scholarly journals So What Can be Done to Avoid Getting Cumulative Trauma Disorders?

1999 ◽  
Vol 7 (6) ◽  
pp. 26-29
Author(s):  
Jan Minshew
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Nationwide Survey ◽  
University Of Michigan ◽  
Cumulative Trauma ◽  
Cumulative Trauma Disorder ◽  
Tunnel Syndrome ◽  
Rising Incidence ◽  
Trauma Disorders ◽  
The University

The first article reporting the rising incidence of carpal tunnel syndrome in histotechnologists was written by Pearl Gervais and published in the Louisiana Society for Histotechnology newsletter in 1991. Following that article, the growing interest in the number of injuries within the profession prompted a nationwide survey of histotechnologists. The results of that survey appeared in the first part of a three part article published in the Journal of Histotechnology, 18:139,1995. The articles were written by a group of professionals from the University of Michigan. Carpal Tunnel Syndrome (CTS) was used as the model for potential Cumulative Trauma Disorder (CTD).

Cumulative trauma disorders and carpal tunnel syndrome: Sorting out the confusion

1995 ◽  
Vol 3 (4) ◽  
pp. 17-25
Author(s):  
James Mahoney
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Response To Treatment ◽  
Cumulative Trauma ◽  
Care Needs ◽  
Cumulative Trauma Disorder ◽  
Emotional Factors ◽  
General Terms ◽  
Tunnel Syndrome ◽  
Trauma Disorders

Chronic work injury will be implicated as a cause of upper extremity musculoskeletal disorders in increasing numbers of patients. A wide variety of conditions, some with a specific diagnosis (eg, carpal tunnel syndrome) and a known response to treatment in contrast to more generalized disorders (eg, tendonitis) where the prognosis is uncertain form part of the spectrum. Experience has demonstrated that as the diagnosis becomes less specific, job related and emotional factors can significantly affect the patient's presentation, response to treatment and timing to return to work. Care needs to be exercised in implicating work in the etiology. General terms such as ‘cumulative trauma disorder’ and ‘repetitive strain injury’ need to be avoided.

UPAYA MEMPERTAHANKAN ERGONOMIK SERTA MENCEGAH HAZARD PSIKOSOSIAL

2020 ◽  
Author(s):  
Sera Manik
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Cumulative Trauma Disorders ◽  
Low Back ◽  
Cumulative Trauma ◽  
Tunnel Syndrome ◽  
Trauma Disorders

Ergonomi menjadi pilar kesehatan dan menjadi salah satu indikator kesejahteraan. perbaikan ergonomi perlu dilakukan sebagai salah satu upaya pencegahan terhadap penyakit CTDs (Cumulative Trauma Disorders) akibat faktor risiko kerja postur janggal, beban, frekuensi dan durasi yang bersumber dari pekerjaan, seperti nyeri tengkuk, nyeri pinggang bawah atau low back pain, rasa baal pada jari telunjuk, jari tengah dan jari manis yang disertai nyeri terbakar pada malam hari, kekakuan, lemah dan nyeri saat tangan digunakan dan dikenal dengan nama Carpal Tunnel Syndrome. Dalam ergonomi, postur tubuh adalah faktor yang sangat penting, salah satunya postur duduk yang setiap orang lakukan setiap hari dalam durasi berjam-jam. Tujuan utama membuat desain ergonomi untuk kursi atau tempat duduk dan meja adalah menciptakan sedemikian rupa bentuk kursi dan meja belajar, sehingga dapat mempertahankan postur tulang punggung yang fi siologis, dengan demikian diharapkan kerja otot tidak perlu berkontraksi secara berlebihan. Masalah ketidaksesuaian aspek ergonomi antara sarana kerja dan manusia serta pengaruhnya terhadap kesehatan belum mendapatkan perhatian yang serius di Indonesia. Hal ini terbukti dengan masih banyaknya tempat-tempat kerja yang belum berpedoman dengan kaidah ergonomi dalam hal penyediaan peralatan kerja bagi tenaga kerja. Ketepatan dimensi merupakan salah satu faktor penentu kenyamanan yang menunjang aspek fungsional dari suatu rancangan. Untuk menghasilkan suatu desain yang tepat dimensi perlu pertimbangan yang matang dan observasi yang cermat terkait dengan faktor manusia sebagai pengguna produk.

