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This practical text will teach therapists and occupational health professionals how to effectively manage and treat CTD patients. Readers will learn how to develop and critically analyze cumulative trauma disorder (CTD) programs and how to make practical ergonomic suggestions in the field.
Occupational safety and health professionals have become increasingly concerned with the development of Cumulative Trauma Disorders (CTDs) in workers performing hand-intensive jobs. These disorders, which primarily affect the soft tissues of the musculoskeletal system, are associated with repeated or sustained exertions in awkward or static postures, or with a high concentration of stress in the upper extremities. Research conducted at various worksites over the last few years confirmed earlier observations that attributed many of the CTDs to improperly designed work surfaces and/or improper selection of tools that place excessive stress on the tendons, muscles and nerves. In an occupational setting, the recommended intervention is to modify or redesign the job or tool to minimise the sources of biomechanical trauma. Based on the theory that work-related trauma is the principle casual factor, such action should result in a reduced incident of occupational musculoskeletal disorders. The information contained within this manual will help health professionals, workers and employers be more cognizant of the types of work patterns that have potential to cause various CTDs and be aware of the ergonomic interventions that can be adopted to reduce these problems in the workplace.
Emphasizing management and worker accountability, this book provides practical, cost-effective approaches to preventing CTDs. The authors use numerous case studies, diagrams, illustrations, and checklists to explain what CTDs are, how they are diagnosed, and what measures can be used to prevent their onset. Current thinking on treatment is also discussed.
Every year workers' low-back, hand, and arm problems lead to time away from jobs and reduce the nation's economic productivity. The connection of these problems to workplace activities-from carrying boxes to lifting patients to pounding computer keyboards-is the subject of major disagreements among workers, employers, advocacy groups, and researchers. Musculoskeletal Disorders and the Workplace examines the scientific basis for connecting musculoskeletal disorders with the workplace, considering people, job tasks, and work environments. A multidisciplinary panel draws conclusions about the likelihood of causal links and the effectiveness of various intervention strategies. The panel also offers recommendations for what actions can be considered on the basis of current information and for closing information gaps. This book presents the latest information on the prevalence, incidence, and costs of musculoskeletal disorders and identifies factors that influence injury reporting. It reviews the broad scope of evidence: epidemiological studies of physical and psychosocial variables, basic biology, biomechanics, and physical and behavioral responses to stress. Given the magnitude of the problem-approximately 1 million people miss some work each year-and the current trends in workplace practices, this volume will be a must for advocates for workplace health, policy makers, employers, employees, medical professionals, engineers, lawyers, and labor officials.
Cumulative Trauma Disorders, Second Edition is a thorough revision of Putz-Anderson's authoritative work that incorporates current research and opinion. The book provides a clear and usable guide for those actively involved in the assessment and prevention of work-related musculoskeletal disorders. It presents information that enables nonmedical personnel to recognize the dangers and risks of CTDs, also known as repetitive strain injuries or work-related upper limb disorders, and discusses up-to-date strategies for preventing their occurrence. This edition discusses indicators and identification methods and methods of prevention, and includes a new section on evaluating proposed control strategies.
OSHA frequently requires companies to implement the type of program promoted in Cumulative Trauma Disorders, the first and only book to address both the medical and ergonomic aspects of cumulative trauma.
Whether you call them work-related upper limb disorders (WRULDs), cumulative trauma disorders (CTDS), or occupational overuse syndromes (OOSs), these conditions are a cause of pain, disability and suffering to workers worldwide. These designations often imply that their causes are related to work, but the supporting evidence can be unclear. Transparency is important, especially when it is necessary to form a connection with work factors to obtain treatment or compensation. This book addresses the dilemma. Written by a professional ergonomist with almost 40 years of experience in workplace ergonomics, this book combines a critical summary and assessment of the epidemiological literature with an exploration of the scientific and medical evidence for possible causal mechanisms to develop well-informed conclusions on causation of a number of common musculoskeletal disorders of the upper limb and intervertebral disc injury. Although much of the book focuses on physical factors, the role of psychosocial factors is increasingly being recognized and an additional chapter reviews a number of the current theories relating to this important issue. Features Focuses on a clear and authoritative account of the evidence for the role of work in the causation of commonly occurring ULDs and disc injury Provides an up-to-date compilation of the scientific evidence, devoid of views based on assumptions or prejudice Presents a clear explanation of the most likely causal mechanisms for common ULDs and disc injuries Includes a summary of theories concerning the role played by psychosocial factors Outlines the statistical evidence in a clear and understandable manner Bridges the gap between the evidence-base in the scientific and medical research literature and the practitioner