When they combine three or more values, physicians should select and combine the two lowest values; this value is combined with the third value to yield the total value. Upper extremity impairment ratings are combined based on the principle that a second and each succeeding impairment applies not to the whole unit (eg, whole finger) but only to the part that remains (eg, proximal phalanx). Physicians who combine lower extremity impairments usually use only one evaluation method, but, if more than one method is used, the physician should use the Combined Values Chart.

Impairment Tutorial: Functionally Limiting Upper Extremity Pain: Controversies in Impairment Rating

2003 ◽  
Vol 8 (5) ◽  
pp. 4-12
Author(s):  
Lorne Direnfeld ◽  
James Talmage ◽  
Christopher Brigham
Keyword(s):  
Upper Extremity ◽  
Radicular Pain ◽  
Illness Behavior ◽  
Orthopedic Surgeon ◽  
First Case ◽  
Clinical Presentations ◽  
Whole Person ◽  
Physical Examinations ◽  
Upper Extremity Impairment ◽  
The Individual

Abstract This article was prompted by the submission of two challenging cases that exemplify the decision processes involved in using the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides). In both cases, the physical examinations were normal with no evidence of illness behavior, but, based on their histories and clinical presentations, the patients reported credible symptoms attributable to specific significant injuries. The dilemma for evaluators was whether to adhere to the AMA Guides, as written, or to attempt to rate impairment in these rare cases. In the first case, the evaluating neurologist used alternative approaches to define impairment based on the presence of thoracic outlet syndrome and upper extremity pain, as if there were a nerve injury. An orthopedic surgeon who evaluated the case did not base impairment on pain and used the upper extremity chapters in the AMA Guides. The impairment ratings determined using either the nervous system or upper extremity chapters of the AMA Guides resulted in almost the same rating (9% vs 8% upper extremity impairment), and either value converted to 5% whole person permanent impairment. In the second case, the neurologist evaluated the individual for neuropathic pain (9% WPI), and the orthopedic surgeon rated the patient as Diagnosis-related estimates Cervical Category II for nonverifiable radicular pain (5% to 8% WPI).

Spinal Impairment Evaluation: Fifth Edition Changes

2001 ◽  
Vol 6 (1) ◽  
pp. 1-3
Author(s):  
Robert H. Haralson
Keyword(s):  
Spinal Cord ◽  
Lower Extremity ◽  
Range Of Motion ◽  
Upper Extremity ◽  
Spinal Cord Injuries ◽  
Clinical Findings ◽  
Fourth Edition ◽  
Treatment Results ◽  
Standard Terminology ◽  
Made In

Abstract The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, was published in November 2000 and contains major changes from its predecessor. In the Fourth Edition, all musculoskeletal evaluation and rating was described in a single chapter. In the Fifth Edition, this information has been divided into three separate chapters: Upper Extremity (13), Lower Extremity (14), and Spine (15). This article discusses changes in the spine chapter. The Models for rating spinal impairment now are called Methods. The AMA Guides, Fifth Edition, has reverted to standard terminology for spinal regions in the Diagnosis-related estimates (DRE) Method, and both it and the Range of Motion (ROM) Method now reference cervical, thoracic, and lumbar. Also, the language requiring the use of the DRE, rather than the ROM Method has been strengthened. The biggest change in the DRE Method is that evaluation should include the treatment results. Unfortunately, the Fourth Edition's philosophy regarding when and how to rate impairment using the DRE Model led to a number of problems, including the same rating of all patients with radiculopathy despite some true differences in outcomes. The term differentiator was abandoned and replaced with clinical findings. Significant changes were made in evaluation of patients with spinal cord injuries, and evaluators should become familiar with these and other changes in the Fifth Edition.

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