scholarly journals Correction

AAOHN Journal ◽  
1995 ◽  
Vol 43 (10) ◽  
pp. 506-506
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Goal Attainment ◽  
Cumulative Trauma Disorders ◽  
Government Printing ◽  
Cumulative Trauma ◽  
Tunnel Syndrome ◽  
Program Plan ◽  
The Government ◽  
Trauma Disorders

In the August 1995 issue (vol. 43, no. 8), in the article, “A Program Plan Addressing Carpal Tunnel Syndrome: The Utility of King's Goal Attainment Theory,” there was an error in the first entry of the references. The reference cites a report “Cumulative trauma disorders in the workplace: Costs, prevention, and progress,” indicating that is was published by the Government Printing Office. The publisher should be The Bureau of National Affairs, Inc. (BNA), a privately held publisher of print and electronic news and information in Washington, D.C. There is no connection with the Government Printing Office. Copies of this report are available from BNA PLUS at (800) 452-7773 or (202) 452-4322.

scholarly journals The role of electrodiagnostic testing in carpal tunnel syndrome

1997 ◽  
Vol 3 (1) ◽  
pp. E4 ◽  
Author(s):  
Lawrence H. Phillips ◽  
Vern C. Juel
Keyword(s):  
Primary Care ◽  
Carpal Tunnel Syndrome ◽  
Upper Extremity ◽  
Carpal Tunnel ◽  
Primary Care Physicians ◽  
Electrodiagnostic Testing ◽  
Use Patterns ◽  
Tunnel Syndrome ◽  
The University ◽  
Upper Extremity Symptoms

Electrodiagnostic testing in patients who have upper-extremity symptoms, which may include carpal tunnel syndrome (CTS), has been the gold standard for diagnosis for many years. Depite their value, these tests are underutilized. The authors examined the use patterns of electrodiagnostic testing at the University of Virginia by reviewing the records of the Electromyography Laboratory for the calendar year 1994. Studies in patients with CTS comprised 15% of the 1626 studies performed during that time. The mononeuropathy was mild in the majority of cases and most of the patients were referred for testing by specialists. There was a clear referral bias on the part of the primary care physicians, and the severity of mononeuropathy in the patients they referred for testing was significantly greater than in patients referred by specialists. The data indicate that electrodiagnostic testing has clear value in the evaluation of patients who have upper-extremity symptoms. Despite this fact, primary care physicians appear to underutilize electrodiagnostic testing.

scholarly journals PENGARUH MOBILISASI PERGELANGAN TANGAN SETELAH DIBERIKAN ULTRASOUND TERHADAP PENURUNAN NILAI NYERI PASIEN CARPAL TUNNEL SYNDROME

2019 ◽  
Vol 5 (2) ◽  
pp. 152-157
Author(s):  
Raditya Kurniawan Djoar ◽  
Anastasia Martha
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
T Test ◽  
Nervus Medianus ◽  
Post Test ◽  
Tunnel Syndrome ◽  
Trauma Disorders

