Surveillance case definitions for work related upper limb pain syndromes

The present study investigated the effectiveness of a cognitive-behavioural approach to the management of chronic work-related upper limb pain. Clients included three females who had experienced severe upper limb pain for 7, 3.5 and 1.5 years respectively and whose condition had been labelled by medical specialists as occupational overuse syndrome. Clients commenced treatment in a sequential manner, following a staggered baseline monitoring phase in order to produce a multiple baseline design across cases. Treatment involved 8 sessions over a 4-week period, covering pain management procedures, cognitive restructuring of maladaptive cognitions, relaxation training and EMG biofeedback. All cases showed some improvement in pain, distress and interference caused by pain. In addition, changes in depression, anxiety, coping strategies and sleep disturbance were reported. Therapy gains were maintained at the 6-month follow-up assessment for 2 of the 3 cases.

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The neurological examination in work-related upper limb pain

International Musculoskeletal Medicine ◽

10.1179/175361410x12652805807431 ◽

2010 ◽

Vol 32 (1) ◽

pp. 7-15

Author(s):

Jørgen Riis Jepsen ◽

Carl-Göran Hagert

Keyword(s):

Upper Limb ◽

Neurological Examination ◽

Limb Pain ◽

Work Related ◽

Upper Limb Pain

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Aberrant neuronal activity in a model of work-related upper limb pain and dysfunction

Journal of Pain ◽

10.1016/j.jpain.2021.12.004 ◽

2021 ◽

Author(s):

Andrew Dilley ◽

Michele Harris ◽

Mary F. Barbe ◽

Geoffrey M. Bove

Keyword(s):

Neuronal Activity ◽

Upper Limb ◽

Limb Pain ◽

Work Related ◽

Upper Limb Pain

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Is Typing Speed Proportional to the Severity of Pain in Keyboard Workers with Work-related Upper Limb Disorder

JRSM Short Reports ◽

10.1258/shorts.2011.010143 ◽

2012 ◽

Vol 3 (1) ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Bo Povlsen

Keyword(s):

Upper Limb ◽

Tertiary Hospital ◽

Control Group ◽

Limb Pain ◽

Work Related ◽

Before And After ◽

Slow Group ◽

Patient Groups ◽

Upper Limb Pain ◽

Different Levels

Objectives To investigate if typing speed is proportional to the severity of pain in keyboard workers with work-related upper limb disorder (WRULD). Design Standardized functional typing test with participants scoring pain before and after typing; calculation of typing speed. Participants Fifty-nine patients and six controls. Setting Tertiary hospital centre for hand and upper limb pain. Main outcome measures Pain (VAS 0–10) and calculation of typing speed as words per minute. Results Three subgroups of patients were found based on their typing speed: fast, slow and intermediate. Two-tailed student T-test with P level at 0.05 was used for evaluation. The typing speeds were significantly different between all three patient groups ( P < 0.05). The typing speed was significantly faster in the fastest patient group than in the control group ( P = 0.04) and the slow and middle groups ( P = <0.0001). The pain before typing was highest in the ‘slow’ group, in both hands but this difference was not statistically significant. Conclusion Typing speed is not proportional to the severity of pain in keyboard workers with WRULD. Patients with statistically significant slower or faster typing speeds do not have statistically different levels of pain.

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Successful application of burst spinal cord stimulation for refractory upper limb pain: a case series

Journal of International Medical Research ◽

10.1177/03000605211004035 ◽

2021 ◽

Vol 49 (3) ◽

pp. 030006052110040

Author(s):

Kuen Su Lee ◽

Yoo Kyung Jang ◽

Gene Hyun Park ◽

In Jae Jun ◽

Jae Chul Koh

Keyword(s):

Spinal Cord ◽

Upper Limb ◽

Spinal Cord Stimulation ◽

Therapeutic Potential ◽

Case Series ◽

Limb Amputation ◽

Intractable Pain ◽

Limb Pain ◽

Cord Injury ◽

Upper Limb Pain

Spinal cord stimulation (SCS) has been used to treat sustained pain that is intractable despite various types of treatment. However, conventional tonic waveform SCS has not shown promising outcomes for spinal cord injury (SCI) or postamputation pain. The pain signal mechanisms of burst waveforms are different to those of conventional tonic waveforms, but few reports have presented the therapeutic potential of burst waveforms for the abovementioned indications. This current case report describes two patients with refractory upper limb pain after SCI and upper limb amputation that were treated with burst waveform SCS. While the patients could not obtain sufficient therapeutic effect with conventional tonic waveforms, the burst waveforms provided better pain reduction with less discomfort. However, further studies are necessary to better clarify the mechanisms and efficacy of burst waveform SCS in patients with intractable pain.

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Common challenges in managing neck and upper limb pain in office workers

10.31128/ajgp-07-19-4986 ◽

2019 ◽

Vol 48 (11) ◽

pp. 746-750

Author(s):

Brendan Mouatt ◽

Steven J Kamper

Keyword(s):

Upper Limb ◽

Office Workers ◽

Limb Pain ◽

Upper Limb Pain

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Superior vena cava obstruction with thrombolytic therapy in primary antiphospholipid syndrome

10.22541/au.161203349.96268572/v1 ◽

2021 ◽

Author(s):

Manal Adel ◽

Marwa Mashaal ◽

Kareem Mahmoud ◽

Shady Mashhour ◽

Haytham Soliman

Keyword(s):

Thrombolytic Therapy ◽

Superior Vena Cava ◽

Antiphospholipid Syndrome ◽

Upper Limb ◽

Superior Vena ◽

Vena Cava ◽

Primary Antiphospholipid Syndrome ◽

Superior Vena Cava Obstruction ◽

Limb Pain ◽

Upper Limb Pain

We report a case of superior vena cava obstruction of a 39 years old female patient with primary antiphospholipid syndrome presented with upper limb pain and swelling ,which improved on thrombolytic therapy ,we review patients with Antiphospholipid syndrome and management with thrombolytic therapy .

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