Carpal Tunnel Syndrome (CTS) merupakan bentuk cedera tekanan yang berulang pada nervus medianus dan merupakan syndrome penjepitan saraf yang paling sering ditemukan. Kejadian CTS ini telah menjadi pusat perhatian peneliti karena merupakan salah satu jenis cummulative trauma disorders (CTD) yang paling banyak dijumpai. Karena permasalahan tersebut, akibatnya pergelangan tangan menjadi terbatas dan tidak mampu berfungsi sebagaimana mestinya sehingga berpengaruh terhadap pekerjaan sehari-hari.  Tujuan dari penelitian ini adalah menganalisis pengaruh penambahan intervensi berupa mobilisasi saraf medianus, carpal dan tendon gliding setelah diberikan Ultrasound terhadap penurunan nilai nyeri CTS. Penelitian ini merupakan penelitian eksperimen dengan pendekatan quasi eksperimental, dengan desain penelitian pre and post test two groups design Populasi penelitian ini adalah pasien CTS di RSUD Sidoarjo sebanyak 70 orang yang dibagi dalam dua kelompok yaitu kelompok 1 yang mendapatkan terapi ultrasound dan kelompok 2 yang mendapatkan terapi ultrasound serta ditambahkan dengan mobilisasi saraf medianus, carpal dan tendon gliding. Uji statistic yang digunakan adalah independent t test. Hasil penelitian menunjukan  bahwa terdapat perbedaan yang signifikan antara nilai nyeri pada kelompok yang diberikan ultrasound dan kelompok yang diberikan  penambahan dengan mobilisasi saraf medianus, carpal dan tendon gliding (Asymp. Sig 2-tailed 0,00). Penurunan nyeri pada kelompok ini lebih significant dikarenakan penggunaan kombinasi dari intervensi tersebut. Latihan mobilisasi saraf medianus dapat membantu mengembalikan aliran pembuluh darah balik vena dari saraf medianus sehingga mengurangi tekanan di dalam epineurium sehingga mengurangi nyeri dengan ditambah latihan tendon gliding dapat mengembalikan aliran pembuluh darah balik vena dari saraf medianus sehingga mengurangi tekanan di dalam epineurium sehingga nyeri berkurang.  

Lumbrical Muscle Incursion into the Carpal Tunnel During Finger Flexion

1994 ◽  
Vol 19 (4) ◽  
pp. 434-438 ◽  
Author(s):  
T. K. COBB ◽  
K.-N. AN ◽  
W. P. COONEY ◽  
R. A. BERGER
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Work Place ◽  
Full Extension ◽  
Work Related ◽  
Finger Flexion ◽  
Tunnel Syndrome ◽  
Lumbrical Muscle ◽  
Trauma Disorders ◽  
Possible Cause

Carpal tunnel syndrome is one of the many so-called cumulative trauma disorders thought by some to be related to the performance of repetitive tasks in the work-place. The cause of this disorder is unknown. We have observed lumbrical muscle incursion into the carpal tunnel during finger flexion. This study was conducted to determine the amount of this incursion in normal wrists. Five cadaver upper limbs were analyzed radiographically with radiopaque markers on the flexor retinaculum and the lumbrical muscle origins in four finger positions: full extension, 50% flexion, 75% flexion, and 100% finger flexion. The lumbrical muscle origins were an average of 7.8 mm distal to the carpal tunnel in full finger extension. They moved an average of 14 mm into the carpal tunnel with 50% finger flexion, 25.5 mm with 75% flexion, and 30 mm with 100% flexion. Abnormal lumbrical muscles have been cited as a possible cause of carpal tunnel syndrome. These findings suggest that lumbrical muscle incursion during finger flexion is a normal occurrence and is a possible cause of work-related carpal tunnel syndrome.

Work Sampling as a Method for Assessing CTDS

1993 ◽  
Vol 37 (10) ◽  
pp. 679-682 ◽  
Author(s):  
David Mahone
Keyword(s):  
Sampling Method ◽  
Large Population ◽  
Cumulative Trauma ◽  
Cumulative Trauma Disorder ◽  
Work Sampling ◽  
Aggregate Risks ◽  
Sample Interval ◽  
Tunnel Syndrome ◽  
Trauma Disorders

Work sampling is proposed as a method for evaluating aggregate risks for cumulative trauma disorders in jobs. The approach assumes that an assessment of cumulative trauma disorder (CTD) risk factors within individual tasks has been made, and can be used in conjunction with the resulting estimates of proportion of time spent per task or activity to arrive at an overall estimation of CTD risk for the job. Important advantages of work sampling include that it estimates the availability of rest and recovery time within jobs, that the method can be applied to both cyclical and noncyclical jobs, and that small, practical samples may provide reasonable estimates in many cases. A case study utilizing work sampling in a workers compensation carpal tunnel syndrome (CTS) claims investigation using a single day sample interval is presented. Results suggest little or no CTD risk, a finding that was supported by historical evidence from a large population of workers (27,200) performing the same job. Only .0000025% of workers had reported a CTD over a period of 3 years. While support for causation of CTD was not found, the method identified a probability of aggravation of a possible pre-existing condition, which is also compensable. Details regarding the studied job are provided. The use of a work sampling method to assess CTD risks is discussed.

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